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Home > Coaching
Evidence-Based Health Coaching: Patient-Centered Competencies for Population Health
Evidence-Based Health Coaching: Patient-Centered Competencies for Population Health
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To succeed in a value-driven system, healthcare organizations will need to shift primary responsibility for health management to the individuals it serves.

Evidence-based health coaching supports these population health goals by aligning best practice care with patients' needs and values.

Evidence-Based Health Coaching: Patient-Centered Competencies for Population Health presents a template for evidence-based coaching that emphasizes clinical competencies, along with real-life applications from a health system already utilizing clinical health coaches within its value-based healthcare network.

In this 35-page report, William Appelgate, executive director of the Iowa Chronic Care Consortium, and Alicia Vail, RN, a health coach for Ochsner Health System, describe how health coaching steeped in patient-centered research and managed as a partnership rather than a mandate can vastly improve health outcomes, particularly in individuals with chronic illness.

Following principles defined by the Iowa Chronic Care Consortium's Health CoachTraining Program®, Ochsner has successfully engaged and activated patients to a higher level of self-care while improving outcomes and reducing costs.

Both thought leaders offer lessons and benchmarks to guide an evidence-based health coaching initiative, including hiring and training recommendations, coaching skill sets, prescribed case loads, and more.

These industry experts provide details on the following:

  • Transforming health coaching conversations with chronic condition patients to motivate patient self-management;
  • Adjusting care processes and work flows to increase the effectiveness of a health coaching program;
  • The multi-faceted role of the clinical health coach in a clinic environment;
  • Developing a health coaching competency;
  • Maximizing reimbursement from health coaching through care coordination fees;
  • Evaluating organizational readiness for a health coaching program;
  • Recruiting and managing a patient population;
  • Structuring a clinic's workflow to maximize health coaching results;
  • Overcoming the barriers to health coaching in this new environment;
  • Tracking HEDIS measures to ensure quality goals are met;
and much more, including an extensive Q&A section addressing the investment and benefits of coaching low-risk patients, embedding health coaches in a clinic environment, and other concerns.

Table of Contents

  • Health Coaching’s Value in Accountable Care and Medical Homes
    • Challenges of Managing Chronic Conditions
    • Opportunity Window to Build Health
    • Shifting to Healthcare 3.0
    • Transforming the Care Process
    • Clinical Health Coaching Competencies
    • Incorporating Coaching into the Care Process
    • Funding the Health Coaching Initiative
  • Case Study in Health Coaching: The Ochsner Health System Experience
    • Roles of the Health Coach
    • Coaching in the Clinic Workflow
    • Tracking Measures in Population Management
  • Q&A: Ask the Experts
    • Health Coach Skill Sets
    • Coaching Targeted Populations
    • Coach Hiring Guidelines
    • Scaling Health Coaches for the Masses
    • Coaching Metrics
    • Financial Returns from Coaching
    • Scheduling Coaching Follow-Ups
    • Health Coach Training
    • Measuring Coaching’s Success in an ACO or PCMH
    • Coaching Case Loads
    • Measuring Engagement in Coaching
    • Metrics to Evaluate Coaches’ Performance
    • Supporting the Embedded Health Coach
    • Growth Potential for Health Coaching
    • Coaching’s Effect on the Primary Care Encounter
    • Benefits of Coaching Low-Risk Individuals
    • Engaging Reluctant Providers in Health Coaching
    • Ochsner Coaching Criteria
    • Coaches in the Clinic Model
    • Motivational Interviewing
  • For More Information
  • About the Contributors
  • Glossary
Publication Date: June 2014
Number of Pages: 35
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