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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:
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Transforming health coaching conversations with chronic condition patients to motivate patient self-management;
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Adjusting care processes and work flows to increase the effectiveness of a health coaching program;
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The multi-faceted role of the clinical health coach in a clinic environment;
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Developing a health coaching competency;
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Maximizing reimbursement from health coaching through care coordination fees;
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Evaluating organizational readiness for a health coaching program;
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Recruiting and managing a patient population;
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Structuring a clinic's workflow to maximize health coaching results;
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Overcoming the barriers to health coaching in this new environment;
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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
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Health Coaching’s Value in Accountable Care and Medical Homes
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Challenges of Managing Chronic Conditions
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Opportunity Window to Build Health
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Shifting to Healthcare 3.0
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Transforming the Care Process
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Clinical Health Coaching Competencies
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Incorporating Coaching into the Care Process
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Funding the Health Coaching Initiative
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Case Study in Health Coaching: The Ochsner Health System Experience
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Roles of the Health Coach
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Coaching in the Clinic Workflow
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Tracking Measures in Population Management
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Q&A: Ask the Experts
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Health Coach Skill Sets
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Coaching Targeted Populations
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Coach Hiring Guidelines
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Scaling Health Coaches for the Masses
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Coaching Metrics
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Financial Returns from Coaching
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Scheduling Coaching Follow-Ups
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Health Coach Training
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Measuring Coaching’s Success in an ACO or PCMH
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Coaching Case Loads
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Measuring Engagement in Coaching
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Metrics to Evaluate Coaches’ Performance
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Supporting the Embedded Health Coach
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Growth Potential for Health Coaching
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Coaching’s Effect on the Primary Care Encounter
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Benefits of Coaching Low-Risk Individuals
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Engaging Reluctant Providers in Health Coaching
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Ochsner Coaching Criteria
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Coaches in the Clinic Model
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Motivational Interviewing
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For More Information
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About the Contributors
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Glossary
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