The document discusses the benefits of integrative health coaching, noting that clinical research has shown it can help reduce cardiovascular risk, diabetes symptoms, asthma hospitalizations, cancer pain, and increase bone mineral density. Integrative health coaching takes a whole-person approach and promotes ongoing engagement between patients and providers to support lifestyle behavior changes. Contracting with PB Healthcare Business Solutions would provide clients with continuity of care and more engaged, informed patients.

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2. Background
 75% of our national health costs are related to chronic
conditions that have their origin in lifestyle behaviors
 In dollar terms, $1.8 trillion of $2.4 trillion spent on
health care is due to unhealthy lifestyle behaviors
 Most of our healthcare delivery is geared toward
returning people back to unhealthy lifestyles and not
toward changing unhealthy lifestyles
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3. The Typical Patient/Provider Experience
• Average amount of time for a patient/physician visit is
5-7 minutes
• Physician determines the patient’s problem within
average of 18 seconds
• Patients increasingly complain that they do not have
enough time to explain things or ask questions; patient
is time-pressured and forgets 90% of what was said by
the physician
• Physician’s focus is on “what is your chief complaint?”
rather than “what is happening in your life?”
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4. What Is Integrative Health Coaching?
 A whole-person approach to healthy living that
promotes on-going engagement (as opposed to
episodic interaction) between the provider and the
consumer
 Active planning and accountability on the part of the
individual, with rigorous assistance from a highly-
skilled coach/advocate
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5. Why Integrative Health Coaching?
 A proven approach to changing personal behavioral
patterns that have fueled our culture of sick (and not
health- promoting) care
 Puts accountability in the hands of the only party that
can make changes to disease-fostering health patterns:
the consumer
 Educates consumers to learn evidence-based
treatment guidelines, and to understand treatment
options/costs in order to make informed decisions
about when, how, and where to utilize healthcare
resources
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6. Clinical Research Unquestionably Demonstrates
The Value Of Health Coaching
 Cardiovascular Disease
Vale MJ et al. Coaching patients On Achieving Cardiovascular Health (COACH): a multicenter randomized trial in patients with coronary
heart disease. Archives of Internal Medicine 2003 Dec 8-22;163(22):2775-83.
Edelman D et al. A multidimensional integrative medicine intervention to improve cardiovascular risk. Journal of General Internal
Medicine 2006 Jul;21(7):728-34.
 Diabetes
Whittemore R et al. A nurse-coaching intervention for women with type 2 diabetes. The Diabetes Educator 2004 Sep-Oct;30(5):795-804.
Asthma
Fisher EB et al. A randomized controlled evaluation of the effect of community health workers on hospitalization for asthma: the asthma
coach. Archives of Pediatrics and Adolescent Medicine 2009 Mar;163(3):225-32.
 Cancer Pain
Oliver JW et al. Individualized patient education and coaching to improve pain control among cancer outpatients. Journal of Clinical
Oncology 2001 Apr 15;19(8):2206-12.
• Weight Loss
Tucker LA et al. Telephone-based diet and exercise coaching and a weight-loss supplement result in weight and fat loss in 120 men and
women. American Journal of Health Promotion 2008 Nov-Dec;23(2):121-9. [Note: Coaching and the supplement (made by TriVita), separately
and in combination, helped participants lose weight and body fat.]
 Bone mineral density in adolescent girls
DeBar LL et al. Youth: a health plan-based lifestyle intervention increases bone mineral density in adolescent girls. Archives of Pediatrics and
Adolescent Medicine 2006 Dec;160(12):1269-76.
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7. Cardiovascular Clinical Research
 3-year study by Duke Integrative Medicine indicated
health-coached participants had twice the reduction
in inpatient admissions as non-coached participants
 Coached participants demonstrated positive behavior
changes that reduced cardiovascular risk over a ten
month period. Biggest improvements were in healthier
eating, lost weight, and reduction in smoking.
(“A Multi-dimensional Integrative Medicine Intervention to Improve Cardiovascular Risk:
Randomized Controlled Trial”, Duke Center For Integrative Medicine/Duke University
Medical Center, 2008. Funded by the Centers for Medicare and Medicaid Services)
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8. Difference Between Wellness Coaching and Well-Being Coaching
 Traditional Wellness Programs  Integrative Health Coaching
 Case Management Orientation  Behavior Modification
 Compliance Approach Orientation
 Templated Health Planning  Motivational Approach
 Focused On Meeting Employer’s  Personalized Health Planning
Goals  Focused On Achieving
 Disease oriented: manage the Employer and Individual’s
symptoms Goals
 Lifestyle and behavior
oriented: encourage self-
health management
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9. Role of the Integrative Health Coach
The integrative health coach :
 Guides clients in learning about diagnostic and therapeutic
modalities and alternative approaches to management of
health issues
 Helps clients to navigate the health system
 Helps clients to make the right choices and decisions with
respect to their total well-being
 Operates as a “two-way” member of the medical team
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10. How Will Contracting With PB Healthcare
Business Solutions Benefit Your Clients?
 Clients learn how to effectively navigate the health system, which
results in increased client satisfaction
 Coached clients are more committed to making improvements in their
lifestyle behaviors
 Improvement in the quality of the patient/provider interaction: a more
engaged and informed patient and a less-stressed care provider
 Sustained health improvements and the potential to reduce un-
reimbursable hospital re-admissions (e.g. 30 day post-discharge)
 Provides clients with continuity before, during, and after engagement
with the health system; can keep clients from leaving the system due to
fragmented and disjointed coordination
 Strengthens loyalty of consumer to using your healthcare offerings as
opposed to those offered by other providers
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11. Different Phases Of Coaching
Pre-health system engagement Health system engagement and Post-system engagement
1. Client/Coach 2. Client/Provider/Coach 3. Client/Hospital/Coach
Pre-visit Pre-admission
Group or assistance in health
individual assistance in
assessment, preparing for
motivational preparing key
interviewing hospitalization
questions, internet
research In-hospitalization
Educate on CAM
resources assistance
Post-visit
assistance in Post-
preparing hospitalization
personalized health assistance
plan
Weekly, bi-
Monitoring plan weekly, and
adherence through monthly coaching
weekly, bi-weekly,
and monthly
coaching
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12. Pilot Program: How Approach?
 Choose specialty like general internal medicine, oncology, or
cardiovascular care
 Controlled trial of usual care vs. care utilizing integrative health
coaching
 Minimum of 6 months
 Measure effectiveness on both qualitative and quantitative
parameters
 Client and physician satisfaction
 Productivity
 Gains in biometric measures e.g. cholesterol reduction, blood pressure
 Adherence to personalized health plan
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13. PB Healthcare Business Solutions LLC
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