A New Era for Disease Management
Dr. Jaan Sidorov, MD, MHSA, FACP, discusses how the personal health support approach supports the patient-centered medical home model of care. Read his article.

With more than 20 years of experience in primary care, disease management and population-based care coordination, Dr. Jaan Sidorov is the author of the recognized "Disease Management Care Blog". Also author of more than 35 peer-reviewed publications and presenter at 60 healthcare conferences, Dr. Sidorov is a Fellow of the American College of Physicians and formerly served on the Board of Directors at DMAA. He has been quoted by the Wall Street Journal and NPR’s "All Things Considered".
With Proposal in Hand, Alere Joins
Health Reform Debate in Washington

As Washington turns its attention to the need for health reform, Alere® has taken the opportunity to propose a National Health Improvement Strategy that could save American businesses and health insurers tens of billions of dollars by focusing on the management of preventable health risks and chronic illness.


Recently, Alere CEO Ron Geraty, MD, presented Alere's proposals to key Congressional committees, and Alere’s Executive Vice President, Ron Loeppke, MD, MPH, briefed members of Congress on the benefits of workplace wellness and prevention strategies.  Loeppke has conducted extensive research on the direct and indirect costs of chronic illness in the workplace, finding that the cost of health-related productivity losses exceed medical and pharmacy spending by a factor of more than 2.3 to 1.(1)

“Extending coverage to tens of millions of uninsured Americans is necessary, but this is not a sufficient goal for healthcare reform,” said Geraty. “True reform also requires systemic changes that will dramatically improve the health of the nation and the value of the healthcare our citizens receive for the resources invested.”

View Alere’s proposals in the Alere Publications section of Alere’s online Press Room.


(1) Loeppke et al. “Health and Productivity as a Business Strategy: A Multiemployer Study,” Journal of Occupational and Environmental Medicine, Vol. 51, No. 4, April 2009
Case Study
Alere Client Seeing
Positive Results
Problem: Progress Energy (PGN) headquartered in Raleigh, N.C., is a Fortune 250 energy company with more than 21,000 megawatts of generation capacity and $9 billion in annual revenues.  PGN’s primary focus of concern was addressing an aging population and aggressive cost increases associated with chronic conditions. 

Overall healthcare spend has remained relatively flat since 2006.
Solution: The Alere claims data analysis highlighted the program needs and indicated we should offer Asthma, COPD, CAD, CHF, Diabetes and Oncology.  PGN put these programs in place January 2004.  PGN expanded their programs in April 2008 to include Alere’s Musculoskeletal Pain and Nurse24 programs to further expand our touch across their employees and reduce costs for pain-related claims. 

Results:
By the end of their fourth year with Alere, PGN enjoyed strong collaboration with their employees and their families in growing a culture of health.  Overall healthcare spend has remained relatively flat since 2006, when PGN redesigned its medical plans and encouraged employees to consider an HSA-eligible plan and other low-cost options. Since program launch, approximately 60 percent of those identified with a chronic condition are participating in an Alere program working with our nurses.  Outcomes for Year 4 operations indicate strong progress:
  • Improvement in nine out of ten compliance measures
  • Higher compliance for participants in all clinical performance indicators
  • Reduced hospital admissions in six programs
  • Reduced medical PMPM costs in six programs
  • Reduced total PMPM costs in five programs
  • Cost savings in six programs
Product News
Health Coaching Offers Unlimited Support
Alere is now offering a new health coaching program with an unprecedented combination of distinctive features. Designed to take health coaching to a whole new level, the Alere Personal Health Support program offers unlimited 12-month access to a personal health coach, an expanded selection of communication channels and a "whole person" approach to healthcare.

Individuals are encouraged to select what behaviors they want to address first rather than being told what they need to work on.
In this more empowering approach, individuals are encouraged to select what behaviors they want to address first rather than being told what they need to work on, making the process more personal and engaging. They can use the phone, email or Instant Message Chat (IM) to consult with their own dedicated personal health coach as little or as much as they prefer over a 12-month period. Eligible participants include those who have indicated a readiness to change in weight management, eating habits and nutrition, physical activity, tobacco cessation and stress.
Healthy Kids Tackles Childhood Obesity
Alere recently added Healthy Kids to its roster of online Healthy Living Programs to help parents and caregivers promote healthy habits for children.  This groundbreaking program is the first to
Groundbreaking program provides parents with week-by-week, structured approach to improving family health.
provide parents with a week-by-week, structured approach to improving family health and reducing risk for childhood obesity. It provides parents with clear, easy-to-implement strategies that they can incorporate into their daily lives.The online program is personalized and includes a range of criteria, such as age, activity level, even frequency of family meals. Tools and resources include online games and printable worksheets adults can complete with their kids. Younger children participate in fun activities that promote healthier food choices and active living, while older children learn valuable skills that can help them make better choices independently.
Preparing for the Flu Season
As the flu season approaches, many companies are uncertain how to protect their employees and health plan members from the novel H1N1 virus (or swine flu). Alere is prepared to provide guidance to clients and program participants. Guidance has been added to our annual voicemail message reminding participants to get flu shots. We have made sure that our clinical staff members have been educated on the swine flu and provided additional information to participants in the fall newsletter.

Alere advises you to encourage your employees and members to take the same precautions they would take to avoid the seasonal flu: cover the nose and mouth when coughing or sneezing; immediately discard used tissues; wash hands often with soap and water; and avoid contact with sick people. The H1N1 vaccine is expected to be available in the fall. For more information about the swine flu, visit Alere's parent company website at: www.invernessmedical.com.
industry presence
Coming Up
DMAA: The Care Continuum Alliance's Forum 09

September 21-22, 2009
San Diego, CA
Chairman Sponsor
Exhibiting/Presenting
 
Issue 1 :: August 2009
in this issue
New Strategy for Healthcare Crisis
By Gordon Norman, MD, MBA
EVP, Science & Innovation
Alere
Under pressure to reduce healthcare costs and increase employee productivity, employers and health plans continue to seek new and better ways to engage and sustain member participation in health management programs.

Alere has adopted a new model of care, which is emerging in the health management landscape as a more effective way to attract a rapidly growing number of ailing employees and health plan members who want to be healthier but feel overwhelmed by the idea of changing their lifestyle habits.

"The focus is no longer 'here's what you need to do' but rather 'what goals do you want to pursue?'"

Called personal health support (PHS), this person-centric approach to care is based on the philosophy that only when individuals become healthier can populations become healthier. It involves moving away from standardized programs in which each person receives the same intervention strategies for each risk or illness.

Alere’s PHS model was designed to identify and impact the most significant individual opportunities for health improvement. This means no two people get the same support experience with Alere. Each person receives interventions based on their individual values and preferences during teachable moments when they feel the most willing and inspired to change.

Alere’s caring nurses, specialists and coaches with expertise in health improvement support individuals who desire better health with a variety of tools, technologies, skills and knowledge to help them define and succeed with their personal health goals by making healthier choices.

The focus is no longer “here’s what you need to do” but rather “what goals do you want to pursue?” Behavior changes are determined based on the individual’s health status, combined with his/her comfort level, personal goals and readiness to change.

The behavior change could be as small as exercising five minutes a day, instead of giving someone an exercise regimen that they are not ready to take on. The idea is that individuals experience success with these smaller changes and gradually feel inspired to take on more challenging goals.

We believe this is how to most effectively inspire behavior change, build trust and keep each individual’s interest long enough to make a difference in his or her health.
Meet the Nurses
Julie Troesch
Julie Troesch came to Alere in January 2008 with 30 years of experience, including 20 years as a surgical nurse that encompasses experience in neurology, emergency medical treatment, cardiology and gynecology, as well as dental, plastics and laser surgery. She received Alere training in cardiology and diabetes.

"Here at Alere, I am thrilled to be able to give each patient the time they need."

"I really love working here. I’ve been a nurse for 31 years. I've always loved nursing. Nursing is the only thing I’ve ever wanted to do. While I don’t regret the years I put in as a bedside nurse, it was frustrating when I did not have enough time to spend with my patients.

When I saw this opportunity, I felt like it was what I needed to do. Here at Alere, I am thrilled to be able to give each patient the time they need. Alere provides many new and fresh resources for nurses to use to help teach patients in a more thorough way.

It's always rewarding when patients tell me that I have educated them about something they didn't know about before, such as the fact that it's important for people with heart failure to have a low-sodium diet.  I feel like what we are doing here is helping to fill in gaps for the healthcare providers who don't have time to go over intricate parts of what patients need to do to manage their diseases.

As a nurse, I treat my patients like they are my family. I try to make a personal connection with my patients, especially if something comes up for a patient in their personal life. For instance, when I know my patients' birthdays, I make sure I call them. I have found that a personal connection can help patients be more receptive to me and what I have to offer them."

For more information, email AlereNews@alere.com or visit www.alere.com.

© 2009 Inverness Medical. All rights reserved. Alere is a trademark of the Inverness Medical group of companies.