Living Well with Chronic
Conditions
Presented by the
Wisconsin Institute for Healthy Aging,
Wisconsin Department of Health
Services, and their partners
Why is Living Well Needed?
• Chronic diseases (heart disease, stroke,
cancer, diabetes, asthma, arthritis) most
common and costly
• 80% adults have at least 1; 50% have 2
• Incidence even higher in communities of
color
• Unlike acute conditions, individual must
self-manage
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Consequences of Chronic Conditions
• Responsible for over 2/3 U.S. annual deaths
• Accounts for over 80% of $2 trillion health care
costs
• Account for 74% of private insurance spending
• Medicaid and Medicare largest payors
• Responsible for significant and preventable
hospitalizations, ED visits, doc visits
• Result in work absenteeism, loss of productivity
• Emotional and physical toll on individuals and
families
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The Living Well Program
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Community workshop
2.5 hours/week for 6 weeks
Led by 2 trained co-leaders
Follows highly-scripted manual
For individuals with chronic conditions or
someone who lives with someone who does
• Exists in nearly all U.S. states
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The Living Well Program
• Evidence-based
• Meets AoA’s highest standard
• Developed by Stanford University’s Patient Education
Research Center
• Developed over years of:
– pilot-testing
– refinement
– evaluative research
http://patienteducation.stanford.edu/
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Program’s Underlying Assumptions
• People with chronic conditions have similar
concerns and problems
• People with chronic conditions must deal with
their disease and impact on lives/emotions
• Lay leaders as effective, or more, than health
care professionals
• The program process is as important, if not
more, than substance
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Researched and proven.
Study results show that
participants:
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Improved their healthful behaviors
Improved their health status
Decreased days in hospital
Decreased ED visits
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Target Population
• Individuals with chronic conditions, e.g.,
arthritis, diabetes, stroke, heart disease,
depression
• Individuals who live with someone who has a
chronic condition
• Regardless of living arrangement (e.g., home
or facility)
• Adults of all ages
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Weekly Contents
1. Mind-Body Connection, Sleep, “Action Plans”
2. Problem-Solving, Dealing with Difficult Emotions
3. Making Decisions, Pain, Fatigue, Physical Activity,
Exercise, Relaxation
4. Better Breathing, Healthy Eating, Communication
Skills, Problem-Solving
5. Healthy Food Choices, Medication Usage, Informed
Treatment Decisions, Positive Thinking
6. Working with Health Care Professionals and
Organizations, Weight Management
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Dissemination in Wisconsin
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Began in Wisconsin in 2005
Range of agencies offer the workshop
Range of sites host the workshops
Range of professionals or lay individuals
who serve as leaders
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Leader Qualifications & Characteristics
• Health care, aging or disability network
professionals, or lay volunteers
• At least one Leader has a chronic condition
• Experience with chronic conditions – personal
or professional
• Comfortable leading groups of adults
• Comfortable following a script
• Past participants encouraged!
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Leader Expectations
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Attend all of 4 full-day Leader training
Work with a sponsoring organization
Lead workshops in pairs, both trained
Lead two workshops each year
Follow Living Well script
Use required books and charts
Follow WIHA administrative protocols
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Are You Ready?
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Identify the local sponsoring organization AND
Identify your co-leader AND
Communicate with local aging unit
Together, review the Planning Guide
(see next slides)
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Living Well with Chronic Conditions
Leader & Local Partner Organization Planning Guide
• Identify local sponsoring organization
• If not the county aging unit, make contact with it
• Obtain supervisor support from place of employment
(if applicable)
• Identify 2 Leaders – already trained or need training?
• Select dates and times for first workshop
• Decide whether workshop will be free or a fee
• Select and reserve site, room, room arrangement
• Who will submit workshop notification to WIHA?
• What agency will receive workshop registrations?
Continued...
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Living Well with Chronic Conditions
Planning Guide, cont’d
• Outreach and Marketing
– See WIHA website materials
– Presentations – Where? Who will present?
– Individual recommendations – Who?
• Supplies needed
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Copies of Living a Healthy Life with Chronic Conditions
Required charts
Easels, blank flipchart pads, tape, and markers
Participant handouts
Refreshments
• Data Collection
• Funding Needed?
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Website for Leaders
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www.wihealthyaging.org
Click on FOR LEADERS ONLY
Click on Living Well with Chronic Conditions
Username: leaders@wihealthyaging.org
Password: wihaleaders
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Login page
• BETSY ADD SCREEN SHOT.
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Support for Leaders
• WIHA Leader Newsletter
• Listserv
• Regular Leader conference calls or
meetings where available
• Technical assistance
• Leader Coaching
• Healthy Aging Summit
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Leader Training
• Come in pairs, or solo if county already has a
trained Leader
• Four full days – must attend all to learn:
– basics on chronic conditions
– curriculum of Living Well program
– group facilitation, including practice
• Learn WIHA protocols and support available
• During first workshop, may have fidelity
coaching session
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Leader Training – to apply
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Leader Application – link on WIHA website
Complete application; pay fee
Commit to requirements
Attend in pairs, unless already a leader in
county
• With Sponsoring Organization, complete
Planning Guide
• 20-person limit
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? ? ? QUESTIONS ? ? ?
• Betsy Abramson 608-243-5691
betsy.abramson@wihealthyaging.org
• Anne Hvizdak 715-677-3037
anne.hvizdak@dhs.wisconsin.gov
• Jill Ballard 608-228-8081
jill.ballard@gwaar.org
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THANK YOU!
We look forward to working with you
to expand Living Well with Chronic
Conditions in Wisconsin