THE MANAGE YOUR CHRONIC DISEASE (MYCD)
PROGRAM: AN EFFECTIVE AND LOW COST RESOURCE
FOR PEOPLE WITH CHRONIC HEALTH CONDITIONS
Also known nationally as the
Chronic Disease Self-Management Program
developed and tested by Stanford University
2013 NMAHHC Spring Conference
Presentation Goals
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Demonstrate the effectiveness of the MyCD
Program.
Explain the core components of the MyCD Program.
Increase knowledge and awareness of the MyCD
Program.
Presentation Outline
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Grant Overview
Stanford University's Model
Benefits
Overview of MyCD and Tomando Programs
Program
Quality
Delivery
Assurance
Key Learnings
Grant Overview
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Funding Agency: U.S. Administration for Community
Living (ACL), formerly known as the Administration
on Aging
Funding Amount: $200,000
Project Length: 3 Years (9/12 through 8/15)
State Level Leadership:
New Mexico Department of Health (Lead State Agency)
New Mexico Aging and Long Term Services Department
Goal: Integrated, Sustainable Service System
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Stanford University’
University’s
Chronic Disease SelfSelf-Management Program (CDSMP)
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Peer led small groups
Standardized training for leaders
Highly structured teaching protocol
Standardized participant materials
Several topics per session
Well researched and studied
Evaluated in randomized trials to establish the
evidence base
Available in English and Spanish
Health Benefits…
Benefits…
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CDSMP improved health status in the following areas:
Fatigue
Shortness
of breath
Pain
Social
activity limitation
intrusiveness
Depression
Health distress
Illness
Benefits Continued…
Continued…
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Utilization Effects:
Costs Effects:
More appropriate use of healthcare resources
Reductions in healthcare expenditures
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May save enough money within the 1st year to pay for the
program
Additional Benefits:
Enhanced partnerships with physicians
Complements the clinical care and disease specific
education delivered by healthcare providers
MyCD/CDSMP Approved By…
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U.S. Administration for Community
Living/Administration on Aging
National Council Aging
U.S. Centers for Disease Control and Prevention
Meets the ACL’s Title IIID Highest-Level Criteria
MyCD Program AND
Tomando Control de su Salud Program
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Put Life Back in
Your Life!
Designed for people with…
with…
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Diabetes
Arthritis
Breathing/lung disease (i.e., asthma, bronchitis)
Heart disease
Hypertension (high blood pressure)
Osteoporosis (low bone density)
Cancer
Depression or anxiety disorders.
Symptom
Cycle
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SelfSelf-Management Toolbox…
Toolbox…
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Building SelfSelf-Management Skills
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Problem-solving
Decision-making
Understanding emotions
Healthy eating
Physical activity
Communication
Medications
Breathing techniques
Action planning
Workshop Overview
Week 1 Week 2
Overview of Self-Management/Chronic
Health Conditions
Using your Mind to Manage Symptoms
Getting a Good (ight’s Sleep
Making an Action Plan
Feedback/Problem-Solving
Dealing with Difficult Emotions
Physical Activity/Exercise
Preventing Falls/Improving Balance
Making decisions
Pain/Fatigue Management
Better Breathing
Healthy Eating
Communication Skills
Medication Usage
Making Informed Decisions
Dealing with Depression
Working with your Healthcare
Professional/System
Weight Management
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Planning for the Future
Week 3
Week 4
Week 5
Week 6
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MyCD and Tomando Reach Data
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Conditions Reported by Participants
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Personnel
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Leaders - are authorized to teach the six-week
workshop.
Master Trainers - are authorized to train only
Leaders to teach the Self-Management Workshop.
T-Trainers - are authorized to train Master Trainers
and/or Leaders
Training Basics
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Leaders – receive four (4) days of training usually
two (2) days a week for two (2) weeks
Master Trainers – receive 4.5 days of training
T-Trainers – this authorization will only be granted
after an apprenticeship training with a Stanford
staff trainer. To qualify for an apprenticeship, one
must have facilitated at least two (2) workshops
and three (3) Leader trainings.
To Remain Certified…
Certified…
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Leaders – must facilitate two (2) workshops every
year.
Master Trainers – must facilitate one (1) Leader
training and/or two (2) workshops per year
following certification
T-Trainers – must conduct at least (one) 1 Master
training every two (2) years and at least one (1)
leader trainings every year.
Benefits of Becoming Trained…
Trained…
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Trainings and materials will be covered by the
grant.
Receive certification to provide an evidence-based
program that has been proven to improve the
quality of life of older adults with chronic health
conditions.
Individuals learn proven methods to apply to other
areas of their practice.
Improve leadership/group facilitation skills.
License Basics
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Single-Program License Fees
Multiple-Program License Fees
$500 for offering 30 or fewer workshops and 6
Leader trainings
$1,000 for offering up to 75 total (all programs
combined) workshops and 6 Leaders trainings
All workshops and trainings must be attached to a
licensed agency.
Quality Assurance
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Fidelity Manual
Includes process for monitoring Leaders and Master
Trainers
Workshop observations
Participant feedback
Program data collection/analysis
Educational Materials
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Book
Audio CD
Living a Healthy Life With Chronic Conditions, 4th
Edition ($15.00)
Relaxation for Mind and Body ($9.00)
Materials can be ordered from the Bull Publishing
Company at a discounted price:
https://www.bullpub.com/
Why are MyCD and Tomando
Effective?
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Classes are highly participative, where mutual
support and success build the participants’
confidence in their ability to manage their health
and maintain active and fulfilling lives.
What participants are saying…
saying…
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“The changes I made throughout the course were to
know the dangers of eating unhealthy foods. I now
have a healthier diet that helps with my disease and
I also exercise.” - Lucia Chairez, Vado
Continued…
Continued….
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“The open and friendly style of classroom participation
offered a chance for every student to contribute useful
knowledge on how they manage their respective health
condition.” - Albert R. Cata, Albuquerque
“I would highly recommend this program to those who suffer from chronic
pain. This program was very educational and fun without being judgmental,
condescending, or critical.” - Maria Soledad Martinez, Las Cruces
Key Learnings:
Learnings: What Does Not Work
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Pay-to-Play vs. only funding start-up costs
Unsustainable delivery costs (high stipends, incentives,
etc.)
Non-strategic growth (need to balance new sites with
expanding sites and classes within existing partners)
Non-selective training
Focusing only on delivery and not creating demand
Infrequent workshops
Keys to Success
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Infrastructure
Community networks
Partnerships
Financial support
Sustained marketing and program delivery
On-going recruitment
Forging Ahead
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Plan for sustainability now
Limit to start-up costs or cost share;
Avoid unsustainable practices (e.g. pay to play, incentives)
Partner with “turn-key” delivery system partners
Integrate into existing systems, coalitions (e.g. healthy aging,
chronic disease, falls prevention)
Align with healthcare reform efforts (e.g. Patient Center
Medical Homes, Accountable Care Organizations, Care
Transitions)
Be strategic about who to partner with based on assessment
of needs and gaps
MyCD Partnership Network
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Licensed Providers
Department of Senior Affairs, City
of Albuquerque
Montañas del Norte Area Health
Education Center, affiliated with
Luna Community College
Southern Area Health Education
Center, affiliated with New Mexico
State University
New Mexico VA Health Care
System
Family YMCA, Los Alamos
Partners
NM Aging and Disability Resource
Center
NM State University Cooperative
Extension Service
Molina Healthcare of NM
NM Retiree Health Care Authority
NM Healthy Aging Collaborative
NM Association for Home and
Hospice Care
Chronic Disease Prevention Council
Nor Lea Hospital District
Presbyterian Health Care Services
Christus St. Vincent Regional
Medical Center
New Mexico Department of Health
Contacts
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Chris Lucero, Program Manager
Chronic Disease Self-Management Program
Phone: (505) 222-8605
Email: Christopher.Lucero@state.nm.us
Diana M. Abeyta
Tribal & Northern Liaison
Office of Community Health Workers
Phone: (505) 827-0015
Email: diana.abeyta@state.nm.us
New Mexico Aging and LongLong-Term
Services Department Contacts
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Lynne Anker-Unnever
Aging Network Division Director
Phone: (505) 222-4503
Email: Lynne.Anker-Unnever@state.nm.us
Carmela Martinez
Senior Service Bureau Program Manager
Phone: (505) 476-4757
Email: Carmela.Martinez@state.nm.us
Carlos Moya
Consumer and Elder Rights Division Director
Phone: (505) 476-4577
Email: Carlos.Moya@state.nm.us
MyCD Regional Director
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Albuquerque and Santa Fe Metro Regions
Catherine Offutt
Authorized T-Trainer and Master Trainer
Phone: (505) 884-8389
Email: catoff@msn.com
MyCD Regional Director
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New Mexico VA Health Care System
Christine Stevens
Authorized T-Trainer and Master Trainer
Phone: (505) 265-1711 Ext. 4941
Email: Christine.Stevens2@VA.GOV
MyCD Regional Director
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Southwest and Southeast Regions
Bea Favela
Authorized Master Trainer
Phone: (505) 646-2087
Email: bfavela@nmsu.edu
MyCD Regional Director
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Northwest and Northeast Regions
Elaine Luna
Authorized Master Trainer
Phone: (505) 454-2585
Email: eluna@luna.edu
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