Living Well with Chronic Health Problems in Southern Oregon -- southern Oregon's home for the Stanford Chronic Disease Self-management Program and other Healthy Aging education.

  
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RESOURCES

Promotional Flyers
PowerPoint Presentations
Links To Other Online Resources

A number of these resources may require you to use the Adobe Acrobat Reader to read a document.  Get it here Adobe Acrobat Reader.

Promotional Flyer(s)

Living Well... flyer click HERE for MS-WORD version or HERE for HTML version

Oregon State Partners
Health Promotion and Chronic Disease Prevention Program  - Oregon
The purpose of the Health Promotion and Chronic Disease Prevention Program (HPCDP) is to promote the health of Oregonians by advancing policy and developing public health programs that prevent chronic diseases from occurring, detect chronic diseases at the earliest stages when they are most treatable, and prevent further complications.

The Oregon Department of Human Services (DHS) Health Promotion and Chronic Disease Prevention Program (HPCDP) includes nine program areas: arthritis; asthma; breast and cervical cancer screening; statewide cancer registry; comprehensive cancer control; diabetes; heart disease and stroke; physical activity, nutrition and obesity; and tobacco control. All nine program areas are supported by funds from the Centers for Disease Control and Prevention (CDC). The tobacco control program is also funded with tobacco tax revenues designated by Ballot Measure 44 passed by Oregon voters in 1996. At the current time, no state general fund revenues support these programs.

See photos from the DHS CDSMP Statewide Forum March 16, 2007 by clicking HERE.

PowerPoint Presentations:

Chronic Disease Self-management Program
presentations prepared for presentation at conferences and public meetings.
CDSMP  - Program Overview  154 Kb
Strategies for Sustainability  69.5 Kb
RVTV Presentation  157 Kb
Growing a Sustainable
"Living Well..." Program in Southern Oregon - 832 Kb
Loading for Success - Living Well 2020 (PDF, 5.08 Mb)


Food as Medicine - Studies done at the Mayo Clinic and the Centers for Disease Control (CDC) indicate that colorful, high fiber, low fat foods help us avoid chronic disease conditions, cardiac problems and even dementia. Start preventing disease in your own kitchen. Learn about the protective qualities of food. View a PowerPoint Presentation - Food As Medicine 917 Kb

Links to Other Online Resources:

The links presented on this page represent a small portion of the information available through the Internet. For additional information use Google to search for other resources (one example could be to search on "chronic disease self-management programs").

Got links?  We want them.  Get in touch using the contact information HERE.

Please note: 
www.sohealthyoregon.org only controls the information presented on our Web site.  These links are for “information only” and do not constitute an endorsement of the accuracy or completeness of the content of those sites.  As always, be prudent in the use of such information and always consult your healthcare team for guidance on diagnosis and treatment programs. Also, consider participating in the workshops as one of the topics covered is "How to Make Informed Treatment Decisions." In this workshop topic you will learn valuable ways to evaluate information from any  source.

United States

American Chronic Pain Association
The American Chronic Pain Association was founded in 1980. The ACPA's unique materials are a primary resource for individuals seeking to improve the quality of their lives and for the professionals who help them.

Chronic Care Model
The Chronic Care Model identifies the essential elements of a health care system that encourage high-quality chronic disease care. These elements are the community, the health system, self-management support, delivery system design, decision support and clinical information systems. The model can be applied to a variety of chronic illnesses, health care settings and target populations. The bottom line is healthier patients, more satisfied providers, and cost savings.

Chronic Disease Prevention - CDC
Chronic diseases—such as heart disease, cancer, and diabetes—are the leading causes of death and disability in the United States. These diseases account for 7 of every 10 deaths and affect the quality of life of 90 million Americans. Although chronic diseases are among the most common and costly health problems, they are also among the most preventable. Adopting healthy behaviors such as eating nutritious foods, being physically active, and avoiding tobacco use can prevent or control the devastating effects of these diseases. Together, the center and its partners are working to create a healthier nation.

Coalition to Prevent Deep Vein Thrombosis
DVT occurs when a blood clot forms in a deep vein, usually in the lower limbs. A complication of DVT, pulmonary embolism, can occur when a fragment of a blood clot breaks loose from the wall of the vein and migrates to the lungs, where it blocks a pulmonary artery or one of its branches. If you have restricted mobility (off your feet for an extended period of time) due to cancer or certain heart or respiratory diseases, talk to your doctor or click here for more details on DVT risk factors.

Community Partnerships for Older Americans
Community Partnerships for Older Adults is a national program of The Robert Wood Johnson Foundation that fosters community partnerships to improve long term care and supportive services systems to meet the current and future needs of older adults.

Dartmouth Atlas of Health Care Project
The Dartmouth Atlas Project works to accurately describe how medical resources are distributed and used in the United States. The project offers comprehensive information and analysis about national, regional, and local markets, as well as individual hospitals and their affiliated physicians, in order to provide a basis for improving health and health systems.

Disease Management: The New Tool for Cost Containment and Quality Care (report - .pdf)
Faced with tight fiscal constraints and soaring Medicaid budgets, states are pursuing new strategies to reduce the cost of caring for patients with costly chronic diseases. Chronic diseases, such as cardiovascular disease (principally heart disease and stroke), asthma, cancer, and diabetes, are among the most prevalent, costly, and preventable of all health problems. “Disease management” (DM) provides a strategy for states to improve patient health outcomes and limit health care spending by identifying and monitoring high-risk populations; helping patients and providers better adhere to proven interventions; engaging patients in their own care management; and establishing more coordinated care interventions and follow-up systems to prevent unnecessary health complications.


Finding Our Way -- Living With Dying in America
More and more Americans are looking for better ways to face the emotional and practical realities of serious illness and dying. They are seeking ways to balance high-tech medical interventions with comfort and compassionate care, and to achieve a sense of dignity and meaning at the end of life. Finding Our Way: Living With Dying in America presents the real-life experiences of Americans who have courageously struggled to find their personal answers to some of life's toughest questions. Finding Our Way is a short course on death and dying in America today. These topics can't be avoided by any of us. The practical advice, resources, and personal stories in Finding Our Way can teach how to approach these most significant life events with the same kind of planning and emotional preparedness we strive for in the rest of our lives.

Future of Long-Term Care for Seniors and People with Disabilities
As the aging demographics unfold, the financing of Oregon's nationally recognized long-term care system will become a major challenge.  Even with a reasonable rate of growth in future Oregon revenues, the burgeoning number of seniors and people with disabilities needing long-term care support could overwhelm and outstrip Oregon's capacity to pay for needed services. It is imperative that Oregon plan now for the future of its long-term care system. 


Improving Chronic Illness Care

Improving Chronic Illness Care, a national program of The Robert Wood Johnson Foundation, is dedicated to the idea that United States health care can do better. The 133 million Americans who suffer from diabetes, depression and other chronic conditions can lead healthier lives. Providers who care for chronically ill patients can be better supported with guidelines, specialty expertise and information systems. Overall health care costs can be lowered through better care delivery. All this is possible, by transforming what is currently a reactive health care system into one that keeps its patients as healthy as possible through planning, proven strategies and management.

International Council On Active Aging
International Council on Active Aging (ICAA) was founded in the belief that unifying the efforts of the organizations focused on older adults benefits both the people they reach and the organizations themselves. Whether retirement community, seniors center or fitness club, all ICAA members share a common interest in reaching older adults with active-aging messages, facilities, programs and guidance. The ICAA supports these professionals and organizations with education, information, resources and tools so they can achieve optimal success with this market.

Live Well, Live Long
The American Society on Aging has created strategies and materials to enhance the capacity of national, state and local organizations in serving the health promotion and disease prevention needs of older adults. The strategies provide tools for professionals, in stand-alone modules, available free on the Internet. Each module is designed for use by professionals to complement existing health promotion programs.

Living With Childhood Illness and Disability
The Center focuses on improving care for children with special needs by providing information to families and health care professionals throughout Washington State. The Center does not provide direct care or coordinate care. However, the Center collaborates with a variety of health care organizations, state agencies, families, and health care providers to plan and implement demonstration grants and contract projects that improve care and increase access to health education materials and community resources.

Medline Plus - Trusted health information for you
MedlinePlus will direct you to information to help answer health questions. MedlinePlus brings together authoritative information from NLM, the National Institutes of Health (NIH), and other government agencies and health-related organizations. Preformulated MEDLINE searches are included in MedlinePlus and give easy access to medical journal articles. MedlinePlus also has extensive information about drugs, an illustrated medical encyclopedia, interactive patient tutorials, and latest health news.

National Association of Chronic Disease Directors
The Association of State and Territorial Chronic Disease Program Directors (otherwise knows as “NACDD”) is a national public health association, founded in 1988 to link the chronic disease program directors of each state and U.S. territory to provide a national forum for chronic disease prevention and control efforts.

National Chronic Care Consortium
This Web site includes archived materials developed by the National Chronic Care Consortium. It offers tools and methods for addressing numerous aspects of integration of care for people with serious chronic conditions—clinical, administrative, financial, and cultural. It provides a framework, strategies, and sample policy specifications for reforming barriers that impede the ability of plans and providers to provide quality, cost-effective care.

National Council on Aging - CDSMP - .pdf 3.78 Kb
This report summarizes the results of five telefocus groups conducted to assess the experiences of Master Trainers in implementing the CDSMP for the national aging network. The objectives of this qualitative research study were to assess the opportunities and barriers in implementing the program in a community setting.


Network of Care - Oregon
Network of Care is a highly interactive, single information place where consumers, community-based organizations and municipal government workers all can go to easily access a wide variety of important information. The resources in this "virtual community" include a fast, comprehensive Service Directory; links to pertinent Web sites from across the nation; a comprehensive, easy-to-use Library; a political advocacy tool; community message boards; and many others.

Parent's Wish
 ...
a touching and poignant slideshow of a  parents' wish during their old age

Physician's Guide to Nutrition in Chronic Disease Management for Adults (report - .pdf)
Older people have special nutritional needs due to age and disease processes. Public interest in food and nutrition information is at an all time high. The medical community must respond with a scientific basis for the nutrition therapies they prescribe. These materials are a concise, brief source of disease-specific nutrition information for physicians caring for older individuals. 

Preventing Disability in the Elderly With Chronic Disease
The population of disabled elderly in the United States is growing rapidly. The number of Americans who will suffer functional disability due to arthritis, stroke, diabetes, coronary artery disease, cancer, or cognitive impairment is expected to increase at least 300 percent by 2049. Although people tend to develop chronic conditions as they age, growing old does not have to mean becoming disabled. Research sponsored by the Agency for Healthcare Research and Quality (AHRQ) led to the development of the Chronic Disease Self-Management Program (CDSMP), a patient self-management program that can help prevent or delay disability even in patients with arthritis, heart disease, or hypertension. These patients are taught how to better manage their symptoms, adhere to medication regimens, and maintain functional ability. Additional research funded by AHRQ has also shown that education and lifestyle changes can reduce disability, control costs, and have a positive influence on the quality of life of America's elderly.

Selected Evidence for Behavioral Approaches to Chronic Disease Management
     in Clinical Settings: Depression
(report - .pdf)
Nearly half of the nation’s premature deaths from the 10 leading causes of mortality are attributable to controllable behavioral factors such as unhealthy diet, lack of exercise, tobacco use, alcohol and drug abuse, and risky sexual practices. Behavioral health risks are also associated with higher ambulatory care and hospitalization costs — accounting for as much as 70 percent of all medical care spending.

Stanford Patient Education Research Center
The Stanford Patient Education Research Center is part of the Department of Medicine at the Stanford University School of Medicine, located in Palo Alto, California, U.S.A.  Over the past 24 years, we have developed, tested, and evaluated self-management programs for English and Spanish speakers with chronic health problems. All of our programs are designed to help people gain self-confidence in their ability to control their symptoms and how their health problems affect their lives. Our small-group workshops are given in community settings and on the Internet. They are facilitated by two leaders/moderators with health problems of their own. The workshops are highly interactive, focusing on building skills, sharing experiences, and support. Our main mission, however, is research. We only develop and offer programs that we test for effectiveness with randomized, controlled trials that are funded by research grants and span two to five years. The aim of all of our programs is to improve the physical and emotional health of participants while reducing health care costs.

Teaching/Training Modules on Trends in Health and Aging
Teaching modules on trends in health-related behaviors, health status, health care utilization, functional status and disability, and health care expenditures of the United States aging population. The modules are based on and illustrated with data from the NCHS Data Warehouse on Trends in Health and Aging. The modules are designed for use by teachers at the secondary, undergraduate and graduate levels for courses in aging, sociology, demography, public health, medicine, and for self-study by health and aging professionals.

Other Countries

Bandolier - UK
The first issue of Bandolier, an independent journal about evidence-based healthcare, written by Oxford scientists, (RAM AND HJM) was printed in February 1994. It has appeared monthly ever since and has become the premier source of evidence based healthcare information in the UK and worldwide for both healthcare professionals and consumers.

Chronic Disease Self-Management - Australia
Australia’s health system is world class, supporting universal and affordable access to high quality medical, pharmaceutical and hospital services, while helping people to stay healthy through health promotion and disease prevention activities.

Chronic Disease Management - Canada

Chronic diseases are prolonged conditions that often do not improve and are rarely cured completely. Diabetes, depression, congestive heart failure, hepatitis and asthma are examples of chronic diseases. Approximately 500,000 people in British Columbia suffer from one or more chronic diseases. Chronic illness has a profound effect on the physical, emotional and mental well-being of individuals, often making it difficult to carry on with daily routines and relationships. However, in many cases, deterioration in health can be minimized by good care. This often depends upon individual choices made on a daily basis. Chronic disease management (CDM) is a systematic approach to improving health care for people with chronic disease. Health care can be delivered more effectively and efficiently if patients with chronic diseases take an active role in their own care and providers are supported with the necessary resources and expertise to better assist their patients in managing their illness.

Chronic Disease Self-Management - England
Three factors - an aging population, an increase in chronic disease and co-morbidity, and new concepts about aging - plus a lack of health education programs appropriate for persons with multiple chronic conditions served as the impetus for a Chronic Disease Self-Management Program. The Chronic Disease Self-Management Program originated from Stanford University in California, US where self-management programs for people with chronic health problems have been developed, tested and evaluated over the last 20 years at the Stanford Patient Education Research Center.

Flinders Human Behaviour & Health Research Unit - Australia
A centre for research, evaluation and development of chronic condition management. This includes coordinated care, care planning, behavioural change and self management and specialises in the education and training of health professionals and consumers.

Ontario Patient Self-Management Network - Canada
The Ontario Patient Self-Management Network helps to coordinate patient self-management activities and to provide momentum for this approach to be more widely accepted in Ontario health care.

Using Scenarios in Chronic Disease Management Guidelines for Primary Care (.pdf)
The PRODIGY system is a guideline-based decision support system designed to assist general practitioners in England choose the appropriate therapeutic action for their patients.

 

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Stanford University developed the program. Brought to you by OSU Research & ExtensionService
through a partnership of local health & human services providers in collaboration with
The Rogue Valley Council of Governments' Senior & Disability Services

Oregon State University offers educational programs activities, and materials—without regard to race, color, religion, sex, sexual orientation,
 national origin, age, marital status, disability, and disabled veterans or Vietnam-era veteran status. Oregon State University is an Equal Opportunity Employer.
 OSU Extension programs will provide reasonable accommodations to persons with physical or mental disabilities. Our location is accessible to persons with disabilities.
 If you need particular accommodations, please call our Extension Office at (541) 776-7371 at least 7 days prior to the event.

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 Some portions of this website may include copyrighted materials belonging to Stanford University.
Please contact the Stanford Patient Education Research Center to obtain a license to provide the Chronic Disease Self-management Program.
Copyright (c)1999, 2006, The Board of Trustees, Leland Stanford Junior University, All rights reserved.
http://patienteducation.stanford.edu/

Revised: January 28, 2010