Posts Tagged ‘evidence-based health coaching’

Clinical Health Coaching Transforms Care Conversation

May 27th, 2014 by Patricia Donovan

Evidence-based health coaching drives the population health management processes required to succeed in a value-based system—the industry’s quantum shift to ‘Healthcare 3.0,’ advises William Applegate, executive director of the Iowa Chronic Care Consortium.

How do we change to this Healthcare 3.0? One way is to create real patients that are in patient-centered medical homes. NCQA level three medical home recognition is great, but there are still a number of those medical homes that need to add ‘meat and potatoes’ to what they have achieved.

Next, we need to build a true population health capacity. We need to develop differentiated health teams. You can’t really create a robust health coach as a professional in an organization and then not change the position description of others. The trained clinical health coach can actually improve the ability of a physician to operate at the highest level of their license. That’s part of how a health coach fits into a healthcare team. It’s not just an addition. It’s a kind of reformation of how we’re approaching healthcare with patients.

You need to use trained performance health coaches to make this shift. And you need to activate patients towards self-care. And as I say over and over, we really need to inspire their own accountability.

There are two big features in transforming care. One is transforming the conversation, and the other one is transforming the care process. In transforming the conversation, we need to employ a performance-oriented health coaching. That’s more than motivational interviewing.

We need to rely on the science of behavior change. An awful lot of healthcare professionals deep down don’t believe that we can move individual behaviors. I don’t think we can change people’s lives dramatically. But we certainly can change some of their health outcomes, because we know that our chronic diseases are essentially learned; they’re exacerbated by things that we do to ourselves.

Excerpted from: Evidence-Based Health Coaching: Patient-Centered Competencies for Population Health