Connecting Family Physicians Connecting Family Physicians to Community Health to Community Health

ResourcesResources

Anthony J. Costa, M.D.Anthony J. Costa, M.D.Northeastern Ohio Universities College of Northeastern Ohio Universities College of

MedicineMedicine

Val Lay, CFREVal Lay, CFREOhio Academy of Family Physicians Ohio Academy of Family Physicians

FoundationFoundation

GoalGoal

To provide family physicians with To provide family physicians with reliable resources that will reliable resources that will enable them to guide their enable them to guide their patients to wellness information patients to wellness information that promotes a healthy lifestyle.that promotes a healthy lifestyle.

ObjectivesObjectives

list common problems presenting to family list common problems presenting to family physicians for which patient education physicians for which patient education resources are available and necessary for resources are available and necessary for optimal care. optimal care.

readily access patient information readily access patient information resources concerning those topics.resources concerning those topics.

use these resources to guide their patients use these resources to guide their patients to more effective management of a to more effective management of a healthy lifestyle.healthy lifestyle.

Following this session participants will be able to:

TopicsTopics Hand washingHand washing NutritionNutrition ExerciseExercise TobaccoTobacco CancerCancer

AlcoholAlcohol Substance abuseSubstance abuse Domestic Domestic

violenceviolence DepressionDepression DementiaDementia

Why Do Patients Visit Why Do Patients Visit Doctors?Doctors?

National Ambulatory Medical Care National Ambulatory Medical Care SurveySurvey

20022002 CWRUCWRU NEOUCOMNEOUCOM

Reasons for VisitsReasons for Visits

Acute Care 40%Acute Care 40% Chronic Care 30%Chronic Care 30% Preventive Care Preventive Care

10%10% Injury Care 10%Injury Care 10% Other 10%Other 10%

Acute Care

Chronic Care

Prev. Care

Injury Care

Other

0

5

10

15

20

25

30

35

40

Top 16 DiagnosesTop 16 Diagnoses

(in order of frequency) HypertensionHypertension Well ChildWell Child URIURI DiabetesDiabetes ArthritisArthritis Routine ExamRoutine Exam Back PainBack Pain Otitis MediaOtitis Media

CancerCancer Chronic SinusitisChronic Sinusitis Allergic RhinitisAllergic Rhinitis AsthmaAsthma GYN ExamGYN Exam HyperlipidemiaHyperlipidemia CHFCHF CHDCHD

What’s Missing?What’s Missing?

ObesityObesity Tobacco AbuseTobacco Abuse Alcohol AbuseAlcohol Abuse Substance AbuseSubstance Abuse Domestic ViolenceDomestic Violence DepressionDepression DementiaDementia

Why Are They Missing?Why Are They Missing?

HistoryHistory Co-morbiditiesCo-morbidities Underlying Causes of Underlying Causes of

DiseaseDisease Not Considered a DiseaseNot Considered a Disease Not CodedNot Coded

What Do Most Have in What Do Most Have in Common?Common?

Chronic DiseaseChronic Disease No CureNo Cure Continuity of CareContinuity of Care Patient Centered CarePatient Centered Care Patient Education is ImportantPatient Education is Important Community Back-up is Community Back-up is

ImportantImportant

Chronic Disease ModelChronic Disease Model

Patient-Centered CarePatient-Centered Care Team CareTeam Care ContinuityContinuity Patient EducationPatient Education Community ResourcesCommunity Resources 24/7 Care24/7 Care

Resources for Hand Resources for Hand AwarenessAwareness

Henry the Hand: Henry the Hand: Champion HandwasherChampion Handwasher

www.henrythehand.comwww.henrythehand.com

Resources for NutritionResources for Nutrition NationalNational

http://www.drink-milk.com/health/http://www.drink-milk.com/health/ StateState

http://www.ohioafp.org/members/resources_referehttp://www.ohioafp.org/members/resources_references/nces/

LocalLocalhttp://www.growinghealthyhabits.com http://www.growinghealthyhabits.com

Resources for Physical Resources for Physical ActivityActivity

NationalNationalwww.AmericansinMotion.orgwww.AmericansinMotion.org

StateState

http://www.ohioafp.org/members/resources_referenhttp://www.ohioafp.org/members/resources_references/ces/

LocalLocalwww.GrowingHealthyHabits.comwww.GrowingHealthyHabits.com

Action for Healthy Kids—zone leaderAction for Healthy Kids—zone leaderZone 10 Leader, Randi DunnZone 10 Leader, Randi Dunnrandi.dunn@cancer.org randi.dunn@cancer.org

Resources for Tobacco Use Resources for Tobacco Use Prevention/CessationPrevention/Cessation

NationalNational

www.askandact.orgwww.askandact.org

www.tarwars.orgwww.tarwars.org StateState

http://smokefreeohio.org/oh/default.aspxhttp://smokefreeohio.org/oh/default.aspx LocalLocal

Polly Anne JohnsonPolly Anne Johnson serving Wayne, Ashland, Holmes, Stark Countiesserving Wayne, Ashland, Holmes, Stark Counties Polly.Johnson@cancer.org 330-287-4605 Polly.Johnson@cancer.org 330-287-4605

Resources for Cancer Resources for Cancer

NationalNational

http://www.cancer.org/docroot/home/index.asphttp://www.cancer.org/docroot/home/index.asp StateState

http://www.cancer.org/docroot/COM/content/http://www.cancer.org/docroot/COM/content/div_OH/COM_6_1x_Patient_Navigator.asp?div_OH/COM_6_1x_Patient_Navigator.asp?sitearea=COM sitearea=COM

LocalLocalhttp://www.cancer.org/asp/search/mla/mla_global.asp?http://www.cancer.org/asp/search/mla/mla_global.asp?sort=name sort=name

Resources for Alcohol AbuseResources for Alcohol Abuse

NationalNational

http://familydoctor.org/006.xmlhttp://familydoctor.org/006.xml

http://www.niaaa.nih.gov/http://www.niaaa.nih.gov/

StateState

http://www.odadas.state.oh.ushttp://www.odadas.state.oh.us

Local Local http://www.ci.akron.oh.us/Health04/Counseling/index.htmhttp://www.ci.akron.oh.us/Health04/Counseling/index.htm

Resources for Substance Resources for Substance AbuseAbuse

National National http://familydoctor.org/357.xmlhttp://familydoctor.org/357.xml http://www.nida.nih.gov/http://www.nida.nih.gov/

StateState http://www.odadas.state.oh.ushttp://www.odadas.state.oh.us

LocalLocal http://www.ci.akron.oh.us/Health04/Counseling/index.htmhttp://www.ci.akron.oh.us/Health04/Counseling/index.htm

Resources for Domestic Resources for Domestic ViolenceViolence

NationalNational http://familydoctor.org/052.xmlhttp://familydoctor.org/052.xml http://www.nlm.nih.gov/medlineplus/domesticviolence.htmlhttp://www.nlm.nih.gov/medlineplus/domesticviolence.html

StateState http://www.aardvarc.org/dv/states/ohdv.shtmlhttp://www.aardvarc.org/dv/states/ohdv.shtml

LocalLocal

http://www.aardvarc.org/dv/states/ohdv.shthttp://www.aardvarc.org/dv/states/ohdv.shtmlml

Resources for DepressionResources for Depression NationalNational http://familydoctor.org/046.xmlhttp://familydoctor.org/046.xml

http://www.nlm.nih.gov/medlineplus/depression.htmhttp://www.nlm.nih.gov/medlineplus/depression.htmll

StateState http://www.mh.state.oh.us/http://www.mh.state.oh.us/

Local Local http://www.mentalhealth.samhsa.gov/databases/MHDR.asp?D1http://www.mentalhealth.samhsa.gov/databases/MHDR.asp?D1=OH&Type=MDR=OH&Type=MDR

Resources for DementiaResources for Dementia NationalNational

http://familydoctor.org/585.xmlhttp://familydoctor.org/585.xml http://www.nlm.nih.gov/medlineplus/dementia.htmlhttp://www.nlm.nih.gov/medlineplus/dementia.html

StateState http://www.alz.org/http://www.alz.org/

http://www.vistacare.com/caregiver/ http://www.vistacare.com/caregiver/

LocalLocal

http://www.alz.org/http://www.alz.org/

ConclusionConclusion

Common Medical Common Medical ProblemsProblems

Chronic Care ModelChronic Care Model Patient-Centered CarePatient-Centered Care Patient Education Patient Education Community ResourcesCommunity Resources Future of MedicineFuture of Medicine

Questions?Questions?