“…Figure 2.Conceptual framework for the implementation of the Lifestyle Medicine Program at Lifedoc Health. Adapted from reference 57. Abbreviations: FCMH: Family Center Medical Home; HCPs: Health Care providers; LDH: Lifedoc Health; tCMBCD: Transcultural cardiometabolic-based chronic disease.…”
Section: Lifestyle Medicine At Ldhmentioning
confidence: 99%
“…Interventions to prevent, treat and reverse the progression of diabetes and other cardiometabolic chronic conditions should focus on identifying the most prevalent risk factors in the target population. 6,28 The LDH programs are based on overcoming the barriers to access healthcare in the community served and therefore must meet 4 established LDH premises: (1) Can patients be helped? (Clinical outcomes) (2) Can whole populations be helped?…”
Section: Lifestyle Medicine At Ldhmentioning
confidence: 99%
“…These 2 steps define the targeted population, develop diagnostic and management protocols based on the population's ethnocultural risk profile, and then set realistic financial projections to ensure sustainability and growth. 6,7 Lifestyle medicine programs (LMPs; including Centers and Clinical Service Lines) play a critical role in narrowing practice gaps. However, descriptions of this process to enable large scale implementation are scarce.…”
Introduction The relevance of lifestyle medicine in diabetes treatment is now incorporated in clinical practice guidelines but finding an exemplar for the creation of a Lifestyle Medicine Program (LMP) is a difficult task. Aim To use Lifedoc Health (LDH) as a LMP exemplar by describing their multidisciplinary team (MDT) approach to diabetes care along with tactics to address sustainability challenges. Results The LDH model facilitates early activation of patients with diabetes and other cardiometabolic risk factors, MDT approaches, and protocols/policies that are able to overcome barriers to equitable healthcare in the community. Specific programmatic targets are clinical outcomes, effective dissemination, economic viability, and sustainability. Infrastructure centers on patient-driven problem-based visits, shared medical appointments, telemedicine, and patient tracking. Further discussions on program conceptualization and operationalization are provided. Conclusion Even though strategic plans for LMPs that specialize in diabetes care are well represented in the literature, implementation protocols, and performance metrics are lacking. The LDH experience provides a starting point for those healthcare professionals interested in translating ideas into action.
“…Figure 2.Conceptual framework for the implementation of the Lifestyle Medicine Program at Lifedoc Health. Adapted from reference 57. Abbreviations: FCMH: Family Center Medical Home; HCPs: Health Care providers; LDH: Lifedoc Health; tCMBCD: Transcultural cardiometabolic-based chronic disease.…”
Section: Lifestyle Medicine At Ldhmentioning
confidence: 99%
“…Interventions to prevent, treat and reverse the progression of diabetes and other cardiometabolic chronic conditions should focus on identifying the most prevalent risk factors in the target population. 6,28 The LDH programs are based on overcoming the barriers to access healthcare in the community served and therefore must meet 4 established LDH premises: (1) Can patients be helped? (Clinical outcomes) (2) Can whole populations be helped?…”
Section: Lifestyle Medicine At Ldhmentioning
confidence: 99%
“…These 2 steps define the targeted population, develop diagnostic and management protocols based on the population's ethnocultural risk profile, and then set realistic financial projections to ensure sustainability and growth. 6,7 Lifestyle medicine programs (LMPs; including Centers and Clinical Service Lines) play a critical role in narrowing practice gaps. However, descriptions of this process to enable large scale implementation are scarce.…”
Introduction The relevance of lifestyle medicine in diabetes treatment is now incorporated in clinical practice guidelines but finding an exemplar for the creation of a Lifestyle Medicine Program (LMP) is a difficult task. Aim To use Lifedoc Health (LDH) as a LMP exemplar by describing their multidisciplinary team (MDT) approach to diabetes care along with tactics to address sustainability challenges. Results The LDH model facilitates early activation of patients with diabetes and other cardiometabolic risk factors, MDT approaches, and protocols/policies that are able to overcome barriers to equitable healthcare in the community. Specific programmatic targets are clinical outcomes, effective dissemination, economic viability, and sustainability. Infrastructure centers on patient-driven problem-based visits, shared medical appointments, telemedicine, and patient tracking. Further discussions on program conceptualization and operationalization are provided. Conclusion Even though strategic plans for LMPs that specialize in diabetes care are well represented in the literature, implementation protocols, and performance metrics are lacking. The LDH experience provides a starting point for those healthcare professionals interested in translating ideas into action.
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