- Risk Analysis
- HRA/Your Health Story
- Health Coaching Overview
- Disease Management
- Prevention & Wellness
TrestleTree offers a unique behavior-focused solution to improving health that can be adapted to meet the specific needs of an employer population.
Through a seamless delivery of risk analysis, engagement, and health coaching TrestleTree helps employees achieve improved health and employers lower healthcare costs.
Risk Identification and Projection of Outcomes
TrestleTree has the ability to perform stratification on an employee population based on medical claims, prescription claims, biometric data and either internal or third party health risk questionnaire data. TrestleTree will utilize a proprietary "risk interrogation system" to identify:- The "at risk" population to be targeted by TrestleTree
- The current economic burden associated with this population, emerging risk and existing disease states
- Total costs associated with lifestyle modifiable risk factors
- Total costs associated with chronic illness
- Projection or “return on investment” in order to calculate specific performance guarantees
TrestleTree offers a unique behavior-focused solution to improving health that can be adapted to meet the specific needs of an employer population.
Through a seamless delivery of risk analysis, engagement, and health coaching TrestleTree helps employees achieve improved health and employers lower healthcare costs.
Your Health Story (YHS), Health Risk Questionnaire
- Telephonic or online
- Benefit Plan Design incorporated
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Drive enrollment into eligible programs
- A 2008 Forrester research study indicates that less than 9% of the population taking online health risk assessments enrolled in programs when eligible
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Percent of people enrolled into eligible programs via YHS WITHOUT additional incentive
- Tobacco Cessation: 67% enrolled
- Obesity Management: 70% enrolled
- Disease Management: 74% enrolled
Outbound Engagement
- Process proactively drives enrollment for targeted populations – specific subset or broad population
- Recruit for HRA completion
- Software allows tracking and reporting
- 78% of people eligible for programs enrolled
TrestleTree offers a unique behavior-focused solution to improving health that can be adapted to meet the specific needs of an employer population.
Through a seamless delivery of risk analysis, engagement, and health coaching TrestleTree helps employees achieve improved health and employers lower healthcare costs.
TrestleTree Health Coaching
- Intense, individualized telephonic health coaching
- Scheduled appointments with single TrestleTree Health Coach, a healthcare professional extensively-trained in research-proven behavior change strategies
- Access to specific educational materials that are tailored for each individual
- Materials serve as a complement, not a replacement, to the one-on-one telephonic health coaching
- Access to Health Coach support via secured email and toll-free telephone outside of regularly scheduled appointments
TrestleTree offers a unique behavior-focused solution to improving health that can be adapted to meet the specific needs of an employer population.
Through a seamless delivery of risk analysis, engagement, and health coaching TrestleTree helps employees achieve improved health and employers lower healthcare costs.
Disease Management
Participants work with their own Health Coach to better understand their condition, manage it and maintain control over it. The model uses a whole-person coaching philosophy that addresses each individual’s unique blend of conditions and disease states as a whole rather than focusing only on the individual's eligible conditions. Participants manage their disease state(s) while simultaneously changing the underlying behaviors that contribute to the development and progression of those disease states.
- Helps individuals to achieve tangible health behavior change toward physician directives and nationally-recognized evidence-based medicine guidelines/best practice guidelines
- Goal areas including nutrition, exercise, medication adherence, disease state monitoring and stress management
- Co-morbidities such as tobacco cessation and weight management, in addition to co-morbid conditions (e.g., back pain, cancer), are also incorporated into the coaching as applicable
- Understand their health and their life in depth,and develop a comprehensive plan that works specifically for them
- Disease-specific barriers to change are addressed through the course of coaching as an individually-specified plan for change is developed
- Ensure appropriate disease-specific screenings and tests as recommended
- Laboratory measures are collected during each appointment via self-report or as made available through objective methods such as biometric screenings
- Help access durable medical equipment if made available
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Primary disease states coached:
- Diabetes
- Asthma
- High Cholesterol
- Hypertension
- CAD
- CHF
- COPD
- Other co-morbidities
TrestleTree offers a unique behavior-focused solution to improving health that can be adapted to meet the specific needs of an employer population.
Through a seamless delivery of risk analysis, engagement, and health coaching TrestleTree helps employees achieve improved health and employers lower healthcare costs.
Prevention and Wellness
TrestleTree’s Prevention and Wellness Program is a comprehensive coaching program that is multi-behavioral focused and includes tobacco cessation, obesity and weight management. Co-morbidities such as disease states and associated behaviors such as medication adherence are also incorporated into the program. Participants work with their Health Coach to identify goal areas and the coaching supports behavior change progress toward participant goals, physician directives and evidence-based medicine guidelines.
Participants work with their TrestleTree Health Coach to develop a highly individualized plan to stop using tobacco that increases
the likelihood of long-term success. Due to this uniquely personalized model, participants do not have to be “ready” to quit using
tobacco when they enter the program. Whether it is to make the decision to quit, develop a quit plan, or working to stay quit,
TrestleTree Coaches tailor the coaching with participants based on their unique needs and readiness to change.
- Incorporate learning from previous quit attempts
- Understand the unique motivations and barriers of each individual
- Aim to increase social support and coping strategies for triggers and cravings
- Include relapse prevention techniques
- Rigorous clinical review process of referrals for NRT or tobacco cessation helper medications by an internal pharmacy team
- Ability to serve as a Prior Authorization agent
- "Whole health" approach (e.g., increase exercise, change poor food habits, handle stress)
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Outcomes:
- 50% 6-Month Intent to Treat Sustained Quit Rate
- Average weight gain less than one pound
Participants work with their TrestleTree Health Coach toward weight loss in a manner that integrates best practice protocols with
the unique circumstances of each individual. Because individual are different, TrestleTree Health Coaches effectively work with
each participant to develop a plan and path for weight loss that works for that person within the context and nuances of their life,
while supporting physician directives and evidence-based medicine guidelines.
- Nutrition and exercise changes at the forefront
- Co-morbidities and associated barriers such as stress are addressed
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Assess
- previous difficulties and successes with weight loss
- self-efficacy about achieving weight loss
- distinct life factors that are related to weight, nutrition, and exercise
- Explore what they will gain by weight loss (i.e., motivators) and what they feel they may give up (i.e., barriers)
- Monitor their food and exercise
- Work on a thoughtful and comprehensive plan for changing these behaviors
- Develop ways to maintain these changes over the long run in a way that stands apart from previous attempts at weight loss
TrestleTree’s Take-10 program is designed for healthy or low-risk individuals who are typically not eligible for other health coaching
programs. It is one-on-one health coaching that is designed to prevent or reduce risk and focuses on nutrition, exercise, and stress management.
- Appointments scheduled for 10-15 minutes once each
- Encourage recommended health screenings and physician visits
- Help access resources provided by their employers or health plans
- Family food, family fitness and family fun can also be incorporated
Nutrition
- Improve food intake in a way that meets the Dietary Guidelines for Americans and the Food Guide Pyramid
- Participants work to make attainable and sustainable changes
- Takes into account participants’ likes and dislikes cultural aspects, family concerns, etc.
- Help improve the nutrition of the family
Exercise
- Either sustain and enhance a current exercise routine or begin a new exercise program
- Find ways to include exercise in routine that meets the guidelines established by the American College of Sports Medicine
- Includes aerobic, strength, and flexibility exercises
- Participants work toward meeting their goals in the context of their lives, families, and health status
Stress Management
- Highly individualized approach where the unique life circumstances and sources of stress for each participant drive the content of coaching
- Identify triggers and stress symptoms
- Monitor symptoms via stress diaries or logs
- Develop a repertoire of stress management techniques (e.g., relaxation techniques, deep breathing and muscle relaxation, cognitive challenging, time management, utilizing social support)
- Provide referrals for resources available to participants (e.g., EAPs, community resources)
- Increased efficacy for coping with stress and a sustained reduction in symptoms.