Lifestyle Medicine Practice Tools: Optimizing Lifestyle Medicine Clinical Practice 

Prices per Course NOTE: ACLM members receive an exclusive $200 discount. 
Nonmember - $50
Member - $40

Credits
1 CME/CNE/CE Credit
0 CPE Credits
(Full Accreditation information listed below)

Learning Objectives 

  • Describe the components of assessing Lifestyle Medicine vital signs.
  • Summarize the tools needed to implement chronic care management and remote patient monitoring.
  • Construct an effective Lifestyle Medicine prescription.
  • Theorize how culinary medicine could be effectively integrated into his or her clinical practice.
  • Describe how telehealth can be deployed for effective Lifestyle Medicine patient treatment.
  • Explain how to leverage telehealth to effectively scale shared medical appointments.
  • Distinguish which practice tools might be appropriate for his or her own practice.
  • Prepare a plan to implement one or more of the tools highlighted in this presentation.
Segments 

Lifestyle vital signs are the foundation of "treating the cause" with lifestyle medicine. We will cover the place and priority of lifestyle vital signs, what objectives need to be achieved with any lifestyle vital signs system, and examples of systems in practice. 

Learning Objectives 

  • Introduce the concept of Lifestyle Medicine vital signs to understand their potential relevance and utilization. 
  • Identify the role of Lifestyle Medicine vital signs in the scope of the fundamentals of lifestyle medicine practice. 
  • Provide examples of Lifestyle Medicine vital signs systems or tools for use in practice. 

Speakers 
Marc Braman, MD, MPH, FACLM, FACPM – Innovator, Lifestyle Medicine Pro, LLC 

Marc Braman, MD, MPH, is a founding member, former Secretary, second President and first Executive Director of ACLM. Dr. Braman has practiced LM in private, group, and hospital based settings, and is developing lifestylemedicine.pro as a professional collaborative to support providers and practices in successful clinical and financial LM implementations. He also serves as the President of the Lifestyle Medicine Foundation.

Medicare fee-for-service pays for chronic care management (CCM), principal care management (PCM), and also remote physiologic monitoring (RPM). Each of these is designed to deliver monitoring and counseling between office visits, and thus are well suited to delivery of lifestyle medicine. Our practice has achieved clinical improvements and financial success delivering CCM and RPM. 

Learning Objectives 

  • Identify which forms of chronic care management for which your practice can bill Medicare. 
  • Create a culture of chronic care management in your practice. 
  • Utilize chronic care management as a tool for the delivery of high value Lifestyle Medicine. 

Speakers 
David Donohue, MD, FACP, DipABLM – Chief Medical Officer, Progressive Health of Delaware 

David Donohue, MD FACP is a primary care internist practicing in Wilmington, Delaware since 2000. He received his masters of Molecular Biology from Stanford in 1993, medical training at Baylor College of Medicine and residency in primary care internal medicine at George Washington University. He was certified by the American Board of Lifestyle Medicine in November 2017. His practice, Progressive Health of Delaware, is the only lifestyle medicine practice in its region. From 2000 to 2016, he was a full-time IT architect and software developer for the DuPont company. Since 2018 he has been the chair of ACLM's Provider Network. He is passionate about transforming health care in the United States to focus on standardized, protocol-driven best practices of lifestyle medicine.  

A central tool for practicing Lifestyle Medicine is the evidence based customized patient action plan or Lifestyle Medicine prescription. These prescriptions can be around nutrition, physical activity, stress management, social connection, or any other lifestyle intervention. A successful Lifestyle Medicine prescription starts with a deep understanding of the patient and their life circumstances. Once this has been established, a SMART (specific, measurable, accountable, realistic and time connected) Lifestyle Medicine prescription can be written. Core principals for writing prescriptions include keeping them simple, actionable, and balanced for the patient and their conditions. Current state of the art approaches to Lifestyle Medicine prescriptions leverage electronic medical records (EMR) and other technologies to assist in prescription writing. Development of prescription templates, integration of these into EMRs, and examples of real prescriptions and patient outcomes will be discussed. 

Learning Objectives 

  • Identify the core components of a successful Lifestyle Medicine prescription.
  • Incorporate a Lifestyle Medicine prescription into the electronic medical record.
  • Explain third generation Lifestyle Medicine prescriptions that provide ongoing patient/physician interactions around health goals.

Speakers 
Wayne S. Dysinger, MD, MPH, FACLM, FACPM, DipABLM – Medical Director and Chair, Lifestyle Medical 

Dr. Dysinger is a lifestyle and primary care physician who currently serves as Medical Director of Lifestyle Medical, a set of new model primary care clinics in southern California that are built around the principals of Lifestyle Medicine. He is also Chair of the American Board of Lifestyle Medicine and the International Board of Lifestyle Medicine. He is an active faculty at Loma Linda University and consults, teaches and participates in research on Lifestyle Medicine issues around the world. Dr. Dysinger was previously Chair, Department of Preventive Medicine, Loma Linda University as well as the Medical Director of the Complete Health Improvement Program (CHIP). He is a past President of the American College of Lifestyle Medicine, and has been on the board of the American College of Preventive Medicine and the Association for Prevention Teaching and Research. He has worked in various capacities with the American Medical Association and the American Academy of Family Physicians. Dr. Dysinger earned his M.D. degree from Loma Linda University School of Medicine (1986), and his MPH from Loma Linda University School of Public Health (1990). He has previously worked in Guam, Atlanta and Dartmouth. His board certification is in Family Medicine and Preventive Medicine. 

This session will allow learners to understand the value of implementing culinary medicine principals into their lifestyle medicine practice. It will cover the feasibility, cost and logistics of how to leverage healthy teaching kitchens and culinary shared medical appointments to implement a comprehensive and thriving culinary program. Learners will walk away with key tactics that they can use to weave culinary medicine into their practices. 

Learning Objectives 

  • Discuss the feasibility of low cost pop up teaching kitchens.
  • Provide an overview of a culinary and Lifestyle Medicine shared medical appointment.
  • Discuss how to use a teaching kitchen to introduce patients to Lifestyle Medicine.
  • Share methods of patient recruitment and obtaining support from medical community.
  • Discuss transitioning in person teaching kitchen culinary medicine, and Lifestyle Medicine shared medical appointments to virtual.

Speakers 
Theresa Stone, MD  – Co-Founder and Medical Director of Fresh & Savory Culinary and Lifestyle Medicine, Medstar Institute of Innovation 

As Co-founder and medical director of the Fresh & Savory Culinary and Lifestyle Medicine Shared Medical Appointment program at MedStar Health in Washington, D.C. Fresh & Savory is a MedStar Institute for Innovation (MI2) program designed to introduce patients, students, and associates to culinary and living skills that promote longevity and well-being. The work of the Fresh & Savory team has been featured on Fox 5 DC WTTG-TV. Dr. Stone enjoyed completing the Institute of Lifestyle Medicine CHEF coaching certification and advanced training in Mind Body Medicine at Harvard Benson Henry Institute. Her current work focuses on several lifestyle medicine initiatives including #MedStarWell, an associate resiliency and wellness program; Culinary Medicine workshops for Georgetown University physiology graduate students and students at Georgetown University School of Medicine (where she is also a Mind Body Medicine facilitator); and the expansion of Culinary and Lifestyle programs throughout the MedStar Health system.

Discussion about use of lifestyle medicine in telehealth visits both initial evaluation and ongoing coaching as well as education of patients and significant others about lifestyle changes and plan of action whilst hospitalized for an acute, non-communicable, lifestyle-mediated disease. 

Learning Objectives 

  • Use an acute decompensation of a chronic, lifestyle-mediated disease to educate hospitalized patients, their significant other, and co-habitating family about the role of lifestyle (primarily diet) in the pathophysiology of their disease and how to mitigate further effects.
  • Teach patients in-person and virtually how to utilize Lifestyle Medicine principles to manage and mitigate their specific disease and prevent sequelae utilizing simple concepts, general strategies, and resources accessible to the lay public.
  • Perform a counseling and/or coaching session with patients on managing chronic diseases and/or maintaining optimal lifelong health utilizing Lifestyle Medicine principles in the virtual setting.

Speakers 
Ankush K. Bansal, MD, FACP, FACPM, SFHM, DipABLM  – Hospitalist & Telemedicine Physician, Self-Employed

Ankush K. Bansal, MD, FACP, FACPM, SFHM, CFLC, is board certified in Internal Medicine who works as a full-time, locum-tenens hospitalist nationwide as is Voluntary Clinical Assistant Professor of Medicine at Florida International University in Miami, FL. He became board certified in Lifestyle Medicine in 2017. Dr. Bansal received his M.D. from Creighton University in Omaha, NE, and did his internal medicine training at Christiana Care Health System in Wilmington, DE. Dr. Bansal practices telemedicine with numerous companies, having started in 2011, has testified in support of telemedicine to the Florida Board of Medicine, and serves in leadership at 8 telemedicine practices for 2 companies. His interests include whole-food, plant-based lifestyle, reversing the climate change emergency, access and equity of healthcare, and the direct intersection of all 3 of these topics. He serves as President of a global disaster relief watchdog organization, on the boards of 4 medical organizations in Florida, and in leadership at the World Medical Association. Dr. Bansal wrote the Lifestyle Medicine policy statement for the American College of Preventive Medicine. He practices lifestyle medicine teaching and coaching of patients in the inpatient setting and through telemedicine. He is a Fellow of ACPM and American College of Physicians and Senior Fellow of the Society of Hospital Medicine. He is also a Certified Forensic Litigation Consultant. Dr. Bansal lives in Palm Beach, FL.

Shared medical appointments bring unique value in patient care by offering a group support element, which is fundamental to its success both in behavior change and improved health outcomes. Learn how to deliver virtual SMAs successfully. Topics covered include how to run these group visits on a virtual platform, the difference between in-person and virtual SMAs, and how to bill for virtual group visits. 

Learning Objectives 

  • Identify the value of group visits.
  • Describe implementation steps and highlight the difference between in-person SMAs and Virtual SMAs.
  • Discuss appropriate billing and diagnosis code requirements for successful claims.

Speakers 
Padmaja M. Patel, MD, DipABLM – Medical Director, Midland Health

Dr. Padmaja Patel has been a practicing internist in Midland, TX for nearly two decades. She completed her E.N.T. training in India and Internal Medicine residency at the University of Missouri, Columbia. She currently serves as the Medical Director of the Lifestyle Medicine Center at Midland Health and has been an advocate for offering a variety of comprehensive lifestyle intervention programs under physician supervision. In her private practice, she strives to offer high-quality, evidence-based care that incorporates the core principles of lifestyle medicine. Dr. Patel’s passion for health and wellness fueled her desire to co-found Healthy City, a non-profit organization, to raise awareness of the benefits of plant-based nutrition within her community. She also serves as Vice President of the Midland Quality Alliance, a clinically integrated network of physicians, and is on the Health and Wellness committee of Priority Midland, a local community initiative.

Format 
LM2020 On Demand is hosted online via the ACLM Learning Management System and consists of 16 sessions all of which include a title, description, learning objectives, speaker information, video recording, presentation slides in PDF format, an assessment and survey evaluation.

Duration 
1 hour

Specifications 
This content can be viewed on a desktop, tablet or mobile device. Speakers or headphones are required. 

Term of Approval 
February 22, 2021 – February 22, 2023 

Enrollment 
Access to course: access to online material is granted through the term of approval which ends February 22, 2023.  

Accreditation Statement 
In support of patient care, Rush University Medical Center is accredited by the American Nurses Credentialing Center (ANCC), the Accreditation Council for Pharmacy Education (ACPE), and the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing education for the healthcare team. 
 
Rush University Medical Center designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit(s)™. Physicians should claim only credit commensurate with the extent of their participation in the activity. 
 
ANCC Credit Designation – Nurses The maximum number of hours awarded for this CE activity is 1 contact hour. This activity is being presented without bias and without commercial support. 
 
Rush University Medical Center designates this knowledge based CPE activity for 0 contact hours for pharmacists. 
 
Rush University is an approved provider for physical therapy (216.000272), occupational therapy, respiratory therapy, social work (159.001203), nutrition, speech-audiology, and psychology by the Illinois Department of Professional Regulation. Rush University designates this live activity for 1 Continuing Education credit
 
The Commission on Dietetic Registration accepts self-study programs approved through the ACCME.

ABLM MOC 
The American Board of Lifestyle Medicine has approved 1 maintenance of certification credit for this learning activity. 

AAFP Prescribed Credits 
The AAFP has reviewed LM2020 On Demand: Health Restored Virtual Conference, and deemed it acceptable for AAFP credit. Term of approval is from 02/22/2021 to 02/22/2022. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Credit approval includes the following session: 1.00 Enduring Materials, Self-Study AAFP Prescribed Credit(s) - Lifestyle Medicine Practice Tools: Optimizing Lifestyle Medicine Clinical Practice

The National Board for Health and Wellness Coaching (NBHWC) has approved 1 continuing education credit for NBC-HWCs upon successful completion of the LM2020 On Demand Health Restored Virtual Conference. 

Faculty Disclosures 
It is the policy of the Rush University Office of Interprofessional continuing Education to ensure that its CE activities are independent, free of commercial bias and beyond the control of persons or organizations with an economic interest in influencing the content of CE.  Everyone who is in a position to control the content of an educational activity must disclose all relevant financial relationships with any commercial interest (including but not limited to pharmaceutical companies, biomedical device manufacturers, or other corporations whose products or services are related to the subject matter of the presentation topic) within the preceding 12 months. 

Unapproved Uses of Drugs/Devices:  In accordance with requirements of the FDA, the audience is advised that information presented in this continuing medical education activity may contain references to unlabeled or unapproved uses of drugs or devices.  Please refer to the FDA approved package insert for each drug/device for full prescribing/utilization information. 

The course directors, planners and faculty of this activity have stated they have no relevant financial disclosures.