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HomeMy WebLinkAboutRESPONSE - RFP - 7601 HEALTH & WELLNESS PROGRAM PROVIDER - SENIOR CENTERProposal 7601 Health & Wellness Program Provider – Senior Center Proposal 7601 Health & Wellness Program Provider – Senior Center 2 General Information 1. Name of Organization: Columbine Health Systems (Primary respondent) As part of the response to The City of Fort Collins RFP 7601 Health and Wellness Program Provider- Senior Center, Columbine Health Systems will collaborate with the University of Colorado Health as the program service provider to bring forward strengths of existing programs, new offerings, and shared resources. Columbine will be the Program Manager, serving the Senior Center. University of Colorado Health (UC Health), formerly Poudre Valley Health System, will be the preferred program service provider as the main subcontractor for services. The subcontractor agreement is attached to the response. (Refer to Exhibit B) For programs that are not offered by UC Health or Columbine, Columbine will evaluate current programs and use a process to determine the utilization of additional sub-contractors already in place with the City of Fort Collins and within the local community. The process will consist of an RFP, application process for the potential vendor. Requirements in the RFP include the following credentialing: • Proof of licensure (if necessary) in the State of Colorado • A three year history of providing the service in the community with three references • A clean background check (paid for by the applicant) • Proof of professional liability and worker’s compensation insurance 2. Brief History: Explain Health and Wellness program provider experience for the last three years. a. Columbine Health Systems (CHS) is a locally owned and operated senior health care organization located only in Northern Colorado. We began as a single nursing home in 1971 and have expanded to 11 health care facilities providing; skilled nursing care, rehabilitation, dementia, and hospice care, as well as, assisted living, and independent living. Our nine other businesses include medical and non-medical home care, pharmacy, medical equipment, out-patient therapy, a health club, a distribution center, and fleet transportation. Our mission is: Columbine Health Systems distinguishes itself by providing a continuum of personalized, comprehensive, and professional residential and health care services. We do this through expertise, innovation, collaboration, and a commitment to excellent customer service. Proposal 7601 Health & Wellness Program Provider – Senior Center 3 Our skilled nursing facilities are all 5-star rated per the Centers for Medicare and Medicaid Services (CMS). Our home care agency is rated as a Top Home Care Elite Agency in the United States. Community Health Services: We have been providing community services in health and wellness since 1983 when we opened our first home care agency. Since that time, we have opened our Columbine Medical Equipment retail store (1999), Poudre Infusion Therapy (2000), Front Range Therapy (2000) which became a Comprehensive Outpatient Rehabilitation Facility (CORF), and the Lifestyle Centre, health club, (2006). Our community services programs provide health assessments, lifestyle management programming, and wellness and education programs to not only the nearly 1,000 residents we care for in our facilities, but also to the over 500+ in the community through our medical and non-medical home care, infusion therapy, health club, and out-patient therapy programs. Lifestyle Centre: The Lifestyle health club is dedicated to offering a comprehensive wellness program that encourages a life long commitment to a healthy lifestyle and provides the means necessary to improve overall health and well being. See below for their current offerings: Fitness Offerings: Senior Yoga. Slow moving, chair and wall assisted, emphasis on deep breathing and slow, simple, safe, yoga – like movements. Senior Sit & Be Fit. This class will improve your strength using weights and therabands in a relaxed, seated format. Awareness Through Movement (Feldenkrais Method). In this class you will learn to move with the least amount of effort – it is learning through movement – so you can do what you want easier and without discomfort. Brain & Balance. This class combines mental exercises and stimulation to improve brain function, with physical exercises to improve balance and strength for everyday activities. Balance & Mobility. Increase your mobility and flexibility, enhance your balance and gain strength in this class designed specifically for seniors. Express Circuit. Express Circuit allows members of all levels to complete a full body strength workout in fewer than 30 minutes. Proposal 7601 Health & Wellness Program Provider – Senior Center 4 Gentle Yoga. This class incorporates basic yoga poses with breathing techniques. You will gain flexibility and balance while immersing yourself in a relaxing class that moves at a slower pace – allowing time to enjoy each pose. Restorative Yoga. This practice is designed to restore the nervous system and help release deeply held tensions from the body and mind. Offer 1 time per week. Tai Chi Chih. A moving meditation consisting of 19 movements and one pose. The movements are easy to learn and can be done by anyone regardless of age or physical condition. The movements circulate and balance the body’s vital force or chi. Boot Camp. A leaner physique, flatter abs, toned arms and a tighter tush – it’s not just a dream. Personal Training. Single Sessions or packages Buddy Training. Personal training with a friend. Senior Fitness Assessment. Rossiter. A state-of-the-art modality that restores a person’s connective tissue to it’s natural healthy looseness which creates freedom from pain. Lifestyle Centre “Get Active…….” Newsletter. Every two months. (Refer to Exhibit C for example of newsletter) “Wellness On Wednesday” Email. Health and Fitness Tips every Wednesday. (Refer to Exhibit D for example e – newsletter) b. UC Health is a locally owned, private, not-for profit organization with a strong vision: to move from health care to health. UC Health provides evidence-based health care and wellness services and products in Colorado, Nebraska and Wyoming. UC Health is a medical hub that includes University of Colorado Hospital in Aurora, Poudre Valley Hospital in Fort Collins, Medical Center of the Rockies in Loveland, Memorial Hospital in Colorado Springs, Mountain Crest Behavioral Healthcare Center, Colorado Health Medical Group, and dozens of associated clinics and outpatient services. The organization's mission is to improve lives and reads: We improve lives. In big ways through learning, healing and discovery. In small, personal ways through human connection. But in all ways, we improve lives. Proposal 7601 Health & Wellness Program Provider – Senior Center 5 University of Colorado Health demonstrates community health leadership by providing and participating in a broad range of community health initiatives and programs. Our Community Health Improvement Department activities in northern Colorado are client- and community-centered and meet community needs through evidence-based best practices for health promotion, health protection, preventive services, chronic disease management, safety, and injury prevention. One example of an experienced program is the Aspen Club. The Aspen Club was established in 1989 to provide a wide range of program benefits including health education, screenings, hospital discounts, and social opportunities to residents ages 50-plus throughout northern Colorado. The Aspen Club hosts many events throughout the year, including a popular walking club that helps members get or stay fit. The UCHealth Aspen Club newsletter is a great community resource for everyone over 50, featuring detailed listings of our programs/events, health screenings, ongoing services, health system and community news, and pertinent health and wellness information. There are currently over 22,000 members in northern Colorado. In collaboration with the City of Fort Collins marketing efforts, promotion of appropriate classes to our members will reach a wide audience, and establish increased awareness of the programing at the Senior Center. A closer affiliation between the Senior Center and the UC Health Aspen Club is a differentiating factor to consider and could result in an increase in Senior Center membership over time. (Refer to Exhibit E for example newsletter) Also, there are many healthy aging opportunities offered regularly. Below is an example list for the past three years: Aspen Club Program Benefits may include, but are not limited to: Newsletter. Our informative monthly newsletter features detailed listings on our programs, events, health screenings, ongoing services, health system and community news, and pertinent health and wellness information. Enhance Wellness. Aspen Club is proud to offer Enhance Wellness, a national, award-winning health and fitness program designed especially for people 50+ dealing with one or more chronic conditions. This six-month, individualized program helps you identify your strengths and health risks and choose realistic goals to improve your health and well being. The program addresses three main areas of health: • A personal overall wellness assessment. • Fitness classes and consultations. • Disease self-management classes. Proposal 7601 Health & Wellness Program Provider – Senior Center 6 Fitness Opportunities. Aspen Club offers a variety of exercise classes, including Yoga, Core Strength, Beginning Exercise, Strong Women/Strong Bones and Tai Chi. Walking groups meet in Loveland and Fort Collins May through October. Medicare Counseling and Assistance. As the Larimer County Senior Health Insurance Program (SHIP), the Aspen Club provides trained counselors to answer your questions about Medicare choices, supplemental insurance, prescription drug plans, Medicare Advantage Plans, and more. Please call either office to schedule a personal appointment. Caregiver Education. Powerful Tools for Caregivers is a six-week class offered several times each year with helpful strategies for current and future caregivers. The Aspen Club also has resources that provide helpful caregiver tips and information about community resources. Matter of Balance. Matter of Balance (MOB) is an eight (8) session class that uses practical coping strategies to reduce fear of falling. Participants learn to view falls as controllable, set realistic goals for increasing activity, change their environment to reduce fall risk and exercise to increase strength and balance. Nutrition Education and Consultations. We offer classes on healthy eating to help various disease conditions, food safety, super foods, meal planning for one or two, and other nutrition-related topics. Watch your newsletter for these classes. Advance Directives. Living Will, Durable Power of Attorney for Health Care, CPR directives, Five Wishes, and Organ/Tissue donation forms are available in the Aspen Club offices. Free, One-Time Legal / Financial Consultation. Call the Aspen Club if you would like information on this resource as well as the financial, legal and estate planning workshops offered in partnership with the PVH and MCR Foundations. Sidewalk safety. Complimentary bags of "ice-melt" are available for members to use on slippery sidewalks around their homes. The goal of this program is to prevent falls. Salt is available December through February, or while supplies last. AARP Driver Safety Program. Senior Services/Aspen Club is a co-sponsor of AARP Driver Safety classes. Participants may receive a discount on their automobile insurance premiums upon completing this class. Proposal 7601 Health & Wellness Program Provider – Senior Center 7 CHS and UC Health have been formal partners since 2000. In that year, both of us closed our home care agencies and formed a new home care – Columbine Poudre Home Care. We also developed our joint venture – Poudre Infusion Therapy at that same time. Centre Avenue Health & Rehab Facility opened in September of 2001 and is the third in our joint venture. In October of 2012, CHS and UC Health developed the Connecting Health transportation service. This free van runs tfrom 7 a.m. to 5 p.m. providing rides to Poudre Valley Hospital, Harmony Campus, Medical Center of the Rockies, and the Greeley Medical Clinic. The Value of Community Partnerships Health and Wellness programming led by Columbine and its subcontractors value partnership opportunities to create a dynamic environment for community members that will enjoy our programs. We want to foster an environment of collaboration with the City of Fort Collins so all stakeholders can provide feedback and so we can create future programs together, based on community interest, City of Fort Collins priorities, and financial stability. Regular communication venues will be a priority to ensure we are exceeding expectations. While we have outlined programmatic offerings that are available today for our community, we believe that the true advantage will be in what will be developed together and offered in the future. Columbine and UCHealth are local organizations that are well respected in the business community. The advantage to this collaboration is also the beginning of future discussions to innovate and redefine health and wellness for the citizens of northern Colorado. We believe that agility, thoughtful planning, customer feedback, and then adjusting course to proactively meet market needs will move us forward into a successful future. 3. Contact information: a. Columbine Health Systems Contact: Yvonne Myers, Health Systems Director Columbine Health Systems 947 Worthington Circle, Fort Collins, CO 80526 Phone: 970-482-0198, Fax: 970-482-9148, Email: yvonne.myers@columbinehealth.com Website: http://www.columbinehealth.com b. UCHealth Contact: Grace Taylor, Sr. Director, Community Outreach and Physician Relations University of Colorado Health 2315 E. Harmony Rd., Suite 200, Fort Collins, CO 80528 Phone: 970-237-7003, Fax: 970-237-7090, Email: grace.taylor@uchealth.org Website: http://universityofcoloradohealth.org/ Proposal 7601 Health & Wellness Program Provider – Senior Center 8 On-site Health and Wellness Program Provider General Information 1. Aspects of the Scope of Services that we will not be able to provide are: a. VOA Senior Nutrition Program 2. If selected, a timeline and action items list will be enacted to implement programming. A program manager will be hired to oversee details, planning, and programming. The City of Fort Collins will participate in the interview process. (Refer to exhibit F for timeline and action items and exhibit G for job description) 3. Confidentiality will be assured by: a. Program manager signing HIPAA confidentiality agreement upon hire and then again annually after attending Columbine Health Systems’ corporate compliance training. b. Columbine Health Systems and UC Health have signed a Health Insurance Portability and Accountability Act (HIPAA) Business Agreement. (Refer to exhibit H) 4. The program manager will ensure that each participant will sign a HIPPA agreement annually when participating in any program offered. Copies will be kept in a locked file cabinet at the Center. A process will be developed by the Program Manager to communicate confidentiality requirements to participants, which may include forms, presentations, or posting of requirements. The practices that are in place to assure the confidentiality of individual information when electronically transferring or storing information are outlined in the HIPAA policy. (Refer to exhibit H) Other Questions: 1. Will you assist in on-site Senior Center member and patron education as requested? If yes, how and what is the cost? Yes. The job description for the program manager will include providing member and patron education about the general Health and Wellness program. Yvonne Myers and Grace Taylor or their designee(s) are also available for member and patron education needs. There is no charge as this will be an in-kind donation to ensure success of the program. 2. Can you provide educational materials or other materials in electronic format for posting? Yes. Both CHS and UC Health have in-house graphic departments. CHS will take the lead with UC Health providing backup in the development of electronic educational and marketing materials. Graphic standards and graphic guidelines will be followed for all materials. 3. Who is legally at risk for all liability issues? CHS and UCH have agreed per the services agreement to provide our own insurance for general and liability, worker’s compensation, and unemployment. Each contracted vendor will be required to have their own professional liability and worker’s compensation insurance. Proposal 7601 Health & Wellness Program Provider – Senior Center 9 4. Who manages the staff and assures proper credentialing? Will this individual be on- site at the Senior Center? The program manager will be on-site 70% at the Senior Center. Proper credentialing will be the responsibility of the program manager. 5. How do you staff a program? What are the degrees and credentials of each person providing care to Senior Center members and patrons? Programs offered will be provided by licensed experts for the program offered. For example, “Ask a Nurse” will be provided by a RN. An application will be completed with a copy of proof of licensure (if necessary) in the State of Colorado, copy of background check – or access to a copy of the background check through sub-contractor relationship between CHS and UCH, and three references. 6. Are you a franchise? No. Neither CHS or UCH are franchises. 7. How is HIPAA compliance maintained and implemented? Please refer to the On-site Health and Wellness Program Provider General Information question 4. 8. Is there an Account Manager, and what is their role? CHS will provide an Account Manager from our accounting department. Their role will be to work with the Program Manager on the budget, Accounts Payable, Accounts Receivable, and monthly and annual financials. We received Addendum No. 1, Exhibit 1 - Questions & Answers Proposal 7601 Health & Wellness Program Provider – Senior Center 10 Program Listing with Descriptions and Price Structure Programmatic offerings are placed into three broad categories to meet the needs and interest of members of the Senior Center and local community. 1) Health Assessment 2) Lifestyle Management 3) Wellness and Education Table 1 is a listing of classes that can be offered immediately to add depth and breadth to the Senior Center environment, providing a wide selection of topics to appeal to the age group of fifty and older. Additionally, a proposed listing is outlined in Table 2 for future discussion that can also be added in subsequent months if there if interest with our community and the City of Fort Collins. UCHealth, Columbine and the Health District have collaborated on the listing. The Health District is a valued partner and would also like to continue service offerings per Dr. Bruce Cooper. The price structure will range from $3.50 to $35 per class, depending on the resources needed, instructor costs and frequency. These prices are valid for one year and then will be re-evaluated with the City to account for inflation. The fee for the general public is listed below in the tables. If awarded the contract, we would work with the Senior Center and City staff to develop the best senior center discount for programs. We will follow the current process for the Reduced Fee Program found on page 9 of the Spring 2014 Recreator. The revenue share for classes that have charges will be 35 %. The Aspen Club will support marketing efforts for specific class participation in reaching current membership of approximately 22,000 people, aged fifty or over. The Aspen Club is currently adding nearly 1000 net new members each year. The Aspen Club can evaluate holding a promotional event, encouraging its members to join the Senior Center. Re-locating the Aspen’s Club Amazing in Aging program at the Senior Center is also a possibility to explore further. Upon review of the more formal offerings listed Table 1 and 2, if there are informal, networking or social gatherings, (eg. wine tastings, movie nights) to consider hosting, those may be evaluated case by case also. Columbine Health Systems will market program offerings at the Senior Center to the residents, clients, their families, and our staff through our newsletters, website, posters, and flyers. We will strongly encourage our circle of outreach to become members of the Senior Center and can include information about membership in our admission packets throughout our System. Proposal 7601 Health & Wellness Program Provider – Senior Center 11 Table 1: Programs available for Fall 2014. Audience Category Offered Program Name Per Class Fee Per Person Minimum enrollment Revenue share % Adult Health Assessment Quarterly Ask a Pharmacist 0.00 4 n/a Adult Health Assessment Monthly Ask-A-Nurse / Blood Pressure Check 0.00 4 n/a Adult Health Assessment Quarterly Balance Assessment 15.00 4 35% Adult Health Assessment Monthly PT / OT/ SLP assessments 0.00 4 n/a Adult Health Assessment As currently scheduled Cholesterol /Blood Pressure Check 15.00 n/a 35% Senior Health Assessment By appointment Senior Fitness Assessment 0.00 1 n/a Adult Lifestyle Management 2x week over 6 weeks PREP-physician referred exercise program 3.50 10 35% Adult Lifestyle Management 2x week over 6 weeks Arthritis Foundation Exercise Program 3.50 10 35% Adult Lifestyle Management 2x week over 6 weeks Women on Weights 3.50 10 35% Adult Lifestyle Management 1x week over 6 weeks Couch to 5K 3.50 10 35% Adult Lifestyle Management 1x week over 6 weeks Winter sports prep 3.50 10 35% Adult Lifestyle Management 1x week over 8 weeks The "Power of Food" and 21 Day Kickstart Program 20.00 15 35% Adults Lifestyle Management 1x week over 6 weeks Living Well with Chronic Conditions 0.00 8 n/a Women Lifestyle Management 2x week over 6 weeks Prenatal Boot Camp 3.50 6 35% Adult Lifestyle Management 2x week over 6 weeks Get Fit for Golf 3.50 10 35% Senior Lifestyle Management 1-2x per week Various Senior Fitness Classes 3.50 4 35% Senior Lifestyle Management 1x week over 4 weeks Tai Chi Chih 8.75 4 35% Adult Lifestyle Management Weekly Massage (Full and Chair) 5.00-55.00 4 35% Adult Lifestyle Management 2x week over 8 weeks Strong Women Strong Bones 3.50 12 35% Adult Wellness and Education 1x week over 4 weeks Meditation with Swamiji Dharmananda 10.00 25 35% Adult Wellness and Education Quarterly Lymphedema Education and Support Group 0.00 4 n/a Adult Wellness and Education Monthly Respiratory Education (varied topics) 0.00 4 n/a Adult Wellness and Education Monthly Incontinence Education and product offerings 0.00 4 n/a Adult Wellness and Education Quarterly Mastectomy Education and Support Group 0.00 4 n/a Adult Wellness and Education Monthly Nurse-led Education (varied topics) 0.00 4 n/a Adult Wellness and Education Quarterly Group Nutritional Counseling (varied topics) 0.00 4 n/a Adult Wellness and Education 2x week over 6 weeks Memory Fitness 5.00 20 35% Adult Wellness and Education 1x week for 6 weeks Nutritional Lunch and Learns or Nutritional/Wellness Workshops 10.00 6 35% Adult Wellness and Education Quarterly Pharmacist led Education (varied topics) 0.00 4 n/a Adult Wellness and Education Monthly Physical Therapist led Education (varied topics) 0.00 10 n/a Adult Wellness and Education 15 minute appointment Medical Equipment Repair 10.00 n/a n/a Adult Wellness and Education By appointment Rossiter 35.00 4 35% Adult Wellness and Education Fall 2014 "Laugh-In" the Holidays 0.00 5 n/a Adult Wellness and Education Weekly Legal and Financial Health 0.00 4 n/a Adult Wellness and Education Quarterly Financial planning seminars 0.00 4 n/a Adult Wellness and Education Quarterly Aging Conversations 0.00 4 n/a Adult Wellness and Education Quarterly Audiology Screening 0.00 4 n/a Adult Wellness and Education Weekly Foot Care Clinics 20.00 4 n/a Adult Wellness and Education Quarterly Age Well UCHealth Forums 0.00 8 n/a Table 2: Proposed programmatic offerings needing further evaluation for Fall 2014 start.* Audience Category Offered Program Name Comment Adult Health Assessment Proposed Peripheral Vascular Disease screening Health District is interested Adult Lifestyle Management Proposed Foot Reflexology Sub-contractor evaluation in process Adult Lifestyle Management Proposed Reiki Sub-contractor evaluation in process Adult Lifestyle Management Proposed Acupuncture Sub-contractor evaluation in process Adult Lifestyle Management Proposed Silver Spoke BPEC (Bicycle, Pedestrian Education Coalition) to promote bicycle safety and group rides throughout on the trails and in the community. Lifestyle Management Proposed Cardiac Rehab/Conditioning Class Under discussion with UCHealth Cardiology department, physician supervision requirements need Proposal 7601 Health & Wellness Program Provider – Senior Center 12 Age Well UC Health Forums and a HealthyU. University of Colorado Health experts and doctors in northern Colorado want to keep you healthy. That’s why they are coming together, in multiple ways, to share their insight and inspiration to living a healthier life. HealthyU is an outreach effort that includes a weekly video series, a series of in-person, interactive events focused on wellness, fitness, nutrition and prevention and more. The program’s goal is to start more conversations about health and healthy living. For specific events, that are mutually agreed upon with the City of Fort Collins in advance, additional marketing support in the form of social media or other advertising may be available to attract a wider audience interested in Health and Wellness to the Senior Center. The HealthyU concept is not a new concept to the City of Fort Collins. At the Gardens of Spring Creek, HealthyU is a theme for the summer cooking series and Coalition of Activity and Nutrition to Defeat Obesity (CANDO), part of UC Health, has worked with city staff in the past under the HealthyU concept to create healthy vending options at EPIC. The HealthyU effort has recognition in northern Colorado and supports health and wellness educational partnerships. The Power of Food and 21 Day Kickstart Program. Developed by the Physicians for Responsible Medicine Food For Life nutrition program, you will learn how to achieve healthy weights with an abundance of grains, fruit, legumes and vegetables. Learn about the Food as Medicine movement to prevent diseases such as diabetes, heart disease, cancer, and other chronic diseases. Memory Fitness. Designed by well-known expert and author Dr. Gary Small, from UCLA’s Longevity Center, this program offers cutting edge, step-by-step strategies that bring immediate and long term benefits when it comes to memory and mental alertness. The program focuses on mental exercises, stress reduction, healthy diet, physical exercise, and is designed for older adults with normal memory concerns. Get Fit for Golf. Use the Titleist Performance Institute (TPI) assessment, a two-camera video swing analysis with side-by-side comparison of pro golfers and OptiShot assessment that analyzes the body-swing connection. Our specialists will measure your ability to generate and transfer speed, while determining the most efficient energy transfer throughout your body. Proposal 7601 Health & Wellness Program Provider – Senior Center 13 Program Descriptions by category: 1) Health Assessment Ask a Pharmacist (Licensed Pharmacist). This class may include an assessment and educational focus: • Bring in your meds for questions • Discussion about Diabetes, Constipation, Cholesterol, etc. • Using your glucose meters • Medication interactions with herbal supplements or about certain medications or classes of medications • Other topics may include Ethics and Nutrition – or Nutrition and End of Life • Nutrition and supplements Ask-A-Nurse (Licensed RN). This assessment may include: • Specific disease process discussion – CHF, Diabetes, Wound healing, HPT, Influenza vs. URI vs. GI bugs • Monthly Blood Pressure check Balance Assessment. This offering may include utilizing a portable machine that assesses balance. Depending on the results of assessment, the person may be referred for further physical therapy or may continue with current plan. The goal is to assess the individual’s potential for fall risk and support proactive prevention of falls. PT/OT/SLP Assessment. This class series may include licensed Physical, Occupational, and Speech Language Pathology professionals hosting monthly sessions on different topics to discuss fall prevention, ergonomics, home safety, balance, and ADL’s. The professionals will also assess participants and refer for additional therapy, if appropriate. Cholesterol /Blood Pressure Check. This is the current Health District program offering. Senior Fitness Assessment. Blood pressure, body fat percentage, Body Mass Index (BMI), body measurements, strength test, cardio vascular test, flexibility that are conducive to seniors for those who are 65-95 years of age for national comparison against others. This is by appointment only and will be a one on one assessment that lasts about 45 minutes. There will be a limit to the number of participant slots available. 2) Lifestyle Management PREP (Physician Referred Exercise Program). This 6 week session is a supervised small group classes for those living with chronic conditions. Class may use nustep stepper, treadmill, arm ergometer, recumbent bike and walking area. Arthritis Exercise Program. This program is designed for anyone with arthritis or related rheumatic disease or musculoskeletal conditions including elderly, sedentary or those with very limited mobility due to joint impairment. Proposal 7601 Health & Wellness Program Provider – Senior Center 14 Women on Weights. This 6 week class is a female specific weight lifting class to help attendees increase their strength, knowledge and comfort with resistance training. Couch to 5K. This 6 week class will focus on the goal of running a 5K. It may begin with a walking focus and progress to running, depending on interested participants and level of fitness. This class may meet to discuss progress, talk about injury prevention, provide encouragement, tips, accountability, and get people motivated to get off the couch. Winter Sports Prep. This 6 week class will focus on conditioning for winter sports in order to get ready for winter activities/ski season. One focus will be injury prevention and strengthening. This class may attract a younger adult population who are more active with winter sports activities with their family. The "Power of Food" and 21 Day Kickstart Program. This 8 week program, including the 21-Day Kickstart challenge, was developed by the Physicians for Responsible Medicine Food For Life nutrition program. Participants will learn how to achieve healthy weights with an abundance of grains, fruit, legumes and vegetables. The scientifically proven strategies you’ll learn will enhance weight loss, overall health and longevity. You’ll also learn about the Food as Medicine movement to help prevent many diseases such as diabetes, heart disease, cancer, and other chronic diseases. Living Well with Chronic Conditions. Do you have high blood pressure, arthritis, osteoporosis, diabetes, cancer, chronic pain, or other conditions that impact your daily life? Participants with one or more chronic conditions will learn practical skills and tools needed to manage your health condition. Book: Living Well with Chronic Diseases (included) Prenatal Boot Camp. This 6 week class will focus on the health of the new mom and staying fit during pregnancy. Documented physician approval may be required. Get Fit for Golf. Do you need to get ready to golf? This class will include use of a simulator to ensure your swing is ready to tee off. We use the Titleist Performance Institute (TPI) assessment. There is a two-camera video swing analysis with side-by-side comparison of pro golfers and OptiShot assessment that analyzes the body-swing connection. Our specialists will measure your ability to generate and transfer speed, while determining the most efficient energy transfer throughout your body. We will isolate any physical limitations, correlate these findings to your swing technique and prescribe a custom program. We can add 40% to 50% more power, range of motion and swing efficiency in four to six weeks with the TPI program used by the pros. Various Senior Fitness Classes. A variety of classes may be offered based on the interest of members. These may include Senior Yoga, Senior Sit & Be Fit, Awareness Through Movement, Brain & Balance, Express Circuit, Gentle Yoga, Restorative Yoga, Boot Camp, Fitness Assessments, Personal Training, Buddy Training, Senior Fitness Assessments, Resistant Bands, and Rossiter. Proposal 7601 Health & Wellness Program Provider – Senior Center 15 Tai Chi Chih. A moving meditation consisting of 19 movements and one pose. The movements are easy to learn and can be done by anyone regardless of age or physical condition. The movements circulate and balance the body’s vital force or chi. A session is four weeks and is offered one time per week. $35 per session. Massage (Full and Chair). Individual chair massage offered for 5 minutes up to 25 minutes. Discounts are offered for the purchase of 4 chair massages. Full body massages for up to an hour are also available. Strong Women Strong Bones. An evidence based weight training class using free weights was developed by Tufts University. Weight training has been shown to improve bone density and body composition, while increasing strength. All instructors are certified in SWSB protocol and have necessary fitness certifications and education. 3) Wellness and Education Meditation with Swamiji Dharmananda. Meditation has been shown to have significant health benefits for things such as heart disease, insomnia, chronic pain, cancer, immunity and more. Spiritual teacher and counselor, Swamiji, will teach the physical and psychological benefits of meditation and the various forms (trancendental, Kriya yoga, breath awareness, Mantra, devotional and chakra meditation) will be explained and practiced. Lymphedema Education and Support Group. Providing support and education for individuals in the maintenance of those experiencing lower extremity edema, venous insufficiency, venous stasis ulcers, lymphedema and lipedema. Respiratory Education (varied topics). This educational class will demonstrate how to use specific equipment – inhalers, nebulizers, oxygen, and also discuss topics such as sleep apnea. Incontinence Education and product offerings. This one on one conversation provides information about this health condition, the community resources available, and proper product selection, if necessary. Mastectomy Education and Support Group. This educational one on one session will provide information about mastectomy garments and post-mastectomy fashions. A forum for those who are newly diagnosed and those with experience can support each other. Nurse-led Education (varied topics). This monthly educational session may include topics such as cancer, CHF, diabetes, wound healing, HPT, influenza vs. URI vs. GI bugs. The topics will vary and have broad appeal to participants as it relates to common health concerns. Proposal 7601 Health & Wellness Program Provider – Senior Center 16 Dietitian-led Nutrition (varied topics). This quarterly educational series will offer a wide variety of topics to appeal to a broad range of participants. Topic examples include: Antioxidants, emotional eating, menopause and weight gain, food choices that affect inflammation, and super foods. Memory Fitness. The Memory Fitness Program , designed by well-known expert and author Dr. Gary Small, from UCLA’s Longevity Center, offers cutting edge, step-by-step strategies that bring immediate and long term benefits when it comes to memory and mental alertness. The program focuses on mental exercises, stress reduction, healthy diet, physical exercise, and is designed for older adults with normal memory concerns (not for those diagnosed with dementia or Alzheimer’s). If you stick with this, you’ll notice better memory abilities, feel younger and stronger. Registered Dietitian Cooking Classes. Based on facility capability and availability, this 6 week series will teach you how to cook simple dishes with flair that are also good for you. Pharmacist led Education (varied topics). In addition to the medication question and answer period mentioned above, this quarterly offering may also include: • Discussion about Diabetes, Constipation, Cholesterol, etc. • Using your glucose meters • Medication interactions with herbal supplements or about certain medications or classes of medications • Other topics may include Ethics and Nutrition – or Nutrition and End of Life • Nutrition and supplements Physical Therapist led Education (varied topics). Monthly educational topics may include a variety of subjects such as balance, fall prevention, ergonomics, home safety, memory strategies, and sleep. Medical Equipment Repair. Do you need assistance with a broken piece of equipment? Bring in your cane, walker, or wheelchair for a look see. If they need any kind of repair, we are here to help you. There will also be a change for parts added to the participant fee. Rossiter. A state-of-the-art modality that restores a person’s connective tissue to it’s natural healthy looseness which creates freedom from pain. The offering is $35 per person and is also only by appointment only. Laugh-In the Holidays. Laughter is a forgotten healer. Scientists have found that a good dose of laughter strengthens the immune system, improves circulation, relieves stress and bolsters the spirit. Get ready for a “simulated” laughter program that leads to “stimulated” laughter outcomes (without the use of jokes). Jill Taylor, Certified Laughter Leader and UC Health Aspen Club Manager will lead during this fun hour. Proposal 7601 Health & Wellness Program Provider – Senior Center 17 Age Well UCHealth Forums. These no cost events would incorporate the expertise of our partners. Depending on the topic a typical forum might include a physician educational presentation, related health screening and nutrition and exercise components. HEART DISEASE: • Cardiologist presentation • PVD screening – Health District • Heart Healthy eating – RD • Exercise PT FALL PREVENTION: • Balance screening • Medication Review • Safety, Fall Risks Presentation • Balance Exercises – Physical Therapist BOOST YOUR IMMUNITY AND ENERGY: Your immune system helps protect your body from foreign or harmful substances, including bacteria, viruses, and toxins that can cause disease and infection. As we get older, the immune system is slower to respond, increasing the chances of getting sick of prolonged healing. Learn how to fortify and strengthen your body’s natural healing response. • Physician presentation • Heart rate variability screening PROTECT YOUR BONES AND JOINTS: Joints provide flexibility, stability, support and protection of the skeleton that allows us to continue leading active lives. Learn about common ‘wear and tear” conditions such as arthritis, osteoarthritis and osteoporosis and how diet and exercise play a key component in joint and bone protection. • Physician Presentation • Nutrition Presentation • Bone Density Screening • Bone strengthening exercises FUTURE TOPICS TO CONSIDER FOR PHYSICIAN PRESENTATIONS: • Protect Your Brain • How to Sleep Better • Protect your Ears and Eyes • Protect Your Skin and Hair Attachment A - Proposer’s Certification Exhibit B - Services Agreement GET ACTIVE. . . . . . . . . Welcome to the LIFESTYLE CENTRE! In this issue: Upcoming Events Group Fitness Personal Training Wellness MISSING SOMETHING? Missing a coat, a water bottle, even a sport bra? Did you know we have a lost and found here at the Lifestyle Centre? Chances are if you left it here someone turned it in. Ask at the front desk, for any items you may have misplaced. Now Offered At The Lifestyle Centre T’ai Chi Chih is a moving meditation consisting of 19 movements and one pose. The movements are easy to learn and can be done by anyone regardless of age or physical condition. The movements circulate and balance the body’s vital force or chi. BENEFITS: * Relaxation and reduced stress * Enhanced balance, energy, stamina and fl exibility * Increased awareness, focus and creativity * Improved blood pressure and immune system * Relief of headaches, back pain and chronic conditions * Cultivation of an internal center of peace and serenity N E W S L E T T E R Monday-Thursday: 6:00am - 7:30pm Friday: 6:00am - 6:00pm Saturday: 7:00am - 1:00pm GUEST PASS GUEST PASS FREE Share us with a friend! HEALTH TIP: Exercising with Arthritis Exercise can help ease pain and discomfort of arthritis, but it may be easier to get active at certain times of the day when your arthritis isn’t fl aring. The American College of Rheumatology offers this advice: •If you have stiffness in the morning, some range-of- motion exercises can help you get moving. •If you struggle with fatigue and fi nding energy to exercise, schedule short exercise sessions throughout your day, instead of one long session. 2 G e t A c t i v e GROUP FITNESS The Group Fitness Schedule can also be found at www.lifestylecentre.net WE OFFER OVER 25 CLASSES PER WEEK Our classes are designed to get you FIT while having FUN with FRIENDS! Please see our Group Fitness Schedule for a complete list of our classes. THE TOP THREE BENEFITS OF GROUP FITNESS CLASSES Why has group fi tness remained so popular? It has many advantages, but here are just three of the most cited reasons: 1) Accountability. Your absence will be noticed, so you’re less likely to skip that morning class on those days that you’d rather stay in bed. Many people also fi nd a workout buddy to accompany them and keep them accountable; this is especially helpful when you need encouragement to work towards your fi tness goals. 2) Motivation. You’re all there for the same reason, and this sense of purpose can help you work harder when you feel your energy waning. Looking around and seeing how easily the rest of the class does those 50 push-ups can give you the confi dence boost needed to do the same. 3) Availability of professional advice. When you work out on your own without a trainer or companion, you might be missing out on ways to improve your program. You also risk doing certain exercises incorrectly, whereas group fi tness leaders can show you the correct techniques to keep you safe and maximize your efforts. With so many options at the Lifestyle Centre, you’re sure to fi nd a class or group that will help you meet your fi tness goals. SURPRISING BENEFITS OF EXERCISE Losing weight, getting in shape, taking care of your heart – all wonderful reasons to workout. But what you may not realize is that exercise has been shown to have some other surprising benefi ts! So lace up those sneakers and hit the gym! Clearer Skin. The sweat can actually fl ush toxins and dirt from your pores, and also boosts oxygen fl ow, which helps the skin look better. Fewer Food Cravings. Long-term exercise habits can rewire the brain’s reward region to More than just a work-out! 3 PERSONAL TRAINING FREE FITNESS ASSESSMENT Your present and future health is infl uenced by your fi tness level. The Lifestyle Centre can provide you with simple physical tests that will help you be more aware of your own health so you can take the steps needed to live a long, healthy life. Call the Lifestyle Centre at 494-6446 for more information and to schedule an appointment. Remember to RE-TEST with-in 3 to 6 months PERSONAL TRAINING Use our personal training programs to keep focused, motivated and fi t! ROSSITER Rossiter is a state-of-the-art modality that restores a person’s connective tissue to its natural healthy looseness which creates freedom from pain! A leaner physique, fl atter abs, toned arms and a tighter tush – it’s not just a dream. It can be a reality with BOOT CAMP at the Lifestyle Centre. Burn serious calories while doing strength-training and cardio exercises that will put you on the right path to your dream body. BOOT CAMP – more intense than other fi tness classes and more fun than most traditional workouts! JANUARY 7TH – FEBRUARY 13TH Six week session $40 Drop in Rate $5 per class TUESDAYS/THURSDAYS 4:00PM – 5:00PM MUSCLE CORNER What is the number one New Years Resolution? According to the University of Scranton Journal of Clinical Psychology (Published 2012), Losing weight and getting fi t. AGE SUCCESS RATES DATA Percent of people in their twenties who achieve their resolution each year 39% Percent of people over 50 who achieve their resolution each year. (all of us here at the Lifestyle Centre can beat that statistic) 14% LENGTH OF RESOLUTIONS DATA Resolution maintained through fi rst week 75% Past two weeks 71% Past one month 64% Past six months 46% All the research shows that there are many reasons people don’t keep their resolutions in the weight/fi tness category. However, the one “reason/excuse” you have the most control over is doing it correctly. Many of us are so eager to loose weight that we start out doing too much, too fast. • Trying to do too many exercises before we build up endurance. 4 802 West Drake Road, Suite 133 • Fort Collins, Colorado 80526 • Phone: 970-494-6446 • www.lifestylecentre.net and endorphins kick in, before you feel beat up or about to drop, stop and enjoy it. You will look forward to the next workout. Don’t’ PUSH through until it becomes so diffi cult you don’t want to work out at all. In other words, don’t stay too long at the party and overindulge. • Not using proper form. If your exercises are done in the proper form at the proper speed- not using momentum- you can accomplish more in less time. Your workouts do not need to be several hours. You can learn proper form by attending one of LSC’s many classes or get a Personal Training Session custom fi t to help you understand your body and how best to go about helping it get strong safely. • Just set the goal of getting to the health club. Once you are at the health club it will all feel worth the effort. Always know that if you come and you just don’t feel like working out, you can cut it short. Listen to your body but be honest. There is a fi ne line between taking care of yourself or giving up and taking the easy way out. WELLNESS Every Minute Counts A new study suggests every minute of movement counts toward the 150 minutes of moderate-intensity physical activity we’re all supposed to be getting each week. University of Utah researchers found that each minute spent engaging in some kind of moderate to vigorous physical activity was associated with lower BMI and lower weight. “The idea here is, you can do a minute at a time and that’s not a problem,” says Jessie Fan, lead author of the new paper and a family and consumer studies professor at the University of Utah. For the women studied, each minute spent in higher- intensity, moderate to vigorous activity was associated with a .07 drop in body mass index, a measure of fat based on height and weight. For a 5’4” woman, that means a drop in weight of nearly half a pound. The effect in the guys was a little less substantial: a minute of exercise was associated with a .04 drop in BMI, translating to a .27-pound drop in weight for a 5’8” guy. That doesn’t sound like much, and it isn’t on its own – but that’s just one minute --multiply that by 10, or 30, or 150, and you’ve got some real results – all achieved by teeny tiny bouts of high-intensity activity. “High intensity,” essentially means moving with a little pep, enough to get your heart rate going: it’s not sprinting or racewalking, for example, but it’s not ambling down the sidewalk, either. The results, experts say, lend some numerical evidence to the idea that “every minute counts.” “Time is precious,” says Michael Mantell, Ph.D., a behavioral science expert with the American Council on Exercise. He says the “all or nothing” approach – as in, “If I can’t work out for an hour at the gym, why bother at all?” – is an excuse that too often keeps people from doing any sort of physical activity. “This  Hinson, Aaron From: Shorthill, Joyce Sent: Wednesday, January 22, 2014 11:17 AM To: AllUsersColumbineHealth Subject: Lifestyle Centre - Wellness Wednesday       Saturday January, 25 11:00am – 1:00pm Join us for a 2 hour deep relaxation workshop and find tranquility. Restorative Yoga Poses Guided Imagery and Meditations Essential Oils Self-massage Using YTU Balls Cost is $20 Class by Jen Strating, RYT and Nicole Bettray, RYT Bad Habits That Cause You To Re-Gain Lost Weight A new American Journal of Preventive Medicine study pinpoints the four main lifestyle behaviors that cause former weight-loss winners to put the pounds back on. For the study, researchers from The Miriam Hospital followed 3,000 people—all of whom had lost at least 30 pounds—for 10 years. At the end of the study, nine out of 10 of the participants had kept off at least 10 percent of the weight. The more weight they had gained back, however, they more likely they were to share some key habits: Avoiding the Scale It's no secret that we aren't fans of judging health on pounds alone. But if you don't keep tabs on how your body is changing (and it always is!), it's easy for weight creep to get out of control before you even realize it's happening. So try stepping on the scale, slipping on your skinny jeans, running a measuring tape around your waist, or even browsing through your selfies from time to time. It'll help you spot weight gain in its early stages, when it's easier to combat. Overeating Between epic portion sizes at restaurants and emotional eating, every one has gotten more than his/her fill at one point or another. Once you've lost some weight, it's easy to feel like a splurge is in order. But with many "meals" containing more than your recommended daily intake of calories, too many splurges can add up quickly. Skipping the Gym Exhibit D - Wellness Wednesday Email  Contact the LifeStyle Centre to sign- up Your body is always doing one of two things: gaining muscle or losing it. So hitting your weight-loss goal is no excuse to forgo your fitness routine. Plus, exercising on the regular can help regulate your hormones, which can make it easier to resist that bingeing we talked about. Consuming Too Much Fat While we have a veritable love affair going with avocados, saturated and trans fats can torpedo your slim-down successes. Learn the difference between good and bad fat; figuring out how to strike a balance between the two could be the key to maintaining your weight loss. ________________________________________ Unsubscribe, please email lifestylecentre@columbinehealth.com Lifestyle Centre Health Club 802 West Drake Road, Suite 133 | Fort Collins, Colorado 80524 Phone 970-494-6446 | www.LifestyleCentre.net PHI HIPAA & HITECH Act Compliance Statement This communication may contain confidential Protected Health Information. This information including any attachment is intended only for the use of the individual or entity to which it is addressed. The authorized recipient of this information is prohibited from disclosing this information to any other party unless required to do so by law or regulation and is required to destroy the information after its stated need has been fulfilled. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or action taken in reliance on the contents of these documents is STRICTLY PROHIBITED by federal law. If you have received this information in error, please notify the sender immediately and delete this transmission. J A N . | F E B . 2 0 1 4 Volume 27 | Issue 1 Medicare update Aspen Club staff and volunteer counselors helped over 3,000 people last year with selecting Prescription Drug Plans, talking about supplemental policies and answering general Medicare questions. This dedicated group logged over 1,600 hours in the process. Thanks to this Medicare counseling team for their commitment. Eileen Hendee - Aspen Club Medicare Coordinator, helps a member A STORY OF RESILIENCE AND ADAPTATION Member Highlight – John Henry Peck Three years ago, John Henry Peck’s cycling days seemed to be over. He had a series of painful crashes on his mountain bike which, unfortunately, sidelined him for a few years. But recently, as he puts it, “this wonderful recumbent cycle found me.” Now John Henry has found new hope and determination to become a not-so-easy rider once again. John Henry, age 80, has been married to his high school sweetheart Corinne for 61 years. He has survived two heart bypass surgeries and prostate cancer. He is coping successfully with several chronic conditions. He said it is largely because of lessons and methods he learned in many Aspen Club activities over the past 25 years. His goal now is to ride the TOUR de FAT in September. His costume? He plans to put on a fake beard and pretend to be an old man! Way to go John Henry. In 2012, the Aspen Club counselors helped more than 3,500 people understand their Medicare benefits. Those who asked a counselor for help with their prescription drug plans collectively saved over $430,000 by making changes. Exhibit E - Aspen Club News 2 Aspen from the Club office Happy new year everyone! Remember last fall when 64-year-old Diana Nyad accomplished an amazing 110 mile swim from Cuba to Florida? I loved the comment she shared. “I am no longer the thoroughbred stallion I once was. Now, I’m more like a Clydesdale. I’m a little thicker and stronger. I feel like I could walk through a brick wall. I truly think I am dead center in the prime of my life.” When I read that, I thought about the possibilities that aging brings. Those possibilities may be different than the ones we had in our youth but with experience, wisdom and resiliency, the possibilities at every age can be richly woven throughout our lives. There is a lot of research being done around the world about happiness. I was intrigued reading about happiness being associated with a U-shaped curve. We start off happy in our early years, then tend to be less happy at middle age (45 seems to be the worst age worldwide) and then we grow happier again in our later years, with experiences gaining more luster with time. Thank you for your wonderful response to our donation drive and survey. For that, and your support of the Aspen Club, we wish you OGTA (only good things always). Health, happiness and good humor to you! Jill Taylor, UCHealth Aspen Club Manager brings. Those possibilities may be different than the ones we had in our youth but with experience, wisdom and resiliency, the possibilities at every age can be richly woven throughout our lives. There is a lot of research being done around the world about happiness. I was intrigued reading about happiness being associated with a U-shaped curve. We start off happy in our early years, then tend to be less happy at middle age (45 seems to be the worst age again in our later years, with experiences Thank you for your wonderful response to our donation drive and survey. For that, and your support of the Aspen Club, we wish you OGTA (only good things always). Health, happiness and good humor to you! Old friends and laugh lines are life’s finest trophies. Aspen Club Monday - Friday: 8 a.m.-4:30 p.m. Closed on all major holidays. Fort Collins 1224 Doctors Lane, just north of Poudre Valley Hospital (Note: mailing address is 1024 S. Lemay Ave., Fort Collins, CO 80524) Phone: 970.495.8560 3 Understand that you are aging and understand that to be good! Aging, after all, is the result of successful living. Decide today what type of old person you want to be. Remember, you are setting the example for those who follow you. PALLIATIVEinsightFUL MEDICINE HAS COME TO POUDRE VALLEY HOSPITAL Last fall, Poudre Valley Hospital began a palliative medicine service by bringing Lisabeth Paradise, palliative care nurse practitioner, to lay the groundwork. In November, Dr. Joseph Lopez joined the team as medical director. Both Lisabeth and Dr. Lopez bring years of expertise, along with palliative medicine board certification to this new service line. What is palliative care? Palliative medicine is a growing medical specialty that focuses on the care of patients living with chronic or serious illness. The main goal is to improve quality of life by relieving distressing symptoms associated with illness. Unlike hospice care, which is limited to a terminal diagnosis, palliative medicine can be integrated into any phase of a serious illness to help with pain or symptom management, to help clarify and establish goals of care and to help facilitate communication within the medical team. Since launching the service, palliative medicine has been asked to participate in the care of over 40 patients during their hospitalization at PVH. Patients have ranged from age 25 to 99 and have been referred from several areas within the hospital setting. Learn more about palliative care at PVH from Dr. Lopez and Lisabeth Paradise on Wednesday, Jan. 15. See page seven for more information. Get your blood pressure checked Simply put, knowing your blood pressure is important. The higher your blood pressure, the higher your risk of developing narrowed arteries. Narrowed arteries can lead to heart problems, kidney disease and the potential of stroke. So, know your numbers and take charge of lifestyle factors that affect it. Aspen Club’s blood pressure check is a great opportunity to get your blood pressure taken and talk to a caring nurse about general health issues. • Fort Collins: Mondays, Jan. 13 and Feb. 10 9-10:30 a.m., Aspen Club office 1224 Doctors Lane • Windsor: Mondays, Jan. 20 and Feb. 17 9:30-11:30 a.m. Windsor Recreation Center • Loveland: Mondays, Jan. 27 and Feb. 24 9:30-11:30 a.m. Chilson Senior Center, 700 E. 4th St. • Greeley: 4 My friend forgot his laptop on the floor of my room. My grandma thought it was a scale. Conclusion: My grandma weighs about $950. TAKE CHARGE OF YOUR CHRONIC CONDITIONS The National Council on Aging (NCOA) wants to help 80,000 to 100,000 older adults connect to programs that help them lead healthier lives with chronic conditions. The Aspen Club/Senior Services program at UCHealth is proud to help spread that effort locally. More than 70 percent of older Americans have two or more chronic health conditions, such as diabetes, arthritis and heart disease. Living with these conditions and their challenges can cause individuals to lose their independence, land in hospitals or nursing homes or even die prematurely. A proven program that empowers older adults to better cope with their symptoms, communicate with their doctors, eat well and exercise more was developed by Stanford University. Stanford’s six-week Chronic Disease Self-Management Program (CDSMP) is offered several times throughout the year. A few of these free classes are listed below: Living Well With Chronic Conditions Learn practical skills to manage your health condition instead of it managing you. People report they feel better, are less limited by their condition, and have more energy after taking these classes. . • Tuesdays, Jan. 14-Feb. 18, 5:30-8 p.m. or Wednesdays, Feb. 12-March 19, 9-11:30 a.m. • Both sessions are held at Miramont Lifestyle Fitness Center, 2221 S. College Ave. Living Well With Diabetes If you have diabetes or pre-diabetes, these classes help you manage your diabetes and prevent or delay serious complications. • Thursdays, Jan. 23-Feb. 27, 9-11:30 a.m. Associates In Family Medicine, 3519 Richmond Drive. Living Well With Chronic Pain This program gives you tools to help you meet the challenge of living with daily pain. People report less pain, improved mental health and less dependence on others. • Saturdays, Jan. 25-March 1, 9-11:30 a.m. Miramont Lifestyle Fitness Center, 2221 S. College Ave. Call the Aspen Club at 970.495.8560 for more information and to register. Embracing a New Year Instead of starting the New Year off with an endless “to-do” list, masked as resolutions, how about starting off with ideas that are good for the spirit and soul: • Make a wish list that gives you purpose. Fill it with wishes for yourself and people you love. • Let go of an angry heart. To forgive someone is to refresh your soul. • Take a nature walk to find little miracles in the song of a bird, the beauty of a tree and the clouds in the sky. 5 FIVE RED FLAGS OF FRAUDULENT SCAMS The scams and fraudulent schemes that come to consumers, via email, phone calls and the U.S. Postal Service, change all the time. The wise approach is to look for commonalities that are included in these schemes. Then, no matter what the approach or offer, you can identify the ‘Red Flags’ that mark it as fraudulent. In today’s world you must be safe and you must be smart. They contacted you, you did not contact them The email, phone call or mailed letter came out of the clear blue. Always check out issues by obtaining the phone number of the agency or business making the offer and you call them. Do not call the number they provide in an email or letter. They want the offer to remain secret and confidential You are to tell no one about the offer, prize or steps you need to follow for the offer to come to fruition. You must act with urgency and immediacy This is, quite frankly, an attempt to get you to act before you think things through carefully. While the adrenaline is flowing from your excitement over the windfall, one which isn’t true, they want you to call or send money. “If it sounds too good to be true, it is too good to be true.” This was true 50 years ago. It is still true today. You will need to wire money or send money using something like a “Green Dot” money card Money that is wired or sent using a money card is, most likely, heading to a crook overseas. Once sent, it is probably gone forever. . Enjoy the Aspen Club’s new series of classes in 2014 Series #1 - Nurture the Spirit, Feed the Soul Programs in this series will feature topics that connect body, mind and soul. • Feeding the Spirit – The Missing Link on Feb. 7 • Fueling an Energy and Passion for Life on March 5 Series #2 -Amazing Medical Advancements Programs in this series will feature revolutionary medical advancements and amazing treatments that happen every day at the University of Colorado Health medical facilities. • Palliative Care Services at PVH on Jan. 15 • Saving Lives from a Helicopter on Jan. 28 Series #3 – Interesting People, Places and Things Programs in this series will feature interesting people from our communities and places we’d like to visit. • Spice Up Your Life on Feb. 1. See details on pages seven through nine. 6 ENHANCE WELLNESS (EW) TO THE RESCUE The New Year is always a time when people start thinking about their resolutions, many of which revolve around changing or improving a health habit. We all have good intentions but studies tell us within a few short weeks most people run out of willpower, motivation and the support needed to stick with their goals. Enhance Wellness (EW) to the rescue! Our 20-week, individualized program helps you identify your strengths and health risks and choose realistic goals to improve your health and well-being. You receive one-on-one support and guidance from a team that includes an RN, dietitian and fitness professional. Success stories from past participants show significant improvements in fitness, nutrition, blood pressure and body weight. The comprehensive program includes: 1. A health and physical activity assessment at the beginning and end of the program. 2. Individual consultations with an RN, certified fitness professional and registered dietitian to review your assessment results, help you set meaningful, achievable long-term goals and monitor your progress throughout the program. 3. Open gym two days a week to learn and practice physical activity skills and techniques. 4. Individual support from the EW team throughout the 20-week program to follow your progress and guide you toward your goals. If you’re ready to make a commitment to a healthier you, join us for an orientation meeting to learn more about the program on Jan. 22, 2:30-4 p.m. Call the Aspen Club at 970.495.8560 to reserve a spot. Calling all women! FORT COLLINS: Become a Strong Woman with a Healthy Heart A woman’s heart is wonderfully unique. Since heart disease affects more women in the United States than all forms of cancer combined, learning practical lifestyle approaches to protect your heart is critical. Your presenter is Meghan Willis, UCHealth exercise physiologist. Following the presentation, enjoy wine, appetizers and 10 percent off shopping at Twenty Three Trees Medical Spa. Register soon, there is limited seating. Tuesday, Feb. 11, 4-5:30 p.m. Westbridge Conference Room 1107 S. Lemay Ave. LOVELAND: Feeling Fabulous in February Ladies, learn about all the latest and greatest ways to care for yourself on every level, celebrating the unique woman in each of you. The afternoon will feature expert presentations on skin care, stretching, yoga, sleep, relaxation techniques and more. Presenters from Twenty Three Trees Medical 7 POWERFUL TOOLS FOR CAREGIVERS If you are the primary caregiver for a loved one, taking care of YOU must become a priority. Topics in this six-week class include: helpful community resources, reducing stress and guilt, making tough decisions and communication. Leaders: Jill Taylor, Aspen Club Manager and Linda Gabel, Seniors Helping Seniors. • Thursdays, Jan. 30- March 6, 1:30-3 p.m. • Westbridge Conference Room, 1107 S. Lemay Ave. • For information about other classes in Larimer County, please call the Aspen Club. IS YOUR HOME HEALTHY? With the majority of Americans spending up to 90 percent of their time indoors, did you know your home can possibly make you sick? Is your home’s air quality the best it can be? What “winter time” strategies are good to know and what can we do about those yucky pests that like to come indoors? • Wednesday, Feb. 5, 2-3:30 p.m. • Fort Collins Senior Center, 1200 Raintree Drive. FEEDING THE SPIRIT – THE MISSING LINK Meet Michelle Bowman, RN, Program Director for Longmont United Hospital Integrated Therapies program and Swamiji Dharmananda. They will discuss how human life has a spiritual purpose, that healing is not purely physical and about the power of prayer, visualization and meditation. • Friday, Feb. 7, 2- 3:30 p.m. • Westbridge Classroom, 1107 S. Lemay Ave. ARTHRITIS EDUCATION AND SUPPORT Quarterly meetings are designed to help you live successfully with arthritis. Dr. Roger Bermingham, Geriatrician, talks about his top ten tips for living successfully with arthritis. You’ll love Dr. B’s humor. • Monday, Feb. 10, 11 a.m.-12:30 p.m. • Fort Collins Senior Center, 1200 Raintree Drive. BALANCE SCREENINGS Sign-up for this 30 minute individual consultation to access your risk for falls through a series of balance tests. Includes: Fullerton balance test, results and specific exercise packets to improve balance and help prevent falls. Cost: $30 • Tuesday, Feb. 11, 10 a.m.-2 p.m. • 1025 Garfield Ave., Suite A • Appointments required by calling Poudre Valley Medical Fitness at 970.674.6500. ASPEN CLUB Monthly Features Locations are denoted: Fort Collins (FC) Loveland (LV) Windsor (WI) Estes Park (EP) Greeley (GR) Berthoud (BD) To download the Aspen Club calendar or register for classes, please go to pvhs.org/aspenclub FORT COLLINS PALLIATIVE CARE AT PVH Dr. Joe Lopez, the new Medical Director at PVH for Palliative Care Services and RN Lisabeth Paradise will talk about palliative care medicine, a growing medical specialty that focuses on the care of patients living with chronic or serious illness. See article on page three. • Wednesday, Jan. 15, 11:30 a.m.-1 p.m. • PVH Café F. • Please feel free to purchase a meal in the cafeteria 8 BE A STRONG WOMAN WITH A HEALTHY HEART Healthy heart strategies will be shared and a special celebration of heart healthy lifestyles. Please see page six for more information. • Tuesday, Feb. 11, 4-5:30 p.m. • Westbridge Classroom, 1107 S. Lemay Ave. BONE DENSITY SCREENING An ultrasound bone sonometer is used to measure the bone density in your heel. Results should be shared with your physician. • Thursday, Feb. 20, 9-10:30 a.m. • Aspen Club Office, 1224 Doctors Lane • Cost: $12 • Appointments required. BENEFITS OF BIOFEEDBACK Often used as a relaxation technique, biofeedback can also help you deal with chronic pain, high blood pressure, insomnia, stress management, and overall wellness. Learn more from Peggy Stirn, RN and Biofeedback Practitioner. • Friday, Feb. 21, 10-11:30 a.m. • Fort Collins Senior Center, 1200 Raintree Drive. FUELING AN ENERGY AND PASSION FOR LIFE As an accomplished endurance runner and writer, Alene Nitzky shares her insights and discoveries along the way, from the bottom of Death Valley to the mountain tops of Leadville. Learn what fuels her energy and passion as she helps herself and others live life to the fullest. • Wednesday, March 5, 6-7:30 p.m. • PVH Café F • Feel free to purchase a meal from the cafeteria and bring to the program. SPICE UP YOUR LIFE What does a former Mayor, State of Colorado Cabinet Member and professor do when she’s not ready to retire? She follows her passion with spices and cooking. Meet Susan Kirkpatrick and learn how to use spices to boost flavor and your health. This program is part of our Interesting People, Places and Things series • Thursday, Feb. 1, 9-10:30 a.m. • Westbridge Building, 1107 S. Lemay Ave. • Cost: $12 • Appointments required. GREELEY ASPEN CLUB MINI HEALTH FAIR Visit a variety of informational booths and take advantage of blood pressure checks, bone density screenings, balance screenings and fall prevention information. All participants will receive “My Gift of Information” a booklet to list financial and legal information, fun gadgets, door prizes healthy snacks and more! • Thursday, Jan. 9, 1:30-3:30 p.m. • Greeley Senior Activity Center, 1020 6th St. BRAIN GAMES AND MEMORY UPDATE Learn about current research in memory and cognitive fitness and enjoy some new “brain games” with Rich Shipman, MA. He has taught brain games and memory tips for the Aspen Club for many years. • Wednesday, Jan. 22, 1-2:30 p.m. 9 ASPEN CLUB Monthly Features Locations are denoted: Fort Collins (FC) Loveland (LV) Windsor (WI) Estes Park (EP) Greeley (GR) Berthoud (BD) To download the Aspen Club calendar or register for classes, please go to pvhs.org/aspenclub Registration required LOVELAND HEARING SCREENINGS Certified Audiologists from All About Hearing and Hearing Rehab Center are available for baseline hearing screenings and to answer your questions about hearing health. No charge. • Tuesday, Feb. 18, 1-4 p.m. • All About Hearing, 3820 N. Grant Ave. DO YOU LEAK? Leak when you jump, cough or laugh? Has this stopped you from exercising because you can’t control your bladder? This program presented by Sharon Petty, PT, DPT, OCS, will help keep you active and continent, as well as offer conservative management of these common issues. Bowel management and body mechanics of pelvic floor protection will also be addressed. • Thursday, Jan. 16, 2-3 p.m. • Chilson Senior Center, 700 E. 4th St. FEELING FABULOUS IN FEBRUARY Ladies, come and learn about all the latest and greatest ways to take care of yourself. This afternoon will feature discussions on skin care, stretching, yoga, sleep, relaxation techniques, living in the moment and more. Please see more information on page six. • Thursday, Feb. 20, 2-4 p.m. • Chilson Senior Center, 700 E. 4th St. IN MULTIPLE LOCATIONS BLOOD PRESSURE CHECKS • In Your Home: Fridays, Jan. 3 and Feb. 7 Call the Aspen Club to schedule. • Fort Collins: Monday, Jan. 13 and Feb. 10 9-10:30 a.m., Aspen Club office, 1224 Doctors Lane • Windsor: Monday, Jan. 20 and Feb. 17, 9:30-11:30 a.m. Windsor Recreation Center, 250 N. 11th St. • Greeley: Thursday, Jan. 16 and Feb. 20 1 a.m.-noon, Aspen Club office, 2000 16th St. • Loveland: Monday, Jan. 27 and Feb. 24 9:30-11:30 a.m., Chilson Senior Center, 700 E. 4th St. AARP SAFE DRIVERS CLASS This class covers defensive driving skills, age-related changes and driving safely in challenging situations. Cost: $15 for AARP members; $20 for non-members, payable at class. • Fort Collins: Thursdays, Jan. 16 or Feb. 20 Noon-4:30 p.m. Fort Collins Senior Center, 1200 Raintree Drive. • Loveland: Monday, Jan. 13, 8 a.m.-12:30 p.m. MCR, lower level • Greeley: Saturday, Feb., 22, 9 a.m.-1:30 p.m., GMC NEW MEMBER ORIENTATION Aspen Club members are invited to learn about the benefits and services available to them such as blood tests, health screenings and educational programs. • Fort Collins: Friday, Jan. 24, 2-3:30 p.m., PVH Café F. 10 • Advanced Directives / Notary Assistance. • Aspen Club Low-Cost Blood Tests. • Exercise and/or Nutritional Consultations ($30). • Hemoccult Test Kits ($5). • Medicare Counseling and Assistance. ASPEN CLUB Ongoing Services ASPEN CLUB Fitness Opportunities To find out more about these Aspen Club services, call any Aspen Club office or go online to pvhs.org/aspenclub. Register by calling 970.495.8560. • Total Hip or Knee Replacement Classes. • Arthritis and Stroke Support Groups. • Therapeutic Massages at Twenty Three Trees. • Toe Nail Clipping Services – every Thursday ($30). • Caregiver Classes and Resources. STRONG WOMEN, STRONG BONES Weight training to improve bone density and body composition, increase strength and independence and create an overall sense of well-being. • Monday and Wednesday, Jan. 6-Feb. 26 5:30-6:30 p.m. • 1025 Garfield St. • Cost: $52. • Monday and Thursday, , Jan. 6-Feb. 27 8:15-9:15 a.m. • 1025 Garfield St. • Cost: $52. • Wednesday and Friday, Jan. 8-Feb. 28 1:15-2 p.m. • 1025 Garfield St. • Cost: $52. • Tuesday and Thursday, Jan. 7-Feb. 27 10:30-11:30 a.m. Northside Center, 112 Willow St. • Cost: $52. • Tuesday and Thursday, Jan. 7-Feb. 27 2:45-3:45 p.m. • 1025 Garfield St. • Cost: $52. PWR! MOVES The Parkinson’s Wellness Recovery (PWR) class helps people with Parkinson’s Disease (PD) stay better longer with exercise. This fun, safe and motivational class is designed to address multiple PD symptoms and enhance daily activities. The class is best suited for those not using assistive devices. • Thursday, Jan. 9-Feb. 27, 1-2 p.m. • 1025 Garfield St. • Cost: $36. CORE STRENGTH Learn ways to strengthen your core muscles using a fit ball. Must have a fit ball and be able to get up off the floor. • Monday, Jan. 6-Feb. 24, 10-11 a.m. • Fort Collins Senior Center, 1200 Raintree Drive • Cost: $36. YOGA – DIFFERENT LEVELS Chair Yoga Safe and gentle exercises will tone and strengthen muscles, loosen joints, lower stress, relieve tension and help you relax. No experience necessary. • Monday and Wednesday, Jan. 6-Feb. 26 • 10-11a.m. • 1025 Garfield St. • Cost: $52. Focused Yoga This class is best suited for those with some prior yoga experience or who are fairly fit. • Fort Collins: Masonic Lodge, 225 W. Oak St. Tuesday, Jan. 7-Feb. 25, 1-2:15 p.m. • Cost: $46. Thursday, Jan. 9-Feb. 27, 1-2:15 p.m. • Cost: $46. • Loveland: First Christian Church, 2000 N. Lincoln Ave. Monday, Jan. 6-Feb. 24, 1:30-2:45 p.m. • Cost: $46. 11 DAY TRIP Excursions EXTENDED TRIP Adventures BIG ANIMALS OF THE ROCKIES: A COLORADO SAFARI Cost per person: $725 Double | $920 Single $50 non-refundable deposit due at registration. Final due Aug. 15. Sept. 10-15. Educational oriented wildlife viewing on the Colorado plains and mountains. BUFFALO, MUSTANGS AND FACES Cost per person: $745 Double | $925 Single $50 non-refundable deposit due at registration. Final due Aug. 15. Sept. 25-28. The Annual Buffalo Roundup is an international favorite at Custer State Park. We stop to see the great faces at Mount Rushmore, then on to the Wild Horse Sanctuary to see the mustangs run free. CELEBRATE CHRISTMAS IN BRANSON Cost per person: $1,025 Triple | $1,100 Double | $1,375 Single $100 non-refundable deposit due at registration. Final due Sept. 1. Nov. 3-9. Branson at Christmas with Daniel O’Donnell, Grand Jubilee, 12 Irish Tenors and more. Cancellation policy: Three business days prior notice is required on day trips. “PASSPORT TO PARIS” AT THE DENVER ART MUSEUM Cost: $48 (just a few spots left) • Tuesday, Jan. 14 Depart Fort Collins 8:30 a.m./ Loveland 9 a.m. Return 3:30 p.m. (approx.) Registration and payment is due upon registration. This wonderful exhibit features the work of the art- worlds greats -Monet, Degas, Pissarro, Toulouse- Lautrec and more. The exhibit focuses on French art from the 1600s to early 1900s and explore changes in art and society. Lunch on your own at one of the nearby restaurants. THE FORNEY TRANSPORTATION MUSEUM Cost: $39 • Thursday, Feb. 27 Depart Fort Collins 9 a.m./ Loveland 9:30 a.m. Return 3 p.m. (approx.) Registration and payment are due by Jan. 27. There is so much history to see at this well-known museum. Over 600 vehicles displayed tell the story of the pioneers’ westward travel. You’ll even see the world’s largest steam locomotive- the Union Pacific “Big Boy.” MAYA: HIDDEN WORLDS REVEALED Cost: TBD March date and time still to be determined The Denver Museum of Nature and Science will have the largest exhibition of ancient Maya ever displayed in the United States. DMNS collaborated with three other 12 ASPEN CLUB MEMBERSHIP: 21,448 INSIDE THIS ISSUE: • Palliative Care Service . . . page three • Live Well with Chronic Conditions . . . . . . . page four • Programs galore . . pages seven-nine • Fitness classes . . . . . . . . . . . page 10 • Day trip and longer tours . . . page 11 FREE FOOD, DRINK AND MEN’S HEALTH INFORMATION University of Colorado Health is hosting March MAN-ness, a series of men’s health happy hours, in Fort Collins, Greeley and Loveland. Beyond complimentary appetizers and drinks, attendees with have a chance to win tickets to the Colorado Eagles and Colorado State University basketball games. Each event will be interactive and have team trivia competitions, so bring your friends. Men and women, ages 21 years and older, are welcome to attend. For more information visit MarchMANness.org or call 970.237.7101. Seats are limited. Register today at MarchMANness.org Non Profit Org U.S. Postage PAID Permit No. 168 Fort Collins, CO Senior Services Poudre Valley Health Care, Inc. 1024 S. Lemay Ave. Fort Collins, CO 80524-3998 pvhs.org/aspenclub Return service requested. Exhibit F - Timeline & Action Items Proposal 7601 Health & Wellness Program Provider – Senior Center Timeline and Action Items to Implement Health and Wellness Programs Category Discussion Action Items Time Frame People Responsible Advertise for open Program Manager (PM) Position Use current employment recruitment practices to advertise position 1. CHS and UCH employment websites 2. Monster.com 4/18/2014 to when position is filled HR at CHS and UCH Interview and select program manger Resume review and interviews conducted by team from CHS and UCH 1. CHS narrow resumes to top 10. 2. CHS and UCH determine interview of 3 Begin interviews week of 4/28/14 HR at CHS and UCH, Yvonne Myers, Grace Taylor, Colette Thompson, and Jill Taylor, and City representative(s) Program Manager orientation and training PM needs orientation to CHS as employee. Orientation to CHS/ UCH for knowledge and awareness of resources and programs available. Orientation to Senior Center staff, facility, current programs and wish list. 1. Attend CHS new employee orientation. 2. Meet 1:1 with CHS community services providers. 3. Meet 1:1 with UCH team. 4. Tour Senior Center. Meet with staff and current users. 5/5/2014 - 5/30/14 Program Manager, Yvonne Myers, Fort Collins Senior Center Program Manager Reports To: Health Systems Director, Columbine Health Systems/Chief Financial Officer Job Summary: Develop, implement, and manage health and wellness programming for citizens of Fort Collins, CO. Identify and develop health service that reflects the changing needs of the community. Ensure quality assurances, and establish evaluation of programming. Position is a representative not only for Columbine Health Systems, but other entities/partners associated with the center. Essential Duties and Responsibilities include the following. All other duties may be assigned.  Collaborate with community agencies for program marketing.  Establish vendor contracts, licensing and renewals.  Responsible for administrative management of system-wide health and wellness program including managing database, establish quality assurance reports and program budget.  Develop, plan and organize recruitment and orientation for individual and group service providers.  Conduct fact-finding investigation of customer grievances and/or complaint and take action as indicated within scope of authority.  Participate in and conduct meetings with other center departments. Skills and Specifications:  Successful and proven program development experience required.  Excellent organizational, multi-tasking and leadership skills required.  Effective written and oral communications skills required.  Dynamic, energetic and driven personality  Ability to work independently, as part of a team, and in a flexible environment.  Strong customer service background Supervisory Responsibilities: Directly supervises contract employees. Director will carry out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Exhibit G - Job Description Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education and/or Experience: Bachelor's degree from four-year College or university; and 2-3 years related experience and/or training. Language Skills: Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization. Must be able to speak, read, and write English. Computer Skills: To perform this job successfully, an individual should have knowledge of Database software; Internet software; Spreadsheet software and Word Processing software. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. - Ability to sit, stand, bend, stoop and bend for periods of time. Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate. I understand the description of this job and the essential functions. I will perform those above and all other related duties as directed by my supervisor and management. Signature of Employee: ____________________________Date: ___________________ Exhibit H - Business Associate Health Information Disclosure Agreement Our Community Health Department activities are client and community-centered and meet community needs through evidence-based best practices for health promotion, health protection, preventive services, chronic disease management, safety and injury prevention. University of Colorado Health (UCHealth) North demonstrates community health leadership by providing and participating in a broad range of community health initiatives and programs. pvhs.org/community Community Health • Home visits to 568 families to provide lactation support, physical exam of the newborn, parenting education, life planning, community resource referrals to family members for health risk reduction and early detection of potential problems. • Tdap immunizations to family members to protect newborns from pertusis, supported through the Cocooning Grant. • Advocacy for families by participating in Substance Abuse Advisory Council, Post Partum Depression Task Force, Child Fatality Review Team and Department of Human Services Family Unity Meetings. Health issue: Supporting early childhood development Research on a number of adult health and medical conditions points to pre-disease pathways that have their beginnings in early  and  middle  childhood.  The  first  years  of  life  are  extremely important to a child’s healthy development and lifelong learning. How are we making a difference? The UCHealth-sponsored program Bright Beginnings works to educate parents by providing them with current, research-based information related to their child’s health and safety, early brain development and the establishment of positive health and safety habits. • 1,429 Larimer County families were served by Bright Beginnings in 2012. • 51 percent of families served were enrolled in Medicaid, CHP+ or listed no insurance. • 90 percent of families reported gaining new knowledge related to parenting their child. Health issue: Increasing physical activity in children and youth Obese youth are at higher risk for early development of adult health problems, such as heart disease, type 2 diabetes, stroke, some types of cancer and osteoarthritis. In Colorado, childhood obesity is increasing faster than in every other state but one, according to the Colorado Department of Public Health and Environment. How are we making a difference? Healthy Kids Club® works in partnership with schools to increase opportunities for youth to participate in physical activity, health education and good nutrition practices. • In 2012, Healthy Kids Club sponsored 22 school-based walkathon’s and raised more than $210,000 with $41,000 designated to support health and wellness initiatives. • The Schools on the Move Challenge supports increased physical activity and improved nutrition and awards funding for school-based wellness initiatives. In 2012, 9,889 students and 1,318 staff from 74 elementary schools participated. “I love Bright Beginnings materials. My child scores in the highest range on all her Ages and Stages Questionnaires because I do everything those books Community Health programs achieving health equity and eliminating health disparities In 2012, the Colorado Department of Health and Environment, Office  of  Health  Disparities  awarded  funding  to  the  Coalition for Activity and Nutrition to Defeat Obesity (CanDo) to expand efforts and work on the following strategies: • Expansion of culturally relevant recreation programs at Northside Aztlan Community Center and within neighborhoods for children and adults. • Identification  and  training  of  neighborhood-based Promotoras, or community health workers, to help families with healthy eating, exercise and connection to community resources. • Increasing Hispanic/Latino and low-income community members’ involvement in improving school and environmental policies known to impact health. • Improving practices among health service providers to be more culturally responsive and better able to meet the needs of all populations. Other programs • The Medicaid Accountable Care Collaborative served 130 adults with complex medical needs. • Healthy Harbors served approximately 65 children with special healthcare needs enrolled in Medicaid. • 23 percent of families enrolled in Childbirth education and 35 percent of clients completing labor techniques classes were enrolled in Medicaid, CHP+. • 568 Medicaid-enrolled families received post-partum home visit services. • 51 percent of families served by Bright Beginnings were enrolled in Medicaid, CHP+ or reported having no insurance. • Healthy Kids Club targets programming to schools with high percent of students receiving government-subsidized free or reduced lunch meals. • The Community Car Seat Education and Distribution Program distributed 482 car seats to low-income Larimer County families. 30 percent were Spanish-speaking only. • Healthier Communities Coalition presented bicycle safety presentations and educational materials for approximately 225 Spanish-speaking only clients. • The Nurse Is In program referred over 500 clients with high blood pressure to their primary care physician for a medication review and/or new treatment plan. • The Aspen Club offered low-cost blood chemistry analysis to over 2,100 members (aged 50+). Improving Access to High Quality Health Services The National Prevention Strategy recognizes that access to comprehensive, quality health care services is important for the achievement of health equity and increasing the quality of a healthy life for everyone. How are we making a difference? The Medicaid Accountable Care Collaborative (MACC) Program, managed in northern Colorado by UCHealth North, provides intensive community care-coordination services to Medicaid patients with complex medical needs. The  program  specifically  targets  adults  who  have  poorly-managed chronic diseases (e.g., diabetes, chronic obstructive pulmonary disease, heart disease, hypertension, asthma), mental illness and/ Health issue: Preventing unintentional injuries in youth In Larimer County, motor vehicle crashes, falls and bicycle-related injuries are the top three causes of injury and hospitalizations for children under age fourteen. According to the Colorado Department of Transportation, 80 percent  of  teen  drivers  have  a  motor  vehicle  crash  within  the  first three years of driving. How are we making a difference? • The school-based Strap & Snap Bicycle Safety Education Program provided training to over 2,800 elementary students in the Thompson and Poudre School Districts. • The Community Car Seat Education and Distribution Program distributed 482 car seats to low-income Larimer County families (30 percent Spanish-speaking only). - 98 percent of program participants were able to identify the correct methods of child restraint. - Provided 50 families with specialized child restraints (specifically  designed  for  children  with  special  health  care needs). • The Hospital-Based Car Seat Fit Station provided over 850 car seat consultations to parents of newborns prior to hospital discharge. • Safe  Kids  Larimer  County  partners  distribute  and  fit  bicycle helmets  county-wide  at  various  helmet  fit  stations;  an  estimated 650  helmets  were  distributed  and  fitted  throughout  the  year. • Choose the Right Road provided underage drinking/DUI prevention and teen safe driving information to over 6,500 community members at various community-wide events. • 560 high-school students received education about decision making and choices related to underage drinking and teen motor vehicle safety through use of the evidence-based BrainWise® curriculum. • “Click it or Ticket” seat belt awareness and enforcement campaigns reached over 1,500 people in Larimer, Weld and Northeast Colorado counties. Health issue: Improving access to community services In Larimer County, services to children, youth, and families are often  fragmented  and  difficult  to  navigate.  As  a  result,  vulnerable community members may miss opportunities to receive needed services in a timely, comprehensive or family-centered manner. How are we making a difference? The Healthier Communities Coalition of Larimer County (HCC) coordinates and builds networks of community services to avoid duplication of effort or resource usage. • Caring & Sharing is a monthly networking meeting that increases communication and partnering among service providers in Larimer County. • The “Snapshot” is a database providing current data and statistics in a variety of categories about the health and well- Health issue: Lowering the risk for heart disease and stroke (adult programs) Heart disease is the leading cause of death in the United States. Stroke is the third leading cause of death in the United States. Fortunately, they are also among the most preventable. How are we making a difference? The Cardiac Rehabilitation Community program, the Nurse Is In blood pressure screening events and Healthy Hearts Club TM screenings provide opportunities for adults to make lifestyle changes that may lower their risk of developing cardiovascular disease. The Nurse Is In program offers no-cost blood pressure screenings from community health nurses in various community settings. In 2012, 761 community members participated in screenings. • 41 percent of clients had blood pressure in the pre- hypertensive range. • 45 percent of clients had blood pressure levels in the hypertensive range. • 66 percent of the hypertensive clients were currently using blood pressure medications, necessitating referral to their physician. Heart-health risk factor screening events are held in various sites in Larimer and Weld Counties. Healthy Hearts Club TM staff travels to communities and worksites in Windsor, Estes Park, Loveland and Eaton to provide low-cost cholesterol screening and heart disease risk factor analysis to residents who might not otherwise have access to these services. • In 2012, they screened 330 adults for heart disease risk factors and provided individualized review of results. Health issue: Empowering individuals to manage chronic disease According to the Centers for Disease Control and Prevention, more than 125 million Americans suffer from one or more chronic illnesses and 40 million are limited by them. In Colorado, asthma is one of the most common chronic diseases. Despite this, very few Colorado adults with chronic asthma report ever having taken a course on how to manage their asthma. Diabetes is the seventh leading cause of death in the United States; it is a major cause of heart disease and stroke, yet few people receive effective preventative care. How are we making a difference? Enhance Wellness is a nationally-recognized, evidence-based community program designed for people dealing with one or more chronic conditions. Participants receive pre and post -program health assessments, administered by a community health nurse, individualized guidance toward achieving self-management and peer support. • Medical costs associated with hospitalizations, primary care physician visits and emergency room visits decreased by 41 percent for participants completing the program. • 77 percent of participants reported an increase in self confidence  to  self-manage  their  chronic  condition. Heart Failure University is a new educational series led by a multidisciplinary team of cardiovascular experts. Participants have the opportunity to speak with heart experts about any questions or concerns they have regarding their care. Taming the Tiger is an asthma education program utilizing the National Asthma Education and Prevention Guidelines developed by the National Heart Lung and Blood Institute (NHLBI). In 2012, Poudre Valley Hospital and Medical Center of the Rockies signed the Hospital Healthy Food Commitment with The Partnership for a Healthier America. Health issue: Heathy aging Older adults often have complex health conditions and require professional expertise and services that meet their individual needs. Positive lifestyle behaviors including participation in physical activity, self-management of chronic diseases or use of preventive health services can improve health outcomes. How are we making a difference? Aspen Club programs promote the development and maintenance of physical, mental and social well-being for adults ages 50 and above. • The Strong Women Healthy Hearts 12-week program, developed by Tufts University, has shown to be effective in encouraging participants to improve their health. - Average weight loss is 3.2 lbs. - Average increase in fruit and vegetable intake per participant is two servings per day. - Average increase of moderate-to-vigorous activity per participant is 21 minutes per week. • Matter of Balance program is shown to reduce the fear of falling. - Over 40 percent post-program improvement in ability to protect self during a fall. -  Over  30  percent  post-program  improvement  in  self-confidence to prevent falls. - Strong Women / Strong Bones (SWSB) is an evidence-based fitness  program  offered  to  Aspen  Club  members. • 2012 Aspen Club health screening opportunities included: - Bone Density Screening to 829 participants; approximately 40 percent referred for physician follow-up. - Low-cost blood chemistry analysis to over 2,100 participants. - Colorectal cancer screenings to 75 participants. • Medicare Counseling and Assistance Programs empower individuals to understand and take advantage of their Medicare benefits. - In 2012, over 3,500 community members received education or consultation. - Approximately 20 percent of the clients served qualify for a low-Income subsidy. - Over $430,000 in cumulative savings on premiums was achieved for clients during the open-enrollment period for Medicare Prescription Drug Plans. 2012 participant questionnaire: Percentage of class participants who made a lifestyle change from SWSB participation. 0% 100% 20% 40% 60% 80% Increased calcium and/or Vitamin D intake. Increased exercise or activity outside of class. Increased strength. Weight loss. Increased knowledge of personal osteoporosis risk. 33% 40% 61% 16% 44% Alignment of Community Health Programs and Services with NPS Healthy Eating Active Living Reproductive and Sexual Health Mental and Emotional Well being Tobacco-Free Living Drug and Alcohol Abuse Prevention Aspen Club Senior Services Family Education Prenatal Plus Bright Beginnings Healthy Kids Club Healthy Hearts Club (youth) MACC / Healthy Harbors Coalition for Activity and Nutrition to Defeat Obesity Healthier Communities Coalition DUI Prevention Safe Kids Enhance Wellness Taming the Tiger Center for Diabetes Community exercise / heart health screening (adults) Nurse Is In LiveWell employee wellness “I learned so much about healthy eating, which is the bulk of what I wanted from the class.“ UCHealth programs aligned with National Prevention Strategy Cafeteria pricing pilot results The interactive small-group program assists participants in understanding the disease, as well as providing them with techniques to control their symptoms. • An 90 percent decrease in the number of days of work/ school missed due to asthma. • A 100 percent improvement (at 12 months post-program) was reported by participants who had previously used the emergency-room for asthma treatment prior to attending the program. The Center for Diabetes at Poudre Valley Hospital (Fort Collins) and Medical Center of the Rockies (Loveland) offers programs to help children and adults learn the skills to manage diabetes and prevent the complications it can cause. • In 2012, the Center(s) provided services to 1,095 clients. • The annual Community Diabetes Update provided 170 community members with the most current, expert and relevant information about diabetes . Health issue: Workplace wellness Since the majority of American workers spend more of their waking hours at work than anywhere else, worksites are a prime place to implement health behavior change programs. How are we making a difference? The UCHealth North employee wellness program assists employees toward reaching an optimum level of health and wellness. • Walktober is a physical activity incentive program; 621 employees participated in 2012. • 340 employees attended the 2012 Bike to Work Day. - Participants reported a 73 percent improvement in stress levels upon program completion of employee stress management programs. • The HealthyU Cafeteria Pricing Pilot made the healthy choice the easy choice by lowering the price of certain healthy items, while increasing the price of its unhealthy counterpart. (Continued on back.) “Our patients trust us to be a community model in all areas of health, including food choices. This initiative is not just a commitment to our hospitals; it is a commitment to our greater northern Colorado community,” said Kevin Unger, President/CEO, Poudre Valley Hospital. being of Larimer County's youth. • Bicycle & Pedestrian Education Coalition (BPEC) works to reduce the number of motor vehicle, bicycle and pedestrian crashes and related injuries and deaths through comprehensive safety education. • In 2012, a Bicycle Ambassador Program in Fort Collins and Loveland was launched. • The Community CheckUp weekly radio show on KRFC 88.9 FM features programs and services in our community for children, youth and families. • HCC News is a resource describing local youth-focused events, workshops and seminars, job-openings and potential program- funding opportunities. It is distributed on a bi-monthly basis to over 1,500 community members and service providers. Health issue: Defeating the obesity epidemic Being overweight or obese are health issues that increase the risk for development of chronic diseases and premature death. In Larimer County, about 50 percent of adults and 25 percent of kids are either overweight or obese. How are we making a difference? The Coalition for Activity and Nutrition to Defeat Obesity (CanDo) is a community-wide task force working to reduce and prevent obesity by increasing physical activity and healthy eating opportunities. • In 2012, CanDo assisted 65 local schools in organizing school wellness teams who work towards improving nutrition and activity within the school environment. • Over 35 employers participated in the Northern Colorado Worksite Wellness Workshop sponsored by CanDo, University of Colorado Health and other community partners. • CanDo provided technical assistance and resources to over 13 local organizations dedicated to improving the food environment. • The City of Fort Collins converted to 100 percent healthy vending at eight facilities, most of which are public recreation centers. • CanDo has provided technical assistance to municipalities in relation to community design. • The  City  of  Loveland  adopted  its  first  Bicycle  and  Pedestrian plan in 2012. • The City of Fort Collins was awarded a bronze-level Walk Friendly Communities designation. “I wanted to let you know how valuable these newsletters are to our team. I share the information at every one of our team meetings. It is a great source of information and very helpful to us. Thanks for all you do.” – Fawn Leaf, Colorado Division of Youth Corrections. or have high or inappropriate utilization of healthcare system resources, such as the emergency department. The team provides ongoing support to clients and their families, as well as overall coordination of care amongst multiple providers and agencies. They work closely with primary care providers to optimize a patient’s healthcare management in the community. • MACC served over 130 adults, providing a comprehensive assessment and developing an individualized care plan. • 100 MACC clients actively receiving ongoing support. • MACC facilitated nearly 300 referrals to community resources such as medical specialists, dental and mental health providers, medical equipment resources, transportation and housing needs. Healthy Harbors is a collaborative effort between UCHealth North, the Larimer County Department of Human Services (DHS), the Family Medicine Center and various other local healthcare providers. The overarching goal of this initiative has been to improve the delivery of medical, dental and mental health services to children who are living in foster-care, kinship care or who are “at risk” for being removed from their biological family. The majority of these children are insured through Medicaid. • Healthy Harbors enrolled approximately 65 new clients in 2012. Health issue: Maternal and newborn health Childbirth education builds skills to cope with stressors, increases confidence  before  labor  and  decreases  fear  of  the  unknown. Additionally, evidence supports that breastfeeding provides substantial  health  benefits  for  children  and  moderate  health benefits  for  women. How are we making a difference? Family Education classes include childbirth education for expectant parents (including an online option and a special program for high school students), natural childbirth-coping strategies for pain management, breastfeeding basics, baby care and hospital preview tours. • 87 percent of participants in our childbirth education classes reported that they learned the basic knowledge to prepare for childbirth. • 74 percent of mothers reported exclusive breastfeeding of their newborn at two months post-delivery. • 95 percent of participants completing Breastfeeding Basics reported they learned how to manage breastfeeding issues. • UCHealth North nurses partner with Larimer County’s Department of Health and Environment Prenatal Plus Program to provide short term post-partum case management to Medicaid women who are not receiving services from other prenatal programs. A mom of a two month old baby girl commented, “I took all the PVH classes and it was wonderful; we felt so prepared. It helped with labor, delivery and breastfeeding. I recommended this series to all of our friends.” tell me to do.” • Healthy Kids Club staff provided standards-based health education to 25 kindergarten classrooms. - Over 91 percent of parents surveyed agreed that Healthy Kids Club’s school-based health education lessons made a positive difference in their child’s health or health habits. • Girls  Gotta  Run  is  a  program  targeted  to  girls  in  fourth  and  fifth grade that focuses on nutrition education, building positive self- esteem and increasing physical activity. - 100 percent of parents surveyed agreed that their daughter learned about healthy habits and noticed an increase in positive health choices. • The Healthy Kids Run Series offers kids ages 5-12 the opportunity to participate in free, 1-mile fun runs. A record 1,500 kids participated in the 2012 series. • Fit Families on the Move is a summer program designed to keep families active during the summer months; 450 families and 1,800 individuals participated in 2012. Health Issue: Cardiovascular disease prevention in youth National  health  surveys  reveal  that  a  significant  number  of  our  youth are developing conditions such as obesity, high blood pressure, high cholesterol and type 2 diabetes, all of which are risk factors that contribute to the development of cardiovascular disease. How are we making a difference? The Healthy Hearts Club™ is a heart health, risk-factor screening and education program offered to elementary and high-school aged youth in Northern Colorado. • The Healthy Hearts Club TM is piloting a new, school-based program with goals of promoting a healthy lifestyle aimed at reducing risk factors for cardiovascular disease. - It engages students as “agents of change” within their families and among their peers. Avoid second hand 64% 79% 86% 85% 89% 49% 51% 49% 63% 40% 48% 47% 51% 62% 67% 73% 51% 60% 64% 65% 0% 100% 20% 40% 60% 80% Eat high fat foods < 2x/wk. Eat high sugar foods < 2x/wk. Drink sugar beverages <2x/wk. Eat 5 servings fruits/veggies daily. Exercise daily 60+ mins/day. smoke. 52% 56% 61% 64% pre-education 1 week follow-up 3 month follow-up 6 month follow-up Healthy Hearts ClubTM Impact Survey | 2011-2012 | 1,400 northern Colorado elementary students Grace Taylor, Colette Thompson,Jill Taylor, Senior Center staff Interview current providers PM needs to determine status of current providers to meet criteria for inclusion on the Health and Wellness schedule. 1. PM to interview current providers and ask to complete application process 2. Add to schedule if appropriate. 5/12/2014 Program Manager Development of schedule of programs to begin 9/1/2014 Need to understand current programs, what programming the space will accommodate each day, what new programs would be good to start with in the first quarter. Work within RECREATOR timeframes to submit programming calendar. Coordinate with CHS/ UCH staff to schedule programs and providers. 1. Meet with RECREATOR staff to understand timelines and requirements. 2. Meet with Senior Center and Recreation Staff regarding registration of participants, HIPPA compliance, and fee collection and revenue share 3. Develop application process for current and new providers. 4. Ensure providers meet all of criteria before being allowed onto the schedule. 5. Develop tracking system of providers application, background check, copy of licensure, etc. 6. Develop schedule for 9/1/2014 start. 7. Develop evaluation tool and procedure for quarterly reporting to the City, CHS, and UCH. 5/12/2014 - 6/15/2014 Program Manager, Yvonne Myers, Grace Taylor, Colette Thompson,Jill Taylor, Senior Center staff museums to develop this exhibition. THE “END OF THE RAINBOW” AT THE ARVADA CENTER Cost: $67 • Wednesday, April 2 Depart Fort Collins 10:30 a.m./ Loveland 11 a.m. Return 4:30 p.m. (approx.) Registration and payment are due by March 2. This musical drama focuses on the last year of Judy Garland’s life. We’ll experience the triumph and tragedy of one of America’s greatest singers and hear some of her most famous songs. CINZETTI’S AND THE BUTTERFLY PAVILION Cost: $49 • Thursday, May 15 Depart Fort Collins 10 a.m./ Loveland 10:30 a.m. Return 3:30 p.m. (approx.) Registration and payment are due by April 11. We’ll start the day with lunch at Cinzetti’s. Lunch is not included in the price. On to the Butterfly Pavilion where we will have a short orientation class, Butterflies of the Rainforest, followed by walking with the butterflies. STRENGTH, AGILITY AND STABILITY Easy but effective exercises improve balance by correcting posture and increasing strength and agility so you can move with confidence. Participants should be able to participate in some standing exercises. • Wednesday, Jan. 8-Feb. 26, 10-11 a.m. • Our Saviour’s Lutheran Church, 2000 S. Lemay Ave. • Cost: $36. TAI CHI FOR HEALTHY LIVING Tai Chi uses gentle and fluid movements to increase strength and flexibility, decrease pain in joints, decrease stress, reduce blood pressure, improve balance and improve your sense of wellbeing. • Friday, Jan. 10-Feb. 28 • Cost: $36. • Our Saviour’s Lutheran Church, 2000 S. Lemay Ave. • 9-10 a.m., Advanced • 10:15-11:15 a.m., Beginning • Greeley: Tuesday, Feb. 4, 10:30-11:30 a.m., GMC • Loveland: Wednesday, Feb. 26, 10-11:15 a.m. MCR, lower level. PREPARING FOR TOTAL HIP AND KNEE REPLACMENT Learn what to expect from joint replacement surgery: pre-surgery exercises, equipment needed, diet, pain management and safety. No registration needed, just drop in. • Fort Collins: Every Monday, 2-4 p.m. Westbridge Conference Room, 1107 S. Lemay Ave. For more information, contact 970.495.8262 • Loveland: Every Tuesday, 1-2:30 p.m. MCR, 4th floor conference room. For more information, contact 970.624.4326. • Greeley Medical Clinic, 1900 16th St. OUTSMARTING INVESTMENT FRAUD In turbulent economic times, ongoing financial schemes tend to unravel as investors demand their cash back. As a result, fraudsters look for new ways to exploit investors looking to recover their losses. This class will help you understand risk factors, the psychology behind a scam and how to recognize the persuasion tactics used by fraudsters. • Wednesday, Feb. 19, 1:30-2:30 p.m. • Greeley Medical Clinic, 1900 16th St. ASPEN CLUB Monthly Features Locations are denoted: Fort Collins (FC) Loveland (LV) Windsor (WI) Estes Park (EP) Greeley (GR) Berthoud (BD) To download the Aspen Club calendar or register for classes, please go to pvhs.org/aspenclub Registration required and bring to the program. HOW TO MANAGE WEALTH AND FINANCES AS A SINGLE WOMAN OR WIDOW Have you depended on others to manage your finances? Do terms used in the financial world sound “greek” to you? If you answered yes, you are not alone. Learn who to turn to for help from attorneys, Amy Rosenberg and Kate Smith, along with financial planner Mary Anne Heyman. Men welcome too. • Thursday, Jan. 23, 2-3:30 p.m. • Fort Collins Senior Center, 1200 Raintree Drive. • This program is in partnership with our PVH and MCR Foundation. SAVING LIVES FROM A HELICOPTER Duane Rorie, Chief Flight Nurse, for the critical care helicopter, Air Link at Medical Center of the Rockies will share common and not-so-common rescue stories. You’ll learn what medical technology is needed inside rescue helicopters and what it’s like personally when flying the skies to save lives. • Tuesday, Jan. 28, 5:30-7 p.m. • PVH Café F. Registration required Spa, Poudre Valley Medical Fitness and Sharon Greenlee, counselor and author, will offer insight on how to live in the moment. Light refreshments provided. Thursday, Feb. 20, 2-4 p.m. Chilson Senior Center 700 E. 4th St. • Write a love letter to a spouse, partner, child, parent or special friend. • Listen to those in your life who need you. Make some alone time to share with them. • Start a gratitude journal. • Open your heart to love. Say “I love you” to those who are important to you. • Practice acts of kindness. If you do good things, you’ll feel good. These ideas will make sure your New Year is filled with love, gratitude, good health and joy. Thursdays, Jan. 16 and Feb. 20 11 a.m.-noon Aspen Club office, 2000 16th St. Loveland Medical Center of the Rockies (MCR) 2500 Rocky Mountain Ave. Loveland, CO 80538 Phone: 970.624.1860 Greeley (limited hours) 2000 16th St., Suite 3 (Note: mailing address is 1900 16th St., Greeley, CO 80631) Phone: 970.313.2796 Recorded Registration line: 970.495.8565 To sign up for classes in all communities. pvhs.org/aspenclub study identifi es why that belief is inaccurate.” Making physical fi tness a part of every day! Ideas for an active lifestyle approach • Take stairs instead of the elevator • Walk during a lunch break • Organize social activities or family time around physical activity • Walk the dog • Set up or encourage a walking meeting at work • Physically deliver a message to a coworker instead of using email or telephone • Park farther away from facilities • While watching T.V., be physically active (e.g. step in place, perform push ups, curl-ups, dumbbell exercises, jumping jacks) • Walk or pace instead of sitting while on the telephone • Choose the more active option when performing leaf blower) • When traveling, walk around the airport while waiting to depart The active lifestyle approach is a good way to break up long periods of sedentary time. Reducing the amount of time spent in sedentary behaviors is important because those whose daily routines have prolonged periods of inactivity are at increased risk of adverse health conditions. NATIONAL HEART MONTH FEBRUARY 2014 Love and a Healthy Lifestyle - requirements for a healthy heart MEET OUR STAFF Dana, Debra, Diane, Haleigh, Patty, & Rosalie Make us a part of your LIFESTYLE! If you set up unrealistic goals- for example, working out too long or performing too many exercises for one muscle group, you risk the chance of injury. Often, too much too soon creates a dread of exercise, it’s not fun, it’s painful and you don’t look forward to it. Start out slow- learn the proper form and be realistic about where you are on the journey. As a result, you will look forward to your workouts and soon they will just become part of your lifestyle. • Trying to lift too much weight before our muscles are strong enough. We all need to leave the ego out of our workouts. Make sure the weight is appropriate for where we are, who we are and what we are trying to accomplish. If you try to lift too much weight, your body will do whatever it can to move that weight from point to point including the recruitment of inappropriate muscles to help. • Having unrealistic expectations. Having more patience was #6 on that Scranton New Years Resolution List and it combines well with this weight/fi tness goal. If you workout to the point where you feel your energy rise 20 14 dampen food cravings. Help Kicking the Habit. There appears to be a correlation between the exercise- induced effect on the level of the stress hormone cortisol with reduced nicotine cravings. Protecting Your Vision. Exercise won’t improve your vision, but it can prevent it from getting much worse. A recent study found a strong association between higher levels of physical activity and lower risk factors for glaucoma, a major cause of fading vision. Faster Healing. Exercise stimulates cell growth to repair small tears in muscles that occur normally during exertion – this works for scrapes other injuries as well. Preventing Migraines. Regular exercise has been shown to help prevent the pain. Healthy Teeth. Working out even one or two times a week is associated with lowered rates of gum disease. •If you have diffi culty sleeping, don’t exercise within two hours of bedtime. •Perform gentle stretches and relaxation exercises before bed to help you relax. Health Day News 2013 2 0 1 4 January/February CLUB HOURS SIGN UP NOW! BEGINNER LEVEL 1 FOUR WEEK SESSION WEDNESDAYS @ 10:30AM JANUARY 8TH – 29TH Exhibit C - Lifestyle Centre Newsletter Legal and Financial Health. Do you have questions for legal and financial professionals? Information and discussion on best practices in taking care of your financial and legal affairs will be provided. Rossiter. A state-of-the-art modality that restores a person’s connective tissue to it’s natural healthy looseness which creates freedom from pain. Meditation with Swamiji Dharmananda. Meditation has been shown to have significant health benefits for things such as heart disease, insomnia, chronic pain, cancer, immunity and more. Spiritual teacher and counselor, Swamiji, will teach the physical and psychological benefits of meditation and the various forms will be explained and practiced. Stand Out and Be Healthy evaluated, instructor training evaluation in process. Timeline to start is 1stQ 2015. Adult Wellness and Education Proposed SPARK Youth scope Youth Wellness and Education Proposed Bicycle rodeo - Safe Kids Youth scope Youth Wellness and Education Proposed Collaboration with the University of Colorado Anschutz Health and Wellness Center, special programs. *Note: All of the above are offerings need sub-contractor evaluation or further discussion for Fall 2014 start. Stand Out and Be Healthy