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The HOPE Note

A TOOL FOR ADDING INTEGRATIVE HEALTH CARE TO A ROUTINE OFFICE VISIT

CONTINUED SUPPORT

Now that you and the patient have a HOPE list, the hard work begins. It’s critical to connect the patient’s priorities and health goals to medical advice, and offer support in implementing the changes.

Here is a list of solutions to offer your patients (PDF) based on the challenges they identified in their HOPE visit.

Health coaching and regular check-ins are key. Here are some strategies to provide the regular check-ins that patients need to progress toward their health goals:

Health coaching (PDF). A health coach can follow up by phone or via telehealth to help patients overcome daily challenges and support them for success. Health or well coaching are a distinct set of skills different from expert advice that might be provided by a physician, nutritionist or fitness coach. See the AMA’s resource: “Implementing Health Coaching” from Thomas Bodenheimer, MD, MPH, of the UCSF Center for Excellence in Primary Care

Group visits (PDF). These are an excellent option for patients with chronic conditions, providing them with peer support and team learning. They may also be reimbursable.

• Technology assists. Encourage patients to use apps and tracking devices that can provide insight into their progress. Increasingly sophisticated technologies are interacting with patients for behavior change and direct, not-drug treatments.

Education. Provide resources, tools, and links applicable to the individual patient’s situation.

Resources

Patient Handout

Patient Handout

Give your patient this handout or create one like it with simple changes patients can make in their own lives.

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A Guide to Integrating Non-Traditional Providers

A Guide to Integrating Non-Traditional Providers

Learn how to work with complementary, alternative and integrative providers including acupuncturists, massage therapists, chiropractors, nutritionists and yoga therapists. Also includes evidence summary behind each practice.

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Integrative Health Solution Guide for HOPE Note Discussion

Integrative Health Solution Guide for HOPE Note Discussion

During an integrative health visit using the HOPE Note, you will uncover areas in which your patients are ready to work on to improve their health. Many of these require reaching outside the traditional tool bag of the current medical model. Recommended action items typically fall
into a few categories including referrals to specialists (both from traditional as well as evidence based complementary and alternative medicine); educational handouts for self-care; and connections to community resources.

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Access more tools including CAM pocket guides in RESOURCES.

 

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