The Obesity Epidemic by jizhen1947


									   A home based weight management program
    exclusively available to Primary Care
    Physicians and their Patients.
   A team of specially trained nurses,
    counselors, exercise physiologist utilizing the
    best in technologies, through
    e-learning, internet support and one-on-one
    counseling bring personalized, safe and
    effective weight management to the comfort
    and privacy of your patients home
   Obesity rate has doubled in adults in the past
    two decades.
   Obesity rate has tripled in adolescents in the
    past two decades.
The Epidemic within the Epidemic
   Morbid obesity rate has quadrupled in the past two
   Sturn R. Arch Intern Med. 2003;163:2146-2148.
   1999 National Health and Nutrition Examination Survey, CDC National
    Center for Health Statistics
 Medical Complications of Obesity
Pulmonary disease                              Stroke
 • Abnormal PFTs
 • Obstructive sleep apnea                         Cardiovascular disease
 • Hypoventilation syndrome                         • Diabetes
                                                    • Dyslipidemia
          Liver disease                             • Hypertension
           • Steatosis                              • Insulin resistance syndrome
           • NASH
           • Cirrhosis                               Gall bladder disease

Gynecologic abnormalities                              Cancer
 • Abnormal menses                                      • Breast, uterus, cervix
 • Infertility                                          • Colon
 • PCOS                                       Phlebitis • Prostate

PCOS = polycystic ovarian syndrome
NASH = nonalcoholic steatohepatitis
NIH/NHLBI. September 1998; NIH publication no. 98 -4083.
   A direct relationship exists between the
    obesity epidemic and an emerging epidemic
    of diabetes in America.
   In the past two decades the rate of obesity
    has doubled in America.
   In the past two decades the rate of diabetes
    has doubled in America.
Source: Diabesity, Dr. Katherine Kaufman, former ADA president, Bantam
  Books, 2005
Sturn R., The Effects of Obesity, Smoking and Problem Drinking On Chronic Medical
Problems and Health Care Cost, Health Affairs, 21 (2), 2002, 245-253
“Jury says doctor didn’t do enough to help
  obese smoker”
               American Medical News May 12, 2003
   Behavioral intervention and guidance
   Nutritional and dietary plans
   Exercise prescription
   Medications
   Surgery
   Build a partnership with the patient
   Set achievable goals
   Frequent contact
   Self-monitoring
   Rewards (non food)
   Stimulus control
   Focus on health improvements not weight
   Compassion and empathy are the physician’s first
    step; the second step is to become coach/motivator
   Cost of hiring the multidisciplinary team
    (dietician, exercise & behavioral specialists)
    needed to promote healthy weight loss.
   Time consuming counseling sessions with
    weight management patients.
   Obligatory frequent patient visits which
    interfere with medical patient flow.
   Lack of reimbursement for weight
    management services.
   iBariHealth with its national network of
    specialty trained nurses, exercise physiologist
    and counselors, brings a professional team of
    weight management experts to you and your
   Our team travels to the patients to provide
    convenient and frequent one-on-one
    counseling and support
   Additionally, our professional team of
    counselors interact with patients every week
    via phone and electronic contact.
   Your patients receive superior care and your
    office is free to see medical patients
   iBariHealth pays you direct and monthly for
    your professional services.
   No more billing, appealing and waiting to be
    paid - typically a fraction of your charges.
   You are paid promptly, and in full for your
    professional services.
    iBariHealth:
1.   A medically supervised team solution to
     your overweight and obese patients
2.   A financial solution to your practice’s
     bottom line
3.   A program that limits your liability
Substantial Revenue Potential

 An average PCP has 3000 patients – 1/3 are
  overweight; another 1/3 are obese.
 2000 of your patients need to lose weight
 If 10% of your obese and overweight patients enroll
  in the program:
    > 200 patients per year (less than 1 per day)
    > Recent Gallop Poll states 58% of Americans want to loose weight
   PCP paid $125 for a short H&P and another $125 for
    a brief Discharge Summary

    200 patients x $250 revenue = $50,000
Substantial Revenue Potential Cont.

How does it work? It’s easy!

   We provide you the tools and services you need to attract
    new patients (preferred local provider).
   Our program also includes the materials needed to educate
    and motivate your current patients to enroll.
   Some of the tools include: signage, brochures, handouts,
    articles and promotional copy all targeting current
    overweight/obese patients.
   Practice building program available – necessary materials
    required to put on “Weight Management” outreach &
    educational meetings.
Substantial Revenue Potential Cont.

Have an interested patient, now what?
        Briefly explain the program. Focus on:
    1.     The health benefits of losing even a small amount of weight
    2.     The one-on-one support they’ll receive
    3.     Close medical supervision throughout the program
    4.     The ease and convenience of the program (in-home & easy to follow)

        Provide them with some additional information (brochure).

        Have nurse, MA or office staff member review program, take them to
         the new patient presentation on

        Encourage them to enroll in office; or at the very least, register to
         receive more info on
Substantial Revenue Potential Cont.

Have an interested patient, now what?
   Once patient is enrolled, complete a brief History & Physical and fax it
    to our toll free number.

   When we receive the H&P you receive $125.

   Once patient finishes program, you complete short Discharge
    Summary, earning you another $125

   Entire process should take about 20 minutes per patient – earning you
    on average $750 /hr

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