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What comes to mind when you hear the phrase “retail health care?”

Flu shots at the local pharmacy? Perhaps a quick consult with a nurse at a Minute Clinic?

How about a state-of-the-art, first-of-its-kind health and wellness center situated amid Starbucks, Banana Republic, and other upscale strip mall retailers –  in the middle of  Lehigh Valley, Pennsylvania?

Capital Blue is an innovative effort by Capital Blue Cross to reach one community with basic health and wellness services.  It may sound a bit off the charts, but as Donna Lencki, Capital BC Chief Marketing Officer explained at Monday’s session on consumer engagement at the World Health Care Congress in Washington, DC, “we look at the retail location as an opportunity to engage our members, our consumers, or our community in a different fashion.”

As with any upscale store, Lencki said the emphasis is on customer service. The 6,700 square-foot space and prime location provide an opportunity to potentially reach some 650,000 residents within a 30 minute drive. “It’s a perfect opportunity to think about how we’re going to work with tomorrow’s consumer,” she said. The emphasis on health and wellness in the retail store aligns with the company’s overall mission of improving the health of their members, and of the community.

capblue

courtesy Capital Blue

Creating the right environment was critical. Lencki showed off the warm, modern space: a concierge desk welcomes “customers,” visitors are directed to appropriate areas to consult with a nurse “care guide,” or registered dietician, check in for a special event, attend an educational session, or fitness class. Parents can accompany their children to the Kid’s Zone, a place to play health-oriented educational games on Wii and iPad. Of course, there is also a sales and service center, where consumers can shop for insurance, get updates on health exchanges, or compare costs and quality metrics.

One goal is to make Capital Blue a “destination” whenever families visit the shopping center. “Kids develop an expectation that when they’re at the mall, this is a cool place to stop in and play, all with a good health influences,” Lencki said. The idea is to start them thinking about nutrition and health early in life and carry those habits through to adulthood.

According to Lencki, Capital Blue is the first insurer in the nation to tie a cafe concept to a retail health experience. She said it seemed obvious to make the connection between health and nutrition on premises.  They partnered with Rodale, publishers of several national consumer health magazines, and owners of a local catering company specializing in organic, wholesome meals. The cafe also offers cooking demos, and themed healthy cooking classes. “We did a healthy tailgating party class for the Superbowl, we’ve had book signings, and a Valentine’s special on the medicinal effects of dark chocolate,” Lencki said.

There’s also a health-screening area where nurses conduct assessments such as cholesterol screenings, blood pressure and BMI checks. A fitness area offers yoga, tai chi, and boot camp classes for adults, as well as yoga classes for children. Community meeting rooms are available for family counseling sessions, and there’s even an art gallery featuring local artists who display and sell their work. It’s another way to support all facets of well-being.  “Studies show that art can aid in our mental health and healing process,” Lencki told the audience.

We know we have to be creative with health reform when it comes to consumer engagement, she said. This space creates a different level of engagement across the entire spectrum of members, consumers, and community.

It’s only been a few months since launch, but if this concept proves viable, don’t be surprised if the mall becomes the hip destination for health.

What comes to mind when you hear

Advance Directives and Health Care Proxies

There is one thing that is certain and that we all have in common: all of us will die. But how we die may depend upon the decisions that each of us makes. How would you answer the following questions?

  1. Do you have an ‘advance directive’? Do you know what this is and why it’s important?
  2. Do you have a ‘health care proxy’ or ‘agent’?
  3. Have you talked with your loved ones about what is important to you regarding end-of-life care?
  4. Would you want to be resuscitated if you were terminally ill and your heart stopped beating?
  5. Would you want artificial hydration and nutrition if you were terminally ill and couldn’t make health care decisions for yourself?

If you don’t have clear answers to these questions, you’re not alone. We live in a death-denying society that seldom has open and honest conversations about dying. But these conversations are crucial for trying to make sure that health care providers and your loved ones will make the right decisions about your health care if you are incapacitated.

April is Health Care Decision Month—a time to all of us to reflect on some of the decisions that we or our loved ones might confront around how we die. In keeping with this theme, Healthstyles is focusing its four programs this month on how to have the conversations about how we want to die and how to take the legal steps in ensuring that others respect our wishes.

The first program airs tonight on WBAI, 99.5 FM (www.wbai.org) and focuses on why these issues are important. New York’s Family Health Care Decision Act is discussed as an example of legal protections that were developed with good intentions but fall short of being able to make sure that a family member is acting in your best interests, if you can’t make your own health care decisions. We share web resources that can be used by people from any state in the US to find out about specific laws and documents that pertain to protecting your health care rights.

The second program will focus on how to have the conversation about your health care wishes with someone who will serve as your agent, in the event you are unable to make these decisions for yourself. The third program will walk you through how to complete an advance directive and health care proxy form, as well as tell you how to make it available to health care providers. The last program will discuss other legal documents related to end-of-life care, such as the POLST—Provider Orders for Life Sustaining Treatment—and the Do Not Resuscitate documents.

For the entire series, Healthstyles producers Barbara Glickstein, RN, MPH, and Diana Mason, RN, PhD, talk with Tina Janssen-Spinosa, JD, Staff Attorney for the New York Legal Assistance Group where she is Program Coordinator for Total Life Choices, an initiative to disseminate information about end of life planning and help people in their planning needs; and Vidette Todaro-Franceschi, RN, PhD, Professor of Nursing at Hunter College, City University of New York, and expert in end of life issues.

So tune in each Thursday evening from 11:00 to 11:30 this month to listen in on this important series of programs.

Remember that planning for the end of our lives is about planning for how we want to live.

Healthstyles is sponsored by the Center for Health, Media & Policy at Hunter College.

Advance Directives and Health Care Proxies There is

On Sunday evening during the Louisville Cardinal vs Duke NCAA Elite Eight tournament game millions of television viewers witnessed Louisville Cardinal sophomore guard Kevin Ware’s awkward fall to the ground, after trying to block a 3-point shot, resulting in a compound fracture of his leg that left his teammates in tears. He was removed from the court, the game went on after a 9 minute delay, and Louisville won. The Louisville Cardinals are headed to the Final Four.

For the most part, broadcast media maintained Mr. Ware’s respect for privacy and the viewers from seeing replays of his fall and close-ups of his compound fracture. Social media went wild with tweets.

Colorlines  respectfully published A Non-Grotesque Picture From Louisville’s Kevin Ware Hospital Room. MSNBC’s new primetime anchor Chris Hayes, in his first All In program covered the story addressing a bigger policy issue, Are NCAA players uncompensated employees of the organization?  Of the many points he raised is this one, “if college basketball players are paid in scholarship dollars, what happens when an athlete is out the game? And who foots the medical bills- the “employer” (the college) or the student and his family?”

Reports today state that his medical bills will be covered.

Last night, by email,  I received the poem published below, Sport Is, written by my son, Ezra Ellenberg, a junior at the University of Maryland at College Park. He’s an athlete and a sports enthusiast.  He hosts a radio show, The Dugout Binder, on WMUC Sports, the college campus station.  He and his co-host,  Sung-Min Kim, evaluate teams and transactions based on sabermetrics and other advanced statistics. (A front page article in today’s NY Times talks about this new era of of baseball stats and sports reporting).

I think it sheds light on the many ways this young man, Kevin Ware, has touched us.  Athletes and non-athletes alike.

 We wish Mr. Ware a complete and full recovery.

Sport Is

Sport is beautiful.

Sport is raw.

Sport is emotion.

Sport is a freak accident.

Sport is seeing your brother go down.

Sport is knowing how hard he worked, only to have it all disappear.

Sport is collapsing.

Sport is tears.

Sport is disbelief and denial.

Sport is a huddle.

Sport is relying on your coach, your basketball father, who has been there before.

Sport is looking to his eyes for an answer.

Sport is seeing none.

Sport is kneeling next to your broken brother, drawing on every ounce of courage you have saying “don’t look down, stay with me, you’re ok, I’m here.”

Sport is pulling team mates closer, even those who can’t bear to look.

Sport is crouching, laying, kneeling next to him while he’s in agony.

Sport is weeping openly with your country watching.

But laying on your back, half dazed, half in agony, knowing your career could be over… telling your team mates “don’t worry about me, guys. Just win.”

That is more than sport.

That is superhuman.

That is heroic.

That transcends.

That moves people.

That moves me.

That makes me believe.

Sport is nine minutes of waiting, terrified.

Sport is wiping those tears

Sport is underperforming

Then, Sport is a jolt

Sport is a recalibration of focus

Sport is a reason

Sport is playing with a new found purpose

Sport is pressure

Sport is blitzing your opponent after halftime

Sport is seizing

Sport is the undeniable feeling that you are destined

Sport is ‘not today, Duke’

Sport is winning for Kevin

Sport is the final buzzer

Sport is throwing your hands in the air, triumphant at last

Sport is holding your brother in your heart because you can’t hold him in your arms

Sport is a moment

Sport is wearing his jersey with a smile on your face

Sport is ‘we’re bringing this home’

Sport is ‘no one’s fuckin stopin us now’

Sport is bringing him the trophy

Sport is telling him how proud you are, taking his head to rest on your shoulder

Sport is rehabilitation

Sport is a wheelchair, then a cast, then walking, then running, then jumping

Sport is feeling that first bead of sweat forming… and smiling

Sport is seeing the ball go in for the first time in too damn long

Sport is the weight room

Sport is the swimming pool

the sauna

the elastic band

the medicine ball

the scar tissue

the massage

the PT

Sport is the practice court

Sport is the press conference

Sport is checking in and hearing your name announced

Sport is the home crowd roaring with pleasure like so many proud relatives

Sport is ‘I’m back’

Kevin Ware– You Are Sport

by Ezra Ellenberg

Follow him on Twitter @ezraellenberg

 

On Sunday evening during the Louisville Cardinal