2008 Highlights - MOVE!
Printable version - PDF
Message from the Chief Consultant
Prevention Practice and Policy
Health Promotion and Employee Wellness
Research and Evaluation
Veterans Health Education and Information (VHEI)
Kenneth R. Jones, PhD, National Program Director for Weight Management/MOVE!
FY08 saw continued expansion of the MOVE! Weight Management Program for Veterans (MOVE!). Program monitoring showed the following:
- Office of Quality and Performance supporting indicator data showed that a national average of 65% of patients had their height and weight assessed and for those patients identified to be a weight-related risk, offered participation in MOVE!. For FY 2009, the supporting indicator becomes a performance measure, with a 65% target rate of screening for all facilities.
- The number of patients receiving MOVE! care continued to increase. A total of 64,082 patients--48,415 of them newly referred--received MOVE! care in over 600,000 visits.
New and Cumulative MOVE! Patients per Fiscal Year
The number of new patients continues to increase each year as facilities have built treatment capacity.
The MOVE! team partnered with many different groups in FY08 to improve the health of Veterans. The MOVE! team:
- Collaborated with VHA and the Federal Office of Management and Budget, which resulted in the Secretary modifying the Code of Federal Regulations to exempt MOVE! care from co-payment. Co-payments for MOVE! care, required for patients in certain eligibility groups, were a major barrier to participation.
- Partnered with the HealthierUS Veterans Initiative and Veterans Canteen Service, to co-sponsor the 100-mile Champions' Challenge to promote increased physical activity. More than 35,000 Veterans, staff members, and others participated in the program.
- Shared with the Department of Defense (DoD) MOVE! software, program materials, and treatment algorithms, which were used to initiate the US Army MOVE! program creating a program of care on the Army Knowledge Online web-based system for staff working on weight management.
- Supported the DoD Surgeon General's official endorsement of MOVE! for use in meeting joint VA-DoD clinical practice guidelines for the evaluation and treatment of obesity in DoD medical treatment facilities.
- Supported the Veterans Canteen Stores' plan to introduce a national program to support MOVE!, offering healthy "MOVE-approved" snacks, exercise equipment, and exercise apparel displays in their stores.
- Collaborated with the Durham VAMC to produce guideance for facilities wishing to initiate intensive programs of care for patients who have not benefited from self-management support and may not benefit from either weight loss medications or bariatric surgery.
Tools used in the MOVE! Program at the Southern Arizona VA Healthcare System
The significance and growth of the MOVE! Weight Management Program in VHA was also reflected in positive changes in staff positions at NCP in FY08.
- A new NCP position, National Program Director for Weight Management, was created to direct VHA's weight management efforts.
- Two positions, dietitian program coordinator and physical activity program coordinator, were added as part of our permanent staff. Lynn Novorska and Sophia Hurley, respectively, bring with them hands-on experience gained in the MOVE! Program at VAMCs.
In FY09, MOVE! will:
- Offer two conferences to update Facility MOVE! Coordinators, Physician Champions, and general MOVE! team members on MOVE! developments and enable VISN-specific strategic planning.
- Make weight management content available on Office of Care Coordination home messaging devices for selected patients.
- Pilot a program called Telephone Lifestyle Coaching (MOVE! TLC) in VISN 2. If successful, we will release guidance on how to launch MOVE! TLC at other facilities/VISNs.
"I can't tell you how many patients are thrilled with the copayment waiver. It was a significant barrier for many patients."
--Comment from MOVE! Annual Report 2008