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Replicating a Model Program
According to Jones, the program’s best practices are evolving. After it first rolled out nationwide in 2006, VA looked at the variations of MOVE! in the different facilities that were using it. A systematic analysis of these variations helped identify what techniques made the process better.
MOVE! published a best practices study three years ago, but the program is still open to change. Every other year, a national training call is arranged, and representatives from those identified as best-practice sites report on what they’ve been doing to achieve that success.
“I think it’s fair to say that we regularly solicit best practices and celebrate those,” Jones said.
The Emory study lauds MOVE! as a model for how large healthcare systems can successfully promote healthy lifestyles. But how easily can MOVE be replicated by systems that aren’t VA?
Jones acknowledged that VA has several advantages over the average private healthcare system.
“We have an electronic medical record and an integrated system of care,” he said. “Kaiser Permanente would be less likely to be able to just mandate [a program like this] across all of their member groups.”
There have been precedents for the replication of MOVE!, however. The U.S. Army adopted the program, tweaking it only slightly, and making it available at its military treatment facilities.
“It’s largely the same program,” Jones said. “They’ve taken our content and modified it so that it has servicemembers depicted on it. Even the handouts have the same content as ours [but] have a camouflage background.”
Johns Hopkins Healthcare — a leading TriCARE provider in the Baltimore region — has also formally requested permission to use MOVE! materials and programs, he said.
The public health unified approach works very well in VA,” Jones said. “Could it be replicated? Yes, I think it can.”
Check out the official MOVE! website at move.va.gov
- Jackson SL, Olson DE, Rhee M, et al. Lifestyle change works in a large national healthcare system. American Diabetes Association 2013 Scientific Sessions; June 23, 2013; Chicago, IL. Abstract 382-OR