Anthony Showard Portfolio by Cut Copy and Paste

ANTHONY SHOWARD BRANDING + DESIGN

BRANDING

To Do List:

Complete and send application to HSCS

Dr. Hank Stopinski Principal

1140 Ellicott Street, Buffalo, NY 14209

P: 716.888.4080 F: 716.464.7623 W: healthsciencescharterschool.org

E: hstopinski@healthsciencescharterschool.org

Dr. Hank Stopinski Principal

1140 Ellicott Street, Buffalo, NY 14209

P: 716.888.4080 F: 716.464.7623 W: healthsciencescharterschool.org

E: hstopinski@healthsciencescharterschool.org

Dr. Hank Stopinski Principal

1140 Ellicott Street, Buffalo, NY 14209

P: 716.888.4080 F: 716.464.7623 W: healthsciencescharterschool.org

E: hstopinski@healthsciencescharterschool.org

Dr. Hank Stopinski Principal

1140 Ellicott Street Buffalo, NY 14209

P: 716.888.4080 F: 716.464.7623 E: hstopinski@healthsciencescharterschool.org W: healthsciencescharterschool.org

GAMING & HOBBIES

JUBILEE junet nth

SUNY/FREDONIA

COMPUTER SCIENCE

-SINCE 2014-

RED . LIGHT FASHIONS

RRED LIGHT FASHIONS

RedLight

WELLNES S . FOUNDATION

Brianah’s own recipe of exfoliating scrub, body bu er and lip scrubs started o as just a proce to have her family go healthier and turned into a busine .

blend

Vani a

Brianah’s own recipe of exfoliating scrub, body bu er and lip scrubs started o as just a proce to have her family go healthier and turned into a busine .

blend

Amber Fire

Brianah’s own recipe of exfoliating scrub, body butter and lip scrubs started off as just a process to have her family go healthier and turned into a business.

Brianah’s own recipe of exfoliating scrub, body bu er and lip scrubs started o as just a proce to have her family go healthier and turned into a busine .

blend

Watermelon

Brianah’s own recipe of exfoliating scrub, body butter and lip scrubs started off as just a process to have her family go healthier and turned into a business.

BUFFALO COLLEGIATE CHARTER SCHOOL

FOR MORE INFORMATION CONTACT THE ERIE COUNTY BOARD OF ELECTIONS 134 W EAGLE STREET, BUFFALO, NY 14202 . (716) 858-8891

Early Voting Days and Hours

Saturday, October 24th–9am to 2pm

Sunday, October 25th–9am to 2pm Monday, October 26th–12pm to 8pm

Tuesday, October 27th–9am to 5pm

Wednesday, October 28th–12pm to 8pm Thursday, October 29th–9am to 5pm

Early Voting locations

Friday, October 30th–9am to 5pm

Saturday, October 31st–9 am to 2pm Sunday, November 1st–9am to 2pm

Erie County Board Of Elections 134 W Eagle St Bu alo, NY 14202

Bu alo Community Development Ctr 203 Sanders Rd Bu alo, NY 14216

St Columba-Brigid, RC 75 Hickory St Bu alo, NY 14204

Lincoln Field House 10 Quincy St Bu alo, NY 14212

Hennepin Center 24 Ludington St Bu alo, NY 14206

Delavan Grider Community Center 877 E Delavan Ave Bu alo, NY 14215

Salvation Army West Side Comm Ctr 187 Grant St Bu alo, NY 14213

Northwest Bu alo Community Center 155 Lawn Ave Bu alo, NY 14207

Tosh Collins Community Center 35 Cazenovia St Bu alo, NY 14220

Gloria J Parks Community Center 3242 Main St Bu alo, NY 14214

Senior Citizens Center 230 Martin Rd Lackawanna, NY 14218

Tonawanda City Hall 200 Niagara St Tonawanda, NY 14150

Alden Municipal Building 13336 Broadway Alden, NY 14004

Amherst Senior Center 370 John James Audobon Pkwy Amherst, NY 14228

Aurora Senior Citizen Center 101 King St East Aurora, NY 14052

Boston Town Hall 8500 Boston State Rd Boston, NY 14025

Brant Town Hall 1272 Brant North Collins Rd Brant, NY 14027

Cheektowaga Senior Center 3349 Broadway Cheektowaga, NY 14227

Clarence Town Hall 1 Town Hall Place Clarence, NY 14031

Colden Town Hall 8812 State Rd Colden, NY 14033

Collins Town Hall 14093 Mill St Collins, NY 14034

Concord Senior Center 40 Commerce Drive Springville, NY 14141

American Legion Post 880 2912 Legion Dr Eden,NY 14057

Elma Senior Center 3007 Bowen Rd Elma, NY 14059

Evans Center Fire Hall 8298 Erie Rd Angola, NY 14006

Grand Island Welcome Center 1999 Alvin Rd Grand Island, NY 14072

Hamburg Town Hall 6100 South Park Ave Hamburg, NY 14075

Holland Community Center 3 Legion Dr Holland, NY 14080

Lancaster Municipal Building 5423 Broadway Lancaster, NY 14086

Marilla Community Center 1810 Two Rod Rd Marilla, NY 14102

Akron Village Hall 21 Main St Akron, NY 14001

North Collins Senior Center 11065 Gowanda State Rd North Collins, NY 14111

Orchard Park Community Activity 4520 California Rd

Orchard Park, NY 14127

Sardinia Community Center 12320 Savage Rd Sardinia, NY 14134

Kenmore Municipal Building 2919 Delaware Ave

Wales Community Center 12345 Big Tree Rd

Kenmore, NY 14217

Wales Center, NY 14169

West Seneca Community Center 1300 Union Rd West Seneca, NY 14224

FLYERS AND ANNOUNCEMENTS

SPONSORSHIP

•

Grandmaster Level Presenting Sponsor (1).............................$700

Benefits:

• Sponsor recognition on all event-related marketing & electronic collateral

• Sponsor recognition and link on the Battle 4 the Crown Website for 1 yr.

• Logo displayed in Event Brochure (1000 printed)

• Logo displayed on program cover for tournament

• Logo Placed on Event Posters placed throughout the City

• Logo Placed on Official Event T-shirts

• 6 Tickets to the event

• Full page ad in program

Master Level Awards Sponsor (2).............................................$500

Benefits:

• Sponsor recognition on event-related marketing & electronic collateral:

• Sponsor logo on Battle 4 the Crown Website for 1 yr.

• Logo displayed in Event Brochure (1000 printed)

• Logo displayed on program for tournament

• Logo Displayed on Event Posters place throughout the city

• Logo Place on Official Event T-Shirts

• 5 tickets to the event

• Half page ad in event program

Please fill-out the following form to confirm your chosen sponsorship package. Completed forms can be returned to Lloyd Hargrave Program Director, at info@battle4thecrown.com. For questions and to customize sponsorship, please contact us.

Benefits:

Sensei Level Awards Sponsor (2)..............................................$250

• Sponsor logo on Battle 4 the Crown Website for 1 yr.

• Sponsor recognition on event-related marketing & electronic collateral:

• Logo displayed in Event Brochure (1000 printed)

• Logo displayed on program for tournament

• Logo Displayed on Event Posters place throughout the city

• 4 tickets to the event

• Logo Place on Official Event T-Shirts

• Quarter page ad in event program Ring Sponsor (10)........................................................................$100

• Sponsor recognition on select rings during tournament

recognition during select award presents (varies by division)

• Sponsor recognition and link on the Battle 4 the Crown website

$700 GrandMaster Level

$500 Master Level Sponsor

$250 Sensei Level Sponsor

• 1 ticket to the event and ad business card ad in event program BATTLE 4 THE CROWN SPONSORSHIP FORM

Once we receive your completed sponsorship form, our staff will contact you to discuss event arrangements, sponsorship benefits and recognition.

$100 Ring Sponsor Ring Sponsor OTHER DONATIONS In-kind

$______ Monetary

Artwork Specifications:

Please send your high-resolution color and black & white logos (.EPS, .PNG or vector preferred) to info@battle4thecrown.com. All materials will be sent for you before going to print.

Payments may be sent to attention:

Please charge my credit card sent for you before going to print.

INFORMATION: Please send me an invoice I have enclosed a check made payable to the Battle 4 The Crown Please charge my credit card

THANK YOU FOR YOUR SUPPORT!

MORE WORK

LIVING HEALTHY WITH CHRONIC CONDITIONS

COMMUNITY GUIDE

LIVING HEALTHY WITH CHRONIC CONDITIONS WHAT MAKES A PERSON HEALTHY

LOOKING AT THE WHOLE PICTURE

Acocording to the World Health Organization, “social determinants of health are the conditions in which people are born, grow, live, work and age, including the health system. These circumstances are shaped by the distribution of money, power and resources at global, national and local levels, which are themselves influenced by policy choices. The social determinants of health are mostly responsible for health inequities...”

Clinical care only makes up 20% of a person’s health. This is where most of health care dollars are spent. The other 80% of health care funding can be found in community agencies, government policies and society itself.

As a community agency, you are in the unique position to improve health in a holistic way. By referring your clients to an evidence based program, they will be more likely to manage their health and address more than the clinical care a person receives to stay healthy

The available programs through this initiative are:

• Diabetes Prevention Program

• Living Healthy with Chronic Disease

• Living Healthy with Diabetes

• Living Healthy with Chronic Pain

LIVING HEALTHY WITH CHRONIC CONDITIONS WHAT IS PREDIABETES?

UNDERSTANDING PREDIABETES

A person with prediabetes has a blood sugar level higher than normal, but not high enough for a diagnosis of diabetes. According to Ann Albright, Ph.D., RD., director of the Center for Disease Control’s Division of Diabetes Translation, “The CDC estimates that more than 79 million Americans ages 20 years and older have prediabetes. Without intervention, 15 to 30 percent of those men and women will develop type 2 diabetes within 5 years.”

The Diabetes Prevention Program is an effective lifestyle change program proven to prevent or delay the onset of type 2 diabetes in participants by 58 percent.

The Diabetes Prevention Program is mirrored after the National Diabetes Prevention Program and supports participants in making lifestyle changes to reduce their risk for type 2 diabetes including weight loss, increased physical activity and healthy eating.

The primary focus of this initiative is diabetes prevention. However, many of your community members already have chronic conditions such as diabetes or high blood pressure. This toolkit will also provide the information you need to assist community members in managing or preventing other chronic conditions.

ADULTS WITH AN ANNUAL HOUSEHOLD INCOME LESS THAN $15,000 ARE NEARLY

3 TIMES AS LIKELY

TO REPORT HAVING DIABETES AS ADULTS WITH AN ANNUAL HOUSEHOLD INCOME OF MORE THAN $50,000

SOURCE: Center for Disease Control and Prevention

LOCAL PROGRAMS

EMPOWERING COMMUNITY MEMBERS TO BECOME PARTNERS IN THEIR HEALTH CARE

There are several programs to help engage community members to be active partners in their care. The two evidence based programs that have been shown most effective are the Diabetes Prevention Program and Living Healthy management programs.

The Diabetes Prevention Program is a structured lifestyle change program. The program helps participants make lifestyle changes to reduce their risk for type 2 diabetes. The Lifestyle Coach works with groups of participants to:

• Lose weight through healthy eating

• Be more physically active

• Learn to recognize and overcome barriers to healthy eating and physical activity

161 HOUR SESSIONS

Living Healthy is a chronic disease self-management program. The program aims to increase the knowledge of people living with chronic conditions and teach them the skills to better manage those conditions. The program encourages people knowledgeable about their health to take that extra step to fully engage in their health care. There are specific Living Healthy programs for Diabetes and Chronic Pain

Subjects covered in the workshops include:

• Treatment decision-making and problem solving

• Communication with family, friends and physicians

• Making healthy eating decisions

• Using your mind to manage pain, stress and other negative emotions

Living Healthy does not conflict with existing programs or treatment. It is designed to enhance regular treatment and disease-specific education such as Better Breathers, cardiac rehabilitation or diabetes instruction.

62.5 HOUR SESSIONS

REFERRAL AND RESOURCES

HOW DO I ENROLL MY CLIENTS?

2-1-1 WNY

2-1-1 WNY is a personal and confidential source for locating a variety of free and low-cost services that are available to people who live in Western New York. 2-1-1 is designated as a phone number for people to call that provides one point of access to the community’s full range of social, health and government services.

NY CONNECTS

Finding the right long term services and support to help your clients can be very confusing. NY Connects is your trusted place for information and assistance about long term services and support, whether they are paying for services themselves, through insurance, or are eligible for a government program.

Calling 2-1-1’s professionally trained staff, community members receive referrals to services for solutions to a variety of problems such as:

I am out of heart medication, can someone help?

· My mother’s snowed in and has no food.

· What if my daughter can’t pay her medical bills?

· I can’t afford a lawyer, where can I get legal advice?

Local NY Connects Information and Assistance

Specialists provide personalized counseling to help your clients make informed decisions and can assist you in accessing available long term services and supports to meet existing or future long term needs. They can contact NY Connects even if they already use long term services and supports.

MY HEALTHY GUIDE HEALTHY LIVING WITH CHRONIC CONDITIONS

LIVING HEALTHY WITH CHRONIC CONDITIONS BECOME ENGAGED

BE A MEMBER OF YOUR HEALTH TEAM L m

YOU are the most important person on your health and wellness team. You can make a difference in the kind of health care you receive. You know your body and know when something is going wrong. By being active in improving your health, you can make a real difference in your quality of life.

You may see your doctor once a year, every few months or after an emergency. By being active in your health care and wellness you are better able to make health related day-to-day decisions but you can also play an important role in working with your health care team in what is called Shared Decision Making.

Shared Decision Making is a team approach to making health related decisions together with your doctor. Working with your doctor and other members of your health and wellness team, like pharmacists and dietitians, can go a long way in helping to make decisions that lead to disease prevention and control.

What are some things you can do as a patient during your appointments?

• Listen

• Ask questions

• Be honest

• Take notes

As an active participant in managing your care, you can work to stay healthy and prevent diabetes.

7th Leading Cause of death in the United States

SOURCE: Center for Disease Control and Prevention

LIVING HEALTHY WITH CHRONIC CONDITIONS WHAT IS PREDIABETES?

UNDERSTANDING PREDIABETES

A person with prediabetes has a blood sugar level higher than normal, but not high enough for a diagnosis of diabetes. According to Ann Albright, Ph.D., RD., director of the Center for Disease Control & Prevention’s Division of Diabetes Translation, “The CDC estimates that more than 79 million Americans ages 20 years and older have prediabetes. Without intervention, 15 to 30 percent of those men and women will develop type 2 diabetes within 5 years. ”

The Diabetes Prevention Program is an effective lifestyle change program proven to prevent or delay the onset of type 2 diabetes among people at high risk for diabetes or prediabetes by 58 percent.

The Diabetes Prevention Program will support you in making lifestyle changes to reduce your risk for type 2 diabetes including weight loss, your increased physical activity, and healthy eating.

The primary focus of this initiative is diabetes prevention. However, you or a loved one may already have a chronic condition such as diabetes or high blood pressure. This toolkit will also provide the information you need to help you and/or a loved one living with these chronic conditions.

PERCENTAGE OF PEOPLE WITH DIABETES IN NYS

SOURCE: Center for Disease Control and Prevention

LOCAL PROGRAMS

EMPOWERING YOURSELF TO BECOME A PARTNER IN YOUR HEALTH CARE

There are several programs to help you to be an active partner in your care. The two programs that have shown most effective are the Diabetes Prevention Program and Living Healthy management programs.

• Lose weight through healthy eating

• Be more physically active

• Learn to recognize and overcome barriers to healthy eating and physical activity.

161 HOUR SESSIONS

Subjects covered in the workshops include:

• Treatment decision-making and problem solving

• Communication with family, friends and physicians

• Making healthy eating decisions

• Using your mind to manage pain, stress and other negative emotions

62.5 HOUR SESSIONS

HOW DO I ENROLL?

2-1-1 WNY

By calling 2-1-1’s professionally trained staff, you receive referrals to services which provide solutions to a variety of problems such as:

· I am out of heart medication, can someone help?

· My mother’s snowed in and has no food.

· What if my daughter can’t pay her medical bills?

· I can’t afford a lawyer, where can I get legal advice?

NY CONNECTS

Finding the right long term services and support to help you can be very confusing. NY Connects is your trusted place for information and assistance about long term services and support, whether you are paying for services yourself, through insurance, or are eligible for a government program.

Local NY Connects Information and Assistance Specialists provide personalized counseling to help you make informed decisions and can assist you in accessing available long term services and supports to meet existing or future long term needs. You can contact NY Connects even if you already use long term services and support.

PATIENT REFERRAL

I recommend Patient Name

enroll in the program(s) checked on the right.

Prevention Program Living Healthy with Chronic Disease Living Healthy with Diabetes Living Healthy with Chronic Pain

Prediabetes Test Results (Check one and/or enter value):

History of gestational diabetes

PATIENT REFERRAL

I recommend Patient Name

enroll in the program(s) checked on the right.

Healthy with Chronic Disease

Healthy with Diabetes

Healthy with Chronic Pain

LIVING HEALTHY

REGISTER FOR YOUR CLASS TAKE THIS WITH YOU TO CLASS

FOR NYS DPP ADMINISTRATIVE USE ONLY

Date Received First Session Scheduled for

Location

DIABETES PREVENTION PROGRAM

AUTHORIZATION TO RELEASE HEALTH INFORMATION

I have received a copy of the DPP brochure, and/or my provider explained to me about the program for which I am eligible. I agree and request that the health information on the front of this form be released to the community-based diabetes prevention program for the purpose of providing a referral. I have the right to revoke this authorization at any time by writing to the health care provider named on the front page, except to the extent that action has already been taken based on this authorization.

GIVE THIS TO A FRIEND TO TAKE TO THEIR DOCTOR...

I understand that signing this authorization is voluntary. My treatment, payment, enrollment in a health plan, or eligibility for benefits will not be conditioned upon my authorization of this disclosure. I understand that information disclosed under this authorization might be re-disclosed by the recipient and this re-disclosure may no longer be protected by federal or state law.

LIVING HEALTHY WITH CHRONIC CONDITIONS

REGISTER FOR YOUR CLASS TAKE THIS WITH YOU TO CLASS

FOR NYS DPP ADMINISTRATIVE USE ONLY

Date Received First Session Scheduled for

Location _______________________________________ Initials

AUTHORIZATION TO RELEASE HEALTH INFORMATION

DIABETES PREVENTION PROGRAM

GIVE THIS TO A FRIEND TO TAKE TO THEIR DOCTOR...

HEALTHY LIVING WITH CHRONIC CONDITIONS

PHYSICIAN TOOLKIT

SHARED DECISION MAKING

HELPING MY PATIENTS BECOME INVOLVED

Shared Decision Making (SDM) has been shown to improve patient knowledge and clarity about medical preferences, and to reduce conflict in the decision making process. It also has the potential to:

1 .) Increase patient trust in their physicians

2.) Increase patient compliance

3.) Increase satisfaction with decisions and the decision process

4.) Improve utilization of evidence-based preventive services

5.) Reduce utilization of emergency room visits

The goals of SDM are consistent with and supportive of the triple aim. In addition, SDM has intrinsic value. Patient preferences matter, especially when making preference-sensitive decisions, where the best choice for the patient depends on their values and preferences and the medical evidence is clear. Physicians generally do not know their patients preferences unless they ask about them. Therefore, in many situations, a “shared” rather than delegated model for decision making is desirable.

-Minnesota Shared Decision Making Collaborative

HEALTHY LIVING WITH CHRONIC CONDITIONS WHAT IS PREDIABETES?

UNDERSTANDING PREDIABETES

A person with prediabetes has a blood sugar level higher than normal, but not high enough for a diagnosis of diabetes. According to Ann Albright, Ph.D., RD,. director of the Center for Disease Control & Prevention’s Division of Diabetes Translation, “The CDC estimates that more than 79 million Americans ages 20 years and older have prediabetes. Without intervention, 15 to 30 percent of those men and women will develop type 2 diabetes within 5 years. ” You can make a difference in that future for your patients.”

The Diabetes Prevention Program brings physicians an effective lifestyle change program proven to prevent or delay the onset of type 2 diabetes in patients by 58 percent, and in patients age 60 or older by 71 percent.

The primary focus of this initiative is diabetes prevention. However, many of your patients already have chronic condition such as diabetes or high blood pressure. This toolkit will provide the information you need to help your patients living with these chronic conditions.

450,000 NEARLY HALF A MILLION NEW YORKERS HAVE DIABETES AND DON’T KNOW IT

SOURCE: Center for Disease Control and Prevention

LOCAL PROGRAMS

EMPOWERING PATIENTS TO BECOME PARTNERS IN THEIR HEALTH CARE

There are several programs to help engage patients to be active partners in their care. The two evidence based programs that have shown most effective are the Diabetes Prevention Program and Living Healthy management programs.

• Lose weight through healthy eating

• Be more physically active

• Learn to recognize and overcome barriers to healthy eating and physical activity

161 HOUR SESSIONS

Subjects covered in the workshops include:

• Treatment decision-making and problem

• C ommunication with family, friends and physicians

• Making healthy eating decisions

• Using your mind to manage pain, stress and other negative emotions

Living Healthy will not conflict with existing programs or treatment. It is designed to enhance regular treatment and disease-specific education such as Better Breathers, cardiac rehabilitation or diabetes instruction.

62.5 HOUR SESSIONS

HOW DO I ENROLL MY PATIENTS?

2-1-1 WNY

By calling 2-1-1’s professionally trained staff, your patients receive referrals to services which provide solutions to a variety of problems such as:

I am out of heart medication, can someone help?

· My mother’s snowed in and has no food.

· What if my daughter can’t pay her medical bills?

· I can’t afford a lawyer, where can I get legal advice?

NY CONNECTS

Finding the right long term services and support to help your patients can be very confusing. NY Connects is your trusted place for information and assistance about long term services and support, whether they are paying for services themselves, through insurance, or are eligible for a government program.

Local NY Connects Information and Assistance

Specialists provide personalized counseling to help your patients make informed decisions and can assist you in accessing available long term services and support to meet existing or future long term needs. They can contact NY Connects even if they already use long term services and support.

HEALTHY LIVING WITH CHRONIC CONDITIONS

SATISFYING CRITERIA FOR PCMH AND

THESE EVIDENCE BASED PROGRAMS CAN HELP YOU REACH PCMH AND MEANINGFUL USE

In connection with your EMR and other resources, these programs can assist you in reaching Patient Centered Medical Home (PCMH) and Meaningful Use.

Provide educational resources or assist in self management

Use EMR to identify patient-specific education resources and provide to more than 10% of patients

Develop and document self-management goals in collaboration with patients

Document self-management abilities for patients/families

Provide self-management tools (for patient to record self-care results) to patients/families

Counsel patients/families to adopt healthy behaviors

Maintain current resource list on five topics or key community services areas of importance to practice’s population

Track referrals provided to patients

Offer opportunities for health education and peer support

AND MEANINGFUL USE

PREVENTION

DIABETES

PREVENTION PROGRAM

LIVING HEALTHY

MAINTENANCE

LIVING HEALTHY WITH DIABETES

LIVING HEALTHY WITH CHRONIC PAIN

New York State Diabetes Prevention Program (NYS DPP)

Prediabetes Identification and Intervention Algorithm

Screen or test patient if age ≥ 45 OR Patient is overweight or obese (BMI ≥ 24 kg/m2 or BMI ≥ 22 kg/m2 if Asian) AND positive for at least one of the following:1 (See back page for risk information collection options.)

· Physical inactivity

· Family history of diabetes in parent, brother or sister

· History of gestational diabetes mellitus (GDM) or baby over nine pounds

· Member of a high-risk ethnic population (African American, Latino, Native American, Asian American, or Pacific Islander)

· Hypertension (≥140/90 mmHg or on therapy for hypertension)

· HDL cholesterol <35 mg/dL and/or triglyceride level >250 mg/dL

· History of cardiovascular disease (CVD)

· A1C ≥ 5 7%, IGT or IFG on previous testing

· Polycystic ovarian syndrome (PCOS)

· Medications that predispose to diabetes2

· Acanthosis nigricans

Review patient medical records to determine if a FPG, OGTT,3 or A1C has been performed in the past 24 months, or if the patient has history of GDM

Utilize one of the following diagnostic tests to determine prediabetes or diabetes status:4

· Fasting Plasma Glucose (FPG)

· Oral Glucose Tolerance Test (OGTT)3

RESULTS

· A1C

Patient doesn’t meet the screening criteria at this time:

· If indicated, provide National Diabetes Education Program (NDEP) diabetes risk reduction materials.

· Reassess for prediabetes and diabetes risk annually.

Normal Range

· Provide patient with National Diabetes Education Program (NDEP) diabetes risk reduction materials They are available at http://www ndep nih gov

· Repeat testing should occur within three years of the previous negative test or annually if patient has multiple risk factors

Prediabetes Range

· Provide patient counseling on diagnosis or risk status and answer questions Educate about diabetes prevention using therapeutic lifestyle changes (5-7% weight loss, 150 minutes of physical activity per week) Refer to NYS DPP if available.

· Explain the NYS DPP and provide patient with program brochure

· Complete NYS DPP Patient Recommendation and encourage patient to register for program

· Send NYS DPP Patient Recommendation directly to your local program provider if consent is provided by patient

· Provide National Diabetes Education Program (NDEP) diabetes risk reduc tion materials They are available at http://www ndep nih gov

· Schedule follow-up appointment with patient as needed

· Give positive feedback around lifestyle changes.

· Reevaluate for progression to diabetes annually

Diabetes Range

· Conduct second test to confirm diagnosis

· Counsel patient on diabetes diagnosis and answer questions

· Initiate therapy

· Provide National Diabetes Education Program (NDEP) materials for controlling diabetes

· Refer patient to Certified Diabetes Educator (CDE) and/or Diabetes Self-Management Education (DSME) 5

Diabetes Prevention: Proven, Possible and Powerful!

The NYS DPP is an evidence-based program for adults with diagnosed prediabetes or who are at high risk for developing type 2 diabetes The program is led by a trained Lifestyle Coach and meets one hour per week for 16 weeks, followed by at least six monthly follow-up sessions. The program is delivered in community or health care settings, in groups of 10-15 people, where personal lifestyle goals are set by each participant. The sessions cover healthy eating, physical activity, and lifestyle changes to help participants achieve the goals that lead to the prevention or delay of a diabetes diagnosis, including a 5-7% weight loss and maintenance, and a gradual increase in physical activity to 150 minutes per week.

The NYS DPP is based on clinical research trial led by the National Institutes of Health, which showed that people with prediabetes can prevent or delay type 2 diabetes by 58% overall, and 71% in people 60 years of age and older.

Common ICD-9 Codes for Diabetes Screening

V77.1 Diabetes Screening

790.2 Abnormal

CPT Codes for Diabetes Screening

CPT 82947 Fasting Plasma Glucose Test

CPT 82950 Post-meal Glucose

CPT 82951 Oral Glucose Tolerance Test

CPT 83036 Hemoglobin A1C

Medicare may cover up to two fasting blood glucose tests each year, based on individual risk factors

1 Potential methods to collect patient risk factor information:

· Conduct chart review for patients with upcoming appointments

· Nurse or physician assistant may collect the information at the time of office visit

· Review/pull information from electronic health records

2 Common medications that predispose diabetes include nicotinic acid, glucocorticoids, thyroid hormone, diazoxide, ß-adrenergic agonists, thiazides, Dilantin, -Interferon and others

3 2-h plasma glucose using a glucose load containing the equivalent of 75 g anhydrous glucose dissolved in water

4 Clinicians should determine the most appropriate test based on the following considerations:

· Fasting status of the patient

· General office protocol and capacity of office staff and equipment

· Ability to provide follow-up and encourage action from the patient if testing occurs outside of office visit

5 Visit the following websites to find a Certified Diabetes Educator or Diabetes Self-Management Education program in your area:

· American Diabetes Association Recognized Programs: http://professional diabetes org/erp list aspx

· American Association of Diabetes Educators (AADE) Recognized Programs: http://www diabeteseducator org/ProfessionalResources/accred/Programs html#New York

· AADE Find a Diabetes Educator: http://www diabeteseducator org/DiabetesEducation/Find html

References

American Diabetes Association Standards of Medical Care in Diabetes – 2012 Diabetes Care January 2012; 35(1):S13-S14

Ackerman RT, Finch EA, Brizendine E, Zhou H, Marrero DG Translating the Diabetes Prevention Program into the Community: The DEPLOY Pilot Study Am J Prev Med 2008; 35(4):357-363

Diabetes Prevention Program Research Group 10-year Follow-up of Diabetes Incidence and Weight Loss in the Diabetes Prevention Program Outcomes Study Published online October 29, 2009 Abstract available at http://www thelancet com/journals/lancet/article/PIIS0140-6736(09)61457-4/abstract

International Expert Committee International Expert Committee Report on the Role of the A1C Assay in the Diagnosis of Diabetes Diabetes Care July 2009; 32(7):1-8

CHRONIC DISEASE BY

NUMBERS IN NEW YORK STATE

450,000

LIVING HEALTHY WITH CHRONIC DISEASES

FREQUENTLY ASKED QUESTIONS FROM PARTICIPANTS IN THE DIABETES PREVENTION PROGRAM

Q: Who should participate in the Diabetes Prevention Program lifestyle intervention?

The Diabetes Prevention Program lifestyle intervention is specifically designed for persons that have prediabetes or are at high risk for type 2 diabetes.

Q: How long is the Diabetes Prevention Program?

There are 16 core sessions that generally take place once a week for about four months. Those sessions are followed up by post-core sessions that are held monthly for 6-8 months.

Q: How long is each session?

Each session lasts one hour.

Q: Do I have to attend every session?

To be successful in preventing diabetes, it is important to commit to the program. Attending the 16 sessions is critical if you are going to achieve your goals. If you must miss one or two sessions, we will provide you with the materials from the missed sessions and schedule a makeup session. However, if you know you will miss more than two sessions, we advise that you wait to join until your schedule frees up to get the most out of the program. The monthly post-core sessions are to help you maintain the healthy changes that you made.

Q: I am worried about the physical activity involved in the program. I’m not very active. What kind of physical activity will I have to do? Do I have to join a gym or buy any special equipment?

You will start out slowly to work up to your physical activity goals. If you are not active now, it is important to check with your doctor before increasing your level of physical activity. Many people use walking as their main physical activity, but there are many ways to be active. You will learn about how to be active in the program. You will not need to join a gym or buy any special equipment, although we suggest that you wear a good pair of shoes that are appropriate for the activity you are doing.

Q: How successful are participants?

Studies have shown that people with prediabetes who lose a modest amount of weight (5% to 7%) and increase their physical activity to 150 minutes a week can reduce the risk of type 2 diabetes by more than half. Participants in the Diabetes Prevention Program get help and support to make and sustain those lifestyle changes needed to prevent type 2 diabetes.

LIVING HEALTHY WITH CHRONIC CONDITIONS

DIABETES PREVENTION PROGRAM WHAT’S IT ALL ABOUT?

The Diabetes Prevention Program is a lifestyle change program. The program helps participants make lifestyle changes to reduce their risk for type 2 diabetes. The Lifestyle Coach works with groups of participants to:

• Lose weight through healthy eating

• Be more physically active

• Learn to recognize and overcome barriers to healthy eating and physical activity

Here are the topics that will be covered week-to-week during the program:

Week 1: Welcome! An Introduction to DPP

Week 2: Learn the Facts on Calories and Fat

Week 3: Three Simple Ways to Eat Less Fat and Fewer Calories

Week 4: Healthy Eating 101

Week 5: Let’s Get Moving!

Week 6: Being Active- It’s A Way of Life

Week 7: Calories: It’s a Balancing Act

Week 8: Take Charge of Your Surroundings

Week 9: Solving Problems

Week 10: How to Eat Out- Healthier!

Week 11: Shutting the Door on Negative Thoughts

Week 12: The Slippery Slope of Lifestyle change

Week 13: Jump Start Your Activity Plan

Week 14: Make Social Cues Work For You

Week 15: Managing Stress

Week 16: Staying Motivated

To learn more about the program or to register for a session near you, please call 211 or go online to register at www.ceacw.org/find-a-workshop or www.nyconnects.ny.gov

PATIENT REFERRAL

I recommend Patient Name

enroll in the program(s) checked on the right.

Prediabetes Test Results (Check one and/or enter value):

History of gestational diabetes

2-hour

PATIENT REFERRAL

I recommend Patient Name

enroll in the program(s) checked on the right.

TAKE THIS TO YOUR DOCTOR AND TAKE THIS WITH YOU TO CLASS

FOR NYS DPP ADMINISTRATIVE USE ONLY

DIABETES

Date Received First Session Scheduled for Location

PREVENTION PROGRAM

AUTHORIZATION TO RELEASE HEALTH INFORMATION

GIVE THIS TO A FRIEND TO TAKE TO THEIR DOCTOR...

TAKE THIS TO YOUR DOCTOR AND TAKE THIS WITH YOU TO CLASS

FOR NYS DPP ADMINISTRATIVE USE ONLY

Date Received

AUTHORIZATION TO RELEASE HEALTH INFORMATION

DIABETES PREVENTION PROGRAM GIVE THIS TO A FRIEND TO TAKE TO THEIR DOCTOR...

TOPPERFORMERS

VOICE OF THE CUSTOMER

Derek Truesdale - 98.1%

Neil Striker - 97.2%

Caleb Williams - 97.1%

Kathy Wrobel - 96.9%

James Jakubowski - 96.4%

Derek Truesdale - 98.1% Neil Striker - 97.2% Caleb Williams - 97.1% Kathy Wrobel - 96.9%

Jakubowski - 96.4%

DO THE RIGHT THING

Derek Truesdale - 98.1%

Striker - 97.2% Caleb Williams - 97.1%

Kathy Wrobel - 96.9%

James Jakubowski - 96.4%

Derek Truesdale - 98.1% Neil Striker - 97.2% Caleb Williams - 97.1% Kathy Wrobel - 96.9%

MONTHLY ALL STARS

Derek Truesdale - 98.1%

Neil Striker - 97.2% Caleb Williams - 97.1%

Kathy Wrobel - 96.9%

James

- 96.4%

NEWS MARINAmonthly

Viacom Tier and Package Changes for SPP Customers Coming January 2018

Beginning Tuesday, November 21, 2017, residential Spectrum Pricing and Packaging (SPP) customers

Open Enrollment Ends Nov. 14th!

The coverage you elect during enrollment will be effective for all of 2018. According to current IRS regulations, you can only change your insurance coverage and Flexible Spending Account (FSA) contributions during the year if you experience a qualified life event, such as a change in house hold, residence, or loss of health coverage. However, you may change your Health Savings Account (HSA) contributions at any time during the year without a qualified life event.

If you want to change plans, add/remove covered dependents, or contribute to a HSA or a Health Care or Dependent Day Care FSA in 2018, you must actively enroll during Annual Enrollment. While the majority of your elections will carry over to 2018, your HSA and FSA contribution elections will not. Go to the Enrollment Site now, or by clicking my benefits from the Panorama homepage.

The Charter Benefits Center is here for you!

If you have any questions about enrollment call 877-892-2367.

Eating at the Waterfront Just Got Easier!

While Judy’s Deli, Spot Coffee and an array of food trucks are great options, those working later may find themselves in a bind. That’s where Skip the Dishes comes in. The app gives you access to local favorites that don’t normally deliver. You can watch your order from the moment you place it until the food is at the door.

We want to wish everyone who celebrated their birthday in October a November Kudos

LaShaun Thompson

Mahmoud Mohammed

Ryan Garvey

Barbara Jackson

JoAnnah Thompson

Nicole Reid

Tyleen Zuppelli

Timothy Kowalski

James Milks

Stephanie Schirrmacher

Myela Coles

Gary Rinard

Michelle Reiner

Christine Lauer

Francis Tabor

Michael Setlock

MOVIES MARINAmonthly

Justice League is a 2017 American superhero film based on the DC Comics superhero team of the same name, distributed by Warner Bros. Pictures. It is the fifth installment in the DC Extended Universe (DCEU). The film is directed by Zack Snyder, with a screenplay by Chris Terrio and Joss Whedon, from a story by Terrio and Snyder. It features an

ensemble cast that includes Ben Affleck, Henry Cavill, Amy Adams, Gal Gadot, Ezra Miller, Jason Momoa, Ray Fisher, Jeremy Irons, Diane Lane, Connie Nielsen, and J. K. Simmons. In Justice League, the superhero team forms to honor Superman following his death and to save the planet from the catastrophic threat of Steppenwolf and his army of Parademons.

CHRIS KLEINHANS

“Mrs. Alister wanted to give a kudos to Chris for resolving her phone issue. She is very thankful she spoke with him as she was very worried she wouldn’t have her phone the rest of the night. She wanted me to tell his direct boss we need more representatives like him.”

CALEB WILLIAMS

Residential Phone and Internet Rep

JOINED SPECTRUM IN 2015

LIFE MOTTO

“I would rather lead than follow.”

FAVORITE JUNK FOOD Cashews

SURPRISING FACT

“I used to be a life guard”

TRAVEL BUCKET LIST

Update to Time-Off Request Process in 2018

As we continue to unify our three legacy companies, very soon we will be standardizing Time Off processes. This will play an important role in better managing our staffing needs and ensuring our customers can

Effective in 2018, we will be aligning our process throughout Customer Operations by allowing new requests for time off to be submitted using a 180-day rolling calendar approach. As part of this change we will no longer follow a Vacation bid process. The calendars will open 2018 on

This is another big step that will align our team further and pull us in a

How the Vacation Request Process Will Work in 2018

Employees will be eligible to schedule time off up to 180 days in advance. This will be a “rolling 180-day” calendar of open availability. For example, anyone viewing available benefit time in Empower on Friday, January 12th, 2018 could make time off requests for dates through Wednesday July 11th, 2018.

Time off will be approved on a first-come first-served basis.

NOTE: Holidays will show (0) time available and be handled through a separate process.

Anyone requesting time for a period that has already met the maximum amount of timeoff possible will automatically roll into “wait list” status. If things change to permit additional time off, the group allowance balances will be updated with increased allocations and requests in the wait list will be processed in the original order in which they were requested.

FUNZONE

Bacon Pecan Cheese Log

DIDYOUKNOW?

MARINAmonthly

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INGREDIENTS

8 oz. cream cheese, softened 2/3 c. white Cheddar

1 tsp. garlic powder

kosher salt

Freshly ground black pepper

12 slices bacon, cooked and crumbled, divided 1/2 c. toasted pecans, chopped and divided 1/2 c. chives, chopped and divided

DIRECTIONS

In a large bowl, combine cream cheese with cheddar, garlic powder, half the bacon, half the pecans, and half the chives. Season with salt and pepper and stir until combined.

Empty bowl out onto a piece of plastic wrap and form into a log shape with your hands. Place in the refrigerator to harden slightly.

On a large plate, combine the remaining chives, bacon, and pecans. Stir so that they are evenly distributed on the plate. Remove cheese log from refrigerator and roll in mixture, pressing more toppings on with your hands if needed. Place on a serving dish with crackers or vegetables for dipping.