Health
6 Steps To Total Population Health - New Viverae Video
What are the 6 Steps To Total Employee Population Health?
Step 1: Health Promotion
Step 2: Risk Identification
Step 3: Risk Stratification
Step 4: Lifestyle Programs
Step 5: Clinical Programs
Step 6: Access to Care
Viverae is a comprehensive provider of corporate wellness solutions. The 6 Steps To Total Population Health is the roadmap that we follow to build successful, impactful wellness programs that lead to behavior change.
Check out the video above to see how Viverae accomplishes each of these steps. All of the solutions listed in the video were developed in-house.
To learn more about Viverae visit viverae.com
The Mexican Food Diet
Smart Mexican Food Choices that will Keep You on Track
VHN Special Contributor Larry North
Mexican food is one of my favorite meals out. Believe it or not, Mexican restaurants have plenty of options for those who wish to maintain a healthy diet or weight management program. The secret is to avoid some of the pitfalls.
Did you know that fried tortilla chips have 1 gram of fat per chip? Instead have the chips replaced with regular corn tortillas or, on occasion, ask the restaurant to bake the tortilla chips for you. Beware of dishes that contain hidden fat, such as rice and refried beans. Request whole or black beans instead of refried.
So what are your options for healthier Mexican food? Here is my Eat and Reduce list:
EAT
- Grilled fish marinated in lemon or lime juice
- Corn tortillas
- Grilled chicken or shrimp fajitas prepared with no oil, grease or butter
- White meat only chicken enchiladas
- Whole beans
- Black beans
-
Avocado (sparingly—and not as guacamole)
- Green salad with dressing on the side
- Chicken taco salad minus tortilla chips, cheese or anything fried
- Steamed or grilled dry veggies
- Ceviche
- Flank steak (can often be very lean)
REDUCE
- Guacamole
- Cream sauces
- Oil and butter
- Nachos
- Most ground meat is very high in fat
- Cheese
- Sour cream
- Refried beans
- Mexican pizza
- Anything fried
LARRY’S PICK: chicken enchiladas with spinach, black beans and a delicious tomatillo sauce, and make sure to hold the cheese!
Larry North is a special health and fitness contributor to VHN. With 30 years experience in the fitness industry, Larry has authored three bestselling books, developed one of the top selling television weight loss shows and is a regular expert on radio and television programs. Today, you can find Larry at one of his Larry North Fitness gyms or working on any number of healthier lifestyle projects across the United States.
Follow Larry North on Twitter: @larrynorthgym
Debunking 12 Exercise Myths
January’s featured topic is Weight Management. Weight loss is a common topic of interest when making goals for the year and Viverae will be providing its members with information on preventing weight gain, maintaining a healthy weight and healthy ways to reduce weight through proper nutrition and exercise. Today’s feature, “Debunking 12 Exercise Myths” will cover some common misconceptions on exercise. The following article was written by Kristi Hatfield (MS, RD, LD), a member of Viverae’s Clinical Team and the Viverae Care Center.
Debunking 12 Exercise Myths
Happy New Year! How many people have already asked about your New Year's Resolution? Achieving a healthy weight is always one of the top resolutions, and often the one that is never completed. Exercise and a healthy diet are the simple components to maintaining or losing weight. There are a lot of misconceptions surrounding exercise and the following is a run through of the top 12 exercise myths.
Myth #1. If you are thin, you are fit
Being thin is no indication of fitness level. Fitness is a description of how efficient your heart, lungs, and muscles work. In addition, body composition testing has demonstrated that many thin people actually have more than the recommended percentage of body fat.
Myth #2. Sit-ups get rid of belly fat
This myth is based on the theory of “spot reduction.” During exercise, fat is reduced proportionally throughout the body. It is true that core exercises firm muscles and can improve basal metabolic rate; however, fat reduction comes primarily from aerobic exercise and a decrease in caloric intake.
Myth #3. Weight-lifting develops aerobic endurance
While weight-lifting can elevate the heart rate if done as part of a circuit training routine, it typically does not work to improve aerobic endurance. Weight-lifting does help tone and firm muscles, which can help with weight management.
Myth #4. Sweat loss means weight loss
You can lose some weight when you sweat during exercise, but the majority of it is water loss - not fat loss. The water lost while sweating is regained when you quench your thirst and your body replenishes the fluids it needs.
Myth #5. Extra protein makes you stronger
It would be great if there were super foods like this, but there really aren’t. Excess protein in the diet is actually converted into fat and stored in the body. By eating a well-balanced diet, you can gain all the muscle strength you need.
Myth #6. A candy bar (sugar) before exercise will give you more energy
Actually, candy bars, honey and other sugary treats quickly enter the bloodstream and stimulate the release of high amounts of insulin. This extra insulin causes your blood sugar to drop, which leads to faster exhaustion.
Myth #7. Lifting weights gives women bulky muscles
Women do not produce enough male hormones to allow for excessively large muscle growth. Also, women do not have as much muscle mass as men. With the right type of resistance routine, lifting weights can help women develop toned muscles proportional to their body.
Myth #8. Electrical Stimulation can reduce fat, increase muscle and build strength
It would be nice to sit on the couch and stay fit; unfortunately, that is not the case. Electrical stimulation is used for therapy purposes to help rehabilitate, but it is not an effective alternative to exercise.
Myth #9. Muscles turn to fat when you stop exercising
The truth is that muscle cannot change to fat or vice versa. When you stop exercising, your muscles may lose their firmness, strength or size. The decreased caloric expenditure that comes when you stop exercising helps explain why you seem to put on fat.
Myth #10. Our bodies wither away as we age
Although there is a slight tendency toward reduced performance as you age, people who continue a regular exercise routine can maintain aerobic efficiency and delay muscle deterioration - even into old age.
Myth #11. Free weights are better than machines
This is not always true. There are advantages to both modes of exercise:
• Machines ensure that you are going through the correct range of motion and provide a safe lifting environment. However, machines do not do as much to develop the stabilizer muscles since the exercise is in a controlled environment.
• Free weights require you to balance the weight, which helps develop stabilizing muscles. Free weights offer much more versatility; from the way you hold the weight to how you position yourself during the exercise. Free weights allow the user to go through more ranges of motion than a machine. The disadvantage is that free weights have more risk for injury than machines.
Myth #12. Weight gain is inevitable as you get older
Weight gain is more often due to a reduction in physical activity then it is to age. With inactivity, muscle mass is lost and body fat gradually accumulates. The best way to prevent weight gain is to do some type of aerobic or resistance training most days of the week.
Any myths you want to debunk or add to the list? Leave a comment below or contact us on twitter: @viveraehealth
A physician should be consulted prior to beginning a new program of physical activity, especially for men over 40 and women over age 50, and those individuals with chronic health problems, such as heart disease, diabetes or obesity.
The Viverae clinical team is made up of in-house registered dietitians and registered nurses. They interact on a daily basis with members who have the highest health risks. Kristi Hatfield is a special contributor to the Viverae Blog.
Closing Thoughts: New Years Resolution: Let the doctor's decide!
I asked the exact same questions regarding health, risk factors and best ways to make significant healthy lifestyle changes to four members of the Viverae Medical Advisory Board (MAB). You can read the introduction to this series here. The idea is to compare answers from each of these very different doctors (Cardiologist, Psychiatric Physician, Ph.D R.N., Internal & Preventive) and hopefully determine what New Year’s Resolutions will bring the greatest opportunity to improve overall health.
So what would a doctor recommend for a New Year’s Resolution? Let’s look at all the answers in this series from an aggregate point of view:
Question: How do you define health?
All four doctors defined health as more than just the absence of disease—the term “well-being” was included in every single definition. Perhaps this is a great starting point for 2011. A simple annual physical or health risk assessment can identify your risk factors: high blood pressure, high cholesterol, BMI, and even basic disease screenings are all important components that will contribute to “well-being”.
Question: In your opinion, what risk factor has the greatest impact on health?
The Dr’s were divided on this one, with the majority leaning towards Obesity (50%) followed by Lack of Exercise (25%) and Smoking (25%). Dr Lyle’s also included high blood pressure and high cholesterol in his response.
Question: 3 Action Items that member can do on a daily basis to decrease their health risks?
75% recommended exercise and diet/nutrition changes
50% recommended actions to improve mental health
25% recommended sleep improvement
25% recommended regular disease screenings
Question: Following this question, we asked what the single most important action item recommended by each doctor:
The Final Answer: Weight Management—achieved through increased activity and proper nutrition.
…and there you have it—exercise and diet/nutrition were mentioned by 3 out of 4 Dr’s as the most important action items you can take to decrease health risks. No need to consider other various New Year’s Resolutions—simply increase activity, limit salt and fat and increase vegetable and fruit intake.
Mental health was the other important component and I was glad to see this come up in the doctors’ responses. It seems that there has been increased awareness around this topic and I hope to expand on this further in 2011.
I will leave you with my favorite quote from this series:
“Day to Day consistency with health habits is most important. Some tend to overdo it at first, but do not stick to their new goals until they become a “habit”. The body rewards consistency.” - Boyd Lyles, M.D.
Read the full interviews here:
• Alistair Fyfe, M.D. Ph.D. FACC: Posted Here
• Michael Madigan, M.D., Ph.D.: Posted Here
• Mary Elizabeth Mancini, R.N., Ph.D., NE-BC, FAHA, FAAN: Posted Here
• Boyd Lyles, M.D.: Posted Here
Viverae formed its Medical Advisory Board in 2007, assembling a group of veteran leaders in a variety of medical fields to share expertise with Viverae leadership on the latest medical breakthroughs. Through their expert insight, the MAB helps steer Viverae product and service offerings.
Important legal note: This post is not medical advice. Viverae, Inc., urges you to consult with a qualified physician for diagnosis and for answers to your personal health questions. You should always consult your physician before starting any type of health, exercise, cessation or wellness program.
New Years Resolution: Let the doctor's decide! (Interview #4)
I asked the exact same questions regarding health, risk factors and best ways to make significant healthy lifestyle changes to four members of the Viverae Medical Advisory Board (MAB). You can read the introduction to this series here. The idea is to compare answers from each of these very different doctors (Cardiologist, Psychiatric Physician, Ph.D R.N., Internal & Preventive) and hopefully determine what New Year’s Resolutions will bring the greatest opportunity to improve overall health.
Today’s interview is with Viverae’s own Chief Medical Officer, and MAB Chairman Boyd Lyles, M.D.
How do you define health?
“Health is more than an absence of disease. It is also the presence of a sense of “well being” that by necessity must include good health habits to achieve and maintain. Many younger people assume that if they do not have chronic disease that they have good health. In fact, they may be headed down the path to losing that “health” much sooner than necessary.”
In your opinion, what Risk Factor has the greatest impact on health?
“Smoking undoubtedly has the greatest impact on health and longevity. Also, it is probably the most preventable risk factor but requires a real commitment to discontinue. High Blood Pressure and high cholesterol follow, so those people who have both are at particularly high risk of cardiovascular disease.”
What are 3 action items that a member can do on a daily basis to decrease their health risks?
“Plenty of sleep, regular exercise, limit fats and salt in the diet”
If a member had to set one health goal for the upcoming year, what would you recommend?
“Day to Day consistency with health habits is most important. Some tend to overdo it at first, but do not stick to their new goals until they become a “habit”. The body rewards consistency.”
Dr. Boyd Lyles, an internal and preventive medicine specialist, was the founder of the HeartHealth and Wellness Center, a practice he established in Dallas. A frequent speaker nationwide on health issues such as heart disease, nutrition and exercise, Dr. Lyles served 17 years at the Cooper Clinic, the final six years as associate medical director. Dr. Lyles has degrees from Southern Methodist University and the University of Texas Medical Branch at Galveston, and performed his internal medicine residency at the University of Oklahoma College of Medicine, Tulsa. In addition to serving as Chief Medical Office and MAB Chairman at Viverae, Dr. Lyles is the Medical Director at the Viverae Care Center.
MAB Interview Post Schedule
• Alistair Fyfe, M.D. Ph.D. FACC: Posted Here
• Michael Madigan, M.D., Ph.D.: Posted Here
• Mary Elizabeth Mancini, R.N., Ph.D., NE-BC, FAHA, FAAN: Posted Here
Important legal note: This post is not medical advice. Viverae, Inc., urges you to consult with a qualified physician for diagnosis and for answers to your personal health questions. You should always consult your physician before starting any type of health, exercise, cessation or wellness program.
New Years Resolution: Let the doctor's decide! (Interview #3)
I asked the exact same questions regarding health, risk factors and best ways to make significant changes to four members of the Viverae Medical Advisory Board (MAB). You can read the introduction to this series here. The idea is to compare answers from each of these very different doctors (Cardiologist, Psychiatric Physician, Ph.D R.N., Internal & Preventive) and hopefully determine what New Year’s Resolutions will bring the greatest opportunity to improve overall health.
This is the third interview in this series. Today we are speaking Mary Elizabeth Mancini, R.N., Ph.D., NE-BC, FAHA, FAAN
How do you define health?
”While some individuals define “health” as the absence of disease or illness, I prefer the WHO definition that focuses on a state of well-being.”
In your opinion, what Risk Factor has the greatest impact on health?
“Obesity –“
What are 3 action items that a member can do on a daily basis to decrease their health risks?
• “Laugh hearty at least twice a day.”
• “Take one flight of stairs per day instead of taking an elevator.”
• “Eat 3 to 5 servings of vegetables per day.”
If a member had to set one health goal for the upcoming year, what would you recommend?
“Move more today than you did yesterday.”
Dr. Beth Mancini is professor, associate dean and chair for Undergraduate Nursing Programs at The University of Texas at Arlington College of Nursing in Texas. Prior to, she served as senior vice president for Nursing Administration and Chief Nursing Officer at Parkland Health & Hospital System in Dallas for 18 years. Dr. Mancini has degrees from Rhode Island College, The University of Rhode Island and The University of Texas at Arlington. She has authored more than 70 publications and is a frequent speaker on simulation in healthcare, patient safety, advanced life support education, emergency and critical care nursing, and nursing research.
MAB Interview Post Schedule
• Alistair Fyfe, M.D. Ph.D. FACC: Posted Here
• Michael Madigan, M.D., Ph.D.: Posted Here
• Boyd Lyles, M.D.: Posted Here
Important legal note: This post is not medical advice. Viverae, Inc., urges you to consult with a qualified physician for diagnosis and for answers to your personal health questions. You should always consult your physician before starting any type of health, exercise, cessation or wellness program.
New Years Resolution: Let the doctor's decide! (Interview #2)
I asked the exact same questions regarding health, risk factors and best ways to make significant changes to four members of the Viverae Medical Advisory Board (MAB). You can read the introduction to this series here. The idea is to compare answers from each of these very different doctors (Cardiologist, Psychiatric Physician, Ph.D R.N., Internal & Preventive) and hopefully determine what New Year’s Resolutions will bring the greatest opportunity to improve overall health.
Today’s interview brings a unique viewpoint from psychiatrist Michael Madigan M.D, Ph.D.
How Do you Define Health?
“A state of well being is defined as a balance of physical, emotional, social and spiritual health.”
In your opinion, what Risk Factor has the greatest impact on health?
“Smoking, Obesity and Depression”
What are 3 action items that a member can do on a daily basis to decrease their health risks?
“Give/Get a hug, Smile at Someone, Give Someone (a) simple encouragement & (b) genuine appreciation”
If a member had to set one health goal for the upcoming year, what would you recommend?
“Achieve (their) ideal weight, exercise 3-5 times per week, and improve the quality of personal relationships.”
Dr. Michael Madigan received his undergraduate degree from Southern Methodist University, where he majored in psychology and journalism. He obtained his Ph.D. in psychology from Tulane University, with a specialty in human learning. He received his medical degree from Louisiana State University and completed his psychiatry residency at Timberlawn Psychiatric Hospital in Dallas. Dr. Madigan is a member of the Texas Society of Psychiatric Physicians, currently serves on the Government Affairs Committee and is a past president of the North Texas Society of Psychiatric Physicians. He also serves as the medical director for the Vipassana Meditation Center.
MAB Interview Post Schedule
• Alistair Fyfe, M.D. Ph.D. FACC: Posted Here
• Mary Elizabeth Mancini, R.N., Ph.D., NE-BC, FAHA, FAAN: Posted Here
• Boyd Lyles, M.D.: Wed 12/22
Important legal note: This post is not medical advice. Viverae, Inc., urges you to consult with a qualified physician for diagnosis and for answers to your personal health questions. You should always consult your physician before starting any type of health, exercise, cessation or wellness program.
New Years Resolution: Let the doctor's decide! (Interview #1)
I asked the exact same questions regarding health, risk factors and best ways to make significant changes to four members of the Viverae Medical Advisory Board (MAB). You can read the introduction to this series here. The idea is to compare answers from each of these very different doctors (Cardiologist, Psychiatric Physician, Ph.D R.N., Internal & Preventive) and hopefully determine what New Year’s Resolutions will bring the greatest opportunity to improve overall health.
Today’s interview is with Alistair Fyfe, M.D. Ph.D FACC, currently the founding partner of Cardiac Associates of Dallas.
How Do you Define Health?
“Health is the positive state of being that allows for the maximum quality and quantity of living.”
In your opinion, what Risk Factor has the greatest impact on health?
“Lack of exercise has the greatest impact on health.”
What are 3 action items that a member can do on a daily basis to decrease their health risks?
“Exercise, limit the amount of calories consumed, and screen for disease.”
If a Viverae member had to set one health goal for the upcoming year, what would you recommend?
“The most important health goal should be to increase exercise to the point of losing weight.”
Dr. Alistair Fyfe is director of primary and secondary cardiac prevention at Medical City Hospital in Dallas. He entered medical school in Australia at the age of 17, and after taking an extra year of research, accepted a position at the University of British Columbia. Following that position, he completed additional research at the University of Toronto and the University of California, Los Angeles. Dr. Fyfe pioneered the field of preventive cardiology with the creation of the Center for Cholesterol and Lipid Management at UCLA.
MAB Interview Post Schedule
• Michael Madigan, M.D., Ph.D.: Posted Here
• Mary Elizabeth Mancini, R.N., Ph.D., NE-BC, FAHA, FAAN: Posted Here
• Boyd Lyles, M.D.: Posted Here
Important legal note: This post is not medical advice. Viverae, Inc., urges you to consult with a qualified physician for diagnosis and for answers to your personal health questions. You should always consult your physician before starting any type of health, exercise, cessation or wellness program.
New Year's Resolution: Let the doctor's decide!
Imagine that you are no longer in control of your New Year’s Resolution. Your doctor will decide what changes you will make for the upcoming year based on your current health and risk factors.
Scary thought, right?
To be honest, I am not exactly sure what my doctor would say or ask me to change. In fact, I would assume that if I visited two different doctors I would get two very different opinions. To put this to the test I asked the exact same set of questions regarding health, risk factors and best ways to make significant health changes to four members of the Viverae Medical Advisory Board (MAB).
My guest doctor’s for this series:
• Alistair Fyfe, M.D. Ph.D FACC (Cardiology)
• Michael Madigan, M.D., Ph.D. (Psychiatric Physician)
• Mary Elizabeth Mancini, R.N., Ph.D., NE-BC, FAHA, FAAN (Registered Nurse, Prof. & Associate Dean)
• Boyd Lyles, M.D. (Internal and Preventive Medicine Specialist)
As you read through each interview, consider how each doctor’s specialty impacts their response, and take time to compare each interview for common themes and recommendations. Hopefully, by the end of this series we will know which New Year's resolutions provide the biggest (health) bang for the buck!
MAB Interview Post Schedule
• Alistair Fyfe, M.D. Ph.D. FACC: Posted Here
• Michael Madigan, M.D., Ph.D.: Posted Here
• Mary Elizabeth Mancini, R.N., Ph.D., NE-BC, FAHA, FAAN: Posted Here
• Boyd Lyles, M.D.: Posted Here
Viverae formed its Medical Advisory Board in 2007, assembling a group of veteran leaders in a variety of medical fields to share expertise with Viverae leadership on the latest medical breakthroughs. Through their expert insight, the MAB helps steer Viverae product and service offerings.
Important legal note: This post is not medical advice. Viverae, Inc., urges you to consult with a qualified physician for diagnosis and for answers to your personal health questions. You should always consult your physician before starting any type of health, exercise, cessation or wellness program.
This Week's 5 Must Read Articles: From the Desk of Mark Head, CSO
Mark Head CSO at Viverae provides a weekly post on his top Health, Health Care, Wellness, Insurance and Benefits articles.
5 big insurers want more clout in Washington
This is not particularly surprising news. However, it is interesting that it’s so explicit. The perennial debate of health insurers as benevolent patrons or venal predators of the citizenry can’t get much more polarized, but this move is particularly interesting since the insurance industry already has a prominent lobbying arm, the AHIP. One thing that strikes me as a likely undercurrent is a desire on these players’ part to be sure that no matter which way the third-party payer system goes – private or single-payer, that they have a hand in its formation.
Apps by themselves can’t change people’s behavior
So is the excitement surrounding mobile health wearing off before it really gets started? Probably not. But the article highlights what we here at Viverae are clear on: devices are tools. People still need to understand what a tool is used for, and perhaps more importantly, how to use it, and why they should use it…. That will continue to highlight the value of employer-based plans that give the distribution and use of mobile healthcare tools some incentivized context.
Christakis founds company to map social-networking research to health care market
Some of you may recall Nicholas Christakis’ groundbreaking study released in 2007 that posed the question, “Is obesity contagious?” Christakis’ study covered 12,000 people over 32 years and discovered startling correlations in obesity levels between spouses, siblings, and friends. His latest effort as co-founder of MedNetworks is to apply his theories of how social influence can be directed to improve health outcomes and healthcare marketing.
Judge rules that individual mandate of health reform is unconstitutional
It was bound to happen – it’s okay to require people to have auto insurance, but to require health insurance is unconstitutional! So said U.S. District Court Judge Henry Hudson, setting up a battle that’s likely to head to the Supreme Court.
Health reform worries CEO’s but may boost wellness programs
As we’ve regularly highlighted, the emergent model for healthcare is a shared decisions model. Especially where the employer is the real payer of health care costs, it’s eminently sensible to engage employees in doing their part through self-care, wellness, and taking personal responsibility. While many companies haven’t wanted to “go there,” it seems clear that health reform is nudging at least some reluctant business owners (42% say they are likely to boost wellness efforts).
Contemplations
"The best way to find yourself is to lose yourself in the service of others.” ~ Mahatma Gandhi
Mark Head, CSO at Viverae is a weekly contributor to the Viverae Blog. Do you have a comment, question or article for review? Please leave a comment--you can follow us on twitter at @viveraehealth

