NSW HEALTH SEVERE CHRONIC DISEASE MANAGEMENT PROGRAM (SCDMP)

Options for Training in Health Coaching and Self-Management Support

Health Coaching Australia (HCA) provides training in health coaching-based self-management support to health practitioners and managers, to facilitate health behaviour change in patients.

What does HCA offer?

Health Coaching Australia (HCA) offers professional development training in health behaviour change/health coaching for self-management support as well as program implementation training and consultancy services for managers.

  • We equip practitioners with the skills and tools to assist patients to better self-manage their chronic health conditions and increase adherence to treatment and lifestyle recommendations using the HCA Model of Health Change (see below for a brief description).
  • We help managers to support health coaching program and clinical staff through assistance in aligning organisational systems and overcoming operational barriers to employing the health coaching approach.
  • We offer consultancy services to assist in overall program development, implementation and evaluation.

The ultimate aim of practitioners employing the HCA Model of Health Change is to improve patient health outcomes and reduce unplanned hospital admissions.

What is the HCA Model of Health Change?

The HCA Model of Health Change provides skills, tools and a practical 10 step framework to guide health practitioners to provide self-management support by engaging in the following tasks in a time-efficient manner:

  1. Build patient motivation to self-manage their health conditions,
  2. Assist patients to prioritise health enhancing behaviour changes, and
  3. Build patient self-efficacy to initiate and maintain these changes in an individualised and manageable way.

The principles and techniques of the HCA Model draw from motivational interviewing, solution-focused coaching, cognitive behaviour therapy and other theoretical models from the evidence-based health behaviour change literature.  The 10 step process of the model assists practitioners to determine the patient's readiness, willingness, ability and knowledge to take the required actions to manage their health.  HCA skills training provides practical tools to identify barriers to change and to facilitate adherence to treatment and lifestyle recommendations in a manner appropriate to the patient's stated readiness, importance and confidence levels.

The HCA Model is not a set program.  It is a flexible structure that guides practitioners in applying health behaviour change processes in any clinical practice or health program context.  It is a skills-based approach that requires ongoing clinician skills development and program systems alignment in order for it to be successfully implemented.

Who is HCA training for?

  • Clinicians delivering telephonic health coaching/self-management support services (skills training)
  • Clinicians delivering face to face or group-based chronic disease management programs (skills training)
  • Clinicians conducting clinical practice as usual with patients who have one or more chronic diseases and/or risk factors (skills training)
  • CDM Team Leaders and Program Managers (skills training or overview and implementation information)
  • Senior Managers (overview and implementation information)
  • For organisations that opt to purchase managed services in the form of telephonic health coaching from an external service provider, HCA training is appropriate for supporting clinicians that provide clinical services to patients receiving these external services (e.g., doctors, nurses and allied health practitioners)

About HCA

Health Coaching Australia (HCA) has trained almost 3,000 clinicians across Australia over the last six years in health coaching/health behaviour change using the HCA Model of Health Change.  HCA has recently begun training in self-management support across Canada.

In NSW, HCA has worked with the Prevent Diabetes Live Life Well program and the NSW 'Get Healthy' Information and Coaching Service, as well as several Divisions of General Practice and Community Health organisations.

HCA has also trained many clinicians involved in the Victorian HARP and Early Intervention Chronic Disease Management programs, has conducted training for 15 Primary Care Partnerships in Victoria at several different levels (managers, GP's, practice nurses and allied health clinicians), and has conducted a Train the Trainer programme for Anglicare Tasmania.  Nationally, HCA has worked with 30 Divisions of General Practice and approximately 40 regional and community health services (in 7 states and territories).

All HCA training facilitators are health practitioners who use the HCA Model in their professional practice.

What are the training options?

Training options are provided in the following categories.  More detailed information is offered in the table below:

  1. Core training for clinicians, telephonic health coaches and team leaders
  2. Advanced training for clinicians, telephonic health coaches and team leaders
  3. Core training for Managers
  4. Consulting assistance and other options

The following pathway shows the core training package that HCA recommends to organisations wanting to not only equip their staff memebrs with health coaching-based self-management support skills and tools but also to build capacity and sustainability within the organisation.

Core training for clinicians, telephonic health coaches and team leaders

  1. HCA Model Core Training Part 1 - Health Coaching for Health Professionals: The HCA Model (2-day workshop)
  2. HCA Model Core Training Part 2 - Applying the HCA Model in Practice (1-day workshop)

HCA Core Training Part 1 provides an overview of the health coaching approach, the HCA Model and core skills training.  Core Training Part 2 is completed 3 to 6 months after the Part 1 workshop for clinicians to increase confidence and expertise in using skills and addressing implementation challenges.  It provides trouble-shooting assistance and assists with applying skills to specific clinicians/health coach roles.

Both workshops are available via the following means:

Additional support provided by HCA for NSW Health staff:

  • Access to the HCA On-line Study Guide for 6 months is included in the cost of Core Training Part 1.  This allows participants to review and work through the 10 steps of the HCA Model at their own pace and assess their progress through multiple choice questions.
  • The HCA website offers extensive resources designed to support learning and skills development (e.g., practice guides and a case study library).  It also offers a range of tools to use with patients in groups or individually.  All of these downloadable resources can be freely accessed and used by clinicians.

Advanced training for clinicians, telephonic health coaches and team leaders

  1. Ad hoc 1-day workshop
  2. HCA Model Certificate of Accreditation - Level 1 
  3. HCA Model Certificate of Accreditation - Level 2
  4. HCA Peer Leader Certification & Support package

Ad hoc 1-day workshop - additional face to face training can be offered to service the needs of the organisation (see costs table 5 in the pricing schedule).  For example, HCA can provide workshops to assist organisation/program staff to adapt their current group education programs for patients to be presented in a format consistent with the HCA Model and hence promote health behaviour change.  Alternatively, HCA could provide additional basic skills training in motivational interviewing/self-management for organisations that recognised a need for this to support their practitioners.  Additional telephone and web-based training can be accessed by utilising the consulting item (see costs table 8 in the pricing schedule).

HCA Model Certificate of Accreditation - Level 1 - assesses clinician knowledge of key principles and processes and ability to conduct and self-assess a patient case over at least two sessions.  This is a pre-requisite for Peer Leader Certification and Train the Trainer Certification.  The certificate is comprised of self-directed study and completion of assignments, supported by telephone-delivered guidance from HCA senior facilitators.  Pre-requisites are attendance at HCA Core Training Part 1 and Part 2 (see costs table 6 in the pricing schedule).

HCA Model Certificate of Accreditation - Level 2 - assesses clinician ability to apply key principles and processes in a patient consultation or health coaching session, based on submission of case study documentation and audio recordings.  This is a pre-requisite for Train the Trainer Level 2 Certification (see costs table 6 in the pricing schedule).

Peer Leader Certification & Support Package - includes active assistance to support one or a small number of key clinicians within a team/program/organisation to grow in-house capacity and support sustainable skills development in staff that have completed at least HCA Core Training Part 1 (2-day skills training workshop).  This option can be funded through ad hoc consulting fees (see costs table 8 for pricing schedule) and is run concurrently with candidature for the HCA Model Certificate of Accreditation - Level 1.  Consulting fees are $550 incl. GST for 12 months are include intensive telephone guidance and support.  Peer Leaders are additionally trained to provide a 1 hour overview presentation on health coaching and act as a direct point of access to HCA and receive and disseminate new tools and practice guides within their organisation as these become available from HCA.  HCA Peer Leaders are in-house specialists in supporting the use of the HCA Model of Health Change/health coaching and are well placed to become candidates for Train the Trainer.

Core Training for Managers

  1. Implementing Health Coaching in the Workplace: The HCA Model (1/2-day workshop)

This half-day workshop provides an overview of the health coaching approach and the HCA Model, and gives a high level summary of the techniques involved and results achieved.  It provides managers with an understanding of the approach that clinicians are applying in their self-management support role and discusses challenges and strategies to assist managers to support staff and programs using this approach (see costs table 7 in the pricing schedule).

Consulting Assistance and Other Options

  1. Consulting assistance
  2. Short overview presentation (1.5-2 hours) 
  3. Overview of Health Coaching for Health Professionals: The HCA Model (1/2-day workshop)
  4. Purchase of access to HCA On-line Study Guide
  5. HCA Train the Trainer (TTT) certification

Consulting assistance - to organisations in designing and implementing health coaching programs including clinician skills development, systems compatibility and quality assurance issues, data collection and reporting of health coaching processes and outcomes etc. (see costs table 8 in the pricing schedule).

Short overview presentation - of 1.5 or 3 hours (incl. short demonstration and practical sessions) (see costs table 8 in the pricing schedule).

Overview of Health Coaching for Health Professionals: The HCA Model - is a half day workshop format that provides an overview of the HCA Model and techniques, plus some limited skills practice, but does not provide sufficient training for clinicians to implement the model in practice.  Unlimited numbers (see costs table 9 in the pricing schedule).

HCA On-line Study Guide - is based on the HCA Health Coaching Guide for Practitioners (a desktop practitioner's manual).  It allows participants to work through the 10 steps of the HCA Model at their own pace, and assess themselves at various stages of the process.  A suite of 5 DVDs is provided that features health coaching using real patients.

Access to the HCA On-line Study Guide can be purchased for individuals or groups of up to 10.  Individual purchases are provided with one set of DVDs per purchase, whereas batch purchase (up to 10 people per batch) are provided with one set to be shared between individuals (see costs table 10 and 11 in the pricing schedule).

Train the Trainer certification - Level 1 and 2 - this option involves very intensive training to enable practitioner trainers to deliver an abridged version of HCA Core Training Part 1 (2-day workshop).  Trainers need to have pre-existing skills in presentation delivery and basic skills and knowledge in applying motivational interviewing, solution-focused counselling/coaching, cognitive behaviour therapy and health behaviour change theory, and be practicing clinicians able to develop their own clinical health coaching skills in the workplace.  This training is not suitable for trainers who are not clinicians or do not have a current clinical or health coaching role.  Organisations require a licence to run these abridged workshops within their organisation and may only train employees from that organisation or another organisation that holds an HCA TTT licence.  This option is only cost effective for organisations wishing to train more than 100 clinicians and intend to train on an on-going basis.  The study and training contact hours required from trainer candidates are substantial.  All trainer candidates are required to complete the HCA Certificate of Accreditation - Level 1 prior to engaging in TTT training.  The pre-requisite for this Certification is attendance at HCA Core Training Parts 1 & 2.  Organisations can pool manpower resources to reduce the trainer training costs per organisation and share the manpower resource burden across organisations.  To discuss whether or not the Train the Trainer options will be suitable for your organisation and staff, please contact HCA (see costs tables 12 and 14 in the pricing schedule). 

Two trainer training formats are available:

  1. Face to face intensive training.  Maximum attendance of 4 trainers in a cohort.
  2. Telephone and web-based option.  Maximum attendance of 4 trainers in a cohort.

Note: face to face training of all of the above will be presented in all suitable metropolitan and non-metropolitan areas.

Reporting of HCA training outcomes

HCA can report to health services on attendance, evaluation of attendance (incl. summary statistics and comments), on-line guide usage as well as attainment of Certificates of Accreditation (Levels 1 & 2) and Train the Trainer certification.

What are LHN requirements in running HCA training?

LHNs are required to provide a training venue, catering, audiovisual equipment, name tags, place cards and attendance certificates (using the HCA template) for face to face training. 

Pricing

Please download the pricing schedule document here 

For further information on any of the above, please contact us.

Organisation Training
In This Section