There are five conditions that qualify for eligibility in the program: Diabetes, high blood pressure, high cholesterol, COPD and asthma. As part of this update, GHN brought two ULP employees on site – Ketia Zuckschwerdt, RN, who is the program manager, and Mary Corbett, APRN – to work directly with participants throughout their care process.

“There is nobody better than a nurse and a nurse practitioner to understand the needs of a patient and triage them where they need to go. That’s why this program is so great – they can point them in the right direction. It’s a unique program and a dynamic partnership,” said Patricia Benson, AVP for Health, Wellness and Disease Management. “Mary and Ketia are able to serve as a nurse, health coach, pharmacy consultant and care navigator all rolled into one.”

Zuckschwerdt said the program’s incentives include cost savings. ��

“There is a money-saving incentive because you’re automatically eligible for the $40-a-month incentive with HR. There is also a pharmacy incentive – generic medications are free for the program they’re enrolled in and there are also cost savings for higher-cost medications,” she said. “Insulin is typically $60 to $100 a month. In our program, they would pay $20.”

More importantly, however, there is a holistic care incentive with an objective of helping participants live healthier lives.

“We are doing care management, setting goals and following up with them, and working with their physicians,” Zuckschwerdt said. “There’s a big accountability piece to this so we can make sure they’re doing what they said they were going to do. It’s a wrap-your-arms-around-you approach and it is very high touch and personalized.”

Corbett said this approach is necessary to navigate the health care system complexities that may deter people from succeeding in getting healthier.

“Many people have multiple providers and specialists and they’re prescribing different things. Things are segmented and we’re trying to break down those silos,” Corbett said. “We’re communicating with their primary physician; not taking over, but streamlining so we can help them be their own best health advocates.”

Since the program changed to become more holistic last year, there has been a reduction in diabetic A1C results. The team has also received positive feedback from participants.

“In the past year I have experienced some odd medical issues and I have particularly appreciated how the staff has intervened on my behalf with physicians, often obtaining test results before I could and making certain I understood the doctors’ recommendations,” one participant wrote. “The folks with the program have been with me through all the ups and downs, and their assistance navigating what can often be a complex healthcare system has been invaluable. All of this has been in addition to the routine contacts and consistent follow-up as I seek to be the healthiest person – and UofL employee – I can be.”

In order to be as accessible as they can, the Health Management Services team spends three days a week at the GHN center and twice a week on the HSC campus (401 E. Chestnut St.). They also take stay open later on Wednesdays and take lunch-hour appointments.

“Some people don’t enroll because of the time factor and we’re trying to eliminate that barrier,” Corbett said.

The team said the time commitment may also deter some people, but Zuckschwerdt said that does not mean the program is stringent.

“We’re trying to engage participants to be more active and sometimes that means walking or chair yoga. We’re trying to meet them where they are. This is a judgement-free zone,” she said. “We’re also trying to help employees be aware of all of the resources available on campus, outside of this program – things like eating awareness training, the Employee Assistance Program and the Depression Center.”

“Our biggest goal is to make sure people are advocates of their own health. That is going to help them with their productivity and presenteeism, focus and stress management,” Zuckschwerdt said. “We want to help them be their best self.”

To find out whether or not you qualify for the Health Management Services program, a brief lifestyle assessment needs to be completed that considers biological, social and psychological issues related to your condition. The team will then work with your health care partner to develop an individualized program with realistic goals and expectations, taking into consideration your health, lifestyle, support system and schedule demands. For more information, call 502-588-0770 or send an email to healthmanagementservices@ulp.org.

Photo provided by .

Some services require that participants meet certain criteria; staff in the booth can provide information.

Daily services

University of Louisville health care providers will be on-site in the Health Horizons Pavilion at the Kentucky State Fair, and three programs will be offering services each day:

• Mammogram screenings: Providers affiliated with the UofL James Graham Brown Cancer Center and Kentucky Cancer Program will provide mammograms. All screenings will take place in the privacy of the Horses and Hope Cancer Screening Van. Mammogram screenings will be billed to insurance, so participants should have their health insurance verification and photo identification handy. Yearly mammograms are covered by Medicare and most private insurance providers for women over 40. Special discounted rates are available to those without insurance.
• Vascular screenings, including carotid artery screen and ankle brachial index, will be provided daily at the fair, Aug. 17-27. A carotid artery screen is ideal for anyone with dizziness, ringing in the ears or anyone with a family history of carotid artery disease. It also is indicated for smokers and people with high blood pressure, high cholesterol or diabetes or for anyone who is over the age of 50. The test is administered by a registered technologist and uses ultrasound technology.��
• ����ֱ��, prevention and survivorship information from the Kentucky Cancer Program: The Kentucky Cancer Program is a statewide cancer prevention and control program, bringing together local organizations, providers and other partners in planning, implementing and evaluating cancer prevention and control efforts. The KCP staff and volunteers will be on-site providing information and giveaways to fair-goers with the goal of reducing cancer incidence and cancer death in Kentucky.

Women’s health

Staff from UofL Hospital’s��Center for Women & Infants��and��UofL Physicians-Ob/Gyn & Women’s Health��will be on hand at the fair to help women of all ages. The Center for Women & Infants specializes in both high-risk obstetrics and general maternity services and gives expectant families their choice of care from board-certified obstetricians and certified nurse midwives who practice with UofL Physicians-Ob/Gyn & Women’s Health.

At the fair, staff will be on hand to discuss urogynecology with providers from the Female Pelvic Medicine & Reconstructive Surgery practices, fertility specialists in reproductive endocrinology and infertility, the certified nurse midwifery program, family planning services, and our newest offering – Centering Prenatal Care.��

Emergency care, training

The UofL Hospital Level I Trauma Center and the Burn Unit will also both provide a variety of services at the fair.

The��Trauma Center��is the region’s only Level I trauma unit. Staff will train fair-goers to “Stop the Bleed” on Aug. 18. This innovative program uses a lifelike replica of the human thigh – complete with faux blood – to train participants in handling bleeds from wounds at the scene where they occur. On Aug. 22, the Trauma Center will participate in Senior Day at the Fair, and feature a walk-through demonstration to help older adults identify potential hazards, help prevent falls and improve balance. The Trauma Center staff will return on Aug. 26, with more trauma prevention activities.

The UofL��Burn Unit��is the region’s only dedicated adult burn unit and will provide safety information and activities for the entire family. Burn Unit personnel will be at the fair on Aug. 23.

Senior Day

Senior Day at the Fair will feature two programs that will only be available to fair-goers on that date, Tuesday, Aug. 22:

• UofL Hospital Pharmacists��will share information of interest to older adults, including diabetes, vaccinations, pharmacy services at UofL facilities and more. They also will be available to answer questions one-on-one with fair-goers about their medications and treatments.
• UofL Hospital Volunteers��will be at the fair to provide information on how fair-goers can serve others as a hospital volunteer. A wide array of service opportunities are available each year, from greeting guests to clerical service and more.

Also on Senior Day, the UofL booth will provide mammogram screenings, vascular screenings, colon cancer screenings, blood pressure checks, stroke assessments, women’s health information and a walk-through demonstration for older adults to help them avoid falls.

Specialty screenings

Several specialty services will be provided by UofL staff at the fair:

• UofL Physicians-Pediatrics��will be at the fair Aug. 19, offering vision and blood pressure screenings and a child safety demonstration.��
• UofL Physicians-Diabetes & Obesity Center��will be at the fair Aug. 23, providing screenings for prediabetes and diabetes. The screening requires a finger stick and the participant does not have to be fasting.
• UofL Hospital Infection Control��will be at the fair Aug. 24, with information on the importance of hand hygiene in preventing the spread of disease. The staff also will show fair-goers the benefits of getting annual flu vaccinations and provide information on when antibiotics should be used and when they should not.
• Carbon monoxide screening��will be available during the final four days of the fair, Aug. 24 through Aug 27. The carbon monoxide breath test shows the amount of carbon monoxide in the lungs and blood in an indirect, non-invasive manner. Breath carbon monoxide also is an indicator of the levels of approximately 7,000 toxic substances present in cigarette smoke, 69 of which are known to cause cancer. Participants will blow into a small handheld device for several seconds.

Cancer screenings and more��

Staff with UofL’s James Graham Brown Cancer Center, the Kentucky Cancer Program and the UofL School of Dentistry will be on hand to provide information, screenings and more. In addition to the aforementioned mammogram and vascular screenings:

• Head and neck cancer screenings: Provided Aug. 19 and 20, Aug. 22, Aug. 26 and Aug. 27, the UofL School of Dentistry and the Kentucky Cancer Program will observe the 25^th��anniversary of their collaboration in providing head and neck assessments at the fair. Dental students and faculty have conducted more than 3,800 screenings since the collaboration began. This oral head and neck exam is painless and quick, and open to everyone. Participants wearing dentures will be asked to remove them during the 10-minute exam.
• Prostate cancer screenings: Provided Aug. 19 and Aug. 20. Prostate screenings are recommended for men with average risk starting at age 50. African-American men and anyone with a brother, father or son who had prostate cancer before age 65 should begin getting screened for prostate cancer at age 45. Testing will involve a prostate specific antigen (PSA) blood test that involves taking a small amount of blood. A digital rectal exam also will be performed in the privacy of the Horses and Hope Cancer Screening Van to feel for any lumps, bumps or other abnormalities. The results of the PSA will be mailed about two weeks after the fair ends. The entire testing process takes approximately 20 minutes.
• Colon cancer screenings: Provided Aug. 21 through Aug. 27. Colon cancer screenings with FIT kits are available to anyone over 50 who has not had a colonoscopy within the past 10 years or a stool test in the past year. A free take-home kit will be available for men and women 50 and older and to younger participants who are cancer survivors or have a history of cancer in close relatives. The participant will complete stool collection at home and then mail it to UofL Hospital in special packaging provided.
• Cancer resources and Reiki demonstration from the M. Krista Loyd Resource Center��at the Brown Cancer Center: Provided Aug. 24. The Krista Loyd Center provides a peaceful environment for patients with cancer to learn, relax and heal emotionally. One service provided is the Japanese technique of Reiki for stress reduction and healing promotion. Personnel from the Loyd Center will demonstrate the technique.
• Stroke risk assessments and blood pressure screening:��Provided Aug. 22 and Aug. 26. The UofL Hospital Comprehensive Stroke Center was the first certified stroke center in Kentucky. Staff will provide free stroke risk assessment and blood pressure checks to fair-goers.

The Novak Center for Children’s Health is scheduled to open to patients in July 2018. The eight-story, 176,000-square-foot building is the first new health care facility in the Louisville Medical Center in nearly a decade.

“David Novak and his family continually demonstrate their strong commitment to the well-being of the children of Kentucky and beyond,” said Gregory C. Postel, MD, interim president of the University of Louisville. “It is not just symbolic, but appropriate that one of the area’s premiere pediatric health care centers be named in their honor.”

In addition to financial support toward the construction of the Novak Center for Children’s Health, the Novak Family and the Lift-A-Life Foundation have been instrumental in the creation and growth of the Wendy Novak Diabetes Center, which will have its outpatient services based in the new facility.

“At the University of Louisville, and through its primary children’s partner in Norton Healthcare, we have some of the premiere health care providers in the nation,” Novak said. “We now will have the world-class outpatient facility to match the level of care our children receive.”

One of the significant advantages of the new facility will be the ability for patients to see all their childhood health providers in a single location. Currently, patients and their caregivers oftentimes must travel to multiple buildings in the medical center to see providers.

The story of and his family demonstrates the significant change the new facility will make in the lives of patients and their families and caregivers. Since 2006, he has been fighting a rare brain disorder that has required him seeing providers in hematology, ophthalmology, neurology and more.

“Everyone person who has helped provide for Noah through the years has been exceptional,” said Geneva Barone, Noah’s mother. “At times, it has been inconvenient having to go to the varying locations to see everyone. To have everyone in a single location, and knowing that we will not have to travel throughout the medical center is wonderful. While everyone makes us feel like family, to have a single location to visit will be like having a medical home.”

“We are building the future of pediatric health care right here in Louisville,” said Charles Woods, MD, interim chair of the UofL Department of Pediatrics. “This facility will enable us to transform how we deliver care by having our multidisciplinary teams located in one space so they can meet simultaneously with the patients and their families. This will eliminate substantial inconvenient delays and obstacles in our patients receiving the very best of care in the most time way possible.”

David Novak served as CEO of Louisville-based Yum! Brands from 1999 to 2016. He and his family established the Wendy Novak��Diabetes Center in 2015.��

Check out video from the naming ceremony:��

Ali will be the featured speaker at Knock Out Parkinson’s Disease, a special event at the Muhammad Ali Center, Friday, June 9, organized to raise awareness of the disease and the most advanced treatments available.

The event begins at 5 p.m. Following Ali’s talk and a buffet dinner, medical experts in Parkinson’s disease from University of Louisville Physicians will discuss the treatment and management of Parkinson’s disease.

“We want to make sure everyone with Parkinson’s disease has access to the best treatments available,” said Kathrin LaFaver, MD, director of the UofL Physicians Parkinson’s Disease and Movement Disorders Center and Raymond Lee Lebby Chair for Parkinson’s Disease Research in the UofL School of Medicine. “We are dedicated to helping each Parkinson’s patient achieve the best quality of life regardless of race or socioeconomic status.”

Knock Out Parkinson’s Disease is a kickoff event for Louisville’s first , to take place on Saturday, June 10 at Waterfront Park. Moving Day is sponsored by the National Parkinson Foundation to engage the community in the fight against Parkinson’s disease. It will feature a family friendly walk course, a kids’ area, a caregivers’ relaxation tent and a Movement Pavilion featuring yoga, dance, Tai Chi, Pilates, and other activities, all proven to help manage the symptoms of PD.

Knock Out Parkinson’s Disease 2017 also is part of the , a six-week series of events commemorating Muhammad Ali’s six core principles. I Am Ali runs June 3 through��July 15.

There is no cost to attend Knock Out Parkinson’s Disease, but reservations are required. Register and .��

They started seeing patients in June at the UofL Physicians Health Care Outpatient Center.

“I’m very excited about returning to the university,” said Connie. “We went to medical school here, and we’ve been practicing in Louisville since. We toured the medical school during a class reunion, and it brought back great memories. We’ve been talking about doing this for a number of years.”

Chris said their return to the university “allows us to maintain our focus on patient care while giving something back to the community.” He said he enjoys teaching young doctors, “and hopefully some of them will stay in this community.”

For he and Connie, patient care is paramount. “It’s more about quality rather than the number of patients you see,” said Connie. “I think doctors need to be able to spend adequate time with their patients. It allows us to educate them about cardiac issues. We also want to teach students to always put the patient first.”

Chris said their goal is to be available and responsive to�� patients’ needs.

“We’re going to have multiple offices in different areas to accommodate them,” he said.

In addition to downtown at the UofL Physicians Health Care Outpatient Center, they will be seeing patients at offices in eastern Jefferson County (Jewish East and Jewish Northeast) and in Hillview in Bullitt County, where they have practiced in the past. They will also see patients at Jewish Hospital downtown.

“If a patient needs to be seen, we will see them when the referring doctor wants them seen,” Chris said.

Chris focuses on interventional cardiology and Connie on non-invasive cardiology, and both are passionate about preventive care, guiding patients on how to achieve health goals and do the little things to prevent big problems with their hearts later.

“An ounce of prevention can go a long way,” Connie said. “You would much rather see me before an event occurs, rather than after. I do my best to educate my patients.”

She said the combination of heart disease and stroke is the leading cause of death in Kentucky, and better education and prevention is needed.

“We have a long way to go in respect to prevention in Kentucky,” she said. “It’s about getting people to want to change their lifestyle. Preventive care can improve the quantity and quality of life.”

Medicine in the family

After meeting as students at the UofL School of Medicine, Chris and Connie double matched for their residencies in internal medicine at Wake Forest and for fellowships in cardiovascular disease at Emory.

After their training was finished in 1990, they returned to Louisville. For them, it was returning home. But after 25 years in private practice together, they felt it was time to return to UofL.

“We received our medical education from UofL, and raised our children in this community,” Chris said.

All three of the Anggelis’ children are in health care: Their son, Nick, just finished dental school at UofL; one daughter, Lauren, is in the doctoral program for clinical neuropsychology at UofL; and another daughter, Emily, is in medical school at the University of Kentucky.

“We love our state and it is so nice to be back at UofL, where it all began for us,” said Connie.