Better Health by Health Education & Sustained Employment

so those social and economic
opportunities play a vital role in a person’s health over their lifetime
studies have shown that there’s a definite correlation between employment
and health status that employment increases health status both slike as
socially excuse me psychologically and financially improve health overall
studies show that healthy people are more likely to work and that health
definitely plays an impact on an individual’s desire to work and the
likelihood that they’re going to keep a job once they have a job I think this is
an interesting study – that individuals who increase exercise especially the
study was on individuals with physical disabilities those individuals that
increase exercise and increase their overall health by decreasing secondary
health conditions actually employ actually increase their likelihood of
being employed by 8.4 percent which is pretty phenomenal really when you think
about it so you know that’s why we wanted to look at the connection between
health and employment and to what we can on our end through project search to not
only increase health awareness for the overall benefit of health awareness but
to also help our interns to have an increased increased outcome in obtaining
and retaining employment so I’m going to pass it over to Jillian for just one
just one second folks let’s see there we go okay Jillian
thanks Andy hi everyone from the global perspectives I did want
to share that united healthcare community plan of Texas is the branch of
United Healthcare that is responsible for those individuals in our state that
are enrolled in Medicaid chip and dual special needs programs so that would
include the individuals in long term care that would include individuals in
Medicaid waivers we also have individuals and the Medicaid Medicare
program demonstration that exists in several states through CMS and so
through the work that we do to support over 300,000 texts and lines we realize
that we have a unique opportunity to improve health outcomes through
person-centered care and part of this person sort of care is including the
desire to work and we realize that there’s actually a two-fold aspect to
employment in health care there’s the need to keep people healthy so they can
maintain employment and there’s the understanding that part of a person
satisfaction and health care outcomes is fulfilling their desires and one of that
desire can include housing it can include they love to cook they it can
include I love to work out and specific to this conversation is
that I want to work I want to have a job I want to go to this location this is
what I want to do with my life and so we are starting to see in the health care
area this kind of transition from you need to go to the doctor you need to
have your preventative care to keep out of the hospital we need to take you know
see a psychiatrist to control depression or other behavioral health issues and
and stay healthy so that you can set up a hospital – what’s actually happening
with those people what’s actually happening with people who are going to
the hospital potentially for social interaction or what is causing
depression and could help someone at a global level and realize that the impact
of healthcare is so much more than going to have your annual exam or having your
vaccinations or making sure you’re abiding by your diabetes regimen for
example and so we’re seeing the conversation happen now across the
spectrum of responsibilities from the federal level to state level – now
health plan levels of how employment directly impact healthcare outcome and
our responsibilities as healthcare providers and healthcare managers to
support individuals and maintaining that employment through healthy living
and so when we talk about how United Healthcare is supporting that some of
that comes from federal government changing basic roles and providing
funding some of this is from partnership with our state to make sure that our
state understand the importance of this but really is somewhat of responsibility
we feel of demonstrating through employment how we condemn how we can
show these positive health health care outcomes which then would lead to
funding and so employment is a conversation that we have with all of
the social determinants of health care realizing that when someone is
unsatisfied with their life there are impacts just as their impact to
employment and housing and other things when your health deteriorates and so we
are dedicated here in finding ways to create that synergy between how do we
keep people out of the hospital have been healthy at home in a location
that’s least restrictive and how do we keep people healthy enough to maintain
work and maintain their personal relationships and maintain their
happiness and it’s kind of the inner web of prophecies and dependencies if you
will and so we have started seeing employment
even before programs such as employment first we’re coming around and being
added to our waivers as specifically in Texas we have employment first as a
benefit of our surplus waver now HCBS waiver members we started having those
conversations with members already as far as you know what’s really going on
in your life and what really do you want to do and and how do we get you where
you need to go and so these conversations around employment and
housing in food and banking in and kids and school and all of that became part
of our assessment process and we actually view it as being one giant
whole person-centered model of how we support people in making healthy choices
and making lifelong choices that support their happiness and their connection to
who they are in their community and so when we look across this we are looking
to change multiple areas of that continuum we’ve realized for us
something that we have a lot of control over in our space as far as assessment
and connecting with our agencies to find employment and have training it’s
critical that we have programs like Project SEARCH where we’re helping young
adults moving from high school to employment and adulthood and and college
and supporting them in a holistic perspective of not just employment
skills but healthy living and social skills and how do you learn just the
work we’ve all done in employment it’s the same lines that of teaching just
general it takes a village to kind of raise up a village and that’s the
philosophy we have and that’s where health matters become such a critical
part of our mission and the delivery we have to help people live healthier life
so as we move on to the next slide there’s a number of things just from a
perspective of what this means – now healthcare in the and the merger of or
the synergy I guess not merger the synergy of employment and healthy
outcomes we have across many states committed to employment as a number of
social determinants of health care where we’re investing our time and our money
no mines or innovation to support and so we have a couple of things for example
person-centered service coordination in other states this is called case
management and Texas we call it service coordination these are nurses rn’s LVN
social workers sometimes community health workers who are supporting our
members according the full gamut of services health care services like
doctors appointments and long term services and durable medical equipment
but also their community resources and how to keep them happy and healthy in
the in the environment therein so employment becomes critical we do have
the administration of our employment first benefit that is part of our HCBS
waiver in Texas that used to be our star post labor population that means in the
middle of changing as well as a collaboration with Project SEARCH we’re
looking to find ways to support young adults moving into the adult community
and finding their great passion as well as creating those job
opportunities and of course looking internally at UnitedHealthcare how do we
make it easier for individuals with intellectual or developmental disability
come and work for one of the largest healthcare organizations in the country
and be able to support them long term with their employment goal with their
healthcare goals with their social goals and that’s something we take very
seriously and we are continuing to evaluate and look to expand our
commitment to project search and our commitment to helping all members and
employees live a healthier life so sandy I think that’s it from an overview
perspective I think I’ll hand it back to you great great thank you Gillian okay
moving on okay justice we wanted to talk about just a little bit about our
collaboration with Project SEARCH of course we have our site in Texas at the
Texas community and state health plan but we also have some various kind of
I’m sorry I’m losing my my train of thought here we have just a variety of
ways that we’re trying to collaborate with Project SEARCH and we have our site
in Texas and we also are working on a second site in Arizona we are very
interested in having other project search sites around the country to
include us in their business advisory councils we would love to participate we
are 100% invested in assisting individuals with developmental
disabilities and intellectual disabilities to find employment so this
would be a good way for us to collaborate with other sites we are also
excuse me one second we are also doing our part to help project search interns
around the country with developing those skills that they need to be successful
in the workplace by providing a email mentorship program for the
Kim Nelson is the person that you would need to contact for to participate in
that program when you make sure that that information gets out to you but the
email mentorship program is a great opportunity for interns to receive and
emit an email from someone outside of their daily routine some of the normally
communicate with and develop different ways of using an email not only from a
business perspective but also to learn what’s appropriate and inappropriate to
communicate via email and to you know just build those interpersonal skills as
well as those business skills we’re also looking at collaborating with Project
SEARCH to help find host businesses that’s you know something that we’re
exceptionally interested in we’re looking at being a host business for a
I’m sorry not a host business but a rotation site for other sites around the
country to be that third rotation site we’d really like to be an externship
opportunity for sites around the country and of course we are a host site as well
in Texas and we’re working on a site in Arizona we have big goals for expansion
around the country that you know I’d love to share but you know it’s
something that we’re really working very hard towards and of course then finally
we have provided United Healthcare has provided the health and wellness
curriculum which is health matters to over 400 sites around the country and we
did that at the 2015/2016 Project SEARCH annual conference and it’s a exceptional
curriculum developed specifically for the IDB population and we have been
using it last year was the first year that we used it in our site and part of
this presentation the reason we wanted to do it is because we wanted to see how
other sites around the country we’re using the curriculum we believe in it we
know that it made a difference in how our interns approached their daily
work at UnitedHealthcare and how it impacted their life overall and we you
know we want to see it used as much as possible because it is such a powerful
tool okay okay moving on so as a stakeholder in
project search we feel like there’s a certain amount of responsibilities that
we all share and we just wanted to take a moment to kind of look at those as
stakeholders in project search we definitely believe that we have a
responsibility to increase health literacy of all of our project search
interns and because we do know that connection between health and sustained
employment and you know health is it it impacts all facets of someone’s life so
not just employment but really the quality of life so as a stakeholder you
know we’re looking at the whole person of an our interns we want to make sure
that you know we’re considering independent living and how they’re
addressing money management time management and you know all of this is
we’re looking at the like I said the whole person by providing healthy
education we’re also helping to close the gap between the social determinants
of health that impact our individuals with disabilities that we serve so we
want to make sure that we’re giving our interns all the knowledge that they need
to be tool it to have that quality of life that they’re seeking and we’re
looking to aid in the implementation of health education last year UHC as we
said donated 400 copies of the health matters’ curriculum to project search
sites also through health education such as health matters curriculum the project
search interns have a greater chance of achieving sustained involvement both sides of the equation and finally
UHC is supporting the ohio project search sites annex and a bid for a
five-year grant to study the impact of health matters the curriculum in the
program specifically in the Ohio in hawai oh and we’re looking to be able to
show the overall impact of how health literacy impacts overall the
individual’s overall ability to obtain and sustain employment in a in a
long-term kind of way okay so this is how we you know looking at health
matters we really wanted to know everything we could about it so that we
could implement the program as much as possible so we we took we all of our
on-site team read the book from beginning to end because you know we
wanted to really be able to implement it to its fullest so health matters is the
exercise of nutrition health education curriculum for people with developmental
disabilities by Beth Mars Jasmina ciserek and Tamra Heller it is based on
successful program developed at the University of Illinois at Chicago it is
a 12 12-week program and includes not just health education but exercise and
nutrition as well it is full of supplemental lessons that were requested
specifically by individuals with i/dd and the topics have a very broad range
from self advocacy to you no rights and responsibilities using technology
various various aspects of what all goes into determining one’s health and the
goals of the program include improved fitness and increased knowledge about
living someone living a healthier lifestyle and teaching those around you
around individuals with disability to help these individuals live a healthier
life and to achieve a healthy living of course the outcome of the of the
material is that the individuals who receive this instruction will have a
greater life satisfaction and of course increased knowledge and confidence we
definitely saw that with our interns we implemented the curriculum in lots of
areas and the impact from the beginning of the implementation to the end of the
implementation was pretty dramatic we had interns who really started to
express a concern for their health which prior to the implementation of the
curriculum they you know we they didn’t they didn’t necessarily show that they
cared so it was a great kind of revelation for all of us excuse me so
disease is just a few suggestions bring incorporating the health matters
curriculum we aligned the health matters curriculum with the project search scope
sequence and scope within the curriculum and for the first little suggestion we
have that for unit 1 which is the team-building section the course lesson
24 is an overview of determining someone’s wants versus needs and that
helps to demonstrate the ability to communicate personal needs not all you
know individuals with developmental disabilities and electoral disabilities
don’t necessarily understand the difference between a want versus need
and you really do need to understand that to be able to express and can we
communicate your own needs versus your own ones
lesson 27 is all about negotiation and compromise and that really helps in the
project search instruction of demonstrating the appropriate way to
solve a conflict with a team you know that’s definitely a component of team
building you have to be able to compromise with your peers and to be
able to negotiate your needs versus your wants and be able to express that
without conflict in the project starts a course of study
to the workplace safety lesson 25 is a good lesson on what’s how to know good
pain versus bad pain and we you know understanding workplace safety is pretty
critical to having a successful program and for interns to be able to go on and
once once employed out in the community they need to understand how to be able
to talk about how they’re feeling what’s good what’s bad and to be able to feel
safe in a work environment the course of study unit 3 technology like I said
there’s there’s various ways of teaching technology and in lesson 6 there’s a
fabulous a lesson about good nutrition and the lesson includes going to ww2 s to learn about how to structure a meal and what’s good what’s
good what’s bad D again that’s a pretty valuable lesson you know we had in turn
two if they could have they would probably lived out of the vending
machines and so we had to do a lot of instruction about how the interplay
between what you eat and how you feel and how you perform so we used the the site and this lesson to not only teach that lesson about eating
right for good health but to also help teach technology and how to use
technology appropriately in the workplace ok moving forward we have in
the course of study for the self-advocacy lesson the understanding
one’s own disability is pretty crucial to interacting with others and
interacting with the world and knowing how to accommodate ask for
accommodations how to advocate for yourself and lesson number nine and the
health matters curriculum is what do I think of me and it covers
disability identity and culture there’s a video that you can access and that’s
it was pretty powerful for us most of our interns came into our program with
really not understanding what disability meant in general and sadly the report
that they didn’t necessarily understand what disability they had themselves so
this lesson helped them to understand that even though they had a disability
that that didn’t really define them fully the explaining rights and
responsibilities is a very powerful lesson also the self-advocacy rights and
responsibilities lesson lesson a we used that lesson pretty thoroughly last year
since it was an election year and we actually helped our interns to register
to vote it was a choice obviously a choice for them to make and we went
through the entire lesson about what is the right versus and a responsibility
and most of our interns chose after you know after the lesson to go ahead and
register to vote and not only did they register we actually took them and they
exercised their vote their right to vote and it was a pretty powerful experience
for everyone not just the the first time voters but for us as onlookers to get to
see the pride that they kind of felt by you know engaging the community in a way
that they had never done before the course of study unit 7 is of course
health and wellness which of course you know is pretty much what the whole book
is about so that’s a pretty easy way to align the curriculum lesson one it is a
great lesson on general information about what is health I would like to say
just as a former special educator that not everyone really gets the same access
to curriculum and it’s not it’s not universal they’re good teachers bad
teachers and so what many of our graduates from high schools
around the country are learning about health is limited in many cases maybe
non-existent and others so this is a outstanding lesson to you know introduce
someone to health and how health impacts their overall life lesson eight is again
making healthy choices and is self-advocacy because you know just
deciding what you want and how you want it is a pretty big way that we express
ourselves and being able to choose for yourself and not only just to choose but
making a healthy choice so um let’s see we’re also have explaining the
importance of eating a balanced nutritious diet as part of the
curriculum and lesson eleven is all about healthy food choices we like I
said we had interns who would have preferred to eat french fries every meal
or honey buns those are very popular so we did a lot of work to help our interns
and we had interns who gained a bunch of weight over the first the fall semester
and so these lessons between making healthy choices
what does health you know the impact between what you’re eating and what you
see on the scale and how your clothes fit these were really valuable lessons
for our interns and I’m going to pass the ball over to Jessica who’s going to
review just a little bit of how we implemented the curriculum and we’ve got
some really fun pictures for you oh sorry here okay here we have some
pictures of our interns on the day that we took them to vote as sandy mentioned
it was it was a great day for everyone involved the lesson and itself
talking about rights responsibilities and then seeing it through all the way
to them voting was was a great experience and not only for us but their
parents were very proud as well and the next pictures we have our step challenge
when we addressed the the lesson of exercise we split our interns into two
groups and then the staff the teacher and the job coaches all participated in
the challenge all of the interns were given a pedometer to wear over the
course of a month and each day their steps were tracked and there was a goal
and the first team to meet the goal one they had a lot of fun with it there were
team captains that were appointed and they were very creative with their
posters it was a lot of fun it it was a success the interns were able to
motivate each other and themselves and then at the end we the winners got
yogurt parfaits and so that was that was that was a fun activity the next one was
an outing that we went on to the local YMCA we were able to take a tour of the
fitness center along with participating some of the classes that were offered
and see the outdoor activities as well and with that the YMCA actually gave us
a in and each intern a month free pass to the YMCA so that was nice evictee go
on their own time for free here is a picture of
at the park we went to the community park and did activities there just to
show them you know that exercising and getting out and being active can be fun
and doing it in different ways not not only like I had just mentioned the YMCA
but also going to the park the bag yeah so now I’m going to pass it over to miss
patty today so I feel like I’m a part of Texas now I wanted to say that it is
exciting how we also have been able to implement the health matters curriculum
and the first thing that that we chose to do was to join the senior exercise
level to class weekly and this entailed us coming off of rotation in that last
teaching hour going up to our Career Technical Center and joining their level
2 lab we empowered them to also have the curriculum and put that in their hands
and they began going through that curriculum and setting it up and
teaching each of those areas mentioned earlier in this presentation to the
interns so is exciting to see that peer to peer interaction and a lot of times
we found that obviously you would see a different dynamic when they would hear
it from their peers and very exciting just to have that follow up from what we
have been saying and we’re in a hospital setting so even what on their rotations
as they would encounter health and wellness type topics that they would be
able to just again be affirmed and what it is they’re learning one of the
activities that we did was to walk from the career-tech Center just down the
road to a local store thrift shop to be able to go in and find some exercise
clothes that would be appropriate to use and
again being able to do this with our exercise buddies just made it that more
fun and more realistic in regards to fashion that they would want to walk out
in so that was a nice opportunity to do that here you’ll see that we’re actually
on the property stretching after a walk that we had taken again trying to meet
people where they’re at we’ve had people from walking in the weight of 418 pounds
all the way to you know that person that was very very thin and underweight so
exciting to meet people exactly where they’re at part of our weekly gathering
was keeping personal journals and logging wait and seeing if we could see
a difference throughout the year this is inside the actual exercise science lab
and so not only did we do group activities but they also broke down and
we’re able to look at personal goals that each intern had and then the
exercise science students were able to really tailor and individualize programs
specifically for our needs if you think about somebody on rotation and you go
and take a look and say you know how could I do this rotation better or
what’s it going to take for some stretching or moving a cart or bending
you know they came back and we’re able to say gosh I need to be stronger upper
body what could I do for that I want to be able to use the stairs instead of the
elevator I need to take some pounds off so being able to network with each other
and then of course instructor and professionals to make realistic goals
and then be able to have the senior buddies create a program that would be a
great way in a plan for them to carry out their goals another opportunity that
we had was to be able to go to a local fitness center and do a program called
cardio drumming and I don’t know if anybody’s cardio drummed or not but it’s
amazing and I really recommend folks seeing if somebody in
our community teaches a class especially for people with disabilities as soon as
I took a class I just knew that I had to have these interns be able to be exposed
to this the instructor stands in front of the interns that you see pictured
here and she puts music on and she starts making movements and all you do
is follow along with the teacher does it’s almost like a Simon Says type deal
and it was very exciting very energetic we even got to site the senior buddies
to come over at one point and do this with us you know this really captured
the heart of a business person so the person that owns this exercise area
turned out that she too walked in a health issues herself she lost 123
pounds and at age 50 her husband bought her this gym she happened to be the bus
driver of one of the gals you see pictured here and she was a
special-needs aide in the school system for over ten years so it was exciting
for her to see not only her own journey but to recognize the growth and the
desire and ability for somebody that she served so many years ago to become
healthier she posted a few pictures of this moment together and within a under
an hour we had a local business that paid for our classes for the rest of the
year so we were very very pleased to have that support and very excited to
see others get on board and increase the class size as well here you can see the
insert the interns and also the senior class buddies explaining some of their
projects so as they were assigned different topics in regards to bullying
heart health diabetes what-have-you very exciting then that they too had to take
what they were learning and be able to explain that and tell our interns about
them educating going both ways which is very exciting to see another opportunity
that we have been able to be a part of for the last five years is the
wilderness inquiry canoe mobile coming into our city this is
operation from Minnesota these are 10 passenger canoes that you see in front
of you and right in front of that you’ll see a number of interns wilderness staff
the exercise science to students and then also a little white square there if
you can see is the health matters curriculum being utilized off-site so
we’re excited to say then that we were able to take this into a local park to
be able to have an entire day focused on team-building health and wellness being
able to think about distressing in your neighborhood for free where could you go
to take a walk after work what could you do on a weekend maybe at minimal cost
and maybe you can’t rent a 10 passenger canoe but could you do a pontoon or
paddle boat or canoe so it was very exciting again to see not only everybody
coming together with the same idea of health and wellness we also were able to
incorporate different companies parents and other organizations to bring maybe a
healthy snack or a healthy commercial throughout the day to just to empower
and increase the entire health topic that particular day and with that I will
hand that back to okay pass Thank You Patti
we loved hearing about everything that you did in your program we were kind of
jealous to be honest isn’t that a finnish drift okay
so just some ideas for what we’re doing this year with our cohort I don’t I
guess everybody in the country knows that we experienced some severe flooding
in Houston and Texas in general was hit pretty hard by Hurricane Harvey so I’m
hopeful that we’ll be able to do a lot of this because we are actually going we
are actually being hosted by the University of Houston at Sugarland
because our office building is closed so we’re going to do our best to get all of
this in but it is going to be a little bit more of a challenge than it would
have been at UnitedHealthcare because of course we have access to you know nurses
and all kinds of wonderful stuff at the offices so some of our ideas for 2017
and 2018 includes having a nurse do our instructions in the following lessons
what is heart rate when it’s blood pressure
what is cholesterol what is diabetes and what is heart disease we feel like we
could do these lessons if we really wanted to but as we have that expertise
available to it we want to rely on it and we will be able to get a nurse over
to the University of Houston to do that lesson but I had a thought for all those
host sites out there that aren’t you know don’t have access to the nurses
like we do and aren’t at a hospital all schools have nurses so you could easily
invite your school nurse in to do some of these lessons on you know whether or
not they could do all of them or not is a question but they could certainly do
some of them and the you know diabetes it would be a great one to do because we
know how how devastating diabetes is to so many people and of course
we could use the blood pressure lesson myself but okay so we also want to have
we have a dietitian on staff at United Healthcare who does our employee
participation program I’m not sure if I’m saying that right but of course
we’re going to get her over here too but we are going to have her do some lessons
for us including what nutrients we need the healthy food choices it was going to
be much more impactful coming from her because she is a dietician there’s a on
how much should I eat portion sizes and the nutrients in our food again you know
we we are teachers we are able to provide lessons for our students and and
the curriculum is set out to where anybody can demonstrate the lesson and
provide the lesson but if you we have the expertise so we just want to try and
rely on that where we can we are also going to be doing in on ongoing tracking
of water intake water intake is a pretty important factor in overall health and
it’s not necessarily something all of our interns take into consideration I
know I don’t because I drink only too much Diet Coke but I don’t want my
interns our interns watching my bad behavior and not drinking their water so
that it’s something that we’re going to be doing is tracking water intake and
and doing some tracking too to see how that impacts our sleep how it impacts
their focus and just seeing how how it makes them feel better we’re going to be
doing an ongoing step challenge with the interns and our on-site staff we’re
probably going to have to wait until the spring semester to start that because we
are not in our office building at this time but we found in when we did that
last year that some of our co-workers the on-site the host business coworkers
were were kind of jealous that we were doing this fun activity and they wanted
to be a part of it so we are going to definitely let them be a part of it this
year and it was a really good exercise for the interns because they they are
competitive they wanted to win and we could all tell
an impact on how it made us feel and how our clothes fit also and then finally
we’re going to try to the best of our ability to incorporate the curriculum
with the preparation and training of our host business the UnitedHealthcare and
our Special Olympics Unified sports team it’s a new team that we’re starting this
year between our project search interns and our United Healthcare Texas
community state employees we are going to have a bowling team and we’re
actually starting in just a few a week or so to start that team for the first
time so we are really really excited to see how that works out for us most of
our interns are going to participate and we hope that we’re going to be able to
include our interns from our past cohorts as well because we want to can I
grow the family and always have connection with our with our interns and
especially in the area of health because that’s you know that’s we want to make
sure that they’re living healthy lives we want to make sure that they’re
staying employed we want to make sure that they have the quality of life that
they want and deserve so I’m sorry okay I think let me see one okay and we did
want to open it up for questions and answers and then I was asked to also
give a brief overview of Project SEARCH for the people that aren’t familiar with
it project search is an international school to work training program for
individuals with disabilities specifically individuals with
intellectual disabilities and autism developmental disabilities it is open to
high school students who have completed their academic requirements those first
four years of core curriculums that have to be achieved in order to graduate from
high school and in the fifth year it’s available to students who are graduating
by IEP to learn vocational skills employability
skills the transferable and marketable skills that interns that students with
disabilities excuse me need to learn in order to obtain and maintain employment
in the community it’s a comprehensive program it covers self-advocacy time
management money management obviously job skills on-site communicating with
others social skills we touch independent living it’s really the whole
person so the interns are provided an opportunity at a host business in our
case its United Healthcare the original Project SEARCH was in 1996 I believe in
at the Cincinnati Children’s Hospital and since the beginning of the program
it has now grown to over 500 sites around the world it’s it’s a phenomenal
program it is worth going to project search comm and learning more about and
let’s see what else should I say about it Jessica Jessica says it’s great we are in our fourth year as a project
search site at United Healthcare and the impact not only to the interns is
phenomenal but also to the people that work at United Healthcare it it really
is a life changer for everyone because it opens your eyes to what people can do
and not just kind of the idea of what we
think individuals with intellectual and developmental disabilities what they’re
capable of they showed us everyday that they write this is really about the
ability and not the disability they show us everyday how wrong we are about you
know our ideas about limitations so I think that’s all are there any questions
we can take some questions there are any thanks sandy this is yes Meena if you
have any questions please put them in a question and answer box
that’s the way we’re going to get them and I will read them out loud it’s just
easier than doing it via voice at this point because we have many attendees
okay so we will we will wait for the questions to come through via
question-and-answer box yet okay yes thank you or chat box we have a question
any recommendations on how to get pedometers for interns hmm we actually
did that we actually made that purchase ourselves you might be able to ask one
of your local retail outlets Academy Walmart they might be willing to donate
those items or at least you know allow them to be sold at a discount you could
find them for that they’re really not very expensive
we found some that were about I want to say eight dollars apiece now they
weren’t the best quality we they all didn’t make it oh okay yeah so in order
to compensate for those that didn’t work that you know that broke or whatnot we
ended up using our apps on our phones which is another way to do it if they
have either perhaps watch or but they can always use their yeah they can
always use their smart phones tractor steps thanks and from patty says
she said we’re in the hospital setting and it was an incentive for employees
and the hospital gave them to us so um oh good another question there’s a
couple of questions coming if we were not in the conference that year how can
can we get access to the curriculum I don’t think it’s accessible through one
of the projects through the project search either Schoology or the online
resources that are available at Project SEARCH calm but it is something that you
can purchase you can look for it online and it is available for purchase yes
sandy I can answer that yes you can okay oh sorry I’m sorry I was I will put the
link on the on the website I think the question was if if United Healthcare was
providing free curriculum so oh I apologize yeah so I don’t know if it’s
still available through unitedhealthcare for free does anyone know how to answer
that from the presenters the other presenters are on mute so you’ll have to
unmute yourself if you have a the answer for that but I will post them I will
just post the link to Amazon patty says contact your state and search
representative to get the new copy any other questions alright I’ve also posted the Amazon link
where you can you can purchase it we have about four more minutes we’re going
to stick around to see if there any questions the coming through other than
that the webinar was recorded and also captions we are going to make it
available and send the email through when it’s ready if you would like to
share it with with other colleagues thank you all for attending the webinar
today the next webinar is coming up in a couple of weeks on October 12 and the
topic is promoting health and leadership in project search programs we will send
out another email alerting you or reminding you of to attend that one
thank you we’re going to stick around the
presenters will stick around but feel free to sign off if there are no
questions have a great rest of today I think there are no other questions we
will step it up thank you

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