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ForwardTuesday Concurrent Block 1: Successful Implementation of Lifestyle Medicine: Lessons Learned from Eight Health Systems
This session will address what is known about the implementation of lifestyle medicine in health systems, present learnings from the qualitative research studied conducted through ACLM “Lifestyle Medicine Integration in Health Systems: A Case Study Project” and finally outline next steps in understanding factors that support or detract from lifestyle medicine implementation. The bulk of the presentation will center on ACLM’s research study, emergent themes, and implications for practice. Lifestyle medicine is an evidence-based field of medicine that has been shown to be effective in treating and preventing leading causes of morbidity and mortality. Individual practitioners demonstrate enthusiasm for lifestyle-based approaches to treatment and data on a variety of innovative clinical models has been published. However, a gap exists in comprehensive understanding of how implementation of lifestyle medicine can successfully grow within health systems. The purpose of “Lifestyle Medicine Integration in Health Systems: A Case Study Project” was to identify facilitators and barriers that influence the implementation of lifestyle medicine in health systems. To address this question, the research team recruited health systems that were members of the ACLM Health Systems Council. We used a case study approach; a qualitative design that uses multiple data sources and goes in-depth to understand decision-making and processes while maintaining context. From among 15 self-nominating health systems, we selected seven to represent a diversity of geographic location, type, size, expertise, funding, patients, and lifestyle medicine services. Partway through the study, we recruited one additional health system to serve as a contrasting case, where lifestyle medicine programming had initially expanded, then retracted. For each case, we conducted in-depth interviews, document reviews, site visits (limited due to the COVID-19 pandemic), and study team debriefs. Interviews lasted 45-90 minutes and followed a semi-structured interview guide, loosely based on the Consolidated Framework for Implementation Research (CFIR) model. Detailed case narrative reports for each health system were used in cross-case analyses to develop a contextually rich and detailed understanding of various predetermined and emergent topics. Implications related to the emergent themes, including topics of site champions, clinician training, workplace culture, and provider well-being/burnout will be discussed. Investigation of the factors that support lifestyle medicine has led to deeper understanding of how to support health systems interested in the initiation and growth of lifestyle medicine programming in their setting. To translate these findings into practice tools, we are developing systems science models at the health system, clinician and individual/patient levels to identify leverage points and resulting outcomes for patients, practitioners, and health systems. These models can provide real-world insight and guidance as health systems plan their investments in lifestyle medicine.
Learning Objectives
- Discuss research on implementation of lifestyle medicine in health systems.
- Describe the methods used in the Lifestyle Medicine Integration in Health Systems study.
- Apply strategies identified in the Lifestyle Medicine Integration in Health Systems study for successfully growing lifestyle medicine programming.
- Discuss next steps in research to support lifestyle medicine in health systems.
- Joel Gittelsohn, PhD, MS
Available Credit
- 1.00 AAFP Prescribed
The AAFP has reviewed Tuesday Concurrent Block 1: Successful Implementation of Lifestyle Medicine: Lessons Learned from Eight Health Systems and deemed it acceptable for up to 1.00 Enduring Materials, Self-Study AAFP Prescribed credit(s). Term of Approval is from 11/15/2025 to 1/15/2026. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
- 1.00 ABIM Medical Knowledge
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.00 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participation completion information to ACCME for the purpose of granting ABIM MOC credit.
- 1.00 ABLM MOC
The American Board of Lifestyle Medicine has approved 1.00 maintenance of certification credits (MOC) for this learning activity.
- 1.00 ABS Accredited CME
Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider’s responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit.
- 1.00 ACPE Pharmacy
Rush University Medical Center designates this knowledge-based Enduring material for a maximum of 1.00 contact hour(s) for pharmacists.
- 1.00 ACPE Technician
Rush University Medical Center designates this knowledge-based Enduring material for a maximum of 1.00 contact hour(s) for pharmacy technicians.
- 1.00 AMA PRA Category 1 Credit™
Rush Medical Center designates this Enduring material for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only credit commensurate with the extent of their participation in the activity.
- 1.00 ANCC
Rush University Medical Center designates this Enduring material for a maximum of 1.00 nursing contact hour(s).
- 1.00 APA
Rush University Medical Center designates this Enduring material for 1.00 CE credits in psychology. Continuing Education (CE) credits for psychologists are provided through the co-sponsorship in the American Psychological Association (APA) Office of Continuing Education in Psychology (CEP). The APA CEP Office maintains responsibility for the content of the programs.
- 1.00 ASWB
As a Jointly Accredited Organization, Rush University Medical Center is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved continuing education (ACE) program. Organizations, not individual courses, are approved under this program. Regulatory boards are the final authority on courses accepted for continuing education credit. Social workers completing this course receive 1.00 general continuing education credits.
- 1.00 Attendance
Successful completion of this course activity, including active participation in the evaluation component, entitles the learner to receive a participation certificate from ACLM. Please note that this certificate is offered solely in recognition of engagement, and no academic or professional credit is awarded.
- 1.00 CPEU
This Enduring material has been approved by the Commission on Dietetic Registration. Completion of this activity awards 1.00 CPEUs.
- 1.00 NBC-HWC
The National Board for Health and Wellness Coaching (NBHWC) has approved 1.00 continuing education credits for this learning activity: .
- 1.00 Occupational Therapy CE
Rush University Medical Center is an approved provider for physical therapy (216.000378) and occupational therapy (224.000220) by the Illinois Department of Professional Regulation. Rush University Medical Center designates this Enduring material for 1.00 continuing education credits.
- 1.00 Participation (AMA PRA Category 1 Credit™ for non-MDs)
Rush University Medical Center designates this Enduring material for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only credit commensurate with the extent of their participation in the activity.
- 1.00 Physical Therapy CE
Rush University Medical Center is an approved provider for physical therapy (216.000378) and occupational therapy (224.000220) by the Illinois Department of Professional Regulation. Rush University Medical Center designates this Enduring material for 1.00 continuing education credits.