Weight Management Program Orientation
Vincent Pera, MD Medical and Program Director
Welcome! We hope this orientation will help you learn about the treatment of obesity and help you make an informed decision about whether our program is the right choice for you. With our 30-plus years of experience, treating more than 10,000 patients, we are here to help improve your weight management skills and achieve health goals.
Vincent Pera, MD Medical Director Center for Weight and Wellness
The Center for Weight and Wellness offers you: EXPERIENCE Providing safe and effective treatment for more than 30 years, with more than 10,000 patients treated PIONEERING RESEARCH National leaders in program development and clinical research COORDINATED, MULTIDISCIPLINARY APPROACH TO TREATMENT Including medical, behavioral, nutritional, and physiological CUSTOMIZED TREATMENT Addressing the causes of obesity with programs for all EXCELLENT OUTCOMES Average body weight loss of 10 – 21 percent for all programs LONG-TERM SUPPORT The Masters Program and Keep on Track EDUCATION On diet, fitness, bariatric surgery and more!
Testimonials Mike’s Transformation:
“Eat smart, go to all the treatment groups, apply what you learn, become mindful about your choices, and find an exercise that you will enjoy doing – and finally, don’t give up! It’s a challenging journey but the destination is so worth it!” - Michael (lost 80 pounds in the Modified Fast Program)
What is Obesity? A disease of excess fat storage with a number of associated diseases, such as Type 2 Diabetes, known as comorbidities.
Obesity also… has many different contributing factors
(genetic, environmental, behavioral, etc.) is lifelong/chronic is progressive is potentially life-threatening can increase patient’s health care cost
The first step: Evaluations Medical Includes
comprehensive physical exam and lab work Seeks medical causes of obesity and presence of other disease Provides baseline assessment of medications Identifies medical problems that may interfere with exercise
Weight and Lifestyle Assesses lifestyle
and behavioral issues that may be affecting weight Assesses triggers such as stress Assesses daily habits Reviews personal goals
Exercise Assesses:
exercise history body composition measurements
Referral for stress
test (as needed) Individual exercise prescription is developed for each patient
Variety of Treatment Programs offered based on… • • • • •
Weight Medical Conditions Lifestyle Psychological Factors Personal Goals
Full Fast Modified Fast Lean
LEAN Program LEAN = Lifestyle, Education, Activity, & Nutrition The LEAN program is an all solid food diet that aids patients to form healthy eating habits while steadily losing weight. No supplements are used. Behavioral, nutritional, and physiological components are covered in group sessions. Target Weight Loss
Length of Program
Protocol
20-40 lbs. (total)
20 weeks
Balanced deficit diet (about 1,200-1,500 calories/day)
Averaging: 1-2 lbs./wk
Weekly behavioral, nutrition or exercise treatment education Medical visits weeks: 1, 10, and 20
Modified Fast This program encourages patients to learn healthy eating habits. The plan consists of one healthy meal per day, in addition to three or four OptiFastÂŽ supplements. Behavioral, nutritional, and physiological components are covered in group sessions. Target Weight Loss
Length of Program
Protocol
40-100 lbs. (total)
20 weeks
Diet: 3 OptiFastÂŽ supplements and 1 meal per day
Averaging: 2-3 lbs./wk
Includes: 16 week fast and Weekly behavioral, 4 week re-introduction to nutrition or exercise food treatment education Medical visits weeks: 1 and 2, then bi-weekly
Full Fast To achieve stimulus narrowing, (chewing/eating process) solid food is not consumed in this plan. Behavioral, nutritional, and physiological components are covered in group sessions. Transition back to solid food under the supervision of our medical team. Target Weight Loss
Length of Program
Protocol
75+ lbs. (total)
20+ weeks
Full liquid diet consisting of OptiFastÂŽ products
Averaging: 3-5 lbs./wk
Includes: 12+ week fast and 8 week reintroduction to food
Weekly behavioral, nutrition or exercise treatment education Medical visits weeks: 1 through 12, then biweekly
Dietitian Available by Appointment Our Modified Fast and Full Fast medically supervised programs safely use OptiFast® meal replacement supplements. Daily caloric intake is greatly reduced, producing a quick and steady rate of weight loss. This increases motivation and compliance. Meal replacements narrow your food choices and make it easier to stick to your plan. Theresa Jerominek MS, RD, CDOE Registered Dietitian
What is OptiFast®? High-quality nutritional supplement 100 percent RDI for vitamins and minerals in
five servings per day Designed for long-term use and meal replacement Options available for gluten, lactose, dairy and soy sensitivities. Several types of products are available.
Additional Fasting Protocol Drink at least 64 oz. of calorie-free fluids No more than 16 ounces of caffeinated beverages per
day 50 extra calories daily No alcohol Liver Calorie content Association
Weight Management Treatment Groups • Psychologists, licensed clinical therapists, dietitians and exercise physiologists facilitate the groups • Provide skills, strategies, support interventions and education for losing weight and maintaining weight loss • Gain support and learn from experience of other members • Patients choose a specific day and time • Groups have rolling admissions ~Evidence shows that combining behavioral therapy with other weight management methods can help patients lose weight and keep it off~
Specialty Treatment Groups Emotional Eating Emotional eating issues and
triggers Support interventions and education for emotional eating issues Discuss with provider at medical evaluation or weight and lifestyle evaluation
Diabetes Diabetes education, nutritional
and exercise needs of the patient with diabetes Certified Rhode Island Department of Health Diabetes Outpatient Education program Visiting experts, including podiatrist and pharmacist
The Masters Program A group specifically designed for those who have attained their
loss goals and would like continued support to maintain Group sessions offered weekly in both our East Greenwich and Providence location for those patients meeting transfer criteria No cost for one year, when remaining in the maintenance phase (no more than 15% re-gain) Nutrition, exercise, and behavioral topics addressed Focus is on skills, strategies and education to maintain weight loss Medical visits as needed Ongoing supervision and support
Fitness For All A variety of specially designed group exercise classes for CWW patients!
Your Commitment… One weekly two-hour visit that includes:
Weigh-in and blood pressure check with medical assistant
Medical visit according to treatment plan
Purchase of Optifast® products as needed
Educational/behavioral group session
Item 1: Initial Evaluations Out of pocket cost with Medical Insurance coverage Medical Evaluation ~with physician Weight and Lifestyle Evaluation ~with behavioral clinician Exercise Evaluation ~with exercise physiologist Total for Initial Evaluations:
Copay/deductible Copay/deductible $0
(part of Item 2, see next slide)
Two copays/deductible
Item 2: Enrollment Fee - $249
Exercise evaluation and ongoing meetings and
measurements with the exercise physiologist Use of the exercise instruction room Visits with the dietitian Patient education materials: Optifast Manual or Beck Book (depending on treatment group)
• • •
Non-refundable fee, three years Paid at start of program Out-of-pocket expense for all patients
Total for Enrollment: $249
Item 3: Medical Visits
LEAN: 3 visits
3 copays
Modified Fast: 11 visits
11 copays
Full Fast: 16 visits
16 copays
Your cost of medical visits will vary based on your insurance coverage plan and your specific copay or coinsurance (deductible).
Item 4: Behavioral Treatment
LEAN: 20 weeks
$500
Modified Fast: 20 weeks $500 Full Fast: 20 weeks
$500
Most group treatment runs for 20 weeks. As needed, patients can extend treatment beyond 20 weeks at a cost of $100 for four consecutive weeks.
Item 5: OptiFastÂŽ Costs **Does not apply to LEAN Program**
Modified fast (3 per Day) Full Fast (5 per day)
Weekly Cost for Powdered Shakes
Weekly Cost for Ready-toDrink Shakes
$66
$81.90
$110
$136.50
The average adult spends $68.88 on Supermarket food each week (not including fast food, restaurant, or convenience food purchases.)
Total Program Costs Out of Pocket Cost with Medical Insurance Coverage Out of Pocket Cost
# of Copays
Initial Evaluations
n/a
2
Enrollment Fee
$249
n/a
Medical visits
n/a
# of copays based on program type (3-16)
Behavioral Group Treatment (20 weeks)
$500
n/a
$66-136.50
n/a
$749 + Optifast®
5 - 17 Copays
Optifast® Total
*Optifast® cost is not applicable to LEAN participants
Your Choice, Your Weigh!
New option Targeted weight loss 10-25 pounds, optional Emphasizes wellness and health Dietary programs include: Mediterranean diet to improve cholesterol DASH protocol to improve blood pressure Vegetarian, plant-based approach Customized diet for specific needs Traditional balance deficit diet for weight control Medical evaluation and medical follow-up, as needed
Individualized nutrition assessment and follow-up Ten weekly group sessions that cover a variety of topics, including: health & wellness behavior changes nutrition and food preparation stress management exercise education Optional FAST TRACK, four-week program
COST: $99 enrollment $250 treatment fee for 10 weeks
FAST TRACK: Lose 10 pounds in 30 days !
Four-week program on a calorie-restricted modified fast program to kick start weight loss in order to reach personal health goals Uses a modified fasting protocol Available when you enroll in an all-food program
LEAN program
Your Choice, Your Weigh
Benefits
Increase motivation through rapid weight loss
Structured transition to allfood plan, based on personal needs and health goals
Complete before the:
LEAN program
Your Choice, Your Weigh
COST:
$29 enrollment fee
$100 treatment fee (four weeks)
Treatment Charges We offer a ten percent discount for group treatment costs paid in full at enrollment. Save $50!
Monthly payment option available, $100.00 per month, payable on the 15th of each month. Patient accounts with balances 30 days or more overdue are subject to medical review for discharge.
Bonus weeks – we will add two extra weeks to your program to allow for missed groups due to sickness, vacation, etc.
Payments or copayments for medical visits must be paid at the
time of service. Common medical visit codes: 99203, 99204, 99213, 99214
Financial assistance available on a limited basis.
About Referrals: Many insurers are now requiring a referral for patients who will be
seeing a doctor other than their primary care physician.
If your insurer requires a referral, your packet contains the
information they will need.
Please note, we may have to reschedule your appointment if the
referral is not received prior to your visit.
The referral should be for our entire medical team.
Patient Transformations Lee-Ann
“It takes hard work and dedication to lose weight and keep it off. With the Keep on Track program I know I am not alone.” --Lee-Ann Lost 59 pounds BP down to 119/72
Mark
“Twenty-three weeks and 80 pounds later, I am insulin-free! I have more energy, exercise every day and cut the lawn without any back pain.” The best thing I ever did! Mark
Teen Program – Lighten Up Offered to Teens 14-18 years of age Lighten Up is offered at both our Providence and East
Greenwich locations
Medical visits as needed Behavioral, nutritional, and exercise components are covered
individually and in group sessions
Parent Education Sessions offered separately to support teen
success
Center for Weight and Wellness has two sites for your convenience Center for Weight and Wellness
Center for Weight and Wellness
146 West River Street, Suite 11A, First Floor Providence, RI
1377 South County Trail Unit 1A, First Floor East Greenwich, RI
The same programs are offered at the two locations.
Weight Management Treatment Groups Schedule Center for Weight and Wellness Providence
Center for Weight and Wellness, East Greenwich
You may select a group session from one of the following time periods:
You may select a group session from one of the following time periods:
Monday – morning and evening Tuesday – morning and evening Wednesday – afternoon and
evening Thursday – evening (Teen Lighten Up in the afternoon) Saturday - morning
Monday – evening Wednesday – morning (Teen
Lighten Up in the afternoon) Thursday – evening Saturday – morning
Thank you for your participation! To enroll in the program,
click here to proceed to the quiz You must answer all the questions correctly to proceed with scheduling your evaluations. A staff member will call you within two business days (Monday through Friday) to review your quiz and schedule your evaluations.