Child Obesity

The best evaluation of child obesity is the child’s doctor taking height and weight to calculate the BMI or body mass index, comparing this value to standard values. When evaluating a child’s weight, it is important to consider the child’s self-image perception as this can have a significant impact on the child’s capacity for managing an over-weight condition. Children become over-weight for a number of reasons. The most common causes are genetic factors, lack of physical activity and unhealthy eating patterns, or a combination of these factors.

Children whose parents, brothers or sisters are overweight may be at increased risk of becoming overweight. A child’s diet and activity level are important influences in determining a child’s overall health and weight. Additional influences are hours in front of any form of electronic screen which limits physical activity. At FCHS, we support programs which counteract the problems and propensities of childhood obesity. Learn more about them at (source – webMD)

What is Meditation?

Meditation is often associated with or related to spirituality. But what exactly is meditation? It is perhaps helpful to first state what meditation is not; meditation is not concentration, loss of control, exercises, or mental effort. Meditation is basically a very simple activity. In practice, it often begins with a continuous focus on the body or breath in some way. The body focus shifts us from a thinking mode to a sensing mode, from past and future concerns to simply being present, from the active to the passive, from verbal to visceral. In our over caffeinated, overly connected, tweeted, face-booked, hyper driven world, we often lose our healthy balance. It turns out our minds don’t relax as easily as our bodies. It takes practice, but the benefits are significant. To learn more about the benefits and practice of meditation, contact us at

What if Foundations Didn’t Exist?

Without foundations, the civic sector would be significantly less dynamic, less innovative, and less responsive to the needs of society. Without foundation funding, it would be significantly more difficult to bring about changes in public policy and major social institutions such as universities, schools, and the healthcare system. Public discourse on government policy and social issues would be greatly impoverished and many institutions that constitute the basic structure of American society would be weakened or not exist at all. Without the long term funding that foundations provide, the civic sector would be more short-term focused resulting in significant loss of the long-term perspective to meet the emerging challenges of society. Foundations, through their strategically focused boards, and skilled, thoughtful and professional program staffs provide the civic sector resources that they would be otherwise ill equipped to afford. To learn more about the resources which FCHS delivers to its grantees, visit us at

The Economic Impact of Foundations in America

If the global nonprofit sector were a country, it would have the sixteenth largest economy in the world, according to GDP data compiled by the World Bank. In the United States, the nonprofit sector contributed $878 billion to the economy in 2012, or about 5.4 percent of our nation’s GDP. In addition to the economic activity generated by nonprofits and the dollars nonprofits save governments through their efficient delivery of services, nonprofits are one of the greatest sources of employment throughout the country. According to the Bureau of Labor Statistics, the nonprofit sector employs 11.4 million people or 10.2 percent of the American workforce. (Council of Nonprofits) In 2012, 86,192 active foundations in the U.S. had assets of $715 billion, according to Foundation Center. Some of the nation’s largest foundation awarded almost 154,000 grants totaling $22.4 billion in 2012. The top four focus areas for grants include: Health – 22%, Education – 22%, Human Services – 16%, and Public Affairs/Society Benefit – 12%. All of this economic activity is delivered with the highest level of transparency, disclosure and the strict oversight of the Internal Revenue code assuring the efficient and ethical delivery of vital resources to the American people. To find out more about how FCHS has utilized its resources, visit us at

The Foundation for Complex Healthcare Solutions Donates to Local Innovative Healthcare Initiatives

Energy Krazed and NeuroHope – Focused on Better Health Outcomes in Indiana

INDIANAPOLIS, September 9, 2015 –The Foundation for Complex Healthcare Solutions provided $10,000 donations as well as data analysis and research support for both Energy Krazed and NeuroHope last month. “These organizations are developing the type of innovative programs the Foundation is focused on, stated Doug Stratton, CEO of the Foundation. “We are always looking for initiatives like these that manage complex healthcare conditions in our state.”

Energy Krazed is non-for-profit 501(c)3 focused on reducing childhood obesity in Indiana. “Indiana is ranked 41st in overall health – so we are in the bottom 10,” stated Peggy Johnson, President of Energy Krazed. “It cost our State $3.5 billion dollars to treat obesity conditions last year, and kids are getting sicker earlier than ever before. We are recruiting students into our program to help spread the word, to participate in health and wellness education sessions, and to be health mentors for younger and older people in the community. We know we can be number 1 if we bring the energy!” Additional funding is needed to hire trainers and coaches to work with obese children referred by healthcare providers.

Chris Leeuw started NeuroHope with a goal of continued rehabilitation and wellness following a neurological injury. Chris suffered a severe spinal cord injury himself and was able to travel nationwide to state of the art facilities with advanced equipment for two years until he was able to walk without assistance. His story of rehabilitation is an amazing journey that is available to view on the NeuroHope website. “I was able to access individualized therapy, cutting-edge rehabilitation, and state of the art equipment,” stated Chris Leeuw, President of NeuroHope. “My dream is to bring those specialized options to Indiana for people living with and recovering from spinal cord injury, brain injury, and stroke that are currently unavailable anywhere in the state.” There is currently a waiting list to access the NeuroHope facility and the outcomes for current patients are astonishing. Additional funding is needed to hire PTs and staff to allow patients on the waiting list to be seen.

The Role of Foundations in Society

The role of the not-for-profit foundation in American society is unique and essential to the economic health, vitality and development of the civic sector. Foundations, through their unique tax exempt status, are singularly positioned to serve as incubators of innovation across all sectors of society. The three essential roles foundations fulfill may be identified as Drivers, Partners, and Catalyst.

In the Driver role, the foundations map out and directs the change effort, awarding grants to organizations that will implement the change. In the role of Partner, the foundation shares power and strategy shaping to effect the change. In the role of Catalyst, the foundation’s role is more “hands off” planting financial seeds of development with the understanding that some will germinate and others will not.

Most foundations in fact do most of their grant making in the role of Catalyst, scattering seeds for the future by supporting the existing efforts of grant-receiving organization. To find out more about how FCHS fulfills the roles of Driver, Partner, and Catalyst, visit us at

Source; The Foundation: How Private Wealth is Changing the World by Joel Fleishman

What Do Foundations Do?

What do the 911 call system, PBS/NPR, Pell Grants, Community Development Corporations, and The Child Health Insurance Program (CHIP) all have in common? They are examples of institutions or programs that originated or developed through the impetus of foundations, specifically, not-for-profits; the 911 emergency call system nationwide implementation was facilitated by Robert Wood Johnson; the Public Broadcasting System (NPR-PBS) and Pell Grants were both driven by blue- ribbon  commissions financed and run by Carnegie Corporation of New York; CHIP was shaped by predecessor initiatives supported by numerous foundations, including Robert Wood Johnson and Annie E. Casey foundations; Community Development Corporations were driven by the Ford Foundation. In each example, foundations acted either as a driver, partner or catalyst to engender the development and implementation of such valued resources of the civic sector, thereby enriching the lives of millions of Americans and even the world. To learn more about the work of FCHS, visit us at (Source; The Foundation: How Private Wealth is Changing the World by Joel Fleishman)

FCHS High Risk Care Delivery

FCHS was established as the managing successor to the Indiana Comprehensive Health Insurance Association or the State high risk pool. FCHS’s original programs were developed to address the excessive costs of care for Hemophiliacs and HIV+ individuals. For Hemophilia patients, the problem was the exorbitant cost of blood factor. For HIV+ patients, the problem was the overall cost of care, including drugs, hospitalizations and lifestyle health factors. For Hemophiliacs, the cost solution was a better blood factor purchasing model, which saved over $16 million over four years. For HIV+ patients a program was developed, Enhanced Care, which successfully managed patient lifestyle factors yielding such significant results that the program Enhanced Care was recognized by Congress and four consecutive years of funding by the Centers for Medicare and Medicaid Services as a model HIV+ care management program. To learn more about how these very successful programs, contact us at

The Foundation for Complex Healthcare Solutions Inception

The Foundation for Complex Healthcare Solutions (FCHS) originated and developed out of a need to find simpler, better, more cost effective solutions to complex healthcare problems. The original FCHS programs were developed to address the extremely high cost healthcare needs of individuals covered by the Indiana Comprehensive Health Insurance Association or ICHIA. ICHIA was the State high risk pool for individuals who were unable to qualify for commercial health insurance in the pre-Affordable Care Act days of insurance. State high risk pools were established by many states to address this need. FCHS’s first programs dealt with Hemophilia and HIV, both conditions characterized by very high costs of care. To learn more about how FCHS achieved significant cost reductions and better care delivery for Hemophilia and HIV patients, contact us at

Foundation Finalizes Study and Graduates Healthy Balance Program

Foundation Finalizes Study on Chronic Back Pain
Graduates Shamrock Wellness Healthy Balance Program

July 29, 2015. Indianapolis, IN.  Research completed by the Foundation for Complex Healthcare Solutions indicates chronic back pain can be successfully treated with alternative methods of care outside of surgical procedures and expensive medications.  Shamrock Wellness, Inc. developed the Healthy Balance program and approached the Foundation for Complex Healthcare Solutions to assist in a research study to determine the impact of the program.   The study was designed by the Foundation to include cost measure benchmarks and quality of life benchmarks.

Program Approach Studied
Participants chosen to enroll in the study had a chronic back pain diagnosis. They were enrolled in a 16 session program (2 one hour sessions over 8 weeks) that included physician visits, massage therapy, yoga therapy, nutrition education, and meditation coaching. Close communication with a participant’s current providers, family, and any case managers was an important key to the program design as well.

Eric Banter, Co-Founder of Shamrock Wellness, stated, “we had been offering the program to individuals for a while and knew it was a success based on the feedback we received from the participants regarding their quality of life.  (Link to video of participant testimonials).  We were interested in working with the Foundation to determine what impact we had on the cost of their medical care as well.  The data collection from insurance was not something we had access to prior to working with the Foundation.  We were excited to see that our program not only impacted lives but also cost.”

Cost Measure Results
Medical and Rx claims were monitored 6 months after the participants in the study graduated from the program. The following results show the improvements in costs identified in the research.  Monthly paid Medical and Rx claims across all study participants decreased by $1147 (15%) on an average monthly basis, and monthly filed Medical and Rx claims decreased by $3602 (18%) after graduation from Healthy Balance.



Cost data provided by participant health carriers.

Quality of Life Results
An initial SF-36 survey was completed at the onset of the study for each participant to set the baseline for overall physical and emotional health. The same survey was conducted immediately after graduation from the program.   Domains of SF-36 with an asterisk (*) showed statistically significant improvements. Participants had significantly higher scores upon completion of the program in all domains of the SF-36, except the “role limitations of physical health” and “role limitations of emotional health” domains (scores in these 2 domains were higher upon completion of the program, as evidenced above, but the difference was not statistically significant). Overall, participants significantly improved their SF-36 scores overall in the physical and emotional component domains (I & J).


Data was compared to general normative population data (orange). Post-program scores were higher than baseline and closer to general population scores. SF-36 general population data comes from: Ware, J., Kosinski, M., & Keller, S. (1994). SF-36 physical and mental health summary scales: A user’s manual. Boston: The Health Institute, New England Medial Centre.

Based on the results demonstrated in the cost and quality of life benchmark measures, the Shamrock Wellness Healthy Balance program approach proved successful in both measurement criteria.  The Foundation for Complex Healthcare Solutions has finalized the study for the program, and Shamrock Wellness continues to enhance the program based on the results identified.  This program is now available on the commercial market through Shamrock Wellness for employers and payors to access.  Doug Stratton, Founder and CEO of the Foundation concluded, “We work with many programs and know that one on one interventions for complex conditions can be highly successful. As we reviewed the results of the study, we were equally pleased to see how the program mitigated cost for the industry.  These savings will continue for Indiana carriers and self-funded groups for many years.”   The Foundation continues to support the program and reach out to other Foundations and donors, so we can offer funding for individuals that would benefit from the Healthy Balance program who do not have the resources to enroll.”  You can watch a full video explaining the program here.

About the Foundation
The Foundation is a not-for-profit 501c3 organization with the purpose of developing specialty disease management initiatives and cost management programs for individuals with chronic, complex, and complicated conditions. The Foundation works with self-funded employers, provider organizations, research organizations, and payors to manage the care of individuals who can benefit from Foundation programs and to research alternative methods of healthcare approaches. Collaborate with well-respected providers and healthcare networks ensures implementation of the best outcomes and eliminates unnecessary costs to enhance patient outcomes for all of our programs. All programs result in quality study outcomes.