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Patient engagement learning and Action network Rachelle DuBose Caruthers, LMSW Outreach Coordinator office Learning Session 1 OC Welcome to learning session 1. Acknowledge that much work has already taken place to get to this point and it is appreciated! Lead on project, working with a team at the Network to support your patient engagement activities is best method of contact
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Welcome and Introductions
Network 14 Staff 127 Dialysis Facilities Glenda Harbert, Executive Director Staff Patients Rachelle DuBose Caruthers, Outreach Coordinator Community Partners National Kidney Foundation (NKF) Kelly Shipley, Quality Improvement Director State of Texas Kidney Foundation (TKF) Charlonda Thrower, Patient Services Director Hispanic Wellness Coalition (HWC) Jason Simmington, Quality Improvement Specialist Medical Review Board (MRB) Kathleen Prewitt, Data Clerk Department of State Health Services (DSHS) Lydia Omogah, Administrative Assistant Centers for Medicare & Medicaid Services (CMS) Patient Subject Matter Experts Others? OC – 5 (RCI – CCN/polling questions/ Introduce team Roll call of subject matter experts - Yolanda D., Marvin E., Yolanda H., Oscar H., Mark M., Diane T., Raymond W. 127 Dialysis facilities – were selected by corporate leadership for this project and we appreciate the support we have received from the RQM/AQM Community stakeholders – roll call and we would like to expand this list, so please recommend an individual and/or group that would be appropriate We will be using the Chat feature in this webinar. DO NOT put patient names or information in the chat box. If you are on a tablet and cannot see the polling questions, respond in the Chat feature using your CCN and the question number Slide 2 – In the Chat box, please enter your CCN – EXPLAIN CCN 2 minutes Which staff members are participating in today’s webinar? (check all that apply) Regional/area leadership Facility administrator/clinic manager Nephrologist/Medical Director Social worker Nursing supervisor Dietitian Tech Other: Did staff read the assigned article: What 'Patient-Centered' Should Mean by Donald M. Berwick? Yes Some No How many of your patients and/or family members are participating in today’s webinar? 3 or more 2 1 Do any of today’s participants primarily speak Spanish? (CCN is your facility’s six-digit Medicare Provider Number)
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Polling Questions 2-1 Which staff members are participating in today’s webinar? (check all that apply) Regional/area leadership Facility administrator/clinic manager Nephrologist/Medical Director Social worker Nursing supervisor Dietitian Tech Other: 2-2 Did staff read the assigned article: What 'Patient-Centered' Should Mean by Donald M. Berwick? Yes Some No 2-3 How many of your patients and/or family members are participating in today’s webinar? 3 or more 2 1 2-4 Are any of your patients participating from home or joining ONLY by phone (not viewing the slides)? 2-5 Do any of today’s participants primarily speak Spanish?
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Choose topics and timelines Discuss measures and education materials
Objectives Explain what “Patient- and Family-Centered Care” and “Patient Engagement” mean Explain the purpose of a Patient Engagement Learning and Action Network Choose topics and timelines Discuss measures and education materials Learn how to improve patient-centered care in our facilities Share knowledge OC -1
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Network 14 Mission Statement
We support equitable patient- and family-centered quality dialysis and kidney transplant health care through the provision of patient services, education, quality improvement, and information management. ED - 1
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Patient- and Family-Centered Care
“Could a greater miracle take place than for us to look through each other’s eyes for an instant?” - Henry David Thoreau ED - 1
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What is Patient- and Family-Centered care?
“Providing care that is respectful of and responsive to individual patient preferences, needs, and values and ensuring that patient values guide all clinical decisions.” The Institute of Medicine “An approach to the planning, delivery, and evaluation of health care that is grounded in mutually beneficial partnerships among health care providers, patients, and families.” The Picker Institute ED - 1
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Core concepts of patient- and Family-centered care
Dignity & respect Build patient/family knowledge, beliefs, culture into plan of care. Listen to, honor choices. Information sharing Share complete, unbiased, timely info. Know patients’ health literacy & act accordingly. Participation Support patient involvement at the level they choose. This level may change over time. Collaboration Patients/families/care team work together on policy development, implementation, evaluation. ED - 1 Institute for Patient- and Family-Centered Care
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Disease-centered v. patient- and Family-centered
Patient-Centered Model Patient role: Active (Patient asks questions) Partner in treatment plan (Patient asks for info about options) Collaborative decisions (Provider offers options/pros & cons) Quality of Life-centered (Family life is focus of Pt activities) Provider listens more/talks less (Allow time for discussion, Q’s) Patient follows treatment plan (Self-manages diet, fluids, meds…) Medical Model Patient role: Passive (Quiet) Recipient of treatment (Doesn’t voice concerns) Provider-dominated decisions (Does not offer options) Disease-centered (Dialysis is focus of Pt activities) Provider does most talking (Does not allow time for Q’s) Patient complies (or not) (Diet, fluids, meds, treatments…) ED
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What is patient Engagement?
“Actions people take for their health and to benefit from their healthcare.” The Center for Advancing Health ED
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What do YOU think Patient Engagement Means?
Ask your patient(s) what “Patient Engagement” means to them. In the Chat box, enter your facility CCN or organization and a ONE sentence response. All Teach, All Learn OC – Remove Polling Questions Slide 10 - Chat answer to what PE means to you
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2015 Statement of Work The Network shall develop, facilitate and continue a sustainable Patient Engagement Learning and Action Network in the Network area to promote patient and family engagement, patient- and family-centered care, and protect the interest of patients. The LAN shall be patient-driven with topics chosen by the Patient Subject Matter Experts (Patient SMEs) participating in the LAN. OC
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What is a Learning and action Network (LAN)?
An organized effort of sharing learning by a network of organizations or teams to: Adapt known BEST PRACTICES for a specific health priority or issue, Achieve significant results in a short period of time, Scale up BEST PRACTICES to other organizations via a planned SPREAD strategy. All Teach, All Learn environment QI
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Learning and Action networks
QI
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PDSA Cycle Plan Do Study Act QI As a LAN participant, it is important for you to adapt the pdsa cycle to your processes AND share results with your colleagues
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2015 PE LAN Requirements Patient Subject Matter Experts (SMEs)
At least 4 meetings Monthly reporting Topics Patient-driven Activities Quality improvement activity (QIA) 5% relative improvement over baseline Two patient education campaigns 10% relative improvement over baseline OC Monthly reporting – survey monkey to reduce faxing and survey fatigue Relative improvement – need measurable targets to establish baseline
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Topics and Measures New Patient Orientation Quality of Life Diet
All Teach, All Learn Topics and Measures Calcification and Phosphorus Disaster Preparedness Mental Health and Depression New Patient Orientation Patient Mentor Programs Quality of Life Diet End of Life Missing Treatments Patient- and Family-Centered Care Preventing Infections Vaccinations Polling Questions 17-1 Which topics should we use for the patient education campaigns? (pick TWO (2) topics) New Patient Orientation Quality of Life Diet Missing Treatments 17-2 How can we measure the topics you picked to see if there is an improvement? 17-3 Does your facility have materials on those topics that the LAN might use? OC Slide 16 – 5 minutes Which topics should we use for the patient education campaigns? (pick TWO (2) topics) New Patient Orientation Quality of Life Diet Missing Treatments How can we measure the topics you picked to see if there is an improvement? Does your facility have materials on those topics that the LAN might use?
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Project Timeline Option 1 Option 2 Baseline: April QIA: May-Jun
Campaign 1: Jun-Jul Campaign 2: Jul-Aug Deadline: Aug 30 Baseline: April May-Aug QIA Campaign 1 Campaign 2 Deadline: Aug 30 OC Slide 17 2 minutes The best timeline for us is: Option 1: Work on one activity at a time Option 2: Work on all projects at the same time All Teach, All Learn
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How do we engage our patients?
All Teach, All Learn Ask your patients… (Respond to ONE) Chat: Enter your CCN and share one thing your patient(s) wish ALL staff knew Poll: What is one way that you do a good job of encouraging patients to take action to improve their health? Poll: What is one way that you could improve patient engagement at your facility? OC Slide 20 – In the Chat box, enter your CCN and share one thing your patient(s) wish ALL staff knew 7 minutes What is one way that you do a good job of encouraging patients to take action to improve their health? What is one way that you could improve patient engagement at your facility?
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Collect baseline data Learning Session 2 Questions? Next Steps
April 2 – Lubbock April 9 – San Antonio April 23 – Dallas April 30 – Houston Questions? OC
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Choose topics and timelines Discuss measures and education materials
Objectives Explain what Patient- and Family-Centered Care and Patient Engagement mean Explain the purpose of a Patient Engagement Learning and Action Network Choose topics and timelines Discuss measures and education materials Learn how to improve patient-centered care at our facilities Share knowledge OC Slide 22 – 5 minutes This webinar met its stated objectives. Strongly Agree Agree Disagree Strongly Disagree This webinar gave us good ideas on how we can improve patient engagement and patient-centered care. Our team’s questions about this project were answered during the webinar. How can the Network improve the next webinar?
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Polling Questions 22-1 This webinar met its stated objectives.
Strongly Agree Agree Disagree Strongly Disagree 22-2 This webinar gave us good ideas on how we can improve patient engagement and patient-centered care. 22-3 Our team’s questions about this project were answered during the webinar. 22-4 How can the Network improve the next webinar?
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Patient engagement learning and Action network Rachelle DuBose Caruthers, LMSW Outreach Coordinator office Learning Session 1 OC
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