harvard primary care poster

Changing the Conversation: Providing Whole Health Care Jacqueline Spencer, MD, Elizabeth Recupero, DO, Mary Gallagher-Seaman, RN VA Boston Healthcare System and Office of Patient Centered Care, VACO Background Objectives Methods Results Lessons Learned References Veterans Health Administration Office of Patient Centered Care & Cultural Transformation. (2014). Whole Health in Primary Care. Personalized Health Planning and Patient-Centered Care in a Clinical Setting [White paper]. Washington DC. Special thanks to: Dr. Ralph Snyderman & Leigh Ann The level of patient engagement in managing their health varies widely. Medicine is designed to address acute/chronic issues and not health and wellbeing. Changing the conversation and placing the patient in the center of their care while considering the Whole person can lead to improved patient activation. •Create process for changing the conversation •Create tools to gather relevant information •Design a Personalized Health Plan •Complete Pilot in 3-4 months •Identified 3 teams across 3 sites •Introduce concept of Whole Health •Whole Health ROS + traditional ROS and Personal Health Inventory •Health Risk Assessment (HealtheLiving Assessment (HLA) •Review of labs, chronic diseases, medical evaluations •Personalized Health Plan • Amazing what can be done in 3-4 months with Leadership support • Provider to provider/nurse to nurse communication works best to establish spread ideas • MI and health coaching integral to approach • Process was easier to establish than documentation • Front desk staff appreciated being involved • Risk Assessment valuable but challenging to execute • Pts not always ready to set goals Patient Survey results Coaching – 1/9 improved A1c, 8/9 engaged and trying PHP – 5/24 contacted. All set goals, all pursued some action, either stated goal or alternative, all preferred this visit to typical visit. Pts felt more “cared for” :

Upload: mary-gallagher-seaman

Post on 10-Apr-2017

238 views

Category:

Documents

2 download

Report

Download

Embed Size (px):

TRANSCRIPT

Changing the Conversation: Providing Whole Health CareJacqueline Spencer, MD, Elizabeth Recupero, DO, Mary Gallagher-Seaman, RN

VA Boston Healthcare System and Office of Patient Centered Care, VACO

Background

Objectives

Methods Results

Lessons Learned

ReferencesVeterans Health Administration Office of Patient Centered Care & Cultural Transformation. (2014). Whole Health in Primary Care. Personalized Health Planning and Patient-Centered Care in a Clinical Setting [White paper]. Washington DC.

Special thanks to: Dr. Ralph Snyderman & Leigh Ann Simmons- PIRE, Dr. Tracey Gaudet & Janet Vertrees, OPCC&CT, VACO

The level of patient engagement in managing their health varies widely. Medicine is designed to address acute/chronic issues and not health and wellbeing. Changing the conversation and placing the patient in the center of their care while considering the Whole person can lead to improved patient activation.

•Create process for changing the conversation•Create tools to gather relevant information•Design a Personalized Health Plan•Complete Pilot in 3-4 months

•Identified 3 teams across 3 sites•Introduce concept of Whole Health•Whole Health ROS + traditional ROS and Personal Health Inventory•Health Risk Assessment (HealtheLiving Assessment (HLA)•Review of labs, chronic diseases, medical evaluations•Personalized Health Plan

• Amazing what can be done in 3-4 months with Leadership support

• Provider to provider/nurse to nurse communication works best to establish spread ideas

• MI and health coaching integral to approach• Process was easier to establish than documentation• Front desk staff appreciated being involved • Risk Assessment valuable but challenging to execute • Pts not always ready to set goals• Experience could moved patients from pre-

contemplation to contemplation and even action• Patients overwhelmingly positive about experience • Clinicians reported satisfaction with the process

Patient Survey resultsCoaching – 1/9 improved A1c, 8/9 engaged and tryingPHP – 5/24 contacted. All set goals, all pursued some action, either stated goal or alternative, all preferred this visit to typical visit. Pts felt more “cared for”:

Rothersthorpe CE Primary School Pride, Ability, Positivity ......poster. Thank you and keep going! Rothersthorpe CE Primary School Pride, Ability, Positivity PAGE 2 - REPORTING 16th

Poster Poster Poster Poster Poster Poster Poster Poster

A primary · Poster Primary v. Secondary Sources What is a primary source? contracts portraits photographs historical documents music Primary sources include: ... primary source may

Poster final - Harvard Medical Schooldms.hms.harvard.edu/.../documents/2011SymposiumPosterBP.pdf201 1 Symposium on Translatíonal Neuroscíence Harvard Program in Neuroscience Wednesday,

PRIMARY SOURCE ANALYSIS POSTER - EIU · PRIMARY SOURCE ANALYSIS – POSTER Research by _____ FIRST GLANCE Describe the first thing you notice? What emotion do you feel? Why? READING

ARVO2014-front-cover-horizontal - Harvard UniversityARVO/ISIE IMAGING CONFERENCE | ORANGE COUNTY CONVENTION CENTER, SOUTH BUILDING | 9899 International Drive, Orlando, FL POSTER &

3. THE PRIMARY OBJECTIVE OF THIS POSTER

Primary research and conclusion movie poster

Poster final - Harvard Medical School · 2016-08-24 · 201 1 Symposium on Translatíonal Neuroscíence Harvard Program in Neuroscience Wednesday, May 1 1, 201 1 1 to 5 pm Walter

Primary HFLE - Managing the Environment Poster

Resident Poster Listing by Primary Author Last Name ...2015 ASHP MIDYEAR CLINICAL MEETING RESIDENT POSTER LISTING BY PRIMARY AUTHOR LAST NAME (REVISED 11/7/15) Page | 2 Session ID

ANCIENT SCIENCE: PRIMARY - Amazon S3 · ANCIENT SCIENCE: PRIMARY ... 1.20pm STUDENTS DEPART ... through Nyungar Face Paint/handprints/Class Poster using traditional Nyungar