webinar: patient engagement
TRANSCRIPT
Welcome...
Today’s topic
Patient Engagement: A Key Strategy for Population Health Management
During today’s discussion, feel free to submit questions at any timeby using the questions box. A follow-up e-mail will be sent to all
attendees with links to the presentation materials online.
Tammy RichardsOperations director,patient and clinicalengagement,IntermountainHealthcare,Salt Lake City
Dr. Thomas GrafChief medical officerfor population health,Geisinger Health System,Danville, Pa.
Kristin CarmanVice president, director,Center for Patient andConsumer Engagement,American Institutes forResearch,Washington
Maureen McKinneyEditorial programs manager,
Modern Healthcare
Now speaking...Please use the questions box on your webinar dashboard
to submit comments to our moderator
Kristin CarmanVP, director, Center for Patient and ConsumerEngagement, American Institutes for Research
Now speaking...Please use the questions box on your webinar dashboard
to submit comments to our moderator
AMERICAN INSTITUTES FOR RESEARCH
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Goals
• Define patient and family engagement
• Discuss the benefits of patient and family engagement
• Explain why we created a roadmap to patient and family engagement
• A Roadmap for Patient and Family Engagement in Healthcare Practice and Research: Change Strategies
AMERICAN INSTITUTES FOR RESEARCH
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A working definition for patient and family engagement
Patients, families, their representatives, and
health professionals
Working in active partnership
At various levels across the health care system
To improve health and health care
Carman et al., “Patient and Family Engagement: A Framework for Understanding the Elements and Developing Interventions and Policies” Health Affairs, 32, no.2 (2013):223-231
AMERICAN INSTITUTES FOR RESEARCH
Public policies and culture
Health care organizations and systems
Clinicians and
health care providers
Family and friends
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Patients
Who: Patients, families, providers, systems
AMERICAN INSTITUTES FOR RESEARCH
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What: Working in active partnership
• Partnership and shared leadership involves real culture change, which means:
– Leadership commitment
– Provider / patient education
– Potential changes to workflows, policies, and procedures
ConsultationConsultation InvolvementInvolvementPartnership and shared leadershipPartnership and shared leadership
AMERICAN INSTITUTES FOR RESEARCH
• Patient activation: an “individual’s knowledge, skill, and confidence for managing his/her own health and health care”
• How is that different from patient and family engagement?
• Focuses on the individual
• Does not look at behavior
• Does not address the individual’s external context
• Is one aspect of person’s ability to engage in care
How does patient and family engagement differ from patient activation?
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AMERICAN INSTITUTES FOR RESEARCH
• Patients and families
– Improved health outcomes
– Better experiences of care
• Clinicians and health care providers
– Improved satisfaction and retention
• Health care organizations and systems
– Competitive edge
– Standards, reimbursement, and requirements
Who can benefit from patient and family engagement?
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AMERICAN INSTITUTES FOR RESEARCH8
Our Goals
• Develop a unified roadmap for practice and research
• Move from what-ifs to action
• Build on existing work and use multiple inputs
• Convene a multidisciplinary group of key stakeholders
AMERICAN INSTITUTES FOR RESEARCH9
What did we ask participants to do?
• Develop vision for the field – build physical roadmaps
– Milestones and destinations
– Strategies and tactics
– Factors that affect progress
– Timing: today, tomorrow, future
AMERICAN INSTITUTES FOR RESEARCH13
Change Strategies: Preparing for Engagement
Patient and Family PreparationEducate, prepare, and empower patients and families to engage effectively in their health and healthcare
What can we do? Implement patient-centered tools to support shared decision making
Clinician and Leadership Preparation Educate, prepare, and empower clinicians and healthcare leaders to partner effectively with patients and families
What can we do? Develop standardized patient and family engagement competencies
AMERICAN INSTITUTES FOR RESEARCH
Care and System Redesign
Redesign system processes, policies, and structures to provide opportunities for and support of partnerships between patients, families, and the healthcare team
What can we do? Restructure care
processes to support shared
decision making. Document the
process, including the content of
discussion about risks, benefits, and
patient goals, values, and
preferences.
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AMERICAN INSTITUTES FOR RESEARCH
AIR’s Center for Patient and Consumer Engagement
http://aircpce.org
Coming September 23rd-
Roadmap to Patient and Family Engagement in Health Care Practice and Research
www.patientfamilyengagement.org/roadmap
More information
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Tammy RichardsOperations director, patient and clinical engagement
Intermountain Healthcare
Now speaking...Please use the questions box on your webinar dashboard
to submit comments to our moderator
Patient Engagement
Vision & Definition
Vision: To build a patient-centered, value-oriented model for
engaging patients.
Definition: The effective partnership between the patient, the
family and the healthcare team to collaboratively achieve the
patient’s health-related goals.
42.6%
51.2%
59.8%57.9% (PR=94)
68.0% (PR=93)
73.0% (PR=92)
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
80.0%
During this hospital stay, staff took my
preferences and those of my family or caregiver
into account in deciding what my health care
needs would be when I left.
When I left the hospital, I had a good
understanding of the things I was responsible for
in managing my health.
When I left the hospital, I clearly understood the
purpose for taking each of my medications.
NRC 50th percentile top box score Intermountain YTD top box score
HCAHPS Care Transitions QuestionsIntermountain Healthcare System Scores
National Levels of Literacy
Basic
22%
Below Basic
14%
Intermediate
52%
Proficient
12%
Basic
Below Basic
Intermediate
Proficient
Dr. Thomas GrafChief medical officer for population health
Geisinger Health System
Now speaking...Please use the questions box on your webinar dashboard
to submit comments to our moderator
Heal • Teach • Discover • Serve
Copyright Geisinger Health System 2014
Not for reuse or distribution without permission
Geisinger Health System Confidential and Proprietary
“Let us bear in mind that the most important individual after all is the
patient. Our paramount thought must be to provide him means by which he
can have skilled diagnostic and therapeutic service in as complete form as
may be indicated in a given case, in the shortest possible time consistent
with thoroughness, and at the least cost to him.” HL Foss, MD
11/4/1950 1
Heal • Teach • Discover • Serve
Copyright Geisinger Health System 2014
Not for reuse or distribution without permission
Geisinger Health System Confidential and Proprietary
The Functional Components of Population Health
Value Driven
Acute Care:
Proven Care
Acute
Value Driven
Specialty Care:
PHN Integration
Value Driven Actuarial and Operational Informatics
Value Driven
Population Care
ProvenHealth®
Navigator, Clinical
Redesign
Value Driven Post-
Acute Care:
TOC, SNFist
Cultural
TransformationData Driven
Care and
Leadership
Evolutions
Heal • Teach • Discover • Serve
Copyright Geisinger Health System 2014
Not for reuse or distribution without permission
Geisinger Health System Confidential and Proprietary
Automated
prevention for all
patients
• Physician
Directed,
Team
Delivered
• Patient and
Family
Activated
Care
Multi-chronic
Disease
Multi-chronic
Disease
ChronicDiseaseChronicDisease
WellWell
Concentrated Care
• Technology
enabled RN
support
• High Touch
• High Tech
Enhanced Systems of
Care
• Proactive Monitored
• Office Based
• Mobile Accelerated
Clinical Foci for Population Care
Heal • Teach • Discover • Serve
Copyright Geisinger Health System 2014
Not for reuse or distribution without permission
Geisinger Health System Confidential and Proprietary
Heal • Teach • Discover • Serve
Copyright Geisinger Health System 2014
Not for reuse or distribution without permission
Geisinger Health System Confidential and Proprietary
What is OpenNotes?
In OpenNotes, doctors use a secure Internet portal to invite patients to review notes following an office visit.
The heart of OpenNotes is to:
• Involve patients far more actively in all aspects of care
• Improve communication between the doctor and patient
• Encourage patients to share information with others, including those who care for them
• Help prevent mistakes
5
5
Heal • Teach • Discover • Serve
Copyright Geisinger Health System 2014
Not for reuse or distribution without permission
Geisinger Health System Confidential and Proprietary
Heal • Teach • Discover • Serve
Copyright Geisinger Health System 2014
Not for reuse or distribution without permission
Geisinger Health System Confidential and Proprietary
“Every few hundred years, throughout Western history, a sharp transformation has occurred. In a matter of decades, society altogether rearranges itself: its world view, its basic values, its social and political structures, its arts, its key institutions. Fifty years later, a new world exists, and the people born into that world cannot even imagine the world in which their grandparents lived and into which their own parents were born. Our age is such a period of transformation.”
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Peter Drucker, “Managing in a Time of Great Change”
CHANGE
Today’s panelists...Patient Engagement: A Key Strategy for Population Health Management
During today’s discussion, feel free to submit questions at any time by using the questions box.
Maureen McKinneyEditorial programsmanager,Modern Healthcare
Dr. Thomas GrafChief medical officer
for population health,Geisinger Health System,
Danville, Pa.
Kristin CarmanVice president, director,
Center for Patient andConsumer Engagement,
American Institutesfor Research,
Washington
Tammy RichardsOperations director, patient and clinical engagement,Intermountain Healthcare,Salt Lake City
TODAY’S MODERATOR
Thank you...... for attending today’s editorial webinar on patient engagement and population health management.
We also thank our panelists, Kristin Carman, vice president, director, Center for Patient and Consumer
Engagement, American Institutes for Research, Washington; Dr. Thomas Graf, chief medical officer for
population health, Geisinger Health System, Danville, Pa.; and Tammy Richards, operations director,
patient and clinical engagement, Intermountain Healthcare, Salt Lake City.
Expect a follow-up e-mail within two weeks. For more information,
send an e-mail to [email protected]
Register now for Modern Healthcare’s next virtual conference, “Building Tomorrow’s Delivery Model,” set for
Wednesday, Oct. 15. For more information, please visit modernhealthcare.com/building