1 / 20

Supporting Patients on their Journey

Learn important self-management support strategies to improve patient care. Explore SMS implementation ideas and key resources attached.

rcheryl
Télécharger la présentation

Supporting Patients on their Journey

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Supporting Patients on their Journey Paul Kerston, Positive Living BC Kathy Reims, MD STOP HIV/AIDS Collaborative Learning Session Learning Session 2 May 25, 2011

  2. Session OverviewSelf-Management Support (SMS) • Important SMS themes from a patient perspective • SMS implementation ideas • Time for dialogue • Key resources attached

  3. The continuous healing relationship really does matter.

  4. If you are thinking about what to say next, you are not really listening.

  5. Explain the rationale for recommendations

  6. Don’t let the technology and science obscure the personal

  7. Thoughts about team-based care

  8. Patients have a life, not just a disease

  9. What changes can we make that will result in improvement? • Emphasize the patient's central role • Use effective self-management support strategies that include: assessment, goal setting, action planning, problem-solving and follow-up • Organize resources to provide support

  10. Trusting Relationships • Continuity • Interpersonal skill building • Strong systems support

  11. Listening • Takes practice • Motivational Interviewing training • Role play • Office culture

  12. Explain, then respect the patient choice • Information, but more than that • Evidence for shared-decision making • Respect for patient role and autonomy • Brief Action Planning – patient drives the goal

  13. Keep it personal • Eye contact • Think through computer use – involve the patient • See what you are asking through the lens of the person • Document progress over time and follow up

  14. Teams • Protocols • Prompts and reminders • Outreach • Case management assistance when needed • Decide what is always in the provider domain • Expanded multidisciplinary teams

  15. See the person, not the disease • Social history • Prompts about key life events • Ask questions about impact of care and illness • Leverage strengths • Emphasize wellness • Tap into personal networks and community supports

  16. Resources

  17. SMS Resources: Core Training • Schaefer J, Miller D, Goldstein M, Simmons L. Partnering in Self-Management Support: A Toolkit for Clinicians. Cambridge, MA: Institute for Healthcare Improvement; 2009. Available at: www.IHI.org • Physician Tip Sheet for Self-Management Support. Chicago, IL: American Medical Association; 2008. AMA.org • Prochaska, JO; Norcross, JC; DiClemente, CC. Changing for good: the revolutionary program that explains the six stages of change and teaches you how to free yourself from bad habits. New York: W. Morrow; 1994. ISBN 0688112633.

  18. SMS Resources: Advanced Training • Cole S. Ultra-Brief Personal Action Planning. Rochester, NY: Stony Brook University Medical Center; 2008. • California HealthCare foundation Website: http://www.chcf.org/publications/2005/06/helping-patients-manage-their-chronic-conditions • Weiss, Barry D., Mays, Mary Z., Martz, William, Castro, Kelley Merriam, DeWalt, Darren A., Pignone, Michael P., Mockbee, Joy, Hale, Frank A.Quick Assessment of Literacy in Primary Care: The Newest Vital SignAnn Fam Med 2005 3: 514-522

  19. SMS Resources: Advanced Training • The Newest Vital Sign: A New Health Literacy Assessment Tool for Health Care Providershttp://www.pfizerhealthliteracy.com/physicians-providers/newest-vital-sign.html • The Macarthur Initiative on Depression and Primary Care http://www.depression-primarycare.org/clinicians/toolkits/materials/forms/phq9/ • Motivational Interviewing http://www.motivationalinterview.org/ • Motivational Interviewing in Health Care: Helping Patients Change Behavior (Applications of Motivational Interviewing) Stephen P Rollnick PhD, William R. Miller Phd, Christopher C. Butler MD, Guilford Press, New York, 2008.

  20. Time for dialogue

More Related