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Patient Centered Care And Cultural Transformation

Patient Centered Care And Cultural Transformation . WRIISC Conference. Laura Krejci, MSW Interim Director, National Veterans Service and Advocacy Program Office of Patient Centered Care and Cultural Transformation August 9, 2011. The Real Healthcare Recovery Plan.

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Patient Centered Care And Cultural Transformation

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  1. Patient Centered Care And Cultural Transformation WRIISC Conference Laura Krejci, MSW Interim Director, National Veterans Service and Advocacy Program Office of Patient Centered Care and Cultural Transformation August 9, 2011

  2. The Real Healthcare Recovery Plan • Chronic conditions consume more than 75% of healthcare costs, and are largely effected by health behaviors • The current healthcare model does not work because we do not have a core competency in optimizing health • We have a professional and now an economic imperative to change

  3. The Economics . . . and the Outcomes UC Project for Global Inequality

  4. The Central Challenge • Our current system was designed to treat Service Connected injuries and illnesses • Therefore, our model is problem based and disease oriented • The challenge is to create a core competency in optimizing health for Veterans

  5. Disease oriented Find it, fix it Biomedical interventions Reactive Sporadic Individual left to enact Physician-directed Health oriented Identify risk, minimize it Whole person approaches Proactive Lifelong planning Support in implementation Partnership-based Patient Centered Care A Transformative Model ContemporaryPatient-Centered, Integrative Care

  6. Patient Centered Care in the Veterans Health Administration • A fully engaged partnership of Veteran, • family and health care team • Established through continuous healing • relationships • Provided in optimal healing environment • In order to improve health outcomes and • the Veteran’s experience of care. Reference: VHA Universal Health Services Report

  7. . . • Empower • with • Information Patient Aligned Care Teams (PACT) (Formerly Patient Centered Medical Home) • Quality & Transparency • Health Promotion and Disease Prevention Program and Health Risk Assessment • My Health eVet • Customized Handbook Educate Future Health Professionals • Point of Service Kiosks • Long Term Care Demonstration Projects • Virtual Access • Secure Messaging • Telehealth • CLC Cultural Transformation Reference: VA Transformation Memorandum, Elements of Care

  8. A New Approach to Health Care • Patient at the center, not the diagnosis or problem • Healthcare starts with the person • Vision of health, their goals, • Linking behavior to what matters to them • Planning for optimal health and healing • Personalize health planning

  9. The Values and Culture of Veterans • The Plan- you wouldn’t fight a war or go into battle without one • Teaching skills- you wouldn’t send your troops in without training • Behavior change that works- you live or die by your fellow soldiers, your buddies, your squadron, your team Voice of the Veteran

  10. VHA Office of Patient Centered Care and Cultural Transformation • Mission: Catalyze and sustain cultural transformation in healthcare for and with our Veterans • Vision: To transform from a problem-based disease care system to a patient-centered health care system

  11. Centers of Innovation Field Based Implementation Team Home Base Region One Region Two VISN 22 - Los Angeles, CA VISN 17 - Arlington, TX VISN 5 – Washington, D.C. Region ThreeRegion Four VISN 7 - Birmingham, AL VISN 3 - East Orange, NJ

  12. Outcomes and Analysis Basic & Clinical & Systems Research Centers of Innovation R,D,D,D* New Models of Care Deployment across VHA Clinical Experience/ Innovation in VHA Facilities Education and Training Innovation Engine Model *Research, Development, Demonstrate, Deployment

  13. Field Based Implementation Teams • Region 1: VISN 22 / VA Greater Los Angeles - VISNs 18,19,20,21,22 • Region 2: VISN 17 / VA North Texas - VISNs 12,15,16,17,23 • Region 3: VISN 7 / VA Birmingham - VISNs 5,6,7,8,9 • Region 4: VISN3 / VA New Jersey - VISNs 1,2,3,4,10,11

  14. Partnership with Planetree • A non-profit organization serving as a catalyst and partner in the development and implementation of models of health care to cultivate healing of the mind-body-spirit in a patient- centered, safe environment.

  15. One Aim – The Veteran • We need to put the patient at the center - their life and what matters to them - and build our health care around them • Then we will achieve increased quality, decreased costs, improved experience of our patients and joy in our work

  16. Come Together… Over Me!

  17. Thank You For Your Service to our Nation’s Heroes! Laura Krejci, MSW Interim Director, National Veterans Service and Advocacy Program Office of Patient Centered Care and Cultural Transformation 678-796-3645 Laura.krejci@va.gov

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