Why is Health Communication Important to the Patients as Partners Program Kelly McQuillen, Director...

Why is Health Communication Important to the Patients as

Partners Program

Kelly McQuillen,

Director Patients as Partners, BC Ministry of Health Services

Health Literacy Summer SchoolAdvocacy and Health Literacy: Reinforcing

Population Health PromotionJuly 8, 2011

What are we trying to accomplish today?

1. Provide overview of Patients as Partners (PasP) as part of the PHC agenda

2. Build “will” to authentically engage patients/families and communities in ehealth solutions for care, redesign and improvement.

3. Describe how health communications can enable PasP

Guiding Primary Health Care

Primary Health Care CharterCoordinated system approaches to different population health needs

In 2007/08, approximately 1/3 of British Columbians

had chronic condition. 83% accessed primary care

General Practice Services Committee (GPSC)

Collaboration between BC’s General Practitioners, Health Authorities, the Ministry and the BC Medical Association to improve the quality of patient care

Value us, Pay us, Train us, Support us

Patients as Partners improves

health care in three waysPopulation

Health

Experienceof Care

Per CapitaCost

The Triple Aim, www.ihi.org

HealthyPeople!

HappyPeople!

And we canafford it!

Patients as Partners – BC PHC definition

Patients and families are partners in primary health care when they are supported and encouraged to participate :in their own health carein decision making about that care at the level they choosein quality improvement and health care

redesign in ongoing and sustainable ways

Core principles of family-centered care

• Dignity and Respect• Information Sharing• Participation• Collaboration

Institute for Family-centered Care

http://www.familycenteredcare.org/

Why patient experience in PHC?When patients have a good experience with their healthcare and are engaged in the system, the result is:

• Better safety • Better clinical outcomes • Reduced costs • Improved support for BC’s healthcare system

• Good experience is what patients and providers want

Wilson, T. Improving Service Experience, PricewaterhouseCoopers, LLP September 2008.

The ultimate measure by which to judge the quality

of a medical effort is whether it helps patients (and

their families) as they see it. Anything done in health

care that does not help a patient or family is, by

definition, waste, whether or not the professions and

their associations traditionally hallow it.(Berwick 1997)

The Expanded Chronic Care Model – Evidence based approaches to CDM

Patients AsPartners Priorities

IndividualHealthCare

Shaping the Primary HealthCare System

Bringingin the

Community

What are we trying to accomplish in partners in individual health

care?• Support health literacy as a foundation for

patient self-management• Support providers to meaningfully engage

with patients• Enhance confidence of patients and

providers in self-management• Enhance patient and provider relationships

The Health Literacy Umbrella

Health Problems & Risks

B e t t e r H e a l t h

Relationships Understanding

Developed by the Health Literacy in Communities Prototype Faculty:Connie Davis, Kelly McQuillen, Irv Rootman, Leona Gadsby, Lori Walker, Marina Niks, Cheryl Rivard, Shirley Sze, and Angela Hoviswith Joanne Protheroe, July 2009. IMPACT BC.

Partnering

Patient Contact with Health Professionals Time managing at home over 1 year

GP visits per annum = 1 hour

Visits to specialists = 1 hour

PT, OT, Dietitian = 10 hours

Total = 12 hours with professionals

364.5 days managing on their own or 8748 hours

Barlow, J. Interdisciplinary Research Centre in Health, School of Health & Social Sciences, Coventry University, May 2003.

PATIENT AS PARTNER Portable, Comprehensive

Provider continuityProactive managementGuideline basedTeam coordinated

Self-managementParticipation

ForumsSupport Groups

CommunicationsSupport

CoachingAwareness

Alerts

PATIENTS WANT EMPOWERMENT

WELLNESS – preventive and behavioralILLNESS – medical and clinical

Face-to-face – extend to teameAccess – eVisit, secure messaging

Group sessions from ProvidersPatient Forums, Blogs,wikis,, (Communityware systems)

Involved in care planningLong term goalsSelf-managementFeedback on progressNot episodic care

What are we trying to accomplish by Partnering to Shape the

Primary Health Care System?• Include voice, choice and representation in

redesign efforts• Create a habit of patient and family

involvement from policy to practice• Train and support patients and providers

towards meaningful engagement

The Patient Voices Networkis a mechanism to recruit, train and support

patients and their families to participate in primary healthcare changes on an individual, community and system level. The Network will bring patients

together from around the province to share experiences and learning.

Why Do We Need a Patient Voices Network?

Patients and families are the experts in their own lives. To make decisions that reflect the needs, aspirations and priorities of the local population, they have to be engaged openly and honestly in

system re-design and in their own care.

What Does the Patient Voices Network Look Like?

Patient VoicesRegistry / Website

Activated Network

Peer to Peer Coaching(Healthy Behaviours)

Shaping the System Engagement

Community Activation

Patient Voices Network

• Database of Patients• E-learning• Information / News• Polls / Surveys• Offline engagement

What are we trying to accomplish by Bringing in the Community?

• Support the growing partnerships between PHC, community, patients and families

• Support increasing the involvement of community in health care service delivery and decision making

• Leverage community assets

Patients as Partners

If you want to travel fast,travel alone.If You want to travel far,Travel together

“Our next-generation healthcare system will not be a computerized doctor, but a well-wired patient”

HYH a GPSC value Test

with assistance of John.h.wasson@dartmouth.edu

Extensive PHC partnerships to support patients

41

26

Let us join you in your journey of care…Patients as Partners.

Thank you