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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”
Extensive PHC partnerships to support patients
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Let us join you in your journey of care…Patients as Partners.
Thank you
