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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

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


Patient centered care and cultural transformation

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


Patient centered care and cultural transformation

The Economics . . . and the Outcomes

UC Project for Global Inequality


Patient centered care and cultural transformation

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


Patient centered care and cultural transformation

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


Patient centered care and cultural transformation

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


Patient centered care and cultural transformation

.

.

  • 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


Patient centered care and cultural transformation

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


Patient centered care and cultural transformation

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


Patient centered care and cultural transformation

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


Patient centered care and cultural transformation

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


Patient centered care and cultural transformation

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


Patient centered care and cultural transformation

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


Patient centered care and cultural transformation

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.


Patient centered care and cultural transformation

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


Patient centered care and cultural transformation

Come Together…

Over Me!


Patient centered care and cultural transformation

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

[email protected]


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