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Laura Makaroff, D.O. Pat Schmidlapp 10/23/2010

Building the Foundation for Practice Recognition and PCMH Transformation Engaging Patients in Practice Transformation. Laura Makaroff, D.O. Pat Schmidlapp 10/23/2010. The Patient Experience. Why should we engage patients?.

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Laura Makaroff, D.O. Pat Schmidlapp 10/23/2010

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  1. Building the Foundation for Practice Recognition and PCMH TransformationEngaging Patients in Practice Transformation Laura Makaroff, D.O. Pat Schmidlapp 10/23/2010

  2. The Patient Experience

  3. Why should we engage patients? IOM Crossing the Quality Chasm Report aims for an improved health care system • Safe • Effective • Patient-Centered • Timely • Efficient • Equitable

  4. Helping the System IOM Crossing the Quality Chasm Report identifies ten rules for system redesign: • Care is based on continuous healing relationships • Care is customized according to patient needs and values • The patient is the source of control • Knowledge is shared and information flows freely • Decision making is evidence-based • Safety is a system property • Transparency is necessary • Needs are anticipated • Waste is continually decreased • Cooperating among clinicians is a priority

  5. Joint Principles of the Patient-Centered Medical Home The Patient Centered Medical Home is an approach to providing comprehensive primary care for children, youth, and adults. The PCMH is a health care setting that facilitates partnerships between individual patients, and their personal physicians.

  6. Joint Principles • Personal physician • Physician directed medical practice • Whole person orientation • Care is coordinated and /or integrated • Quality and Safety are hallmarks of the medical home: • Practices advocatefor their patients to support the attainment of optimal, patient-centered outcomes that are defined by a care planning process driven by a compassionate, robust partnership between physicians, patients, and the patient’s family. • Patients actively participate in decision-making and feedback is sought to ensure patients’ expectations are being met. • Patients and families participate in quality improvement activities at the practice level.

  7. How do we do it? • Care of the individual patient • Practice improvement • Policy design and implementation

  8. Key points • Asking patients what matters most to them is a critical step in engaging patients in their care. • Providers, patients, and families need new skills for this partnership. • There is no one-size-fits-all solution;patient engagement will look very different for different practices, patient populations, and individual patient-provider interactions. • Health IT has the potential to support patient engagement.

  9. Goals • Respect preferences • Attend to emotional needs • Support autonomy • Share decisions with family and care team • Free flow of information

  10. Engaged in their own Care • Communication and Information Sharing • Self-Care • Decision-making • Safety

  11. Communication and Information Sharing

  12. Patient Education

  13. Patient Education

  14. Self Care

  15. Decision-making

  16. Safety

  17. Practice Improvement

  18. Policy

  19. Another Tool

  20. If all else fails. . .

  21. The Engaged Patient

  22. References • Engaging Patients and Families in the Medical Home,AHRQ Publication No. 10-0083-EF, June 2010 • Center for Advancing Health (www.cfah.org) • www.HowsYourHealth.org • www.ncqa.org

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