BC Patients as Partners Quality Improvement and Measurement CHSPR Conference Vancouver Caryl Harper Director, Patients as Partners Ministry of Health, British Columbia February 25, 2014 1
O verview Patients as Partners Context / Mandate 1. Making a Difference: Quality Improvement 2. and Measurement Individual (Micro) Community (Meso) System (Macro) QI and Measurement Continues to Evolve 3. 2
1 . Patients as Partners B.C. Definition: P atients, families and caregivers are partners in health care when they are supported and encouraged to: participate in their own health care, participate in decision making about that care, participate at the level they choose, and, participate in quality improvement and health care redesign in ongoing and sustainable ways. Motto’s: Nothing about me, without me ... All teach All learn Vision for the future: A health care system that actively reflects the needs and interests of the people it serves... the patients. 3
1. Guiding Documents Patients as Partners policy, philosophy and program f irst described in 2007 MOH Primary Health Care Charter Patients as Partners Charters Individual care • P atients – involved in their own health – self-management • P atient –centred care – system is responsive, respectful, collaborative Community Programs and Services • P atients , families, caregivers, community organizations, strategic partners engaged in design, delivery and evaluation of health care programs and services System Redesign • E ngagement of patients, families, caregivers, communities, strategic partners in broader policy development or strategic planning • R epresentation from patients, families, caregivers communities, strategic partners in governance 4
P atients as P artners improves health care in 3 ways—Triple A im He althy Population P e opl e! Health A nd w e can H appy afford it ! P e opl e! Experience Per Capita of Care Cost T he T riple Aim f rom www.ihi.org 5
Pati e nts as Partn e rs Fram e work Alzheimer BC Lung Canadian Diabetes Centre for Collaboration Society of BC Association Association Motivation & Innovation Divisions of The Family Heart & Stroke Family Arthritis Caregivers’ Delaney Doctors Foundation BC Practice Society Patient Safety Network Society and Joint Clinical of BC Family CMHA Quality Associates Committees Caregivers Bounce Back Council Network UVIC Self - Patient Partners UBC iC O N PainBC Management Health ImpactBC Ministry Authorities of Health Community Evaluation & Quality Partners Council Improvement Provincial Committee Self-Management Patient and Public Supports Engagement Communications Individual Community System Pati e nts as Partn e rs Chart e rs Pati e nts as Partn e rs Population h e alth Tripl e A im Exp e ri e nc e of car e P e r capita cost DR A FT Ministry of Health/BCMA/Health Authorities/NG O ’s/Patients
2. Individual: QI and Measurement Patients as Partners funded programs: measures of reach and effectiveness: Bounce Back depression and anxiety supports (Canadian Mental Health A ssociation, BC Division) Chronic Disease Self-Management P rogram (University of Victoria Self-Management) 7
2. Individual: QI and Measurement Brief Action Planning ( Centre for Collaboration, Motivation & Innovation) “ I believe BAP is a very valuable tool for health care providers in supporting First Nations clients to make healthy changes in their lives. It is important for health care providers to have knowledge about using this tool due to the high incidence of chronic disease in First Nations ” B e rnic e Johans e n, RN, BS N, MN Clinical Nurs e S p e cialist - He althy Living/Chronic Dis e as e Nursing S e rvic e s, First Nations He alth A uthority 8
2. Community: QI and Measurement Intercultural O nline Health Network (iCON) Community E ngagement initiative Culturally appropriate chronic disease information UBC Faculty of Medicine Multi-channel engagement: - Live in-person health forums (live through webcasting or VC tech A ND iCON Web 2 .0 platform 9
2. Community: QI and Measurement P atient and P ublic E ducation ( PP E ) P re- P ost measures on achieving educational goals and 6-month follow up on usefulness P atients as P artners linkages Joint Clinical Committees (Shared Care, General P ractice Services and Specialist Services Committees) and other partners—measures of number and level of patient engagement opportunities and experience with engagement opportunities 10
2. System: QI and Measurement P atient E ngagement Mechanisms—over 2 5,000 patient partnerships Interim Governing Council (IGC) Strategy for P atient Oriented R esearch (S P O R ) S P O R Business P lan Writing Team Island Health (patient partners official role) evaluate research posters UBC Faculty of Medicine, Medical Human R esources P lanning Task Force, Residency Allocation Subcommittee 11
2. System: QI and Measurement Involve Empower Consult Collaborate Inform Work with Delegate Solicit patient/public responsibility Partner in each feedback on provide to understand for identifying aspect of proposals, information to and consider issues, solutions decision-making, increase alternatives including concerns, and actions to understanding and/or identifying preferences and patients or the decisions alternatives and values public preferred solutions 1 2
2. System: QI and Measurement Patients as Partners - P atient Voices Network ( P atients as P artners, Ministry funded, administered by ImpactBC ): ~ 1,550 patients partners (December, 2 013) Number of patient engagements and I A P 2 levels of engagement tracked monthly P ost engagement QI follow-up to measure experiences for both patient(s) and providers of opportunities. Patients as Partners Charters annual review of aims and measures Patients as Partners priority setting 13
3. Measurement/QI Continues to Evolve: A nnual review of goals, aims, measures for Patients as Partners overall and for committees to ensure alignment with the Triple A im as well as ministry and health authority priorities Quality improvement measures specific to Patients as Partners programs and activities A ctivity measures (to targets) for programs and services Outcome measures—patient/provider and public experience 1 4
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