Commitment between Patients and Providers Provider focused Session - PowerPoint PPT Presentation

On the Same Page: Better Outcomes through Shared Commitment between Patients and Providers Provider – focused Session Julie Schmelzer, Natalie Friess and Nikke Kaemmerer MetaStar, Inc Health Care Quality Symposium November 14, 2018

Overview Morning Session: Provider-focused • Team Based Care theory and practice • Tools and resources • Discussion Afternoon Session: Patient-focused • Connections to Quality Symposium themes • Wisconsin Health Literacy presentation MetaStar represents Wisconsin in Lake Superior Quality Innovation Network. 2

Provider Session Objectives (Setting Up the Conversation) • Provide background on Conversation Guideposts • Share key information and resources • Engage in conversations and learn from one another MetaStar represents Wisconsin in Lake Superior Quality Innovation Network. 3

Conversation Guideposts 1. Setting up the conversation 2. Assessing understanding and preferences 3. Sharing concern 4. Explore key topics 5. Close the conversation MetaStar represents Wisconsin in Lake Superior Quality Innovation Network. 4

Team-Based Care Fundamentals (Setting Up the Conversation) Team Strategies and Tools to Enhance Performance and Patient Safety ( TeamSTEPPS): an evidenced based framework to optimize team performance across the healthcare delivery system. • Focuses on four key skills: Leadership, Situation Monitoring, Mutual Support and Communication • Highlights the importance of using approaches that foster conversation and discussion • Empowers staff to speak up when appropriate MetaStar represents Wisconsin in Lake Superior Quality Innovation Network. 5

Example in Practice (Setting Up the Conversation) TeamSTEPPS example video MetaStar represents Wisconsin in Lake Superior Quality Innovation Network. 6

Share Resources (Setting Up the Conversation) Team-Based Care definition • National Academy of Medicine (formerly National Institute of Medicine) definition: The provision of comprehensive health services to individuals, families, and/or their communities by at least two health professionals who work collaboratively along with patients, family caregivers, and community service providers on shared goals within and across settings to achieve care that is safe, effective, patient-centered, timely, efficient, and equitable. TeamSTEPPS Other Team Based Care resources • American Medical Association (AMA) Steps Forward: Healthy Team Culture • https://www.stepsforward.org/modules/create-healthy-team-culture • AMA Steps Forward: Team Based Care • https://www.stepsforward.org/modules/team-based-care MetaStar represents Wisconsin in Lake Superior Quality Innovation Network. 7

Study in Practice (Setting Up the Conversation) Family Practice Example - Team building: A Team-Building Model for Team-Based Care • One family medicine residency practice used family systems theory, family therapy and team-based care to redefine and rebuild their teams to work more effectively and productively together. Key learnings • The more participation, the better the outcomes • Setting expectations, then training, then giving feedback is important in that order • Team building requires leadership support, and active resisters must be held accountable MetaStar represents Wisconsin in Lake Superior Quality Innovation Network. 8

Check-in Point (Assessing Understanding and Preferences) How is it going so far? How familiar are you with team-based care or TeamSTEPPS? What approaches would work well for your team or organization? MetaStar represents Wisconsin in Lake Superior Quality Innovation Network. 9

Conversation Scenarios (Sharing Concerns) Our goal is to address any concerns that you may have • How do you feel about this approach in your work setting? • What examples from your team come to mind regarding a team-based care approach? We have examples to share and we want to hear your examples too. MetaStar represents Wisconsin in Lake Superior Quality Innovation Network. 10

Engage in Conversations (Explore Key Topics) Model conversation demo MetaStar represents Wisconsin in Lake Superior Quality Innovation Network. 11

Model Conversation Review (Explore Key Topics) Identify Setting Up the Conversation Identify Assessing Understanding and Preferences Identify Sharing concern Identify Explore key topics Identify Close the conversation MetaStar represents Wisconsin in Lake Superior Quality Innovation Network. 12

Model Conversation Review Part 2 (Explore Key Topics) Additional Conversation Key Points MetaStar represents Wisconsin in Lake Superior Quality Innovation Network. 13

Engage in Conversations and Learn From One Another (Explore Key Topics) • Discuss your experiences in the field • Share conversation examples both interpreted as good and bad MetaStar represents Wisconsin in Lake Superior Quality Innovation Network. 14

Share Team-Based Communication Tools (Explore Key Topics) • Lake Superior QIN Conversation Examples • Inspiration for Conversation Guideposts Serious Illness Guide • MetaStar Elearning Module on engagement • Institute for Healthcare Improvement (IHI) Tool on Daily Huddles (Tools Page) ― Available via free IHI user profile • Wisconsin Health Literacy Website 15

Check-in Point (Close the Conversation) • Was this information valuable? • What is one key component you will take with you from today’s presentation and how will you put it into practice? • Any additional questions? MetaStar represents Wisconsin in Lake Superior Quality Innovation Network. 16

Review of Key Information (Close the Conversation) Did we meet our objectives? • Provide background on Conversation Guideposts • Share key information and resources • Engage in conversations and learn from one another MetaStar represents Wisconsin in Lake Superior Quality Innovation Network. 17

Questions? Julie Schmelzer, jschmelz@metastar.com Natalie Friess, nfriess@metastar.com Nikke Kaemmerer, nkaemmer@metastar.com www.lsqin.org www.metastar.com MetaStar represents Wisconsin in Lake Superior Quality Innovation Network. 18

This material was prepared by the Lake Superior Quality Innovation Network, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The materials do not necessarily reflect CMS policy. 11SOW-WI-A1-18-45 110618