Whole Health in Your Practice - Intro to PHP March 2017

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9. PERSONAL HEALTH PLANNING

Whole Health in Your Practice

Patient Centered Care Model

* Personalized, Proactive, Patient-driven Care

Whole Health in Your Practice - Intro to PHP March 2017

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VETERANS HEALTH ADMINISTRATION

Personal Health Planning

The personalized health planning process involves partnering with Veterans to achieve optimal health and well-being. This is a process of exploration, not of just the health issues of Veterans, but of their values and ideals.

VETERANS HEALTH ADMINISTRATION

The Personal Health Planning Model

Whole Health in Your Practice - Intro to PHP March 2017

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VETERANS HEALTH ADMINISTRATION

• Self-reflection

• Health risk

assessment

• Clinical exam

• Life goals

• Health goals

• Personal mission

• Shared goals

• Self-care

• Professional care

• Skill

building/education

• Consults/referrals

• Timeline and follow-up

• Education, training,

and tools

• Healthcare teams

• Groups

• Family, friends

• Community

Whole Health

Assessment

Shared

Goals

Personal Health

Plan

Skill-Building &

Support

Personal Health Planning: Organizing Principles

VETERANS HEALTH ADMINISTRATION

Whole Health

Assessment

Shared

Goals

Personal Health

Plan

Skill-Building &

Support

Personal Health Planning: Whole Health Assessment

Whole Health in Your Practice - Intro to PHP March 2017

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VETERANS HEALTH ADMINISTRATION

The Circle is One Key Tool for Assessment

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VETERANS HEALTH ADMINISTRATION

Whole Health Assessment: Personal Health Inventories

Whole Health in Your Practice - Intro to PHP March 2017

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VETERANS HEALTH ADMINISTRATION

• What REALLY matters to you in your life?

• What brings you a sense of joy and happiness?

• Vitality signs: On a scale of 1 to 5 with 1 beingmiserable and 5 being great where do you feel youare on the scale for:

– Physical Well-Being?

– Mental/Emotional Well-being?

– Life: How is it to live your day to day life?

PHI Questions

VETERANS HEALTH ADMINISTRATION

Assessing Areas of Self-Care

3/8/2017

14

Where are you now, and where would you like to be?

The MyStory PHI has space to comment about

your choice of numbers

Whole Health in Your Practice - Intro to PHP March 2017

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VETERANS HEALTH ADMINISTRATION

Whole Health Assessment

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PHI *

Health Risk

Tools** Clinical

Evaluation

Veteran Clinician

* MyStory: Personal Health Inventory, Brief PHI, or other such tools

** HealtheLiving Assessment, Framingham, Opioid Risk, Functional Status, etc.

VETERANS HEALTH ADMINISTRATION

Whole Health

Assessment

Shared

Goals

Personal Health

Plan

Skill-Building &

Support

Personal Health Planning: Shared Goals

Whole Health in Your Practice - Intro to PHP March 2017

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VETERANS HEALTH ADMINISTRATION

Shared Goals

VETERANS HEALTH ADMINISTRATION

Whole Health

Assessment

Shared

Goals

Personal Health

Plan

Skill-Building &

Support

Personal Health Planning: Creating the PHP

You’ll be practicing this step!

Whole Health in Your Practice - Intro to PHP March 2017

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VETERANS HEALTH ADMINISTRATION

PHI Can Lead to a PHP – Veteran Co-Creates Next Steps

Personal Health Inventory (PHI) Personal Health Plan (PHP)

3/8/2017 20

There are

template

examples on

pages 39 and

42.

Whole Health in Your Practice - Intro to PHP March 2017

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VETERANS HEALTH ADMINISTRATION

Whole Health

Assessment

Shared

Goals

Personal Health

Plan

Skill-Building &

Support

Personal Health Planning: Skill Building and Support

Later, we’ll discuss resources to help you do this.

Whole Health in Your Practice - Intro to PHP March 2017

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VETERANS HEALTH ADMINISTRATION

Telling Others About Whole Health: The Elevator Speech Exercise

• Draft out a 3- second elevatorspeech on a sheet of paper fromyour binder pocket

• Can use suggested elements ormake up your own

• Give your speech to a partner,and listen to your partner’sspeech

• Offer constructive feedback

• People can volunteer to sharewith the group

claybanksstudio.com

VETERANS HEALTH ADMINISTRATION

Some Talking Points

• Is a new approach health care• Looks at the whole person• Respects the individual

uniqueness• Is about personalized, proactive,

patient-driven care• Gets people asking, “Why do I

want my health? What reallymatters to me?”

• Aligns with VA strategic plan andpatient centered care

• Brings in CIH approaches, whenappropriate

• Is being adopted by many VAsites

• Focuses on clinician well-beingtoo

• Involves creating a personalhealth plan for each Veteran

• Respects the importance ofprevention

• Incorporates mindful awareness• Emphasizes self care, to

empower people to care forthemselves

• Relies on teams, and the patientis the captain of his/her team

• Does not get rid of conventionalcare, especially for acuteproblems

Whole Health in Your Practice - Intro to PHP March 2017

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VETERANS HEALTH ADMINISTRATION

Reviewing Your Partner’s PHI – Just Looking, Not Discussing Yet!

• Pass your PHI over to your partner (Page 25)

• The PHI is a springboard into the conversation

• Follow a stepwise process:

1) Page 1: Look at the vitality signs

2) Page 1: Read their answers to “The Big Questions”

3) Page 2: Look over “Where You Are and Where You Would Liketo Be”

• What numbers stand out?

• Which ones are lowest and highest

• What areas have the biggest gaps between the numbers?

4) Page 2: Look at the reflection questions

VETERANS HEALTH ADMINISTRATION

Now Let’s Review: Surroundings & Personal Development

Take a few minutes

to ask your partner

about this area.

See some options

on pages 37-38.