Planning: A Simple Self Management Support Tool That Can Make a Big Impact
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Patients as Partners | Brief Action Planning PATIENTS AS PARTNERS: BRIEF ACTION PLANNING IN BC BC Quality Forum February 28, 2014
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This was presented in session G5 at the Quality Forum 2014 by: Christina Southey Quality Improvement Advisor ImpactBC Maylene Fong Manager, Evergreen Community Health Centre, Home Health, Primary Care and Healthy Living Program, Vancouver Community Vancouver Coastal Health Carey Cook Patient Partner & Client Advocate/Support Worker Living Positive Resource Centre
Transcript of Planning: A Simple Self Management Support Tool That Can Make a Big Impact
Patients as Partners | Brief Action Planning
PATIENTS AS PARTNERS: BRIEF ACTION PLANNING IN BC
BC Quality Forum
February 28, 2014
A highly structured, patient-centered, stepped-care, evidence-informed self-management support
tool based on the principles and practice of Motivational Interviewing.
-Reims et al, Brief Action Planning White Paper, 2013
available at www.centreCMI.ca
What is Brief Action Planning?
• Policy, philosophy and program first described in 2007 MOH Primary Health Care Charter.
• Patients provide their voice, choice and representation. “Nothing about me, without me”
• Collaborations between Health Authorities, NGOs, providers, universities, the Ministry of Heath and patients/caregivers/family
What is Patients as Partners?
Patients as Partners Charters Individual care • Activated patient – involved in their own health – self-
management • Patient –centred care – system is responsive, respectful,
collaborative http://www.youtube.com/watch?v=SSauhroFTpk&feature=player_detailpage
Program and Service Design • Patients , families, community organizations, strategic partners
engaged in design, delivery and evaluation of health care programs and services
System and Community Engagement of patients, families, communities, strategic partners in broader policy development or strategic planning • Representation from patient, families, communities, strategic
partners in governance
• ~40% of people in BC have at least one chronic
disease.
• In a survey of Self Management Support skills in BC in 2011: – 87% said patients or clients need more support then
they are able to give – 2/3 or above said they are interested in training in
goal setting, action plans, problem solving and follow-up.
Why BAP in BC?
Why BAP in BC?
64% 68%
51%
57% 59%
88% 88% 91%
88% 84%
88%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Helping othersidentify problems
Focusing on oneproblem
DevelopingSMART goals
Increasing othersconfidence
Following up Overallconfidence in
using BAP
pre-Training post-Training
Patients as Partners | Brief Action Planning
BAP in BC 2012 - Present 2012/13 • Focus on assessing BAP
applicability with different teams/organizations in BC
2013/14 • Spreading the ability for
Health Authorities and Community based organizations to train and support BAP internally.
Patients as Partners | Brief Action Planning
WHAT IS BAP?
STEPPED CARE SELF-MANAGEMENT SUPPORT
Health Council of Canada: Self-management Support for Canadians with Chronic Conditions, May 2012
WHAT IS BRIEF ACTION PLANNING (BAP)?
〉 a highly structured
〉 patient-centered
〉 stepped-care
〉 evidence-informed
self-management support tool based on the principles and practice of Motivational Interviewing and Action Planning.
- Reims et al, Brief Action Planning White Paper, 2013 available at www.centreCMI.ca
WHAT IS MOTIVATIONAL INTERVIEWING (MI)?
Motivational interviewing is a collaborative conversation style to strengthen a person’s own motivation and commitment to change.
Miller W, Rollnick S. Motivational Interviewing: Preparing People for Change, 3ed, 2013
SPIRIT OF MOTIVATIONAL INTERVIEWING
〉 Compassion 〉 Acceptance 〉 Partnership 〉 Evocation
Miller W, Rollnick S. Motivational Interviewing: Preparing People for Change, 3ed, 2013
“Is there anything you would like to do for your health in the next week or two?”
“How confident or sure do you feel about carrying out your plan (on a scale from 0 to 10)?”
“Would you like to set a specific time to check in about your plan to see how things have been going?”
Behavioral Menu
If Confidence <7, Problem Solve Barriers
Follow-up
Elicit a Commitment Statement SMART Behavioral Plan
Let’s try it!
EXAMPLES OF BAP USE IN BC
• 12 HCP trained in 2011 (NP, GP, CHNs and OT) • One on one interactions with clients in home
health to improve chronic disease management. • Physician with complex patients in the primary
care clinics • Use in health promotion to set goals to improve
health • Motivating peers in their performance
Patients as Partners | Brief Action Planning
BAP in VCH
• The Resource Center
• Client Advocate/Support Worker with persons at risk of, affected by or infected with HIV, HepC and other blood borne infections.
• Part of the intake process
Patients as Partners | Brief Action Planning
BAP in Community
• Health Authorities and Community organizations implementing BAP
• Building internal capacity to certify staff in BAP
• Building available resources for training an support (e.g. videos)
Patients as Partners | Brief Action Planning
What’s next for BAP in BC?
www.centreCMI.ca Or [email protected]
Justin Harder Project Coordinator, ImpactBC [email protected]
For more information on BAP
For more information on BAP work in BC to date
Patients as Partners | Brief Action Planning
