Webinar: Patient Engagement

Welcome...

Today’s topic

Patient Engagement: A Key Strategy for Population Health Management

During today’s discussion, feel free to submit questions at any timeby using the questions box. A follow-up e-mail will be sent to all

attendees with links to the presentation materials online.

Tammy RichardsOperations director,patient and clinicalengagement,IntermountainHealthcare,Salt Lake City

Dr. Thomas GrafChief medical officerfor population health,Geisinger Health System,Danville, Pa.

Kristin CarmanVice president, director,Center for Patient andConsumer Engagement,American Institutes forResearch,Washington

HousekeepingHousekeeping1. Viewer Window 2. Control Panel

Maureen McKinneyEditorial programs manager,

Modern Healthcare

Now speaking...Please use the questions box on your webinar dashboard

to submit comments to our moderator

Kristin CarmanVP, director, Center for Patient and ConsumerEngagement, American Institutes for Research



AMERICAN INSTITUTES FOR RESEARCH

1

Goals

• Define patient and family engagement

• Discuss the benefits of patient and family engagement

• Explain why we created a roadmap to patient and family engagement

• A Roadmap for Patient and Family Engagement in Healthcare Practice and Research: Change Strategies


2

A working definition for patient and family engagement

Patients, families, their representatives, and

health professionals

Working in active partnership

At various levels across the health care system

To improve health and health care

Carman et al., “Patient and Family Engagement: A Framework for Understanding the Elements and Developing Interventions and Policies” Health Affairs, 32, no.2 (2013):223-231


Public policies and culture

Health care organizations and systems

Clinicians and

health care providers

Family and friends

3

Patients

Who: Patients, families, providers, systems


4

What: Working in active partnership

• Partnership and shared leadership involves real culture change, which means:

– Leadership commitment

– Provider / patient education

– Potential changes to workflows, policies, and procedures

ConsultationConsultation InvolvementInvolvementPartnership and shared leadershipPartnership and shared leadership


5

Where: At various levels


• Patient activation: an “individual’s knowledge, skill, and confidence for managing his/her own health and health care”

• How is that different from patient and family engagement?

• Focuses on the individual

• Does not look at behavior

• Does not address the individual’s external context

• Is one aspect of person’s ability to engage in care

How does patient and family engagement differ from patient activation?

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• Patients and families

– Improved health outcomes

– Better experiences of care

• Clinicians and health care providers

– Improved satisfaction and retention

• Health care organizations and systems

– Competitive edge

– Standards, reimbursement, and requirements

Who can benefit from patient and family engagement?

7

AMERICAN INSTITUTES FOR RESEARCH8

Our Goals

• Develop a unified roadmap for practice and research

• Move from what-ifs to action

• Build on existing work and use multiple inputs

• Convene a multidisciplinary group of key stakeholders


What did we ask participants to do?

• Develop vision for the field – build physical roadmaps

– Milestones and destinations

– Strategies and tactics

– Factors that affect progress

– Timing: today, tomorrow, future


The Roadmap


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8 Change Strategies


Change Strategies: Preparing for Engagement

Patient and Family PreparationEducate, prepare, and empower patients and families to engage effectively in their health and healthcare

What can we do? Implement patient-centered tools to support shared decision making

Clinician and Leadership Preparation Educate, prepare, and empower clinicians and healthcare leaders to partner effectively with patients and families

What can we do? Develop standardized patient and family engagement competencies


Care and System Redesign

Redesign system processes, policies, and structures to provide opportunities for and support of partnerships between patients, families, and the healthcare team

What can we do? Restructure care

processes to support shared

decision making. Document the

process, including the content of

discussion about risks, benefits, and

patient goals, values, and

preferences.

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AIR’s Center for Patient and Consumer Engagement

http://aircpce.org

Coming September 23rd-

Roadmap to Patient and Family Engagement in Health Care Practice and Research

www.patientfamilyengagement.org/roadmap

More information

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Tammy RichardsOperations director, patient and clinical engagement

Intermountain Healthcare



Patient Engagement

Vision & Definition

Vision: To build a patient-centered, value-oriented model for

engaging patients.

Definition: The effective partnership between the patient, the

family and the healthcare team to collaboratively achieve the

patient’s health-related goals.

42.6%

51.2%

59.8%57.9% (PR=94)

68.0% (PR=93)

73.0% (PR=92)

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

During this hospital stay, staff took my

preferences and those of my family or caregiver

into account in deciding what my health care

needs would be when I left.

When I left the hospital, I had a good

understanding of the things I was responsible for

in managing my health.

When I left the hospital, I clearly understood the

purpose for taking each of my medications.

NRC 50th percentile top box score Intermountain YTD top box score

HCAHPS Care Transitions QuestionsIntermountain Healthcare System Scores

Deloitte Report: State of EngagementComparison: 2008 and 2012

Opting out of CCM (Example)

337 pts

169 pts

40 pts

Current “Opt Out” Rate = 42%

National Levels of Literacy

Basic

22%

Below Basic

14%

Intermediate

52%

Proficient

12%

Basic

Below Basic

Intermediate

Proficient

Dr. Thomas GrafChief medical officer for population health

Geisinger Health System



Heal • Teach • Discover • Serve

Copyright Geisinger Health System 2014

Not for reuse or distribution without permission

Geisinger Health System Confidential and Proprietary

“Let us bear in mind that the most important individual after all is the

patient. Our paramount thought must be to provide him means by which he

can have skilled diagnostic and therapeutic service in as complete form as

may be indicated in a given case, in the shortest possible time consistent

with thoroughness, and at the least cost to him.” HL Foss, MD

11/4/1950 1





The Functional Components of Population Health

Value Driven

Acute Care:

Proven Care

Acute

Value Driven

Specialty Care:

PHN Integration

Value Driven Actuarial and Operational Informatics

Value Driven

Population Care

ProvenHealth®

Navigator, Clinical

Redesign

Value Driven Post-

Acute Care:

TOC, SNFist

Cultural

TransformationData Driven

Care and

Leadership

Evolutions





Automated

prevention for all

patients

• Physician

Directed,

Team

Delivered

• Patient and

Family

Activated

Care

Multi-chronic

Disease

Multi-chronic

Disease

ChronicDiseaseChronicDisease

WellWell

Concentrated Care

• Technology

enabled RN

support

• High Touch

• High Tech

Enhanced Systems of

Care

• Proactive Monitored

• Office Based

• Mobile Accelerated

Clinical Foci for Population Care





What is OpenNotes?

In OpenNotes, doctors use a secure Internet portal to invite patients to review notes following an office visit.

The heart of OpenNotes is to:

• Involve patients far more actively in all aspects of care

• Improve communication between the doctor and patient

• Encourage patients to share information with others, including those who care for them

• Help prevent mistakes

5

5





“Every few hundred years, throughout Western history, a sharp transformation has occurred. In a matter of decades, society altogether rearranges itself: its world view, its basic values, its social and political structures, its arts, its key institutions. Fifty years later, a new world exists, and the people born into that world cannot even imagine the world in which their grandparents lived and into which their own parents were born. Our age is such a period of transformation.”

7

Peter Drucker, “Managing in a Time of Great Change”

CHANGE

Today’s panelists...Patient Engagement: A Key Strategy for Population Health Management

During today’s discussion, feel free to submit questions at any time by using the questions box.

Maureen McKinneyEditorial programsmanager,Modern Healthcare

Dr. Thomas GrafChief medical officer

for population health,Geisinger Health System,

Danville, Pa.

Kristin CarmanVice president, director,

Center for Patient andConsumer Engagement,

American Institutesfor Research,

Washington

Tammy RichardsOperations director, patient and clinical engagement,Intermountain Healthcare,Salt Lake City

TODAY’S MODERATOR

Thank you...... for attending today’s editorial webinar on patient engagement and population health management.

We also thank our panelists, Kristin Carman, vice president, director, Center for Patient and Consumer

Engagement, American Institutes for Research, Washington; Dr. Thomas Graf, chief medical officer for

population health, Geisinger Health System, Danville, Pa.; and Tammy Richards, operations director,

patient and clinical engagement, Intermountain Healthcare, Salt Lake City.

Expect a follow-up e-mail within two weeks. For more information,

send an e-mail to [email protected]

Register now for Modern Healthcare’s next virtual conference, “Building Tomorrow’s Delivery Model,” set for

Wednesday, Oct. 15. For more information, please visit modernhealthcare.com/building

Webinar: Patient Engagement

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Transcript of Webinar: Patient Engagement