planning patient based care training dr karen luxford director, patient based care april 2014
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Planning Patient Based Care Training
Dr Karen LuxfordDirector, Patient Based Care
April 2014
Patient Based Care Model
Health services Sign Up!
Service
accreditation
from 2013
2. Partnering
with consumers
2. Partnering with consumers
2.6 Implementing training for clinical leaders, senior
management and the workforce on the value of
and ways to facilitate consumer engagement and
how to create and sustain partnerships.
• 2.6.1 Clinical leaders, senior managers and the
workforce access training on patient-centred
care and the engagement of individuals in their
care
• 2.6.2 Consumers and/or carers are involved in
training the clinical workforce
HETI online modules
Currently in development – 20min online
- Consumer/community engagement
- Person centred care
How do you deliver
training locally?
Building Capacity of Staff - Learning Objectives?
• Demonstrate an understanding of the patient
perspective of quality and local patient feedback about
areas for improvement
• Demonstrate an understanding of background
evidence of benefit of a patient focussed approach and
relationship to other dimensions of care delivery
• Demonstrate an appreciation of strategies for engaging
patients, families and carers in local processes,
decision-making and quality improvement initiatives
Challenges
• Changing mind set of staff from ‘provider-focus’ to a ‘patient-focus’
• Change takes longer than anticipated – it’s about transforming culture and care delivered
“So for whatever reason, we had the attitude where the physician is king and the patient, ‘well, we’ll get to the patient when we have time.’” (COO)
*Luxford et.al. 2011 Int J Quality in Healthcare Vol 23(5): 510-515.
Where is the evidence that this impacts on outcomes?
“The three dimensions of quality should be
looked at as group and not in isolation.”
“Clinicians should resist sidelining patient
experience as too subjective or mood-
orientated, divorced from the ‘real’ clinical
work of measuring safety & effectiveness.”
Doyle C et al BMJ Open Jan 20, 2013
What do you know about the
patients feedback at your service?
How do you use it?
BHI – Insights into Care, 2009
Create a burning platform!
Patients & their families and/or carers are viewed as integral members of the health care team 2011 – 2013 (strongly agree response)
2011 2012 20130%
10%
20%
30%
40%
50%
60%
28%
33%
48%
How to use patient
stories as motivators
Story Power: The secret weapon
Quaid D, Thao J, Denham C. (2010)
Journal of Patient Safety 6(1): 5-14.
• Study of 675 hospitals where safety leaders showed
staff a patient story highlighting failed communication
& team work.
• 85% perceived that viewing the patient story had
resulting in the saving of lives or had a positive effect
on patient care
• Stories can inspire improvements in quality & safety
“I couldn’t have faulted
the technical care but...”
Local patient story
• Who?
• What?
• When?
• How?
• Support for patient/family member
Who are your
champions?
Where are your
education opportunities?
How to engage
consumers and staff in
education program?
Program planning and
evaluation
2014 Webinar Series
• Open Visitation
• Consumer Engagement in Safety &
Quality
• Reporting to the Community about S&Q
• Using Patient Experience Feedback