Transcript Brief Action Planning Prototype

Patients as Partners
INTEGRATED PRIMARY ACUTE AND COMMUNITY CARE
Spreading Self Management
Support: The BAP prototype in BC
Christina Southey
Bernice Johansen
Matilda Atleo
Patients as Partners
INTEGRATED PRIMARY ACUTE AND COMMUNITY CARE
We will….
• Introduce you to the Brief Action Planning
prototype in BC
• Share with you one teams experience
• Give insight into what next
Patients as Partners
INTEGRATED PRIMARY ACUTE AND COMMUNITY CARE
The Brief Action Planning Prototype is a Ministry
of Health, Patients as Partners initiative
administrated by ImpactBC
Patients as Partners
INTEGRATED PRIMARY ACUTE AND COMMUNITY CARE
What is Brief Action Planning?
a highly structured, patient-centered, steppedcare, 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
Patients as Partners
INTEGRATED PRIMARY ACUTE AND COMMUNITY CARE
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
5
Patients as Partners
INTEGRATED PRIMARY ACUTE AND COMMUNITY CARE
Why the BAP Prototype
In a survey in of Self Management Support skills in
BC in:
– 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.
– 64% preferred web based training
Aim of the prototype
We aim to provide a method for health care
professionals to learn Brief Action Planning (BAP)
through a self-paced web training module,
coaching and certification program, from June
2012 – October 2012. Such That:
– 90% Participating Professionals rate their confidence
in using BAP as 7 or higher out of 10
– 70% of all professionals who complete BAP training
are certified by March 31st 2013
– Each person trained in BAP skills applies them to 10 or
more patients interactions by March 31st 2013
What is Involved?
And Certification
Basic skills,
certification of BAP
proficiency
1:1 Coaching for
Learning and
Feedback
Specific feedback,
questions and
answers, BAP support
Group learning and
support
(teleconferences)
New concepts,
problem solving, Q&A,
team sharing
Measurement and
feedback on group
progress
Uptake of training and
coaching, confidence,
Use of BAP, Patient
Impact
Online Training
Confident BAP
practitioners
Results to date
Prototype members starting web training and certification (7 teams)
90
80
70
60
50
40
30
20
10
0
June
July
Aug
Coach's training and certifying
September
October
Total Started Traning
November
December
Total Certified
January
February
March
Results to date – Team Example
One Team’s Progress
70
Each person using BAP
roughly 8-9times/month
60
50
40
30
20
10
0
August
September
October
November
January
February
March
One Teams Experience:
Nuu-Chah-Nulth Tribal Council
Why was Nuu-Chah-Nulth Interested in
Participating?
What has been your experience so far?
Use of BAP
Use of BAP for Nuu-Chah-Nulth Health and Human Services
Team
50
45
40
Only one
person
reporting
35
30
25
20
15
10
5
0
August
September
October
November
January
February
March
Making BAP a part of our work
What would you like to do with BAP in the
future?
Evaluation Framework
Patients as Partners
INTEGRATED PRIMARY ACUTE AND COMMUNITY CARE
Where to from Here
• Final reporting and evaluation March 2013
• Recommendations for next steps to PasP
steering committee
• Planning for spread in 13/14
Thank You!
For more information on the
prototype please contact:
Christina Southey
[email protected]