Transcript Maine Quality Counts presents… August Provider Lunch

Patient Engagement and Shared
Decision-Making:
From Concept to Reality
Kellie Slate Miller, MS
August 28, 2012
QC Brown Bag Forum Webinar Presentation
Patient Engagement: The Missing Link
• Opportunity to engage patients in a dialog with their own health.
• Surveys continue to support the good news that most patients
report a high level of trust with their health care providers.
• At the same time, data suggests that patients are sometimes
reluctant to engage in collaborative discussions with physicians
about their choices in health care.
• Why patients are often reluctant to actively engage in a
collaborative discussion about their health care choices.
2
2012 Research Study Led by Dominick L. Frosch, PhD
“Communicating with Physicians About Medical
Decisions: A Reluctance to Disagree”
• Showed that nearly all patients could envision asking
questions (93%) and discussing preferences (94%)
• Few felt they would actually voice a disagreement and
challenge their doctor (14%)
•Those not willing to disagree, about 47% feared being
labled “difficult” and 40% worried such actions would lead
to a damaged relationship.
•51% thought it might compromise care
(
3
Consumer Engagement & Shared Decision Making
What We Say:
What We know:
• Want patients to take
active role in making
decisions about their
health
• Want patients to ask
questions
• Want patients to express
values & preferences
• Patients – even well educated –
are reluctant to ask questions
• Patients fearful of challenging
provider recommendations
• Many patients feel physicians
are authoritarian (vs.
“authoritative”
(Archives of Internal Medicine
article and state stats. here)
4
Partnering with Patients Video Clip – engaging
patients to become more involved in their health
in Maine. Exploring what successful patientprovider partnerships look like in Maine.
http://youtu.be/EpcJuYTEEb4
5
Patient Engagement Campaign
Take Charge of your health:
Step ONE: VISIT your Primary Care
Provider
Step TWO: ASK Questions
Step THREE: KNOW and understand your
health related numbers
Step FOUR: FIND and use community
health resources and programs
6
Better Health. Better ME! Partner Organizations:
Central Maine Healthcare Corporation
Consumers for Affordable Health Care
Eastern Maine Healthcare Systems
Get Better Maine (Maine Healthcare Management Coalition)
Maine Association of Area Agencies on Aging
MaineGeneral Health and Medical Center
MaineHealth
Maine Primary Care Association
Maine Quality Counts
Seniors Plus
Allied groups include: Maine CDC, MaineCare, Maine
Quality Forum/Dirigo Health, Maine Medical Association, Maine Osteopathic
Association
7
Additional Information for Patients:
Materials:
• Getting Ready for appointments: 9 things You can Do to Get Better Care
• 5 Things You Should Know when You Get a New Prescription
Websites:
• http://familydoctor.org/familydoctor/en/healthcare-management/workingwith-your-doctor/tips-for-talking-to-your-doctor.html
• Institute for Patient and Family Care - http://ipfcc.org/
• Agency for Healthcare Research and Quality: http://www.ahrq.gov/questions
8
Patient Engagement:
What Physicians Can Do to Help Patients Get More Engaged
•
Create a Safe Space
• Use Your Team
• Use the Tools
•
•
•
•
•
AHRQ – www.effectivehealthcare.ahrq.gov/ehc/decisionaids/prostate-cancer
MaineHealth – www.mainehealth.org/mh_body.cfm?id=7848
Center for Advancing Care - http://cfah.org/
Mayo Clinic – http://shareddecisions.mayoclinic.org/decision-aids-for-diabetes
Foundation for Informed Decision Making –
http://informedmedicaldecisions.org/shared-decision-making-in-practice/decision-aids
9
What You Can Do In Your Practice
 Distribute the “Better Health. Better ME!”
brochure and encourage your patients to use it
 Request BHBM Brochures (free) for your
Practice
 Encourage use of the QC Pathways Brochures
& request copies for your Practice
 Share the Provider Tools with your medical
staff to encourage them to create
10
Engaging Consumers – Partnering
for Improvement
11
MHMC’s “GetBetterMaine” Reporting
12
Contact Info / Questions
• General information
• Lisa Letourneau MD, MPH: [email protected]
• Patient Engagement Campaign
• Kellie Slate Miller, MS: [email protected]
• Maine PCMH Pilot: www.mainequalitycounts.org
(See “Major Programs”  “PCMH Pilot”)
• PCMH: Nancy Grenier: [email protected]
• CCTs: Helena Peterson: [email protected]
13