Central East LHIN Self-Management Program

Transcription

1 Central East LHIN Self-Management Program Central East LHIN Board Meeting February 22, 2017 Trish Topping, Senior Manager, Central East LHIN Self-Management Program Kasia Luebke, Lead Central East LHIN

2 Presentation Overview Overview and History of Self-Management Program Central East LHIN Role Self-Management Workshops Living a Healthy Life Getting the Most from your Healthcare Appointment Powerful Tools for Caregivers Health Care Professionals Training Deliverables/Targets Website and Marketing/Communications Future Opportunities 2

3 Overview of Self-Management The Central East LHIN Self-Management Program is one of 14 Self-Management Programs across the Province of Ontario. We offer Self-Management training and workshops to participants, caregivers and health care professionals across the Central East LHIN. Here in Central East, our program staff include: one Senior Manager, four Coordinators, one Coordinator for Professional Education, and two Administrative Assistants. Our program is hosted by the Central East CCAC and is funded by the Central East LHIN. We have approximately volunteers on an ongoing basis that lead workshops and training sessions, all of who have taken and successfully completed all appropriate training and application processes. The program also has its own Advisory Council, consisting of 14 members and is chaired by the Senior Manager 3

4 What is Self-Management? Self-Management is The active participation of individuals in achieving their own best health and wellness Self Management Support is A range of organizational, community and provider strategies to support the active participation of individuals in achieving their own best health and wellness (Definitions from the Ontario Diabetes Strategy, MOHLTC Self-Management Working Group, 2010) 4

5 Why is Self-Management Important? Current evidence shows that people with chronic disease(s) who are able to self manage their conditions are likely to: have fewer disease related complications, experience greater quality of life and better overall health more appropriately use health care services than those who do not self manage 5

6 History of the Central East LHIN Self-Management Program 6

7 Central East LHIN Integrated Health Service Plan 7

8 Self - Management Program (SMP) as Part of the Vascular Health Strategic Aim The Self - Management Program is embedded within the Vascular Health Strategic Aim Coalition (VHSAC) along with other key supporting stakeholders working towards the achievement of the Vascular Health Strategic Aim. The SPM links to the priority initiatives for 2016/17 which are supported by the VHSAC and other stakeholders. These include: 1. Developing an action-oriented Central East LHIN Vascular Strategy with an implementation plan across LHIN sub-regions; 2. Creating greater access to culturally appropriate services within diabetes and vascular programs for Francophone, Indigenous populations, and new immigrants: Coordination of self-management workshops in French across Scarborough and Durham LHIN sub-regions 3. Enhancing linkages with other programs to create an integrated system of care for clients with chronic disease at the LHIN sub-region level. 8

9 SMP Centralized Training Funding Central East LHIN As part of the diabetes divestment in July 2016, the Central East LHIN was selected by MOHLTC to lead the coordination of centralized training across the 14 provincial SMPs in collaboration with the Central East CCAC. This collaborative leadership provides oversight to the centralized training funds ($300,000) to ensure that each SMP across the province has adequate resources to meet their self-management training needs. Each SMP will submit their requests to the Central East CCAC SMP as they have in the past. The Central East LHIN will support the disbursement of funding and any potential reallocation of funding between the SMPs across the province. This latter role is new to the Central East LHIN. 9

10 Self-Management Workshops For Patients and Caregivers: Stanford Chronic Disease Self-Management Program workshops (titled Living a Healthy Life workshops in Chronic Pain, Chronic Conditions and Diabetes) Getting the Most from your Health Care Appointment *new Powerful Tools for Caregivers *new Graduate refresher sessions Better Choices, Better Health, an online Chronic Disease Self-Management Program *new For Health Care Professionals: Choices and Changes: Motivating Healthy Behaviour Brief Action Planning Mentorship sessions including Motivational Interviewing workshop series and webinars *enhanced 10

11 Living a Healthy Life Workshops The Living a Healthy Life workshops are a Stanford Chronic Disease Self-Management Program, licensed by Stanford University and developed by Dr. Kate Lorig and her colleagues Workshops provide consistent information and skills, and are delivered via a peer-leadership model, which is key to the success of the program. Leaders of the workshops share about their own experiences living with chronic conditions (not as experts or professionals ) Six sessions, once per week for 2 ½ hours Uses a Self-Management Toolbox to demonstrate that there are many effective strategies to help manage the interrelated symptoms that accompany chronic disease Includes: making action plans, better breathing, physical activity, communication, problem solving and positive thinking Stanford has strict fidelity guidelines to ensure consistency across workshops 11

12 Getting the Most from your Healthcare Appointment Developed by the South West Self-Management Program 2 program staff trained Spring 2016, with 1 more staff and 1 volunteer potentially taking upcoming training Workshop is one time session, for 1.5 hours in length This fiscal year, we have held 14 sessions across the region, primarily in Scarborough and Durham West with 2 more scheduled before the end of the fiscal year Focus of the session is on what to do before, during, and after an appointment and uses action planning to optimize people s health It prepares and empowers individuals to communicate more effectively with their health care providers 12

13 Powerful Tools for Caregivers Developed by Legacy Health, in Portland, Oregon through grant funding from The Robert Wood Johnson Foundation and other community foundations in Oregon Powerful Tools for Caregivers (PTC) is based on the Chronic Disease Self-Management Program developed by Dr. Kate Lorig and her colleagues at Stanford University. In the United States, it has reached over 80,000 caregivers and was recognized by the Administration on Aging as having met it s highest level criteria for evidence-based programs in 2012 Program available for caregivers of adults or caregivers of children, 6 weeks in length for 1.5 hrs Focus is to help caregivers develop a wealth of self-care tools to: reduce personal stress, change negative self-talk, communicate their needs to family members and healthcare providers, communicate effectively in challenging situations, recognize the messages in their emotions, deal with difficult feelings and make tough caregiving decisions Central East delivery: 7 workshops completed, 4 in progress = 11 this fiscal year 13

14 Powerful Tools for Caregivers Video 14

15 Health Care Professionals Workshops Choices and Changes Developed by the Institute for Healthcare Communication Canada (IHC-C) and Accredited by the College of Family Physicians of Canada Provides specific, brief and efficient communication strategies that can be utilized within the constraints of brief patient interactions Brief Action Planning Developed by the Centre for Collaboration, Motivation and Innovation (CCMI) Highly structured, patient centered, evidence informed self-management support tool based on the principles and practices of Motivational Interviewing Addresses many of the barriers that providers have cited to providing self-management support and can be routinely used by individual providers and health care teams to facilitate patient-centered goal setting and action planning Organized around 3 core questions and 5 skills delivered with the spirit of Motivational Interviewing elements (compassion, acceptance, partnership and evocation) 15

16 Deliverables/ Targets Living a Healthy Life Workshops: 80 workshops per year to 960 individuals across the region Peer Support and Graduate Refreshers: 150 individuals in addition to 10% graduates Health Care Professionals Training: 300 individuals per year Mentorship: 150 HCP s Coordinating Provincial train-the-trainer sessions across the province as per annual agreement requirements Projects with Health care providers to support and improve self-management practices 16

17 I was so excited to see the announcement about a new website for the self management programs. I have just finished taking a look around and I think there are some great improvements. New Website I love that folks can enter their postal code to find programs and no longer need to know what CCAC region/branch they live in. The links throughout work well and I think it appears very user friendly and more importantly senior friendly. Health care provider 17

18 Other Marketing and Promotions TV appearances New Brochures New Flyers New Logo Patient Stories Social Media 18

19 Future Opportunities Provincial oversight Improving data collecting and reporting Evaluation System integration/collaboration and referrals 19

20 Our Volunteers 20

21 Questions? Trish Topping, MHSc, MSW, RSW, CHE Senior Manager, Central East LHIN Self-Management Program Tel: x 5597 Toll Free Program Phone Line :