Creating Engagement-Capable Environments in Healthcare for Innovation and Improvement
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1 Creating Engagement-Capable Environments in Healthcare for Innovation and Improvement April 12, 2017
2 Welcome With us today: HOST Carol Fancott Dr. G. Ross Baker Malori Keller Bernie Doepker Rick Farrant Director Patient and Citizen Engagement for Improvement Canadian Foundation for Healthcare Improvement Professor, Institute of Health Policy, Management and Evaluation and Director, MSc. Program in Quality Improvement and Patient Safety at the University of Toronto CFHI Faculty: EXTRA Patient Engagement & Empowerment Platform Lead, SCPOR Health Quality Council (Saskatchewan) 4 Director of Community Engagement Five Hills Health Region Patient Family Advisor Five Hills Health Region cfhi-fcass.ca
3 Our Time Today explore how patient and family engagement can serve as a catalyst for innovation and improvement learn how engagement-capable environments can support quality improvement at all levels of healthcare hear from one of our featured case study subjects about innovative patient engagement for improvement 5
4
5 Chapter 1 McGill University Health Centre Chapter 2 Kingston General Hospital Chapter 3 Augusta University Health System Chapter 4 Cincinnati Children s Hospital Medical Center Chapter 5 Whittington Health Respiratory Service Chapter 6 Northumbria Healthcare Trust Chapter 7 Patients as Partners Chapter 8 Northumberland Community Partnership Chapter 9 Collaborative Chronic Care Network Chapter 10 Saskatchewan Health Quality Council and Saskatoon Health Region 7
6 Improved health outcomes & changes in service utilization Patient & organizational improvements e.g patient experience, safety and effectiveness Changes in improvement priorities & resourcing 8 Source: Carman, et al., Health Affairs, 2013
7 Engagement-capable environments: An environment that responds to the needs and desires of patients and the population they are responsible for; that fosters a culture of patientcentredness; and builds the infrastructure supporting active and meaningful engagement of patients, staff and leaders to improve the quality of care. Thus, an engagement-capable environment fosters engagement and partnerships at all levels of care: The individual level, where patients and families partner with healthcare providers in their own care The organizational level, where patients and families engage in the design, implementation and evaluation of service delivery and processes of care The policy level, where patients, families and the community engage to determine appropriate policy within organizations or, more broadly, at the level of government cfhi-fcass.ca 9
8 Engagement-capable environments: cfhi-fcass.ca 10
9 PFCC: What s Happening in SK?
10 Milestones 2009 Patient First Review Report 2010 Saskatchewan hosts Institute for Patient & Family Centred Care Education Days 2011 Each region/ agency develops a plan for advancing PFCC. Provincial framework & forum created to support learning and sharing Patient/ Family Advisor engagement soars as province requires involved of patient/families in Lean events PFCC Guiding Coalition & provincial strategy created 2015 Provincial Target set for PFCC 12
11 Provincial PFCC Governance Model Sharing & Collaboration Stakeholder Engagement Patient & Family Advisor Network Staff & Physician Champion Network (TBD) CEO/DM Community PFCC Guiding Coalition Working Groups Open Family Presence Provincial Open Visiting Hours Policy Care Experience Measurement Communications & Stakeholder Engagement PFA Database 13
12 PFCC Guiding Coalition 8 Patient/Family Advisors Executive Sponsor & PFCC Staff Lead 13 Regional Health Authorities, Saskatchewan Cancer Agency Health Quality Council Ministry of Health 3S Health ehealth 14
13 Guiding Coalition Mandate Seeks to advance the philosophy of PFCC throughout the health system. Seeks to advance the integration of PFCC best practices 15
14 PFCC Guiding Coalition Logistics Quarterly telehealth meetings Strong attendance Use consensus decision making to determine annual targets Use working groups to advance pieces of work on an opt in basis Put forward targets and recommendations to the Council of CEO s/ Deputy Ministry frequently. 16
15 Achievements Staff Education Module Patient & Family Advisor Network Patient & Family Orientation Provincial PFCC Report Recruitment Posters Patient & Family Advisor Handbook Open Family Presence Policy Provincial Honoraria Policy All regions have a steering committee Toolkit: Engaging Patients and Families in Quality and Safety Committees in Saskatchewan: 17
16 In , there were over 500 opportunities for patients and families to inform the health regions and health system. 18
17 19
18 Five Hills Health Region Preparing patient and families Preparing staff and leadership Lessons Learned Learn together don t wait until you are ready, dive in! Orientation is vital Use the data patient experience surveying to drive continuous improvements 20
19 Questions? 21
20 Upcoming Webinars May 31 st : Using Canadian Studies to Improve Healthcare for Inner City and Marginalized Populations June 13 th : Upstream Interventions for Downstream Results: How the CARES model is improving quality of life for Canadian seniors June 28 th : Insights from Canadians: The current state and future priorities for healthcare in Canada REGISTER NOW
21 Thank you!
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