Patient and Public Engagement at Vancouver Coastal Health Meaningful Engagement of Patients and the Public for Improved Health Outcomes

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Patient and Public Engagement at Vancouver Coastal Health Meaningful Engagement of Patients and the Public for Improved Health Outcomes BC Cancer Agency Conference November 1, 2013

Outline. About VCH What is Community Engagement at VCH What is Patient Public Engagement (PPE) and how does it impact health care How you too can do PPE Questions and comments

VCH Vision and Mission People First Vision We will be leaders in promoting wellness and ensuring care by focusing on quality and innovation. Mission To support healthy lives in healthy communities with our partners through care, education and research.

At VCH, People First means that we treat patients, clients, residents as we want to be treated and we involve our patients, family members and community in their care - Dr. David Ostrow, CEO, VCH

Who is Vancouver Coastal Health? 22,000 staff, 2,500 physicians and 5,000 volunteers working at 556 locations including 13 hospitals, and 15 community health centres.

Who we serve VCH serves 25% of BC s population (over 1 million people) including the residents of Vancouver, Richmond, the North Shore and Coast Garibaldi (Seato-Sky, Sunshine Coast, Powell River, Bella Bella and Bella Coola). 17 Municipalities; 16 First Nations Communities

Where We Work Health services are delivered within three Communities of Care: And across:» Coastal» Vancouver» Richmond» Acute Care» Primary Care» Home and Community Care

The Health Care Continuum Population Health and Wellness Primary Health Care Home and Community Services Mental Health and Addictions Acute Care

VCH True North Goals

Mandate of Community Engagement (CE) at VCH The goal of CE is to develop and enhance public participation in health service planning and decision-making, so that members of the public have a voice in the services and policies that affect their lives. To raise awareness about community issues and concerns that may not otherwise be apparent.

Community Engagement Framework

So where does the patient and public fit in? And how do they affect change?

Why does someone get involved in patient public engagement? personally being asked to participate Have a commitment to lifelong learning about new things - CE informs you about the healthcare system and health in general have a commitment to improving our society

PPE is important to health outcomes When we engage the community, we create a process for mutual communication between the public and the health system, ensuring community values and needs are reflected in healthcare provision.

Spectrum of Participation

Principles of Engagement Everyone is a stakeholder Communication is two-way street Target engagement to affected clients We help dissenting voices work through their differences towards collective solutions We engage the community with integrity, in a way that builds trust and credibility Diverse voices contribute to better decisions Our ultimate goal is to engage community leaders as partners We are open and transparent in how we share information We complete the circle of engagement Consider the patient s journey Bring diverse and marginalized voices into planning process Stimulates the growth of healthy communities

Strengthening the culture of PPE inside VCH CE Team is involved in strategic planning to embed PPE practice within VCH Champion the principles and practice of CE with our Board of Directors, senior leaders and staff CE Team act as consultants on projects Train, coach, mentor, advocate How to Guide to Community Engagement CE Curriculum customized for internal teams

Patients/Clients/Families as Partners in their Own Care Self Management Integrated Primary and Community Care (IPCC) engages patients to determine community supports for self management Peer Support/Education Mental Health Peer Support Workers Health Literacy Community Engagement Advisory Committee Forum to determine strategies for supporting patients and providers Richmond Health Literacy Project Dorothy s Story www.vch.ca/your_health/seniors/ Health Promotion & Disease Prevention Regional Hand Hygiene Community Engagement Advisory Network CEAN

Public & Community Participation in Shaping the Health Care System Involvement in Quality Improvement (QI), policies, plans, system redesign CEAN Forum on Quality What does quality mean to you as a patient? Community Engagement Advisory Committee (CEAN) members develop and deliver Advance Care Planning workshops to members of the public Parking at Richmond Hospital Provide input to patient information and education materials Advising on VCH Strategies: Eating Disorder, Perinatal Depression, Palliative Care Advocacy for impact of environmental factors on health Public members on boards/committees CEAN members on VCH internal committees: Regional Patient Safety CEAN members at Senior Planning tables Clinical Systems Transformation Richmond Health Advisory Committee Public members providing education

Patient and Public Engagement Can Make a Difference!

Thank you! Questions? www.vch.ca/ce ce@vch.ca Deborah Turner Richmond Health Advisory Committee member Belinda Boyd, Leader Community Engagement belinda.boyd@vch.ca