Definition of PFE for the Partnership for Patients 2.0. Patient and Family Engagement. Goals for the session. A Roadmap to Success

Transcription

1 Patient and Family Engagement A Roadmap to Success Thomas Workman, PhD Project Director, PFE Contractor in Support of Partnership for Patients 2.0 Goals for the session Define patient and family engagement (PFE) from CMS perspective Understand the core principles of PFE Understand CMS vision for PFE in the Partnership for Patients 2.0 and beyond Operationalizing the five PFE Metrics Introducing the Roadmap s 6 strategies Understanding how to use the Roadmap to implement PFE activities Definition of PFE for the Partnership for Patients 2.0 Persons, families, their representatives, and health professionals (clinicians, staff, leaders) working in active partnership at various levels direct / point of care; organizational design, policy, and procedure; organizational governance; and community / policy making across the health care system and in collaboration with communities to improve health, heath care and health equity. 3 1

2 Core Principles of PFE PFE happens at multiple levels. Family is defined broadly and by the individual. The goal is moving toward active partnership. PFE requires individual and system behavior change. PFE is about identifying and responding to patient and family identified needs and desired outcomes. 4 The Benefits of Person & Family Engagement Person& family partnership improves outcomes. Person & family partnership improves patient satisfaction and patient experience Person & family partnership creates patient centered systems of care 5 PfP Vision for PFE 2.0 Hospitals and other health care providers achieving quality and safety goals by fully engaging patients and their families, determining what matters most to them in every situation, and partnering with them to make improvements to all aspects of care. 6 2

3 The PfP PFE Metrics Point of care PFE 1: Planning checklist Prior to Admission, hospital staff provides and discusses a planning check list with every patient that has a scheduled admission, allowing for questions or comments from the patient or family PFE 2: Shift change huddles / bedside reporting Hospital conducts shift change huddle and bedside reporting with patients and family members in all feasible cases 7 The PfP PFE Metrics (cont.) Policy & Protocol PFE 3: PFE leader or functional area Hospital has a person or functional area, who may also operate within other roles in the hospital that is dedicated and proactively responsible for PFE and systematically evaluates PFE activities PFE 4: PFAC or representative on quality improvement team Hospital has an active Patient & Family Engagement Committee OR at least one former patient that serves on a patient safety or quality improvement committee or team 8 The PfP PFE Metrics (cont.) Governance PFE 5: Patient and family advisor on board Hospital has at least one or more patient(s) who serve on a Governing and/or leadership board and serves as a patient representative 9 3

4 Iowa Hospital Adoption of PFE July, 2016 PFE 1 PFE2 PFE 3 PFE 4 PFE 5 47 Hospitals 49 Hospitals 53 Hospitals 78 Hospitals 44 Hospitals 44% 46% 50% 41% 73% 0% 10% 20% 30% 40% 50% 60% 70% 80% 10 Linking PFE to Safety Outcomes Having a higher total PFE score (range: 0 5) was statistically significantly correlated with having higher Z scores in seven adverse event areas (AEA): Venous Thromboembolism Pressure Ulcers Injuries from falls Catheter Associated Urinary Tract Infections Early Elective Deliveries Other OB Harm Ventilator Associated Pneumonia 11 Implementing PFE: The Strategic Vision Roadmap To use as a planning tool for implementing the five PFE metrics Identifies the strategies needed for implementation Strategies help determine tactics and tools needed 12 4

5 The Road to Implementing the Five Patient and Family Engagement Metrics CREATE PARTNERSHIPS ADJUST SYSTEMS PREPARE STAFF PREPARE PATIENTS MEASURE OUTCOMES ACCOUNTABILITY & TRANSPARENCY 13 Six Strategies to Promote and Support PFE Organizational Partnership Care, Policy and Process Redesign Patient and Family Preparation Clinician, Staff, and Leadership Preparation Measurement and Research Transparency and Accountability 14 Using Strategies to Plan Implementation of PFE Metrics Use each To identify And find STRATEGY TACTICS TOOLS 1 5 5

6 Example: Implementation Planning PFE Metric 4 (PFAC or Representative on Quality Improvement Team) STRATEGY TACTICS TOOLS Patient and Family Preparation Clinician, Staff and Leadership Preparation Orientation manual, training for new advisors Information sessions about seeking input and working effectively with advisors Sample advisor orientation manual, PPT from AHRQ s Guide to PFE Clinician / staff PPT training and handouts from AHRQ s Guide to PFE 1 6 Keys to Successful Implementation and Sustainability Set specific implementation goals and develop a clear vision Cultivate and encourage visible support from senior leaders Identify early adopters and champions Conduct staff trainings to prepare them for change Begin with small scale implementation by high performing units or groups Provide ongoing monitoring, feedback, and coaching Develop and share stories of success (and celebrate them, too!) 17 For more information: PFE@air.org Thomas Workman, Ph.D. American Institutes for Research tworkman@air.org