PATIENT & FAMILY ENGAGEMENT COLLABORATIVE: STATUS UPDATE & TRANSITION PLANS October 5, 2016
10/4/2016 2 Oregon Association of Hospitals & Health Systems HOUSEKEEPING ITEMS Please enter your AUDIO PIN. To communicate with speakers, please use the chat function. Ask questions at any time. This webcast will be recorded. A copy of today s slides and a link to the webcast recording will be emailed after webcast.
6/18/2015 3 TODAY S SPEAKERS/AGENDA PFE Hospital Reports Sara Sluder, Legacy Health Amy Cavallaro, St Charles Health System Nam Dave, Lake District Hospital Transition Plans HealthInsight Oregon Laurie Murray Snyder-Hospital Improvement Innovation Network Jennifer Wright-Care Coordination Project
6/18/2015 4 HOSPITAL REPORTS Brief overview of PFE status in May 2016 and what activities have occurred since the last learning session Challenges & successes PFE vision for the next 12 months
PFE Status: Legacy Health Sara Sluder
Overview of Status As of May 2016 > Active Patient & Family Partner (PFP) participation in all committees since starting > PFPs starting to participate in system activities (example: Medication Reconciliation kaizen event) > All PFPs selected were approached by frontline staff > Recruitment flyers in Spanish > Interpretive services will be providing services for non-english speaking PFPs (potential Spanish speaking PFP joining one committee) Since May: > New PFP recruited to join Legacy Good Samaritan Patient Experience (PX) Committee > PFP continue to participate in Med Rec kaizen events > Legacy s Fall Leadership conference included a highlight of the PFE Collaborative and a presentation by Randall PFP > Best Practice materials available to all Legacy > All PFPs attending Legacy s PX conference October 14 th October 4, 2016 LEGACY HEALTH 6
Challenges & Successes Challenges > Programmatic support a team of 1 > Recruitment Still recruiting for 4 more committees and Randall whole-house PFAC Diversity Continuous focus of frontline staff recruiting > Measurement PFP contributions in committee setting Program vs. PFP > PFP connections with other PFPs Successes Working on support structure for PFPs Connecting roles for PFPs across system > Continued leadership support > PFP involvement in system initiatives > Enhanced PFP support structure in PX committees the buddy system > Recruitment materials at external functions October 4, 2016 LEGACY HEALTH 7
Vision for next 12 months Collaborating with Women s Services leadership to start a Women s PFAC Whole-house councils to start at Randall Children s and Legacy Salmon Creek Continued recruitment for PX Committees and Quality Councils PFP participation in Year 4 HTPP kaizen events Develop and implement PFP quarterly mtg Establish formal support role for PFP programming
6/18/2015 9 Amy Cavallaro St. Charles Health System
6/18/2015 10 ST. CHARLES HEALTH SYSTEM Update from May to present: Foundational restructure, from Hospital driven to patient driven Bylaws restructured Board members elected Succession plan in place Developing and sharing our Why Stories
6/18/2015 11 ST. CHARLES HEALTH SYSTEM Challenges Recruitment and turn over Development of a program that represents the communities that the Health System serves Successes Patient driven project list compiled & prioritized Integration into Lean Projects PFAC member on the Patient Safety Quality Committee @ board level Greater awareness and utilization of PFAC throughout the system
6/18/2015 12 ST. CHARLES HEALTH SYSTEM Vision Community based PFAC at each campus Complete our top three projects Improve discharge experience Improve patient feedback process Representation on the Customer Experience Committee
6/18/2015 13 Nam Dave Lake District Hospital
PFE Status: Lake District Hospital Overview: - Our PFAC is meeting every month and have successfully completed a few projects. - PFAC members: Board member, CNO/Clinics Director (depends on Hospital/Clinic related topics on agenda), CFO, Director of QI, 5 Community members. - Recruited 1 new community member Hurray!! - Projects Completed: Patient and Family Information Binder for Patient rooms Reviewed and changed language on bills and notices to make them patient friendly Clinic Walk- About Added clinic signage to improve communication with patients and community about Urgent Care hours Review and change Patient Portal Brochure, Patient Education documents
PFE Status: Lake District Hospital Challenges: - Recruiting new diverse members. - PFAC not on the organization structure Successes: - Completion of the projects - Expanding PFAC to Clinics - Not lost momentum after the end of PFE collaborative Vision: - Working on promotional material and quarterly newsletter for hospital staff - Quarterly newspaper article on the work of PFAC - Involve PFAC in Quarterly QI meetings and Patient Safety committee - PFAC on organizational structure
Transitioning PFE Support 6/18/2015 16
17 HEALTHINSIGHT OREGON Formerly Acumentra Health Continues our work as part of a four-state collaboration called a Quality Innovation Network-Quality Improvement Organization (QIN-QIO) Oregon Nevada New Mexico Utah
18 HOSPITAL IMPROVEMENT INNOVATION NETWORK (HIIN) AWARD HealthInsight recently awarded the HIIN contract for Oregon Three-year project began October 1, 2016 Continuation and expansion of the Partnership for Patients work that OAHHS has led for the past several years A core requirement: focus on incorporating person and family engagement (PFE) into our program to reduce harm
19 HIIN APPROACH TO PFE Building on our experience with the American Institute of Research Patient Family Engagement Council Collaborate with Patient Family Centered Care Partners (PFCC Partners) Build a program with the goal of creating continuity of PFE practices across HI states
20 YEAR ONE OREGON Former PFE Collaborative members will be invited to provide feedback on what worked well with the OAHHS PFE Collaborative suggest enhancements identify common barriers in Oregon
21 YEAR ONE (CONTINUED) Participating hospitals will be assessed based on the five PFE metrics, with hospitals stratified into tiers: novice, experienced and master Support strategies for novice and experienced tier hospitals include web-based learning one-on-one coaching opportunities to network with mentors participation in the PFCC Gateways Collaborative
22 YEAR ONE (CONTINUED) Support strategies for master tier hospitals include a series of masters workshops to promote expansion and sustainability a Mentor Program, where master hospitals support the development of practice for novice hospitals opportunity to contribute to the national HIIN as PFE experts
23 CARE COORDINATION APPROACH TO PFE Medicare contract 11SOW Portland Metro Multnomah, Washington, Clackamas, Columbia Northwest Heart Failure Consortium Metro Care Transitions nursing home pilot Coos County Bay Area Hospital readmissions steering committee Planning community wide meeting to present data Jackson County Jackson County Coalition
24 CARE COORDINATION (CONTINUED) By December 31, 2016 Deschutes County Lane County Douglas County
25 WHAT DOES CARE COORDINATION LOOK LIKE? Initial community meeting review available data discuss gaps in care coordination determine how best to fill gaps If community selects PFE as a gap, interventions might include chronic disease and diabetes self-management classes patient and family advisory panels in hospitals, nursing homes, ALFs, etc. community learning opportunities
26 NEXT STEPS Laurie and/or Jennifer will be contacting each of the OAHHS PFE Collaborative members over the next few months to discuss which option will work best for your hospital Goal is to maintain your momentum and enhance your efforts related to PFE Feel free to reach out if you have questions
27 How to contact Laurie and Jennifer Laurie Murray-Snyder 503-382-3927 lmurraysnyder@healthinsight.org Jennifer Wright 503-382-3919 jwright@healthinsight.org
QUESTIONS? 28
THANK YOU Diane Waldo Associate VP of Quality and Clinical Operations Diane.Waldo@oahhs.org 503-479-6016 www.oahhs.org/session