AFHTO 2014 Conference: Theme 2 - Engaging the patient in their care

Theme Description: Patients and caregivers are increasingly looking to be engaged and consulted in their own care. Primary care is finding innovative ways to support patient decision-making about their care and support for self-care. Presentations in this stream will include topics such as education programs for patients and their families; patient involvement in care planning; tools and coaching for patients to manage their own care; and using patient feedback to achieve a seamless patient experience. AB2 - Engaging Patients through Portals: Tools and Tales 1.       My Cancer IQ®: a new tool for engaging your patients in cancer prevention and screening This presentation will outline the evidence base, objectives, target audience and capacities of My CancerIQ® and describe how it can be leveraged by family health teams to promote patient-centred collaboration (e.g., between dietitians, nurse practitioners, physicians and health promoters) and to educate their patients, engage them in dialogues on cancer screening and prevention, and empower those with behavioural risk factors to undertake positive change. 2.       Patient Portal: Perks and Pitfalls Learn about one Family Health Team’s experience with the portal including the common physician/staff misconceptions that were initially present vs the real world experiences of physicians/staff after deployment. Through our mistakes over the first 1-2 years, learn the best way to deploy this technology and how it helps to engage patients in their care. 3.        Engaging patients in their care through a secure internet portal This presentation will demonstrate how Village Family Health Team uses a secure website and mobile app called Wellx to exchange electronic messages with patients. Using Wellx, the team saves time by sharing test results, specialist appointment details and other information with patients, without worrying about the privacy and security concerns associated with email. 4.       Toward the new paradigm of Patient Centred Care (presentation to follow) The Wise Elephant Family Health Team along with 4 other FHTs have implemented the miDASH patient portal for their patients, a new paradigm in the way FHTs can engage patients in their own care.  This presentation will discuss these tools (including how patients can ebook appointments, evisit, erefill, and eview their charts) and how they have impacted patient engagement in our teams. C2-a Using the NHS’s Experience Based Design (ebd) methodology to capture and understand your patient’s experiences and co-design solutions together. The Partnering for Quality Team will be delivering a session on Experience Based Design (ebd), a methodology developed by the NHS in the United Kingdom. During the presentation attendees will learn the theory of the methodology and understand the specific tools that can be applied in their practices to achieve successes similar to those that will be described in the presentation. C2-b Timmins Health Link: Practical Applications of Patient Engagement The main presentation will describe Patient Discovery Interview (interview tool with modifications made by presenter to be appropriate in a primary care setting, Patient Goal Coaching (Timmins Health Link team's use of motivational interviewing techniques and client readiness assessment to effectively engage patient in care plan co-design), presentation of case studies, review of project evidence and results, strategies for continued patient engagement through primary care and sustainability of health system transformation D2-b Engaging Rural Adults Living with Chronic Conditions in Exercise (presentations to follow) In rural areas, healthcare organizations struggle to support their clients with chronic disease to get enough physical activity due to lack of local support. Engaging clients in their care is a key component of all education programs that are developed to respond to the needs of that community. This presentation will illustrate three approaches to address gaps in physical activity in rural communities. 1.     Client feedback on a prediabetes lifestyle education program for rural adults 2.     HealtheSteps: Engaging Rural Canadian Men in Chronic Disease Prevention and Management Programs 3.     Chronic Disease Rehabilitation with Rural Style E2 Patient Engagement: Progressing from Pamphlets to Partnerships (presentation to follow) The Change Foundation, an Ontario based Health Policy think tank, along with 2 of its engaged patients/family members, will highlight key evidence, strategies, and examples of successful improvement resulting from partnerships between health system providers and those that they serve. F2-a Optimizing End-of-Life Planning for Medically Complex Patients (presentation to follow) In evaluating the North York Central Health Link (NYCHL) “high user” data, they identified a lack of clarity around the timing of transition from active treatment into palliative care for patients with end-stage respiratory conditions. Studies show that most people want to die at home, but over 70% die in hospital (Canadian Hospice Palliative Care Association, 2012). This pilot project optimizes end-of-life planning through standardized provider training and patient-focused, end-of-life care discussions earlier in the course of illness than otherwise would typically occur. The clearly defined, simple and sustainable clinical pathway can be easily spread among primary care providers. F2-b Telehomecare: Engaging patients with chronic disease in their care using remote monitoring technology and clinical expertise in the home The current Telehomecare Program provides COPD and Heart Failure patients with improved quality of life by motivating patients and teaching them the skills to self- manage their condition with confidence. As a result, patient confidence and self-management skills increase significantly; thereby avoiding unnecessary ER visits and inpatient hospitalizations are reduced.