Bringing Value-Based Perspectives to Care: Including Patient and Family Members in Decision-Making Processes
n a gap in consistent application of system-level strategies that can effectively translate organizational policies around patient and family engagement into practice. Methods The broad objective of this initiative was to develop a system-level implementation strategy to include patient and fa...
| Main Authors: | , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Kerman University of Medical Sciences
2017-11-01
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| Series: | International Journal of Health Policy and Management |
| Subjects: | |
| Online Access: | http://www.ijhpm.com/article_3336_d45f69ceb1c004536ca79c91636d35bf.pdf |
| _version_ | 1819132170509221888 |
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| author | Graeme Kohler Tara Sampalli Ashley Ryer Judy Porter Les Wood Lisa Bedford Irene Higgins-Bowser Lynn Edwards Erin Christian Susan Dunn Rick Gibson Shannon Ryan Carson Michael Vallis Joanna Zed Barna Tugwell Colin Van Zoost Carolyn Canfield Eleanor Rivoire |
| author_facet | Graeme Kohler Tara Sampalli Ashley Ryer Judy Porter Les Wood Lisa Bedford Irene Higgins-Bowser Lynn Edwards Erin Christian Susan Dunn Rick Gibson Shannon Ryan Carson Michael Vallis Joanna Zed Barna Tugwell Colin Van Zoost Carolyn Canfield Eleanor Rivoire |
| author_sort | Graeme Kohler |
| collection | DOAJ |
| description | n a gap in consistent application of system-level strategies that can effectively translate organizational policies around patient and family engagement into practice.
Methods
The broad objective of this initiative was to develop a system-level implementation strategy to include patient and family advisors (PFAs) at decision-making points in primary healthcare (PHC) based on wellestablished evidence and literature. In this opportunity sponsored by the Canadian Foundation for Healthcare Improvement (CFHI) a co-design methodology, also well-established was applied in identifying and developing a suitable implementation strategy to engage PFAs as members of quality teams in PHC. Diabetes management centres (DMCs) was selected as the pilot site to develop the strategy. Key steps in the process included review of evidence, review of the current state in PHC through engagement of key stakeholders and a co-design approach.
Results
The project team included a diverse representation of members from the PHC system including patient advisors, DMC team members, system leads, providers, Public Engagement team members and CFHI improvement coaches. Key outcomes of this 18-month long initiative included development of a working definition of patient and family engagement, development of a Patient and Family Engagement Resource Guide and evaluation of the resource guide.
Conclusion
This novel initiative provided us an opportunity to develop a supportive system-wide implementation plan and a strategy to include PFAs in decision-making processes in PHC. The well-established co-design methodology further allowed us to include value-based (customer driven quality and experience of care) perspectives of several important stakeholders including patient advisors. The next step will be to implement the strategy within DMCs, spread the strategy PHC, both locally and provincially with a focus on sustainability. |
| first_indexed | 2024-12-22T09:27:09Z |
| format | Article |
| id | doaj.art-0da93091b16d4c5c982646c557891029 |
| institution | Directory Open Access Journal |
| issn | 2322-5939 2322-5939 |
| language | English |
| last_indexed | 2024-12-22T09:27:09Z |
| publishDate | 2017-11-01 |
| publisher | Kerman University of Medical Sciences |
| record_format | Article |
| series | International Journal of Health Policy and Management |
| spelling | doaj.art-0da93091b16d4c5c982646c5578910292022-12-21T18:31:03ZengKerman University of Medical SciencesInternational Journal of Health Policy and Management2322-59392322-59392017-11-0161166166810.15171/ijhpm.2017.27Bringing Value-Based Perspectives to Care: Including Patient and Family Members in Decision-Making ProcessesGraeme Kohler0Tara Sampalli1Ashley Ryer2Judy Porter3Les Wood4Lisa Bedford5Irene Higgins-Bowser6Lynn Edwards7Erin Christian8Susan Dunn9Rick Gibson10Shannon Ryan Carson11Michael Vallis12Joanna Zed13Barna Tugwell14Colin Van Zoost15Carolyn Canfield16Eleanor Rivoire17Primary Health Care, Nova Scotia Health Authority, Halifax, NS, CanadaPrimary Health Care, Nova Scotia Health Authority, Halifax, NS, CanadaPrimary Health Care, Nova Scotia Health Authority, Halifax, NS, CanadaDiabetes Management Centre, Primary Health Care, Nova Scotia Health Authority, Halifax, NS, CanadaDiabetes Management Centre, Primary Health Care, Nova Scotia Health Authority, Halifax, NS, CanadaDiabetes Management Centre, Primary Health Care, Nova Scotia Health Authority, Halifax, NS, CanadaDiabetes Management Centre, Primary Health Care, Nova Scotia Health Authority, Halifax, NS, CanadaPrimary Health Care, Nova Scotia Health Authority, Halifax, NS, CanadaPrimary Health Care, Nova Scotia Health Authority, Halifax, NS, CanadaPublic Engagement, Nova Scotia Health Authority, Halifax, NS, CanadaPrimary Health Care, Nova Scotia Health Authority, Halifax, NS, CanadaPrimary Health Care, Nova Scotia Health Authority, Halifax, NS, CanadaBehaviour Change Institute, Primary Health Care, Nova Scotia Health Authority, Halifax, NS, CanadaDalhousie Family Medicine, Halifax, NS, CanadaEndocrinology, Nova Scotia Health Authority, Halifax, NS, CanadaGeneral Internal Medicine, Nova Scotia Health Authority, Halifax, NS, CanadaCanadian Foundation Healthcare Improvement, Ottawa, ON, CanadaCanadian Foundation Healthcare Improvement, Ottawa, ON, Canadan a gap in consistent application of system-level strategies that can effectively translate organizational policies around patient and family engagement into practice. Methods The broad objective of this initiative was to develop a system-level implementation strategy to include patient and family advisors (PFAs) at decision-making points in primary healthcare (PHC) based on wellestablished evidence and literature. In this opportunity sponsored by the Canadian Foundation for Healthcare Improvement (CFHI) a co-design methodology, also well-established was applied in identifying and developing a suitable implementation strategy to engage PFAs as members of quality teams in PHC. Diabetes management centres (DMCs) was selected as the pilot site to develop the strategy. Key steps in the process included review of evidence, review of the current state in PHC through engagement of key stakeholders and a co-design approach. Results The project team included a diverse representation of members from the PHC system including patient advisors, DMC team members, system leads, providers, Public Engagement team members and CFHI improvement coaches. Key outcomes of this 18-month long initiative included development of a working definition of patient and family engagement, development of a Patient and Family Engagement Resource Guide and evaluation of the resource guide. Conclusion This novel initiative provided us an opportunity to develop a supportive system-wide implementation plan and a strategy to include PFAs in decision-making processes in PHC. The well-established co-design methodology further allowed us to include value-based (customer driven quality and experience of care) perspectives of several important stakeholders including patient advisors. The next step will be to implement the strategy within DMCs, spread the strategy PHC, both locally and provincially with a focus on sustainability.http://www.ijhpm.com/article_3336_d45f69ceb1c004536ca79c91636d35bf.pdfPatient and Family EngagementDecision-MakingQuality TeamsPatient Experience |
| spellingShingle | Graeme Kohler Tara Sampalli Ashley Ryer Judy Porter Les Wood Lisa Bedford Irene Higgins-Bowser Lynn Edwards Erin Christian Susan Dunn Rick Gibson Shannon Ryan Carson Michael Vallis Joanna Zed Barna Tugwell Colin Van Zoost Carolyn Canfield Eleanor Rivoire Bringing Value-Based Perspectives to Care: Including Patient and Family Members in Decision-Making Processes International Journal of Health Policy and Management Patient and Family Engagement Decision-Making Quality Teams Patient Experience |
| title | Bringing Value-Based Perspectives to Care: Including Patient and Family Members in Decision-Making Processes |
| title_full | Bringing Value-Based Perspectives to Care: Including Patient and Family Members in Decision-Making Processes |
| title_fullStr | Bringing Value-Based Perspectives to Care: Including Patient and Family Members in Decision-Making Processes |
| title_full_unstemmed | Bringing Value-Based Perspectives to Care: Including Patient and Family Members in Decision-Making Processes |
| title_short | Bringing Value-Based Perspectives to Care: Including Patient and Family Members in Decision-Making Processes |
| title_sort | bringing value based perspectives to care including patient and family members in decision making processes |
| topic | Patient and Family Engagement Decision-Making Quality Teams Patient Experience |
| url | http://www.ijhpm.com/article_3336_d45f69ceb1c004536ca79c91636d35bf.pdf |
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