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APPLICATION & EVOLUTION OF PATIENT JOURNEY MAPPING ACROSS INTERIOR HEALTHAngela Chapman,IHA Chronic DiseaseManagement Prac...
How has Patient Journey Mapping(PJM) Been Used in Interior Health?
Where Did We Start   Partnership with Impact BC – Internal Capacity    Building   Diabetes Strategy       4 Communities...
Where Have We GoneOther Initiatives:   Child & Youth Mental Health – Division & IHA   Frail Elderly – Division and IHA ...
Kamloops Child & Youth Mental    Health   Partnership: Thompson Division and    IHA   Aim:     Understand journey of chi...
Kamloops Child & Youth Mental    Health   Players:     Patients & Family, Division     (GPs), Psychiatrists, IHA     Acu...
Kamloops Child & Youth MentalHealth
Kamloops Child & Youth MentalHealth
Kootenay Boundary Maternal    Care   Partnership:       IHA, Division and Shared Care   Aim:       Identify points of ...
Kootenay Boundary MaternalCare   Journey:       Woman believes she is pregnant        to        2 months post partum   ...
Aboriginal Maternal CareGoal: 7 Patient Journey Maps – Various CommunitiesAim:  To better understand current state journey...
Aboriginal Maternal Care   Players:       Patients, IH P2 Nursing, Community Outreach        Workers, On Reserve Nurses,...
What HaveWe Learned?
Learning   It is one tool within a broader ‘planning toolbox’   Willingness to see gaps and intent to address   Ensure ...
Learning (continued...)   Clear Objectives and Journey Scope   May pose challenging if focus on ‘exception’    rather th...
Its all about perspectivesWho knows the whole picture better than the patient?
Thank you
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E9 Angela Chapman - Application & Evolution of Patient Journey Mapping Across Interior Health

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Transcript of "E9 Angela Chapman - Application & Evolution of Patient Journey Mapping Across Interior Health"

  1. 1. APPLICATION & EVOLUTION OF PATIENT JOURNEY MAPPING ACROSS INTERIOR HEALTHAngela Chapman,IHA Chronic DiseaseManagement Practice Lead
  2. 2. How has Patient Journey Mapping(PJM) Been Used in Interior Health?
  3. 3. Where Did We Start Partnership with Impact BC – Internal Capacity Building Diabetes Strategy  4 Communities  Aim: Understand the (i) new diagnosis – approx 1year and (ii) inpatient & acute transition journeys of Adult Persons Living with Type 2 Diabetes
  4. 4. Where Have We GoneOther Initiatives: Child & Youth Mental Health – Division & IHA Frail Elderly – Division and IHA KB Maternal Care – Shared Care & IHA Adult Mental Health - Shared Care & IHA Maternal Care – Aboriginal Program
  5. 5. Kamloops Child & Youth Mental Health Partnership: Thompson Division and IHA Aim: Understand journey of children & youth with mental health disorders from perspective of the patient and his/her family in Kamloops, B.C. from:  Onset of signs and symptoms or feeling unwell to initial diagnosis  Initial diagnosis to first treatment plan  First treatment plan to present day
  6. 6. Kamloops Child & Youth Mental Health Players:  Patients & Family, Division (GPs), Psychiatrists, IHA Acute & Community, Ministry Child & Family CYMH, School District, Forensics, Facilitator s Format:  SmallGroups, Guided Questioning  Graphic Artist Depiction of
  7. 7. Kamloops Child & Youth MentalHealth
  8. 8. Kamloops Child & Youth MentalHealth
  9. 9. Kootenay Boundary Maternal Care Partnership:  IHA, Division and Shared Care Aim:  Identify points of tension along the maternity patient’s journey through health services from primary to acute and return to community with their child  Assist in identifying solutions in the care model for the Kootenay Boundary region that address these points of tension
  10. 10. Kootenay Boundary MaternalCare Journey:  Woman believes she is pregnant to 2 months post partum Players:  GPs, Midwife, IHA P2 and Maternity Staff, Pediatrician, Mgrs, Patient s Format:  1 day (6hr) session
  11. 11. Aboriginal Maternal CareGoal: 7 Patient Journey Maps – Various CommunitiesAim: To better understand current state journey of pre/perinatal care for aboriginal women, both on andPurpose: off reserve. To inform improvements to maternal services for aboriginal womenJourney Scope: Woman believes she is pregnant to 2 months post partum
  12. 12. Aboriginal Maternal Care Players:  Patients, IH P2 Nursing, Community Outreach Workers, On Reserve Nurses, Midwives / Doula, GP, Ultrasound Technician, NICU RN, Urban Friendship Centres Aboriginal consulting group and IH CI Facilitators – train the trainer support & capacity building 2 day session  Day 1: Modified Talking Circle, Small Groups  Day 2: Large Group Patient Journey Mapping
  13. 13. What HaveWe Learned?
  14. 14. Learning It is one tool within a broader ‘planning toolbox’ Willingness to see gaps and intent to address Ensure the right people in the room Bring on the patients! Be cognizant of vulnerabilities – safety, trust, marginalized populations Lead time and preparation of players is key
  15. 15. Learning (continued...) Clear Objectives and Journey Scope May pose challenging if focus on ‘exception’ rather than ‘typical’ Value is in the conversation as much as the map Flexibility & Adaptability in Approach Facilitation Critical – ‘Mindful Facilitation’ Can be resource intensive, but good return on investment if done well, for right reason, with follow through!
  16. 16. Its all about perspectivesWho knows the whole picture better than the patient?
  17. 17. Thank you
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