• Save
The Patient Support Corps: An Innovative Staffing Approach for Shared Decision Making
Upcoming SlideShare
Loading in...5
×

Like this? Share it with your network

Share

The Patient Support Corps: An Innovative Staffing Approach for Shared Decision Making

  • 593 views
Uploaded on

Jeff Belkora, associate professor at the University of California, San Franscisco, shares UCSF Breast Care Center's unique approach to support shared decision making: using student health......

Jeff Belkora, associate professor at the University of California, San Franscisco, shares UCSF Breast Care Center's unique approach to support shared decision making: using student health coaches.

This presentation was part of a Shared Decision Making Month webinar -- Shared Decision Making in the Real World: Stories from the Frontline.

  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Be the first to comment
    Be the first to like this
No Downloads

Views

Total Views
593
On Slideshare
593
From Embeds
0
Number of Embeds
0

Actions

Shares
Downloads
0
Comments
0
Likes
0

Embeds 0

No embeds

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
    No notes for slide

Transcript

  • 1. www.jeffbelkora.com/evidence List of references to literature www.jeffbelkora.com/thanks Sources of inspiration and support The Patient Support Corps: An innovative staffing approach for shared decision making Jeff Belkora, PhD, Associate Professor University of California, San Francisco Shared Decision Making in the Real World: Stories from the Frontline March 6, 2013 Informed Medical Decisions FoundationDisclosure /Acknowledgment of current funding sourcesUniversity of California, San FranciscoThe Dartmouth Institute for Health Policy and Clinical PracticeInformed Medical Decisions FoundationCalifornia Breast Cancer Research ProgramRobert Wood Johnson FoundationQuantum Leap Healthcare CollaborativeThe Cancer Support Community
  • 2. Background Student health coaches PSC call to action 2 Information and communication needs of patients • At diagnosis: “Too much, too little, conflicting information” • During visit: “I forgot to ask questions that were keeping me awake” • After the visit: “I can’t recall – it all went in one ear and out the other” Image courtesy of www.speakingaboutpresenting.com
  • 3. Background Student health coaches PSC call to action 3 2004: Who can deliver decision and communication aids in the UCSF Breast Care Center?
  • 4. Background Student health coaches PSC call to action 4 Interns!2005 2006 2007 2008 2009 2010 20112012
  • 5. Background Student health coaches PSC call to action 5 Tasks to support patient needs Before Visit During Visit After Visit1. Send decision aids 3. Take Notes 5. Burn CD2. List questions 4. Make audio-recording 6. Print notes
  • 6. Background Student health coaches PSC call to action 6 Patient reactions • “This was exactly the material I was looking for all over the web, but having a hard time finding in a consolidated format that made sense…” • “It was hugely helpful to have my questions prepared beforehand … • “The recording and notes were invaluable in filling in the parts of the conversation that were hard for us to remember…”
  • 7. Background Early Results  Lessons & Next Steps 7 RE-AIM Outcomes (www.re-aim.org) • Reach: – DAs: 208 to 1,027 annually for a 5-year total of 3,208. – CAs: from 142 to 348 annually for a 5-year total of 1,228. • Effectiveness – DAs: improvements in knowledge, decisional conflict – CAs: improvements in self-efficacy, question-asking, recall • Adoption: – DAs: 76% review videos, 93% review DAs, – CAs: 67% accept, 83% review summaries, 56% review recordings – Clinics: Cooperation, Coordination, Collaboration • Implementation: – 63 pre-medical interns performing with high fidelity and satisfaction • Maintenance/Sustainability – Need to expand workforce at little to no cost
  • 8. Background Student health coaches PSC call to action 8 How can we expand this program? From the UCSF Breast Care Center… …to other UCSF clinics… ...to other UC Medical Centers … to other clinics around the US and around the world…
  • 9. Background Student health coaches PSC call to action 9 Solution: student and other volunteers?
  • 10. Background Student health coaches PSC call to action 10 Patient Support Corps - Strategic Direction • Purpose – Patients are informed and involved in their treatment decisions. • Vision – All patients have the support they need to be informed and involved. • Mission – Provide students and other volunteers to assist patients .
  • 11. Background Early Results  Lessons & Next Steps 11 Patient Support Corps (PSC) – Preliminary Design Service Students Patients Agreement Academic PSC Technical Clinic Institution Assistance Coordinator Academic Affiliation Medical Liaison Agreement Center Liaison
  • 12. Training: ethics, “Some of confidentiality, you qualify” privacy.1. Students 2. PSC Applicants 3. PSCStaff 4. PSC Students 8. PSC Student helps patient with info and communication needs “Student5. Clinic Patients support?” “Yes please” 7. PSC Patients 6. Clinic Staff
  • 13. Background Early Results  Lessons & Next Steps 13 Student benefits map on to AGME competencies • Patient Care: compassion • Medical Knowledge: social-behavioral sciences … • Practice-Based Learning • Teaming with patients, families, and providers • Professionalism: respect for patient autonomy • Systems-Based Practice: effective use of system resources
  • 14. Background Student health coaches PSC call to action 14 Value Proposition for The Patient Support Corps  Low-cost extension of workforce: admin costs only  Improved marketing/competitiveness for clinics and colleges  Benefits for patients and students
  • 15. Background Student health coaches PSC call to action 15 Next Steps We foresee a three year startup period during which we will: • recruit early members to the network; • launch service and product offerings; • refine our business model We seek funding and other partners to support this expansion.