E9 Angela Chapman - Application & Evolution of Patient Journey Mapping Across Interior Health
APPLICATION & EVOLUTION OF PATIENT JOURNEY MAPPING ACROSS INTERIOR HEALTHAngela Chapman,IHA Chronic DiseaseManagement Practice Lead
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 Aim: Understand the (i) new diagnosis – approx 1year and (ii) inpatient & acute transition journeys of Adult Persons Living with Type 2 Diabetes
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
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
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
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
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
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
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
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
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!
Its all about perspectivesWho knows the whole picture better than the patient?