PATIENTS AS PARTNERS:
BRIEF ACTION PLANNING IN BC
BC Quality Forum
February 28, 2014

Patients as Partners | Brief Action ...
What is Brief Action Planning?

A highly structured, patient-centered, steppedcare, evidence-informed self-management supp...
What is Patients as Partners?
• Policy, philosophy and program first described in
2007 MOH Primary Health Care Charter.
• ...
Patients as Partners Charters
Individual care
• Activated patient – involved in their own health – selfmanagement
• Patien...
Why BAP in BC?
• ~40% of people in BC have at least one chronic
disease.

• In a survey of Self Management Support skills ...
Why BAP in BC?
100%
88%

90%

91%

88%

88%

88%

84%

80%
70%

68%
64%
57%

60%

59%

51%
50%
40%
30%
20%
10%
0%
Helping ...
BAP in BC 2012 - Present
2012/13
• Focus on assessing BAP
applicability with different
teams/organizations in BC

2013/14
...
WHAT IS BAP?

Patients as Partners | Brief Action Planning
STEPPED CARE SELF-MANAGEMENT
SUPPORT

Health Council of Canada: Self-management Support for Canadians with Chronic Conditi...
WHAT IS BRIEF ACTION PLANNING (BAP)?
〉

a highly structured

〉

patient-centered

〉

stepped-care

〉

evidence-informed

s...
WHAT IS MOTIVATIONAL INTERVIEWING
(MI)?

Motivational interviewing is a collaborative
conversation style to strengthen a p...
SPIRIT OF MOTIVATIONAL INTERVIEWING

〉 Compassion
〉 Acceptance
〉 Partnership
〉 Evocation

Miller W, Rollnick S. Motivation...
What does BAP look like?
“Is there anything you would like to do for your health in
the next week or two?”
Behavioral Menu

Elicit a Commitment Sta...
Let’s try it!
EXAMPLES OF BAP USE IN BC
BAP in VCH
• 12 HCP trained in 2011 (NP, GP, CHNs and OT)
• One on one interactions with clients in home
health to improve...
BAP in Community
• The Resource Center
• Client Advocate/Support Worker with persons at
risk of, affected by or infected w...
What’s next for BAP in BC?
• Health Authorities and Community organizations
implementing BAP
• Building internal capacity ...
For more information on
BAP

For more information on
BAP work in BC to date

www.centreCMI.ca

Justin Harder
Project Coord...
Upcoming SlideShare
Loading in …5
×

Planning: A Simple Self Management Support Tool That Can Make a Big Impact

451 views

Published on

This was presented in session G5 at the Quality Forum 2014 by:

Christina Southey
Quality Improvement Advisor
ImpactBC

Maylene Fong
Manager, Evergreen Community Health Centre, Home Health, Primary Care and Healthy Living Program, Vancouver Community
Vancouver Coastal Health

Carey Cook
Patient Partner & Client Advocate/Support Worker
Living Positive Resource Centre

Published in: Health & Medicine
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
451
On SlideShare
0
From Embeds
0
Number of Embeds
42
Actions
Shares
0
Downloads
3
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Planning: A Simple Self Management Support Tool That Can Make a Big Impact

  1. 1. PATIENTS AS PARTNERS: BRIEF ACTION PLANNING IN BC BC Quality Forum February 28, 2014 Patients as Partners | Brief Action Planning
  2. 2. What is Brief Action Planning? A highly structured, patient-centered, steppedcare, evidence-informed self-management support tool based on the principles and practice of Motivational Interviewing. -Reims et al, Brief Action Planning White Paper, 2013 available at www.centreCMI.ca
  3. 3. What is Patients as Partners? • Policy, philosophy and program first described in 2007 MOH Primary Health Care Charter. • Patients provide their voice, choice and representation. “Nothing about me, without me” • Collaborations between Health Authorities, NGOs, providers, universities, the Ministry of Heath and patients/caregivers/family
  4. 4. Patients as Partners Charters Individual care • Activated patient – involved in their own health – selfmanagement • Patient –centred care – system is responsive, respectful, collaborative http://www.youtube.com/watch?v=SSauhroFTpk&feature=player_detailpage Program and Service Design • Patients , families, community organizations, strategic partners engaged in design, delivery and evaluation of health care programs and services System and Community Engagement of patients, families, communities, strategic partners in broader policy development or strategic planning • Representation from patient, families, communities, strategic partners in governance
  5. 5. Why BAP in BC? • ~40% of people in BC have at least one chronic disease. • In a survey of Self Management Support skills in BC in 2011: – 87% said patients or clients need more support then they are able to give – 2/3 or above said they are interested in training in goal setting, action plans, problem solving and followup.
  6. 6. Why BAP in BC? 100% 88% 90% 91% 88% 88% 88% 84% 80% 70% 68% 64% 57% 60% 59% 51% 50% 40% 30% 20% 10% 0% Helping others Focusing on one identify problems problem Developing SMART goals pre-Training Increasing others confidence post-Training Following up Overall confidence in using BAP
  7. 7. BAP in BC 2012 - Present 2012/13 • Focus on assessing BAP applicability with different teams/organizations in BC 2013/14 • Spreading the ability for Health Authorities and Community based organizations to train and support BAP internally. Patients as Partners | Brief Action Planning
  8. 8. WHAT IS BAP? Patients as Partners | Brief Action Planning
  9. 9. STEPPED CARE SELF-MANAGEMENT SUPPORT Health Council of Canada: Self-management Support for Canadians with Chronic Conditions, May 2012
  10. 10. WHAT IS BRIEF ACTION PLANNING (BAP)? 〉 a highly structured 〉 patient-centered 〉 stepped-care 〉 evidence-informed self-management support tool based on the principles and practice of Motivational Interviewing and Action Planning. - Reims et al, Brief Action Planning White Paper, 2013 available at www.centreCMI.ca
  11. 11. WHAT IS MOTIVATIONAL INTERVIEWING (MI)? Motivational interviewing is a collaborative conversation style to strengthen a person’s own motivation and commitment to change. Miller W, Rollnick S. Motivational Interviewing: Preparing People for Change, 3ed, 2013
  12. 12. SPIRIT OF MOTIVATIONAL INTERVIEWING 〉 Compassion 〉 Acceptance 〉 Partnership 〉 Evocation Miller W, Rollnick S. Motivational Interviewing: Preparing People for Change, 3ed, 2013
  13. 13. What does BAP look like?
  14. 14. “Is there anything you would like to do for your health in the next week or two?” Behavioral Menu Elicit a Commitment Statement SMART Behavioral Plan “How confident or sure do you feel about carrying out your plan (on a scale from 0 to 10)?” If Confidence <7, Problem Solve Barriers “Would you like to set a specific time to check in about your plan to see how things have been going?” Follow-up
  15. 15. Let’s try it!
  16. 16. EXAMPLES OF BAP USE IN BC
  17. 17. BAP in VCH • 12 HCP trained in 2011 (NP, GP, CHNs and OT) • One on one interactions with clients in home health to improve chronic disease management. • Physician with complex patients in the primary care clinics • Use in health promotion to set goals to improve health • Motivating peers in their performance Patients as Partners | Brief Action Planning
  18. 18. BAP in Community • The Resource Center • Client Advocate/Support Worker with persons at risk of, affected by or infected with HIV, HepC and other blood borne infections. • Part of the intake process Patients as Partners | Brief Action Planning
  19. 19. What’s next for BAP in BC? • Health Authorities and Community organizations implementing BAP • Building internal capacity to certify staff in BAP • Building available resources for training an support (e.g. videos) Patients as Partners | Brief Action Planning
  20. 20. For more information on BAP For more information on BAP work in BC to date www.centreCMI.ca Justin Harder Project Coordinator, ImpactBC jharder@impactbc.ca Or centreCMI@gmail.com Patients as Partners | Brief Action Planning

×