Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

10 Motivational Interviewing Strategies for Deeper Patient Engagement in Care Management

3,363 views

Published on

Care management programs are most successful when patients are deeply engaged in their own care. Using the motivational interviewing technique, care managers work with patients to identify personal care goals and motivators to follow the care management program.

Ten strategies guide the motivational interviewing process, each focusing on patient-centered insights (e.g., pros and cons to following care management and barriers to adherence). With mobile technology to support these interactions, motivational interviewing can become a seamless, and vital, part of the care management workflow.

Published in: Healthcare
  • Positions Available Now! We currently have several openings for writing workers.  http://t.cn/AieXS62G
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • A Free Gift From Your Guardian Angel: Musical soundscape composed using sacred "Angel Tone" brings healing, abundance, and magic into your life. Go here to experience this majestic sound gifted to us from a "higher plane." ◆◆◆ https://tinyurl.com/y6pnne55
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • The "Magical" Science Behind The Law of Attraction ■■■ https://bit.ly/30Ju5r6
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • DOWNLOAD THIS BOOKS INTO AVAILABLE FORMAT (Unlimited) ......................................................................................................................... ......................................................................................................................... Download Full PDF EBOOK here { https://tinyurl.com/yyxo9sk7 } ......................................................................................................................... Download Full EPUB Ebook here { https://tinyurl.com/yyxo9sk7 } ......................................................................................................................... ACCESS WEBSITE for All Ebooks ......................................................................................................................... Download Full PDF EBOOK here { https://tinyurl.com/yyxo9sk7 } ......................................................................................................................... Download EPUB Ebook here { https://tinyurl.com/yyxo9sk7 } ......................................................................................................................... Download doc Ebook here { https://tinyurl.com/yyxo9sk7 } ......................................................................................................................... ......................................................................................................................... ......................................................................................................................... .............. Browse by Genre Available eBooks ......................................................................................................................... Art, Biography, Business, Chick Lit, Children's, Christian, Classics, Comics, Contemporary, Cookbooks, Crime, Ebooks, Fantasy, Fiction, Graphic Novels, Historical Fiction, History, Horror, Humor And Comedy, Manga, Memoir, Music, Mystery, Non Fiction, Paranormal, Philosophy, Poetry, Psychology, Religion, Romance, Science, Science Fiction, Self Help, Suspense, Spirituality, Sports, Thriller, Travel, Young Adult,
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here

10 Motivational Interviewing Strategies for Deeper Patient Engagement in Care Management

  1. 1. 10 Motivational Interviewing Strategies for Deeper Patient Engagement in Care Management
  2. 2. © 2016 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Patient Engagement in Care Management How do care managers get patients to enroll in care management and keep them actively involved in their own care? With patient engagement. Patients who are engaged in their care become partners with their care team, setting goals and finding solutions that best meet their individual needs and circumstances. To effectively engage patients, care managers need the right interviewing techniques and the right technology to support and sustain patient engagement.
  3. 3. © 2016 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Patient Engagement in Care Management This presentation explains how motivational interviewing can help care managers more effectively engage patients and partner with them to better understand patient care needs, goals, and concerns. In care management, motivational interviewing is a collaborative approach, between the care manager and the patient, that’s focused on strengthening the patient’s motivation to adhere to the care plan and change behaviors that interfere with better health.
  4. 4. © 2016 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Effective Care Management In 2010 the Affordable Care Act (ACA) created the nonprofit Patient-Centered Outcomes Research Institute (PCORI) to fund evidence- based research on patient outcomes and outcomes that are important to the patient. PCORI researchers have found that patient engagement improves adherence to care plans, which improves outcomes and drives down cost.
  5. 5. © 2016 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Effective Care Management In healthcare today, patients are the center of the care team, making patient engagement pivotal in care management. Historically, clinicians took a more directive approach to care, giving patients a limited role in the decision-making process. But as healthcare continues its shift to a patient-centered approach, care managers are increasingly seeking effective ways to engage patients.
  6. 6. © 2016 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Patients Make a Commitment to Better Health The importance of patient engagement in care management starts before a patient even enters a care management program. Some patients may be hesitant to enroll in a care management program; they may feel they can manage their own care or are worried about the cost of care management and how it impacts health insurance. The first task for care managers is to engage patients in a way that encourages them to participate in care management and communicates that care managers are partners in care, not instructors or directors.
  7. 7. © 2016 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Patients Make a Commitment to Better Health Patients will be more likely to be make better healthcare choices and identify realistic, achievable goals they can sustain—and feel empowered doing so. To fully leverage the benefits of patient engagement, care managers need an interviewing technique, such as motivational interviewing, that helps clinicians and patients set healthcare goals that reflect the patient’s desires and circumstances.
  8. 8. © 2016 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Patients Make a Commitment to Better Health Together, care managers and patients will set weekly goals, as determined by the patient, and decide on the best ways to communicate with the patient to keep them involved. For example (depending on factors including age and personal preference), some patients will prefer to communicate via text or in an app, whereas others will respond better to a phone call or visit.
  9. 9. © 2016 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Motivational Interviewing Empowers Patients Care managers can use motivational interviewing to empower patients in their own care, rather than projecting outside goals to an individual’s situation. The motivational interviewing method of engaging patients was developed by clinical psychologist William Miller in 1983 to address substance abuse. Over the years, however, research has shown that the technique is effective at reducing many potentially risky behaviors and promoting healthy behaviors.
  10. 10. © 2016 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Motivational Interviewing Empowers Patients The heart of motivational interviewing is the ability to sustain empathy with patients during conversations, rather than being directive. With motivational interviewing care managers can also identify the type of talk that well best serve patients and encourage them to follow their care plans. The heart of motivational interviewing is the ability to sustain empathy with patients during conversations, rather than being directive. Care managers can also identify the type of talk that well best serve the patient and encourage them to follow their care plan.
  11. 11. © 2016 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Motivational Interviewing Empowers Patients What’s known as change talk includes three levels: THE DESIRE TO CHANGEI want to take my medication as prescribed. THE ABILITY TO CHANGEI can ask a family member to go to the pharmacy for me. THE NEED TO CHANGE If I don’t take my medication, I may be readmitted.
  12. 12. © 2016 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Motivational Interviewing Empowers Patients Patients sometime get stuck in what motivational interviewing calls sustain talk; they express that they cannot commit to positive change: I quit smoking two years ago, but I started again and can’t quit this time.” The care manager can reframe that statement: What did you do before that helped you quit?”
  13. 13. © 2016 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Motivational Interviewing Empowers Patients An important part of motivational interviewing is to guide the patient towards change talk and a commitment to achieve a positive goal (commitment talk). Expressed at the end of a motivational interviewing session, commitment talk seals the patient’s commitment to a care management goal: I am going to take my medication every day, as prescribed.”
  14. 14. © 2016 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. 10 Motivational Interviewing Strategies Care managers who are accustomed to teaching patients about their care needs and plan risk missing a critical element: the patient perspective on and motivation around improving their overall health. By understanding a patient’s concerns, care managers can better identify barriers to care and work with the patient to find the best solution. Care managers can use 10 strategies for motivational interviewing to build trust with patients, engage them in their own care, and help them find motivation to adhere to their care plans:
  15. 15. © 2016 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. 10 Motivational Interviewing Strategies Strategy #1 Ask a question that will prompt change talk as an answer. For example: What are some things you can do to make sure you take you medication regularly?”
  16. 16. © 2016 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. 10 Motivational Interviewing Strategies Strategy #2 Ask for the pros and cons of both changing and staying the same. How will taking for medication lower your risk of hospital readmission? How will another hospital readmission (i.e., continuing to miss medication doses) impact you?”
  17. 17. © 2016 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. 10 Motivational Interviewing Strategies Strategy #3 Ask about the positives and negatives of the target behavior. How will taking your medication improve your condition?” What are the negative impacts of taking your medication (e.g., cost, side effects)?”
  18. 18. © 2016 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. 10 Motivational Interviewing Strategies Strategy #4 When the patient expresses change talk theme emerges, ask for more details. In what ways? Tell me more? When was the last time that happened?”
  19. 19. © 2016 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. 10 Motivational Interviewing Strategies Strategy #5 Ask about a time before the patient enrolled in care management. How were things different before your care management program?”
  20. 20. © 2016 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. 10 Motivational Interviewing Strategies Strategy #6 Ask what may happen if the patient makes the changes according to their care management plan. If you follow all your care management recommendations, what will be different?” How do you see your health five years from now?”
  21. 21. © 2016 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. 10 Motivational Interviewing Strategies Strategy #7 Ask about extreme outcomes. What are the worst things that might happen if you don’t follow your care management plan?” What are the best things that might happen if you follow the plan?”
  22. 22. © 2016 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. 10 Motivational Interviewing Strategies Strategy #8 Offer ways to clearly measure the impact of care management. For example: On a scale from one to 10 (where one is not at all important and a 10 is extremely Important), how important is it to improve your health? What do you think you can do to get closer to a 10?”
  23. 23. © 2016 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. 10 Motivational Interviewing Strategies Strategy #9 Ask about the patient’s main health goals. For example: Do you want to be healthy enough to travel to this summer? What upcoming family events do you want to attend?”
  24. 24. © 2016 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. 10 Motivational Interviewing Strategies Strategy #10 Think like the patient and reframe any barriers into a positive strategy. Taking your medication every night before bed is a hassle. How about taking it in the morning instead?”
  25. 25. © 2016 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Technology Enhances Motivational Interviewing With the ten motivational interviewing strategies in place, care managers are prepared to help patients find their own motivation to follow their care management plans. To further strengthen motivational interviewing, care managers can use technologies specifically developed to support care management. The Health Catalyst Care Management Suite, for example, hosts applications that can support the motivational interviewing process and help care managers optimize patient engagement.
  26. 26. © 2016 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Technology Enhances Motivational Interviewing Because Health Catalyst’s care management tools are customizable, health systems can build conversation guides that lead the care manager through motivational interviewing. The care manager can continue to tailor the tool for each patient by adapting questions based on patient feedback and reframing the language to recognize the patient’s goals and commitment to those goals.
  27. 27. © 2016 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Technology Enhances Motivational Interviewing In addition, other care management tools can survey patients to capture patient-reported outcome measures and assess patient perception of their functional well-being. These surveys can encourage patients to think about new questions and look at their health in a different way. Throughout the motivational interview process, the care manager can use a patient channel on the care coordination application to monitor patient progression and provide positive feedback and education.
  28. 28. © 2016 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Technology Enhances Motivational Interviewing Patients also remain engaged in the motivational interviewing process with care management applications and can communicate with their care teams in real-time. For example, by using the Health Catalyst Care Companion, a mobile app available on a smart phone, patients can securely message their care team and access their health-related content. With the assistance of these tools and applications, the care manager can optimize the motivational interviewing process and partner with the patient to achieve positive change.
  29. 29. © 2016 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Patient Engagement is the Heart of Care Management As healthcare increasingly moves toward patient-centered care, and new technologies support more patient involvement, patient engagement will continue to be a critical component of healthcare delivery. This is particularly true in care management, where long-term partnerships between care managers and patients will drive better outcomes at reduced costs.
  30. 30. © 2016 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Patient Engagement is the Heart of Care Management By following a 10-step strategy for motivational interviewing and leveraging technologies that facilitate and sustain patient engagement, care managers can help patients become true partners in their own care, empowering them to make changes to achieve better health.
  31. 31. © 2016 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. For more information: “This book is a fantastic piece of work” – Robert Lindeman MD, FAAP, Chief Physician Quality Officer
  32. 32. © 2016 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. More about this topic Link to original article for a more in-depth discussion. 10 Motivational Interviewing Strategies for Deeper Patient Engagement in Care Management How Care Management Improves Performance for Clinicians, Compliance with MACRA, and Outcomes for Patients Like Olivia Dr. John Haughom, Senior Advisor, Health Catalyst Introducing the Breakthrough Health Catalyst Care Management Product Suite Paul Horstmeier, Senior VP Patient-Centric Care Management Is a Strong Strategy Dr. Bill Knowles, Senior Director of Client Engagement Care Management: A Critical Component of Effective Population Health Management Health Catalyst – Success Story Capturing the Voice of the Patient: Using PROMs Improves Shared Decision Making Health Catalyst – Success Story
  33. 33. © 2016 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Other Clinical Quality Improvement Resources Click to read additional information at www.healthcatalyst.com KimSu joined Health Catalyst in September 2015 as Care Manager Lead. Prior to coming to Health Catalyst, she worked for Tufts Health Plan as Care Management Relationship Manager. KimSu has a degree in Education from Lesley University, a degree in Nursing from Regis College, and is currently working on a Psychiatric Nurse Practitioner MSN at Regis College. KimSu Marder

×