This presentation provides tips, examples and extensive resources on taking action for better patient and health provider engagement. As part of my invited keynote presentation for Choosing Wisely Alberta/Alberta Medical Association. I hope you find the presentation deck useful. Brief video clips & words of wisdom from my friend and colleague, Annette McKinnon are included in the presentation to accompany the slides.
Men with Eating Disorders: Deepening Our Understanding to Improve CaringPaul Gallant
This document provides an overview of a presentation on deepening our understanding of eating disorders in males to improve care. The presentation covers background information, statistics showing eating disorders are underdiagnosed and undertreated in males, stories from caring for males with eating disorders, and ways to improve care. A poll asks participants about their interests and backgrounds. The presentation discusses the need for more research focused on males, training for medical professionals, and improving access to counseling, psychiatry, and treatment programs for males with eating disorders.
Better Healthcare Through Community and Stakeholder Engagement, 2015 Webinar ...Paul Gallant
"An enjoyable presentation, well-delivered with excellent insight into community and stakeholder engagement strategies. Terry Dyni - July 23, 2015" on the webinar version. This version is my complete slide deck from a live webinar presentation requested by the Conference Board of Canada. April, 2015. Thanks for your interest in Better Healthcare Through Community and Stakeholder Engagement.
Compliments of Paul W. Gallant, CHE, GALLANT HEALTHWORKS & Associates (GHWA), Vancouver, BC, Canada. PS See the last slide for contact details or to arrange customized training/facilitation or advice on your organizational needs.
Improving the Patient's Experience, Mental Health, Collaborative Stakeholder ...Paul Gallant
The document discusses improving mental health services through collaborative stakeholder approaches. It provides an overview of mental health services and experiences, and examples of collaborations including assessing a city's population needs and a project focusing on youth mental health. The document advocates for meaningfully engaging patients, providers, and other stakeholders to improve services and ensure priorities address patient experiences and outcomes. It also provides lessons learned around engagement, flexibility, participation support, and empowering stakeholders.
Health innovation for all conference sustaining and transforming our health s...Paul Gallant
IHI Open School UBC Chapter, Health Innovation for All Conference. Sustaining and Transforming Our Health System(s)
Presentation by: Paul W. Gallant, Gallant HealthWorks
Session Summary:
This interactive workshop encourages participants to contribute their knowledge, views and experiences as health system(s) stakeholders to discuss questions based on the concepts and trends presented.
Presentation at PHABC Public Health Reducing Health Inequities Conference, Vancouver, British Columbia, Canada.
Also see several additional slideshares of mine about males and eating disorders and an excerpt from Global National TV 16x9 news documentary, Canadian national television.
Brief excerpt (2.5 minutes) here: https://www.youtube.com/watch?v=ctlGqM0ekOY
Full 23 mins show here: https://www.youtube.com/watch?v=OwhyB8mR-U8
This document provides an overview of the Balanced Living with Diabetes (BLD) program, a community-based lifestyle intervention for improving blood glucose control among people with diabetes. BLD is based on social cognitive theory and community-based participatory research principles. It involves weekly 2-hour classes over 4 weeks that teach diabetes self-management skills like healthy eating, physical activity, and goal setting using interactive lessons and activities. Pilot programs of BLD found improvements in A1c, diet, and physical activity. A large randomized controlled trial of BLD found it effective at lowering A1c levels among African Americans with diabetes in medically underserved areas when delivered in faith-based community settings.
Scores screen, gives follow-up tool for any (+) response
-AUDIT, DAST-10 and/or or PHQ-9
Provider: Scores any follow-up tools, provides brief intervention or
referral as needed
-5-10 minutes for BI
-Referral as needed based on severity
determine severity, provides brief
intervention or referral as needed
–5-10 minutes for BI
–Referral as needed based on severity
• Medical records: Documents screen
results and any interventions
Front desk: Gives screen to patient
-Single-item alcohol and drug questions
-PHQ-2 for depression
Medical records: Documents screen results and any interventions
Anna Ratzliff, MD, PhD, Associate Director for Education, Division of Integrated Care & Public Health Department of Psychiatry & Behavioral Sciences, University of Washington
Latino Health Forum 2014
Men with Eating Disorders: Deepening Our Understanding to Improve CaringPaul Gallant
This document provides an overview of a presentation on deepening our understanding of eating disorders in males to improve care. The presentation covers background information, statistics showing eating disorders are underdiagnosed and undertreated in males, stories from caring for males with eating disorders, and ways to improve care. A poll asks participants about their interests and backgrounds. The presentation discusses the need for more research focused on males, training for medical professionals, and improving access to counseling, psychiatry, and treatment programs for males with eating disorders.
Better Healthcare Through Community and Stakeholder Engagement, 2015 Webinar ...Paul Gallant
"An enjoyable presentation, well-delivered with excellent insight into community and stakeholder engagement strategies. Terry Dyni - July 23, 2015" on the webinar version. This version is my complete slide deck from a live webinar presentation requested by the Conference Board of Canada. April, 2015. Thanks for your interest in Better Healthcare Through Community and Stakeholder Engagement.
Compliments of Paul W. Gallant, CHE, GALLANT HEALTHWORKS & Associates (GHWA), Vancouver, BC, Canada. PS See the last slide for contact details or to arrange customized training/facilitation or advice on your organizational needs.
Improving the Patient's Experience, Mental Health, Collaborative Stakeholder ...Paul Gallant
The document discusses improving mental health services through collaborative stakeholder approaches. It provides an overview of mental health services and experiences, and examples of collaborations including assessing a city's population needs and a project focusing on youth mental health. The document advocates for meaningfully engaging patients, providers, and other stakeholders to improve services and ensure priorities address patient experiences and outcomes. It also provides lessons learned around engagement, flexibility, participation support, and empowering stakeholders.
Health innovation for all conference sustaining and transforming our health s...Paul Gallant
IHI Open School UBC Chapter, Health Innovation for All Conference. Sustaining and Transforming Our Health System(s)
Presentation by: Paul W. Gallant, Gallant HealthWorks
Session Summary:
This interactive workshop encourages participants to contribute their knowledge, views and experiences as health system(s) stakeholders to discuss questions based on the concepts and trends presented.
Presentation at PHABC Public Health Reducing Health Inequities Conference, Vancouver, British Columbia, Canada.
Also see several additional slideshares of mine about males and eating disorders and an excerpt from Global National TV 16x9 news documentary, Canadian national television.
Brief excerpt (2.5 minutes) here: https://www.youtube.com/watch?v=ctlGqM0ekOY
Full 23 mins show here: https://www.youtube.com/watch?v=OwhyB8mR-U8
This document provides an overview of the Balanced Living with Diabetes (BLD) program, a community-based lifestyle intervention for improving blood glucose control among people with diabetes. BLD is based on social cognitive theory and community-based participatory research principles. It involves weekly 2-hour classes over 4 weeks that teach diabetes self-management skills like healthy eating, physical activity, and goal setting using interactive lessons and activities. Pilot programs of BLD found improvements in A1c, diet, and physical activity. A large randomized controlled trial of BLD found it effective at lowering A1c levels among African Americans with diabetes in medically underserved areas when delivered in faith-based community settings.
Scores screen, gives follow-up tool for any (+) response
-AUDIT, DAST-10 and/or or PHQ-9
Provider: Scores any follow-up tools, provides brief intervention or
referral as needed
-5-10 minutes for BI
-Referral as needed based on severity
determine severity, provides brief
intervention or referral as needed
–5-10 minutes for BI
–Referral as needed based on severity
• Medical records: Documents screen
results and any interventions
Front desk: Gives screen to patient
-Single-item alcohol and drug questions
-PHQ-2 for depression
Medical records: Documents screen results and any interventions
Anna Ratzliff, MD, PhD, Associate Director for Education, Division of Integrated Care & Public Health Department of Psychiatry & Behavioral Sciences, University of Washington
Latino Health Forum 2014
This document provides an overview of a webinar on health and personal finances. The webinar objectives are described, including describing how health and finances are related, research linking the two, and the Personal Health and Finance Quiz. The Small Steps to Health and Wealth program framework is also described. Research findings are presented showing relationships between personality traits, health habits, and financial behaviors. The Personal Health and Finance Quiz is explained as a tool to assess behaviors.
Dave deBronkart came to focus on participatory healthcare after being diagnosed with stage IV kidney cancer in 2007. Through online research and connecting with other patients, he learned about an immunotherapy treatment that significantly extended his survival, whereas his doctors had given him only a few months to live. This experience led him to become an advocate for empowering patients through technology and social media. He argues that empowered, engaged patients who actively manage their own healthcare can help doctors spend more time with each patient and potentially achieve better health outcomes.
Does family therapy for adolescent behavior problems work in the real worldCenter on Addiction
This document summarizes a study that compared the effectiveness of routine family therapy (RFT) to treatment as usual (TAU) for adolescent behavior problems. 205 adolescents were randomly assigned to RFT or TAU. Both treatments showed improvements in externalizing and internalizing symptoms, delinquency, and substance use, with some outcomes showing greater improvements for RFT. The study provides preliminary evidence that RFT can be effective when delivered with fidelity in usual care settings, though more research is still needed.
This document summarizes a meeting of the Division of Student Affairs & Academic Support at the University of South Carolina. It discusses the university's goals to increase mental health services and suicide prevention efforts, including supporting over 1,000 donors for the Give 4 Garnet campaign. It provides an overview of current mental health statistics and services at USC, recommendations from a suicide prevention task force, and new initiatives like the SAMHSA grant to enhance services for at-risk student populations. The summary highlights USC's efforts to identify at-risk students, ensure access to treatment, respond to crises, and increase help-seeking through programs that address the specific needs of diverse groups on campus.
Strategies to improve linkage to HIV care aim to increase the percentage of people who enter care after receiving a positive HIV test result from 65% to 85%. Studies show those who enter care early are more likely to start antiretroviral therapy, achieve viral suppression, and reduce risky sexual behaviors. The document discusses various strategies tested in studies and used by agencies to improve different aspects of the linkage process, including messaging at diagnosis, counseling approaches, active versus passive referrals, engagement strategies, and care team coordination. The goal is to establish a seamless system to immediately link people to continuous, coordinated, and high-quality HIV care.
LifeCourse: An Innovative Approach to Late Life Care in the CommunityAllina Health
LifeCourse is an innovative approach to providing late life care in the community developed by Allina Health. It aims to improve quality of life for seriously ill patients and their families by providing whole person care through regular in-home visits from lay healthcare workers. Early results show LifeCourse may help maintain patients' quality of life while reducing healthcare costs by decreasing hospital and emergency room use in the last years of life. Allina Health is expanding the program and evaluating outcomes to determine its long-term impact.
This document discusses strategies for improving linkage to care for people who test HIV positive. It highlights the importance of immediately linking people to continuous care when they learn they are infected in order to improve health outcomes. Barriers to entering care include lack of insurance, not wanting to acknowledge being HIV positive, and lack of support services. Successful strategies discussed include providing comprehensive counseling and messaging about benefits of early care, using a trauma-informed and motivational interviewing approach, actively facilitating referrals and follow through, and care team coordination through linkage specialists.
The Health Home project is evaluating a new program that is part of healthcare reform in New York State. The program identifies individuals with substance use disorders who have other medical and psychiatric problems and offers them a new form of integrated care. The evaluation will study whether this program results in better quality of care and a reduction in health care costs for this vulnerable and chronically ill population.
This document discusses the long-term health impacts of sexual violence on women and calls for improved healthcare responses. It notes that sexual violence has serious physical and psychological effects over a lifetime but that survivors often do not disclose to doctors and doctors do not routinely ask. It recommends national frameworks to educate all medical students and doctors about the impacts of trauma, and government support for holistic, long-term healthcare including access to long-term psychotherapy for survivors. The goal is for healthcare providers to be able to identify, respectfully listen to, and address both the physical and psychological needs of survivors over their lifetime.
This document summarizes the findings of a national survey on family caregivers who provide complex medical and nursing care to their loved ones. Some key findings:
- 46% of family caregivers performed medical/nursing tasks like medication management, wound care, using medical equipment.
- Tasks like wound care, medication management and incontinence care were especially difficult for family caregivers. Many lacked training.
- Caregivers who performed more medical tasks reported poorer health and increased feelings of depression. However, they also felt they helped avoid nursing home placement.
- The survey highlights the need to better support family caregivers through improved training, coordination of care, and policies that acknowledge their role in caring for loved ones.
The document summarizes a presentation on organizing health information in an eHealth environment according to citizen-centric principles and concepts. It outlines the background, methods, preliminary findings, conceptual information model, information management principles, and roadmap presented. The presentation calls for an iterative development process to involve stakeholders and promote a citizen-centric model for integrating new eHealth possibilities in New Zealand's health systems.
Update on Personal Health Records for Developmentally Delayed Individuals: Wh...Vincent Gibbons
The document discusses the need for a personal health record (PHR) tailored for children with special healthcare needs (CSHCN). It proposes a parent-controlled PHR that would provide features like storing health information, generating reports, coordinating care among providers, and linking to educational resources. The summary identifies the key requirements of a PHR for CSHCN, including care plans, condition-specific growth charts, and financial management tools. It also notes existing PHR products and barriers to widespread adoption. The proposed PHR aims to empower parents by giving them control over their child's health information.
Dolores Keating , Head of Pharmacy Services, Saint John of God HospitalInvestnet
This document discusses engaging with medication and supporting patient activation and optimization. It emphasizes adopting a person-centered approach to medication use that involves providing information, supporting interactive consultations, shared decision making, actively managing side effects, and engaging with patients more frequently. This helps patients build knowledge, confidence, and skills to better manage their own healthcare and medications. The document also highlights barriers clinicians face in adopting these approaches and the need for quality improvement initiatives focused on medication safety.
This document summarizes a workshop held by the Patient-Centered Outcomes Research Institute (PCORI) to solicit research topic recommendations from patients and stakeholders. The workshop provided information on PCORI's mission and research prioritization process. Participants engaged in breakout sessions to recommend topics and provide feedback on PCORI's stakeholder engagement strategies and prioritization methodology. PCORI aims to fund high-quality, patient-centered outcomes research to help patients make informed healthcare decisions.
Rosemary Frasso's presentation from the
Penn Urban Doctoral Symposium
May 13, 2011
Co-sponsored with Penn’s Urban Studies program, this symposium celebrates the work of graduating urban-focused doctoral candidates. Graduates present and discuss their dissertation findings. Luncheon attended by the students, their families and their committees follows.
Brief interventions are short discussions between a practitioner and service user about a potentially harmful lifestyle choice like substance use. They aim to motivate change, reduce harmful behavior, and assist recovery. NICE defines different types including opportunistic contacts to deliver health information or motivational counseling, and planned sessions targeting specific harms or motivation to change. Key features are focusing on reduced substance use, being delivered by non-substance professionals, addressing motivation, and remaining individualized while giving feedback, encouraging responsibility, providing options, demonstrating empathy, and enhancing self-efficacy. Brief interventions can be used for any potentially harmful lifestyle behavior by providing information, advice, discussions, or offers of support. Evidence best supports their use for problematic alcohol use.
Danielle Matthews is pursuing a Bachelor's degree in Health Science with a concentration in Health Education and Promotion and a minor in Microbiology. She is interested in a career as a Health Education Specialist to help educate people on behaviors to improve their health. This career has grown due to rising healthcare costs and the need to address chronic conditions through prevention and health promotion. As a Health Education Specialist, Matthews' responsibilities would include assessing community health needs, planning and implementing education programs, and advocating for improved access to healthcare resources. She plans to obtain a Master's degree in Public Health online to further her preparedness for this career.
The document summarizes the experiences and observations of a student during a reflection at the Mountain Lakes Access Health program. It describes observations of daily procedures like patient file reviews and interactions. It notes that many patients' primary needs were access to healthcare services and assistance. Case workers helped patients navigate enrollment and connect to programs. File reviews showed the program was effective in improving patients' health management over time. The reflection also involves a motivational interview and follow-ups with patients. Data from the First Steps program was entered, assessing over 1,000 parents and children on various health, economic, and social factors. The experience helped the student better understand enrollment processes and issues in healthcare.
Hi52Hlth: Using Mobile Technology to Access Healthcare for TeensYTH
Hi52Hlth is a mobile application (app) created to engage adolescents and young adults in the search for resources in the Houston area. The app allows the user to search for locations of clinics and community organizations with directions, articles and videos on HIV/AIDS, ability to ask questions directly to health avatars ("Tiff" and "Ty"), PEP (Post-Exposure Prophylaxis) and PrEP (Pre-Exposure Prophylaxis) information, and a frequently asked questions section.
Health Services Utilization Carly's Study DesignCarly Thompson
This document outlines a study examining barriers to eating disorder treatment among women. The study will use Anderson's Behavioral Model framework to identify predisposing, enabling, and need factors that influence barriers. The dependent variable is barriers to inpatient and intensive outpatient treatment. Independent variables include demographic, clinical, social, and system-related factors. The study aims to compare barriers across eating disorder subtypes to address disparities in access and utilization of treatment. Key hypotheses predict financial barriers will impact bulimia and OSFED most while shame will impact anorexia most.
As new payment models emerge that emphasize value over volume, providers are being compelled to look more closely at how to motivate patients—especially those with multiple chronic conditions—to actively manage their care, make better decisions and change behaviors. This editorial webinar will explore the relationships between engagement and improved health outcomes, greater patient satisfaction and better resource utilization. Our panel of experts will share proven strategies for building patients' confidence, disseminating self-management tools and making the best use of your care team.
This document provides information about the Canadian Healthcare Leadership Forum 2015 conference, including the agenda, speakers, and registration details. Some of the key topics to be discussed are persisting challenges in the Canadian healthcare system and how leadership, collaboration, technology, and data can help address them. The forum aims to bring together leaders from hospitals, health networks, and the public/private sectors to share strategies and solutions through presentations, case studies, panels, and roundtable discussions. The goal is to strengthen cooperation among stakeholders and find ways to improve healthcare performance and outcomes in Canada.
This document provides an overview of a webinar on health and personal finances. The webinar objectives are described, including describing how health and finances are related, research linking the two, and the Personal Health and Finance Quiz. The Small Steps to Health and Wealth program framework is also described. Research findings are presented showing relationships between personality traits, health habits, and financial behaviors. The Personal Health and Finance Quiz is explained as a tool to assess behaviors.
Dave deBronkart came to focus on participatory healthcare after being diagnosed with stage IV kidney cancer in 2007. Through online research and connecting with other patients, he learned about an immunotherapy treatment that significantly extended his survival, whereas his doctors had given him only a few months to live. This experience led him to become an advocate for empowering patients through technology and social media. He argues that empowered, engaged patients who actively manage their own healthcare can help doctors spend more time with each patient and potentially achieve better health outcomes.
Does family therapy for adolescent behavior problems work in the real worldCenter on Addiction
This document summarizes a study that compared the effectiveness of routine family therapy (RFT) to treatment as usual (TAU) for adolescent behavior problems. 205 adolescents were randomly assigned to RFT or TAU. Both treatments showed improvements in externalizing and internalizing symptoms, delinquency, and substance use, with some outcomes showing greater improvements for RFT. The study provides preliminary evidence that RFT can be effective when delivered with fidelity in usual care settings, though more research is still needed.
This document summarizes a meeting of the Division of Student Affairs & Academic Support at the University of South Carolina. It discusses the university's goals to increase mental health services and suicide prevention efforts, including supporting over 1,000 donors for the Give 4 Garnet campaign. It provides an overview of current mental health statistics and services at USC, recommendations from a suicide prevention task force, and new initiatives like the SAMHSA grant to enhance services for at-risk student populations. The summary highlights USC's efforts to identify at-risk students, ensure access to treatment, respond to crises, and increase help-seeking through programs that address the specific needs of diverse groups on campus.
Strategies to improve linkage to HIV care aim to increase the percentage of people who enter care after receiving a positive HIV test result from 65% to 85%. Studies show those who enter care early are more likely to start antiretroviral therapy, achieve viral suppression, and reduce risky sexual behaviors. The document discusses various strategies tested in studies and used by agencies to improve different aspects of the linkage process, including messaging at diagnosis, counseling approaches, active versus passive referrals, engagement strategies, and care team coordination. The goal is to establish a seamless system to immediately link people to continuous, coordinated, and high-quality HIV care.
LifeCourse: An Innovative Approach to Late Life Care in the CommunityAllina Health
LifeCourse is an innovative approach to providing late life care in the community developed by Allina Health. It aims to improve quality of life for seriously ill patients and their families by providing whole person care through regular in-home visits from lay healthcare workers. Early results show LifeCourse may help maintain patients' quality of life while reducing healthcare costs by decreasing hospital and emergency room use in the last years of life. Allina Health is expanding the program and evaluating outcomes to determine its long-term impact.
This document discusses strategies for improving linkage to care for people who test HIV positive. It highlights the importance of immediately linking people to continuous care when they learn they are infected in order to improve health outcomes. Barriers to entering care include lack of insurance, not wanting to acknowledge being HIV positive, and lack of support services. Successful strategies discussed include providing comprehensive counseling and messaging about benefits of early care, using a trauma-informed and motivational interviewing approach, actively facilitating referrals and follow through, and care team coordination through linkage specialists.
The Health Home project is evaluating a new program that is part of healthcare reform in New York State. The program identifies individuals with substance use disorders who have other medical and psychiatric problems and offers them a new form of integrated care. The evaluation will study whether this program results in better quality of care and a reduction in health care costs for this vulnerable and chronically ill population.
This document discusses the long-term health impacts of sexual violence on women and calls for improved healthcare responses. It notes that sexual violence has serious physical and psychological effects over a lifetime but that survivors often do not disclose to doctors and doctors do not routinely ask. It recommends national frameworks to educate all medical students and doctors about the impacts of trauma, and government support for holistic, long-term healthcare including access to long-term psychotherapy for survivors. The goal is for healthcare providers to be able to identify, respectfully listen to, and address both the physical and psychological needs of survivors over their lifetime.
This document summarizes the findings of a national survey on family caregivers who provide complex medical and nursing care to their loved ones. Some key findings:
- 46% of family caregivers performed medical/nursing tasks like medication management, wound care, using medical equipment.
- Tasks like wound care, medication management and incontinence care were especially difficult for family caregivers. Many lacked training.
- Caregivers who performed more medical tasks reported poorer health and increased feelings of depression. However, they also felt they helped avoid nursing home placement.
- The survey highlights the need to better support family caregivers through improved training, coordination of care, and policies that acknowledge their role in caring for loved ones.
The document summarizes a presentation on organizing health information in an eHealth environment according to citizen-centric principles and concepts. It outlines the background, methods, preliminary findings, conceptual information model, information management principles, and roadmap presented. The presentation calls for an iterative development process to involve stakeholders and promote a citizen-centric model for integrating new eHealth possibilities in New Zealand's health systems.
Update on Personal Health Records for Developmentally Delayed Individuals: Wh...Vincent Gibbons
The document discusses the need for a personal health record (PHR) tailored for children with special healthcare needs (CSHCN). It proposes a parent-controlled PHR that would provide features like storing health information, generating reports, coordinating care among providers, and linking to educational resources. The summary identifies the key requirements of a PHR for CSHCN, including care plans, condition-specific growth charts, and financial management tools. It also notes existing PHR products and barriers to widespread adoption. The proposed PHR aims to empower parents by giving them control over their child's health information.
Dolores Keating , Head of Pharmacy Services, Saint John of God HospitalInvestnet
This document discusses engaging with medication and supporting patient activation and optimization. It emphasizes adopting a person-centered approach to medication use that involves providing information, supporting interactive consultations, shared decision making, actively managing side effects, and engaging with patients more frequently. This helps patients build knowledge, confidence, and skills to better manage their own healthcare and medications. The document also highlights barriers clinicians face in adopting these approaches and the need for quality improvement initiatives focused on medication safety.
This document summarizes a workshop held by the Patient-Centered Outcomes Research Institute (PCORI) to solicit research topic recommendations from patients and stakeholders. The workshop provided information on PCORI's mission and research prioritization process. Participants engaged in breakout sessions to recommend topics and provide feedback on PCORI's stakeholder engagement strategies and prioritization methodology. PCORI aims to fund high-quality, patient-centered outcomes research to help patients make informed healthcare decisions.
Rosemary Frasso's presentation from the
Penn Urban Doctoral Symposium
May 13, 2011
Co-sponsored with Penn’s Urban Studies program, this symposium celebrates the work of graduating urban-focused doctoral candidates. Graduates present and discuss their dissertation findings. Luncheon attended by the students, their families and their committees follows.
Brief interventions are short discussions between a practitioner and service user about a potentially harmful lifestyle choice like substance use. They aim to motivate change, reduce harmful behavior, and assist recovery. NICE defines different types including opportunistic contacts to deliver health information or motivational counseling, and planned sessions targeting specific harms or motivation to change. Key features are focusing on reduced substance use, being delivered by non-substance professionals, addressing motivation, and remaining individualized while giving feedback, encouraging responsibility, providing options, demonstrating empathy, and enhancing self-efficacy. Brief interventions can be used for any potentially harmful lifestyle behavior by providing information, advice, discussions, or offers of support. Evidence best supports their use for problematic alcohol use.
Danielle Matthews is pursuing a Bachelor's degree in Health Science with a concentration in Health Education and Promotion and a minor in Microbiology. She is interested in a career as a Health Education Specialist to help educate people on behaviors to improve their health. This career has grown due to rising healthcare costs and the need to address chronic conditions through prevention and health promotion. As a Health Education Specialist, Matthews' responsibilities would include assessing community health needs, planning and implementing education programs, and advocating for improved access to healthcare resources. She plans to obtain a Master's degree in Public Health online to further her preparedness for this career.
The document summarizes the experiences and observations of a student during a reflection at the Mountain Lakes Access Health program. It describes observations of daily procedures like patient file reviews and interactions. It notes that many patients' primary needs were access to healthcare services and assistance. Case workers helped patients navigate enrollment and connect to programs. File reviews showed the program was effective in improving patients' health management over time. The reflection also involves a motivational interview and follow-ups with patients. Data from the First Steps program was entered, assessing over 1,000 parents and children on various health, economic, and social factors. The experience helped the student better understand enrollment processes and issues in healthcare.
Hi52Hlth: Using Mobile Technology to Access Healthcare for TeensYTH
Hi52Hlth is a mobile application (app) created to engage adolescents and young adults in the search for resources in the Houston area. The app allows the user to search for locations of clinics and community organizations with directions, articles and videos on HIV/AIDS, ability to ask questions directly to health avatars ("Tiff" and "Ty"), PEP (Post-Exposure Prophylaxis) and PrEP (Pre-Exposure Prophylaxis) information, and a frequently asked questions section.
Health Services Utilization Carly's Study DesignCarly Thompson
This document outlines a study examining barriers to eating disorder treatment among women. The study will use Anderson's Behavioral Model framework to identify predisposing, enabling, and need factors that influence barriers. The dependent variable is barriers to inpatient and intensive outpatient treatment. Independent variables include demographic, clinical, social, and system-related factors. The study aims to compare barriers across eating disorder subtypes to address disparities in access and utilization of treatment. Key hypotheses predict financial barriers will impact bulimia and OSFED most while shame will impact anorexia most.
As new payment models emerge that emphasize value over volume, providers are being compelled to look more closely at how to motivate patients—especially those with multiple chronic conditions—to actively manage their care, make better decisions and change behaviors. This editorial webinar will explore the relationships between engagement and improved health outcomes, greater patient satisfaction and better resource utilization. Our panel of experts will share proven strategies for building patients' confidence, disseminating self-management tools and making the best use of your care team.
This document provides information about the Canadian Healthcare Leadership Forum 2015 conference, including the agenda, speakers, and registration details. Some of the key topics to be discussed are persisting challenges in the Canadian healthcare system and how leadership, collaboration, technology, and data can help address them. The forum aims to bring together leaders from hospitals, health networks, and the public/private sectors to share strategies and solutions through presentations, case studies, panels, and roundtable discussions. The goal is to strengthen cooperation among stakeholders and find ways to improve healthcare performance and outcomes in Canada.
Key Principles and Approaches to Populaiton Health mManagement - HAS Session 21Health Catalyst
Population Health Management is in its early stages of maturity, suffering from inconsistent definitions and understanding, and is overhyped by vendors and ill-defined by the industry. And yet, many systems are moving forward in innovative pioneering ways to address this growing trend. In this session, you will hear from two very different, successful health systems: a physician-led group and a large integrated delivery system. They will share their best practices, learnings, and different approaches to population health management.
Improving the Health Outcomes of Both Patients AND PopulationsCHC Connecticut
NCA Clinical Workforce Development, Team-Based Care 2019 Webinar Series
Webinar broadcast on: May 23, 2019 | 2 p.m. EST
In this webinar experts will share their journey in planning, preparing and launching a population health initiative. With the goals of impacting population health outcomes while ensuring cost effectiveness, our experts designed interventions to eliminate gaps in care, particularly among special populations.
AcademyHealth Engagement, Empowerment, Enhancement: The Role of Consumers in ...Whitney Bowman-Zatzkin
2:45pm-4:15pm
Engagement, Empowerment, Enhancement: The Role of Consumers in Health Care and Advocacy
Moderator: Whitney Bowman-Zatzkin, Flip the Clinic
Strategies and Tactics for Achieving Meaningful Consumer Engagement
Claire Brindis, Director, Institute for Health Policy Studies
Speakers:
Tom Workman, American Institutes for Research (AIR)
Amanda Otero, Health Care Organizer, TakeAction Minnesota
How to Establish an Evidence-Based Care Delivery Structure Like Allina HealthHealth Catalyst
Clinicians have to make difficult decisions on a regular basis. And when different clinicians within the same health system make markedly different decisions about medical treatment, significant waste and inconsistent outcomes arise.
What will be discussed?:
Establishing peer-reviewed and approved CPGs
Prioritizing improvements
Developing the CPG checklist
Engaging and collaborating with clinicians
Don't miss hearing firsthand how Allina established a systemwide EBDM model and realized a five percent decrease in Stage 1 lung cancer treatment variation as well as a 20 percent decrease in the number of heparin protocols.
Presentation by Commissioner Choucair at Northwestern University Feinberg School of Medicine Physician Assistant Program for a Public Health Presentation in Behavioral and Preventive Medicine I Course.
Becoming the Change Agent Your Healthcare System NeedsHealth Catalyst
I’ve met many clinical and operational leaders across the U.S. and seen how many have become progressively cynical and disengaged when faced with important healthcare reform issues like cost cutting and tight budgets. These clinicians would agree that equally important are quality and safety issues. However, most don’t have the tools available to actually measure that quality or patient outcomes. When clinicians do have access to the ability to measure, and the work together, I’ve seen enormous energy arise as they ask questions they really care about: What is quality? What do we measure? How do we achieve the best outcome?
The healthcare industry is undergoing change at unprecedented speed and magnitude, yet continues to be fraught with cost inefficiencies and disappointing clinical outcomes. In this slides you will explore an outline of the current healthcare revolution, and how innovative technology strategies, models and tools are helping improve efficiency, effectiveness, and patient experiences.
Please share this slideshow with anyone who may be interested!
Watch all our webinars: https://www.youtube.com/playlist?list=PL4dDQscmFYu_ezxuxnAE61hx4JlqAKXpR
In this webinar:
● Discussion of the CADTH Symposium
● Recommendations for HTA improvements in Canada
● Audience Q&A
View the video: https://youtu.be/AJCOemf2r6Y
Follow our social media accounts:
Twitter - https://twitter.com/survivornetca
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The Kaiser Permanente Homeless Navigator Pilot Program in Woodland Hills, California connects homeless patients with community resources to help them find housing and other services, placing over 576 homeless patients in shelters and programs since 2012. The program uses a team approach involving medical, social work, and community staff. It has been successful in transforming lives and ending homelessness for many patients.
Discovering a Common Purpose: Creating Physician EngagementHealth Catalyst
Join Dr. Bryan Oshiro, MD Chief Medical Officer, Health Catalyst , as he shares key best practices in getting physician engagement including identifying and empowering physician leaders in key functional teams, compensating for leadership roles, educating and developing a common purpose, triad teamwork approaches, giving quick, easy, and responsive access to the right data to identify problems and make recommendations, and supporting and empowering physician-led recommendations.
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Knowledge to action: changing the dynamic between patients and providers - engaging patients
1. Knowledge to Action: Changing the Dynamic
Between Patients & Providers
– Engaging Patients
Keynote Presentation to The Alberta Medical Association, Choosing Wisely Alberta Symposium
February 29, 2016
Paul W. Gallant, CHE, PhD(c), MHK, BRec. (TR)
Principal, GALLANT HEALTHWORKS & Associates
www.GallantHealthWorks.com
Permission for non-commercial use granted when
referencing Paul W. Gallant, GALLANT HEALTHWORKS (2016).
For commercial use kindly contact the presenter.
@HealthWorksBC
2. Choosing Wisely Alberta Symposium:
Excerpt from Alberta Medical Association, President
Steven Lewis gave the first keynote address: “Winning Conditions for Uptake, Spread and Scale.” He spoke
about change management and presented a list of strategies for success, including engaging doctors and
patients, using supportive data, and applying behavioral economics principles to avoid ineffective incentives.
He emphasized that discussion about appropriateness should focus on reduction of waste and harm, not
rationing. He also addressed the cultural changes that are required.
The final keynote speaker was Paul Gallant: “Knowledge to Action: Changing the Dynamic between Patients
and Providers: Engaging Patients.” It is clear that the roles of providers and patients are evolving. The medical
profession is no longer the sole source of health information. Patients are diverse, but passive patients will
gradually become a thing of the past. We need to recognize that every patient is unique, and that access to
their own health data and relationships with providers are key to their participation in their own health care.”
Carl W. Nohr, MDCM, PhD, FRCSC, FACS President, Alberta Medical Association (2016)
https://www.albertadoctors.org/media-publications/presidents-letter/pl-archive/march-4-2016-presidents-letter
2Paul W. Gallant www.GallantHealthWorks.com Twitter @HealthWorksBC
3. A Slide Deck Index to Help You Navigate
• Intended audience, Slide 4
• Why engage? Slide 6
• Meaningfully Engaging Patients & Having Some Power, Slide 12
• Patient Advisor as a Voice (example YouTube) Slide 16
• Practical Components of Success in Patient Engagement, Slide 18
• Mitigating Risk, Slide 22
• Simple Actions, Slide 24
• What Can Health Providers or Health Delivery Organizations Do? Slide 26
• What Can Healthcare Leaders & Policymakers Do? Slide 27
• What Can Clinicians Do? Slide 29
• Ground Rules for Dialogue, Slide 30
• Resources with links, Slide 31
• Contact or connect with the presenter, Slide 35
www.GallantHealthWorks.com @HealthWorksBC 3
4. Intended Audience
The following presentation excerpt is reduced and updated since the original keynote
presentation to the Choosing Wisely Alberta Symposium, held Feb. 29, 2016 in Calgary, Alberta.
Symposium delegates/invited attendees included:
GPs, specialists, physician leaders & Alberta Medical Association leaders/staff
Choosing Wisely Alberta staff/leaders
Health authority leaders
Other health care service providers
Health care patient advocates
Ministry of Health leaders
Academic partners: providers of CME, physician training
Others
4Paul W. Gallant www.GallantHealthWorks.com Twitter @HealthWorksBC
5. Presenter Background/Roles Include:
Past
• Allied health clinician (most acute clinical areas)
• Operations Leader Provincial Mental Health
• Adjunct faculty/teaching: UBC, BCIT, Douglas College
• Governance of non-profits & professional associations
Present
• Specialty consulting/contracting in Canada, China, USA
-project leadership physicians, strategic planning/advising, needs assessments, service reviews
including First Nations’ Government, hospice, Academic Divisions (Medicine)
• Entrepreneur
• Patient experience advocate & conduit
• Chair, Mentor & 2014 Distinguished Service Award recipient
BC Lower Mainland Chapter
Member
5Paul W. Gallant www.GallantHealthWorks.com Twitter @HealthWorksBC
7. Not engaging is not an option
• It’s our job
• Code of ethics many professions
• Missions of many organizations
• Canadians fundamental freedoms include:
freedom of thought, belief, opinion
& expression
7Paul W. Gallant www.GallantHealthWorks.com Twitter @HealthWorksBC
9. Let’s Continue to Evolve
• We must accept that the roles of health care provider and patients have evolved over the last few years.
• Whereas the traditional model of care adopted a more paternalistic approach on the part of the healthcare professional, the
role of the patient has changed to a more active one.
• Indeed, doctors today are continually greeted with patients who have downloaded Internet-based information or consulted
so-called experts the email social media on their health.
• Engaging patients tangibly intelligently in managing their condition and has been shown to improve clinical outcomes.
• Indeed the health care systems of the future will be partnered with patients as co-producers of health, with each party
actively involved in championing the patient journey towards achieving a healthy state.
• Moreover, as medicine continues to evolve, a greater repertoire of treatment and technologies will be offered for a complex
conditions and providing patients with tools to help ensure decision-making will be crucial to good outcomes.
Sir William Donaldson, WHO, Patient Safety Envoy, exploring patients in reducing healthcare related safety risks. 2013
9
12. Meaningfully Engaging Patients
& Having Some Power
We heard from Annette McKinnon:
• A Health Leader/Blogger/Colleague
• Empowered Patient
• Board Member, Numerous Organizations
Twitter: @anetto
Click on photos to the right for two clips.
12Paul W. Gallant www.GallantHealthWorks.com Twitter @HealthWorksBC
13. “Patients & Providers Meaningfully Engaged”
Meaningful change in the health system - that will ensure an affordable system
with the best patient experiences and best health outcomes, can only happen
when we all work together.
13Paul W. Gallant www.GallantHealthWorks.com Twitter @HealthWorksBC
15. Who Was in the Room
• Health Authority Leaders
• Front-line workers: allied
• Patients, clients, family
• Non-profit & community organizations including
recreation, mental health, seniors, youth
• Doctors: family doctors and specialists
• Association members
• School Board
• Board/Staff/contractors
• Government, elected councilors
• RCMP
15Paul W. Gallant www.GallantHealthWorks.com Twitter @HealthWorksBC
16. PATIENT ADVISOR
Cue to start at 22 seconds
End at 60 seconds
https://www.youtube.com/watch?v=ublEOZC
MM84
16Paul W. Gallant www.GallantHealthWorks.com Twitter @HealthWorksBC
17. #CdnHealth Daily Informing Patients/Providers
See it here http://paper.li/HealthWorksBC/1308721020# About 60 articles from 4000+
Sources
www.GallantHealthWorks.com @HealthWorksBC 17Paul W. Gallant www.GallantHealthWorks.com Twitter @HealthWorksBC
18. Practical Components of Success
in Patient Engagement
Build Better Relationships
Make Engagement Meaningful
Every Patient is Unique
Co-create
Spread
Enjoyment
18Paul W. Gallant www.GallantHealthWorks.com Twitter @HealthWorksBC
19. SOCIAL MEDIA: OUR PROFESSIONAL DUTY
Our professional & governing bodies
require that we are current in our
practice & knowledge.
Social media provides tools & channels
enabling rapid knowledge transfer, to
many people, including patients.
As “caring” professionals with
accountabilities, we must be able to
effectively update our patients, with
information that affects their health and
wellness.
We must at least be able to inform
patients, not in a month or a year after
this information becomes available, but
immediately.
19
“As health professionals we must reliably & effectively use social media to help in our
‘caring’, otherwise, we put our patients, ourselves & our professions at significant risk.”
Paul W. Gallant, CHE
20. Mitigating
• Have a risk management plan
• Have clear & articulated roles for staff, patients, working groups & governance
• Create an emotionally safe setting for dialogue, discussion
>guiding principles, trained facilitators, resources, evaluation feedback
• Set realistic goals: to be reached in the next ___months/yrs
• Monitor & modify with stakeholders
• Clearly communicate expectations, limitations, unforeseen findings or
processes & debrief
• Remain transparent and true to the process
20Paul W. Gallant www.GallantHealthWorks.com Twitter @HealthWorksBC
21. Mitigating Continued
• Identify what is included & excluded in the scope of the work
• Listen… a lot
• Provide opportunities for skill building and development
• Support patients with briefings and information to improve health literacy
• Respond to their contributions (ongoing)
• Build a team that can work together and understand each other
• Be willing to learn from other’s experience
• Be willing to change in response to what you have learned
• Budget accordingly
• Communicate often & use multiple methods
21Paul W. Gallant www.GallantHealthWorks.com Twitter @HealthWorksBC
23. Engage &
Support
Engage individual patients &
their providers to improve
relationships, trust & better
self-management
Engage patients and families
to help improve services
Support staff to deliver
patient and family centred
care
23Paul W. Gallant www.GallantHealthWorks.com Twitter @HealthWorksBC
24. What Can Health Providers or Health Delivery
Organizations Do?
• Give patients real-time access to their medical records, including input into their records
• Establish family presence policies that welcome family members to be with patients at all
times.
• Invite patients and families to provide input and feedback about how you can improve the
care you deliver to patients.
• Organize a staff education session, grand rounds, or CME session on patient and family
engagement
• Make sure that patients and families know who to contact if they have questions or
concerns about the quality or safety of care they have received.
www.GallantHealthWorks.com @HealthWorksBC 24
25. What Can Healthcare Leaders & Policymakers Do?
Lead by example and be a visible presence.
• Make a direct connection with patients and families and ask them for feedback
about their experiences.
• For example, talk to patients and families while they are waiting for healthcare
appointments.
-Conduct leader rounds with patients in the hospital/clinic/program.
• Policymakers, talk to patients and families in the community—even if it’s just at
the local grocery store—about their health care experiences.
www.GallantHealthWorks.com @HealthWorksBC 25
26. (Cont’d) What Can Healthcare Leaders and
Policymakers Do?
• Include goals related to patient and family engagement as key components of your
short- and long-term strategic plans.
• Identify specific areas of opportunity with measurable objectives and strategies for
achieving your goals
• Add patients and families to boards and committees
• Invite & support patients and families to participate in conferences and meetings as
keynote speakers or participants on panel presentations.
• Make patient and family engagement an agenda item at your next meeting
www.GallantHealthWorks.com @HealthWorksBC 26
27. What Can Clinicians Do?
• Welcome input and feedback from patients and families.
• Maximize the potential of your patient portal.
• Use teach-back and other proven communication techniques
• “Can you tell me when and how you are going to take this medication?”
or…“follow-through with the exercises recommended?”
• Ask open-ended questions that help you elicit information and
understand the patient’s values, goals, and beliefs, for example: “What is
your goal for your care?”
• Ask patients what is important to them so that you can understand whether your
recommendations are a good match with their values and goals
• Contact your professional societies and encourage them to include patient and
family representatives as part of the process when setting clinical
recommendations or guidelines.
www.GallantHealthWorks.com @HealthWorksBC 27
29. RESOURCES
• AHS http://www.albertahealthservices.ca/info/patientengagement.aspx
Toolkit http://www.albertahealthservices.ca/assets/info/pf/pe/if-pf-pe-engage-toolkit.pdf
• AMA https://www.albertapatients.ca/Portal/default.aspx
• BC Government, Patients as Partners http://www2.gov.bc.ca/gov/content/health/about-bc-s-health-care-system/partners/patients
• Canadian Foundation for Health Care Improvement http://www.cfhi-
fcass.ca/WhatWeDo/PatientEngagement/PatientEngagementResourceHub/Results.aspx
• Carman KL, Dardess P, Maurer ME, Workman T, Ganachari D, Pathak-Sen E. A Roadmap for Patient and Family Engagement in
Healthcare Practice and Research. (Prepared by the American Institutes for Research under a grant from the Gordon and Betty Moore
Foundation, Dominick Frosch, Project Officer and Fellow; Susan Baade, Program Officer.) Gordon and Betty Moore Foundation: Palo
Alto, CA; September 2014. www.patientfamilyengagement.org. - See more at:
http://patientfamilyengagement.org/#sthash.GM8h0iZT.dpuf
• Change Foundation http://www.changefoundation.ca/topics/patientengagement/
• Joanna Siegel (2012). Innovative Methods in Stakeholder Engagement: An Environmental Scan. Agency for Healthcare Research and
Quality. http://www.effectivehealthcare.ahrq.gov/tasks/sites/ehc/assets/File/CF_Innovation-in-Stakeholder-
Engagement_LiteratureReview.pdf
• IAP2 Canada. International Association for Public Participation (Canada). http://iap2canada.ca
• Wallerstein (2006). What is the evidence on effectiveness of empowerment to improve health? Copenhagen, WHO, Health Evidence
Network report; http://www.euro.who.int/Document/E88086.pdf
• Weinstein, Plumb, & Brawer (2006). Community engagement of men. Primary Care Clinics in Office Practice. 33: 247-259. Abstract
http://www.primarycare.theclinics.com/article/S0095-4543%2805%2900107-7/abstract
29Paul W. Gallant www.GallantHealthWorks.com Twitter @HealthWorksBC
30. RESOURCES (Cont’d)EeEEThis link is to caseEeEx
• Patient engagement examples, including over 30 cases
worldwide.http://participedia.net/en/search?search_api_views_fulltext=patients
• The National Coalition for Dialogue & Deliberation. NCDD serves as a gathering place, a resource clearinghouse, a news source, and a
facilitative leader for this extraordinary community. Over 180 tools and methods used for dialogue and deliberation are listed on this
website here: http://ncdd.org/rc/item/category/participatory-practices
• CPRN – Handbook on Citizen Engagement: Beyond Consultation http://www.cprn.org/documents/49583_EN.pdf
• Centre for Public Involvement (Edmonton Alberta) http://centreforpublicinvolvement.com/
• Examples through Paul Gallant’s SlideShare including mental health patient engagement, community engagement approaches,
engaging stigmatized stakeholders – males with eating disorders, social media http://www.slideshare.net/paulwgallant/
• WHO, 2013. Exploring patient participation in reducing health-care-related safety
riskswww.euro.who.int/__data/assets/pdf_file/0010/185779/e96814.pdf
• On Social Media:
• Linkedin follow specific groups and people with “patient engagement” as part of their skills/description.
• Set your privacy/group settings accordingly to avoid spam/unwanted emails, etc.
• On Twitter follow relevant hashtags and accounts including
• @albertadoctors
• #ChoosingWisely @ChooseWiselyCA
• #hcsmca @hcsmca
• #patientengagement @s4pm
• @HealthWorksBC (Paul Gallant);
• #cdnhealth
• #ptexp (patient experience)
30Paul W. Gallant www.GallantHealthWorks.com Twitter @HealthWorksBC
32. THE CHANGE
FOUNDATION
An independent health policy
think tank, The Change
Foundation is changing the
debate, practice and
experience in Ontario health
care, prompting system-wide
improvements for patients
and family caregivers.
www.GallantHealthWorks.com @HealthWorksBC 32
33. You are welcome to download this
SlideShare directly from this site.
Contact or connect with the presenter….including
workshop or presentation inquiries.
https://www.linkedin.com/in/paulwgallant
https://twitter.com/HealthWorksBC
info@GallantHealthWorks.com Direct: 604.999.9164
www.GALLANTHEALTHWORKS.com
https://www.facebook.com/GallantHealthWorks
33
www.GallantHealthWorks.com
Editor's Notes
https://twitter.com/HealthWorksBC/
what happens when patient are not engaged?
Using all information available
With consent
Canadian College of Health Leaders
We must accept that the roles of health care provider and patients have evolved over the last few years. Whereas the traditional model of care adopted a more paternalistic approach on the part of the healthcare professional, the role of the patient has changed to a more active one.
Indeed, doctors today I continually greeted with patients who have downloaded Internet-based information or consulted so-called experts the email social media on their health.
Engaging patients intangibly in making the conditions correction engaging patients intelligently in managing their condition and has been shown to improve clinical outcomes.
Indeed the health care systems of the future will be partnered with patients as co-producers of health, with each party actively involved in championing the patient journey towards achieving a healthy state.
Moreover, as medicine continues to evolve, a greater repertoire of treatment and technologies will be offered for a complex conditions and providing patients with tools to help ensure decision-making will be crucial to good outcomes.
Sir William Donaldson World Health Organization, Patient Safety Envoy, exploring patients in reducing healthcare related safety risks. 2013
(Community example large primary health community)
Each table: youth, seniors, adults with substance use, mental health
Health
Why you’re all here
Different expertise and experience
Leveraging existing resources and strengths – not duplicating efforts
Key partners in ongoing sustainability. Developing ideas and plans together that you / your organizations are going to get behind.
https://www.youtube.com/watch?v=ublEOZCMM84
Back-up link
https://www.dropbox.com/s/7g74q3r7xkw7r4e/GP%20for%20Me.m4v?dl=0
YOU OR YOUR ORGANIZATION ARE ONLY PROVIDING AN INFORMED SERVICE TO YOUR PATIENTS AND THOSE TRUSTING YOU EXPERTISE WHEN YOU ARE USING SOCIAL MEDIA AS ANOTHER TOOL TO OBSERVE, ENCOURAGE, DESSIMINATE OR DELIVERY KNOWLEDGE.
consider the following to miinized riosk asscoaited in enegaging patients