1. What impacts patients ability to
take charge?
Ann Lindsay MD

2. 15%
30%
5%
10%
Social
Environmental
Medical
Behavioral
Genetic
40%
Schroeder, NEJM 357; 12

3. “Why wouldn’t a person with
a chronic condition do
everything in their power to
live long and feel well?”

4. What the Patient Brings: Activation Level
10-15% of the
population*
20-25% of the
population*
35-40% of the
population*
* Medicaid and Medicare populations skew lower in activation
25-30% of the
population*

5. What the Patient Faces: Domains
Domains

6. Domains: “What to do?
Patient Activation Measure: “How to do it?”
PAM
1
2
3
Domains
Social
Access
Behavioral
Medical
Trajectory
Workflows based on patient variation
4

7. Patient Self-Management Barriers






Social devastation (poverty, homelessness, lack of access to health care
services, etc)
Lack of information
Cultural disconnect
Low functional health literacy
Relative lack of life skills
Anxiety/disease-specific
distress/depression

8. Humboldt Priority Care PAM Results
How was this achieved?