Patient Activation and Engagement:
Empowering
Patient
at
the
Bedside
Jim Kinsey, Senior Consultation Services Specialist-Continuing Care
Jim Kinsey, Planetree
Presented to Texas Center for Quality and Safety: December 2012
Defining the Terms
• To equip or
supply with
an ability;
enable
Empower
Engage
• Committed,
as to a
cause
• Set in
motion;
make active
or more
active
Activate
Patient Activation/Empowerment and ACA
“By empowering patients to understand that
providers are not merely professionals to see
when one gets “sick”, but valuable partners that
can help provide advice and tools for individuals
to take charge and achieve health outside the
clinical setting. To realize the value this
partnership can bring we first need to
understand how to activate and maintain our
engagement. That’s the hardest part of all.”
Holly Korda, Ph.D.
Steps to Patient Engagement
Outcomes of Patient Engagement and Activation
Patient starts to take a role
Patient builds confidence and knowledge
Patient takes action
Patient maintains
behaviors
The Patient Activation Measure® (PAM®)
Engagement at the Bedside
• Extensive team development
• Care partner programs
• Patient education
• Patient learning styles
• Cohesive engagement plan between shifts
• Social network evaluation
Extensive team development
• Communication
• Cohesiveness
• Goal oriented
• Patient centered
Care partner program
• Coaching
• Identifying solutions
• Collaborative learning
• Advocating
Patient education
Dynamic-Entertaining-Meaningful-Personal
Patient learning styles
Visual
Hands-on
Auditory
Reading
Cohesive engagement plan between shifts
• Bedside report
• Education plan
• Intentional rounding
• Interdisciplinary cohesiveness
Social network evaluation
Who
How
When
Where
Organizational engagement tools:
building a balanced infrastructure
• Inter-provider relationships
• Advancing engagement to improve HCAPHS
• Patient Family Advisory Councils
Inter-provider relationships
Advancing engagement to improve HCAPHS
How would your patients answer these questions?
• How often did nurses communicate well with patients?
• Were you given information about what to do during their
recovery at home?
• How often did nurses listen carefully to you?
• How often did hospital staff tell you what the medicine was for?
• How often did hospital staff describe possible side effects in a way
you could understand?
Patient/Family Advisory Councils
• Identify potential education needs
• Empower patients to express needs
• Act as a liaison between organization and
community providers
• Communicate personal experiences back to the
organization
“To move from a health care system that primarily
treats the sick in America to one that actively promotes
wellness in America…first listen to patients….They will
be our guides in designing a health care system that
supports meaningful patient partnerships and true
patient-centered care.”
Susan Frampton, PhD
President Planetree
Jim Kinsey, Planetree
jkinsey@planetree.org
610.733.5140