Spreading Self Management Support: The BAP prototype in BC Christina Southey Bernice Johansen Matilda Atleo Patients as Partners INTEGRATED PRIMARY ACUTE AND COMMUNITY CARE

We will…. Introduce you to the Brief Action Planning prototype in BC Share with you one teams experience Give insight into what next Patients as Partners INTEGRATED PRIMARY ACUTE AND COMMUNITY CARE

The Brief Action Planning Prototype is a Ministry of Health, Patients as Partners initiative administrated by ImpactBC Patients as Partners INTEGRATED PRIMARY ACUTE AND COMMUNITY CARE

What is Brief Action Planning? a highly structured, patient-centered, stepped- care, 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 Patients as Partners INTEGRATED PRIMARY ACUTE AND COMMUNITY CARE

5 Individual care Activated patient – involved in their own health – self-management Patient –centred care – system is responsive, respectful, collaborative 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 Patients as Partners INTEGRATED PRIMARY ACUTE AND COMMUNITY CARE Brief Action Planning

Why the BAP Prototype In a survey in of Self Management Support skills in BC in: – 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 follow-up. – 64% preferred web based training Patients as Partners INTEGRATED PRIMARY ACUTE AND COMMUNITY CARE

Aim of the prototype We aim to provide a method for health care professionals to learn Brief Action Planning (BAP) through a self-paced web training module, coaching and certification program, from June 2012 – October Such That: – 90% Participating Professionals rate their confidence in using BAP as 7 or higher out of 10 – 70% of all professionals who complete BAP training are certified by March 31 st 2013 – Each person trained in BAP skills applies them to 10 or more patients interactions by March 31 st 2013

What is Involved? Confident BAP practitioners Online Training And Certification Basic skills, certification of BAP proficiency 1:1 Coaching for Learning and Feedback Specific feedback, questions and answers, BAP support Group learning and support (teleconferences) New concepts, problem solving, Q&A, team sharing Measurement and feedback on group progress Uptake of training and coaching, confidence, Use of BAP, Patient Impact

Results to date

Results to date – Team Example

One Teams Experience: Nuu-Chah-Nulth Tribal Council

Why was Nuu-Chah-Nulth Interested in Participating?

What has been your experience so far?

Use of BAP

Making BAP a part of our work

What would you like to do with BAP in the future?

Evaluation Framework

Where to from Here Final reporting and evaluation March 2013 Recommendations for next steps to PasP steering committee Planning for spread in 13/14 Patients as Partners INTEGRATED PRIMARY ACUTE AND COMMUNITY CARE

Thank You! For more information on the prototype please contact: Christina Southey