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Patient Family Centered Care: NCAL Behavioral Health Patient Advisory Council Stuart Buttlaire, PhD Regional Director of Inpatient Psychiatry and Continuing.

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Presentation on theme: "Patient Family Centered Care: NCAL Behavioral Health Patient Advisory Council Stuart Buttlaire, PhD Regional Director of Inpatient Psychiatry and Continuing."— Presentation transcript:

1 Patient Family Centered Care: NCAL Behavioral Health Patient Advisory Council
Stuart Buttlaire, PhD Regional Director of Inpatient Psychiatry and Continuing Care Leanne Jones, MPH Practice Specialist, NCAL Regional Behavioral Health Yener Balan, MD, FAPA Executive Director, NCAL Regional Behavioral Health

2 Discussion Roadmap Introduction Audience engaging questions Objectives Formation of Council and Patient-Family Centered Care Purpose Roles and responsibilities Characteristics of an advisor Meeting Format Accomplishments and topics Member Story and experience with council Challenges Future Goals

3 Audience engagement Show of hands Has any one here participated in a patient advisory council? Who here has participated in a co-design project? Who here has felt that they wish they could be more involved with their treatment process?

4 Objectives At the end of this session, participants will: Have a better understanding of patient-family centered care How patients are engaged in the delivery of behavioral health care at Kaiser Permanente Communication strategies for patients, families and advocates to engage providers/systems in their care

5 Patient Family Centered Care
Patient –and family centered care is working WITH patients and families rather than just doing to or for them. It is an approach to the planning, delivery and evaluation of healthcare that is grounded in mutually beneficial partnerships among providers, patients and families. Patient family centered care is a concept that has been around for over 30 years, and KP is the largest health system currently using the approach. The core concepts of PFCC are dignity, respect, information sharing, participation and collaboration. This perspective is based on the recognition that patients and families are allies for quality and safety, not only in direct care interactions but also in quality improvement, safety initiatives, education of health professionals, research, facility design and policy development. Adapted from: Johnson, B. H. & Abraham, M. R. (2012). Partnering with Patients, Residents, and Families: A Resource for Leaders of Hospitals, Ambulatory Care Settings, and Long-Term Care Communities. Bethesda, MD: Institute for Patient- and Family-Centered Care.

6 How has Kaiser Adopted PFCC?
Kaiser embraces the principals of PFCC through patient advisory councils. Councils are embedded in every service area that Kaiser provides healthcare. Across the organization and its eight regions, KP has 400 patient advisors, serving on more than 50 patient advisory councils. Advisers are brought together as a local and regional councils that offer input and guidance throughout the spectrum of healthcare delivery. Most councils have committees that focus on a particular area, for example (maternity and child care, transgender issues, breast cancer experience and visiting hours) Each PAC (patient advisory council) has between 5-25 engaged participants who bring the patient voice into many areas where they may not have been present. Examples include, longer visiting hours, waiting rooms redesign, delivery rooms with ipad technology – using the touch screen device to order meals ahead of time, dim the lights and adjust the shades. To name a few. In addition to their council-specific duties, KP patient advisers often present at national conferences (as we are doing today), bringing the topic of patient family centered care to the forefront and reminding clinicians and leaders of the importance and value of always including the patient in the conversation.

7 Identify and advise on regional and medical center issues.
Behavioral Health Patient Advisory Council Purpose The KPNC Regional Behavioral Health Member Advisory Council will bring together a diverse group of the KPNC Behavioral Health members and families to discuss important issues, provide input, and recommend ways to improve our processes of care. The Council will: Identify and advise on regional and medical center issues. Partner with KP regional groups addressing the same or similar issues. Provide input on services they would like to see offered and actively participate in the design of these services

8 Roles and Responsibilities
Council members are encouraged to: Represent the perspective of members and family members Allow all Council members to share issues without fear of ridicule or criticism in order to create a safe environment Adhere to Group Norms. Repeated failure to adhere to group norms may result in removal from the Council. Group Norms Openness Confidentiality: unless stated, information won't leave room Listening without criticizing No bad questions Think outside of the box Arrive on time / finish on time Right to pass Communication with KP contact person for Council meetings & business

9 Characteristics of an Advisor
Able to use their personal experience constructively Share insights and information about their experiences in ways that others can learn from them See beyond their personal experiences Willingness to share Good listener An ability to be thoughtful Respect for Kaiser Permanente staff and physicians Understanding the purpose/goal of the council

10 What an Advisor Might be Thinking
Will my relationship/healthcare change if others know I am on the advisory council? Will my input be taken seriously? Can I be honest? Is this group just about making the organization look good? Will I really make a difference?

11 Meeting Format Meet in person for 2 hours 9 times per year, in the evening to discuss a variety of behavioral health topics We often bring leaders from various areas of the organization who are responsible for some portion of delivery of behavioral healthcare to showcase new programs/ projects and ask for feedback

12 Topics We Have Brought to Council
Adult Outcomes Questionnaire: Input from advisors on how to improve use of AOQ "Welcome to Behavioral Health" document review for patients who are arriving for first appointment in psychiatry Behavioral Healthcare in the Emergency Department: Input on care experience Behavioral Health Call Center Processes Appointment viewing on kp.org Therapist Profiles review Behavioral Health Facilities: Input on hours and locations of services. Therapist office space Hiring and Recruitment Strategies Peer Level education and community organizing feedback: How we can leverage community advocacy in providing care Addressing Stigma: Brainstorm ideas on how KP can launch anti stigma campaign for employees and members Intimate Partner Violence Program: Feedback on identification of patients with IPV, and how to display information for patients to get help Telepsychiatry model review Care and treatment planning: Feedback informed care and patient empowerment - input on how we can further encourage patient voice in treatment planning ADAPT program Intake models

13 Challenges Difficulty in recruiting new members Life changes and personal challenges Co-Chairs being seen as therapist Keeping the council fresh and interesting

14 Future Recruit more members from varied backgrounds Embed members into committees and task groups who are able to join during business hours Introduce co design for new projects and programs


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