Patient Activation

1. Patient Activation RHP 12 Learning Collaborative Package One Debra Flores, Ph.D.

2. Objectives Participants will: 1) Participants will name and describe the different types of self-management support systems 2) Participants will compare and contrast traditional patient education and self-management education 3) Participants will compare and contrast traditional care and collaborative care in chronic illness 4) Participants will have a general understanding of motivational interviewing 5) Participants will describe the components of Patient Activation 6) Participants will review patient activation tools

3. Different types of self-management support • Patient Education • Self-Management Education • Problem Solving and Goal Setting • Behavioral Techniques (Motivational Interviewing) • Peer support (Navigation) • Role Negotiation (Patient Activation)

4. Patient Education & Skill Development • Select an aim of what the focus of the education will involve, i.e. Diabetes, Hypertension, CHF. • Select the team member that will be designated to deliver the education • Create a script with materials if available to deliver the education • Deliver the education • Keep a record of the patients educated • In the Clinical Setting • In the Acute Care Setting • Post Hospitalization

5. Traditional Patient Education vs. Self-Management Education

6. Problem Solving and Goal Setting

7. Behavioral Techniques • http://vimeo.com/56949751

8. Patient Activation • Patient activation is a critical component of chronic disease management and transitional care • Activation- “having the information, motivation and behavioral skills necessary to self-manage, chronic illness, collaborate with health care providers, and access appropriate care”

9. Role Negotiation(Patient Activation)

10. Patient Activation Measures Predictions • Healthy behaviors such as diet and exercise • Disease self- management such as adherence to drug regimens, monitoring and management of symptoms • Medical encounter behaviors • Seeking health information

11. Outcomes for Activated Patients • Improved adherence to medications • Increased likelihood to eat healthier and engage in physical activity • Increased presence in workforce and increase job satisfaction • Decreased likelihood of ED usage and readmissions post discharge • Increase engagement with clinicians

12. Multi-Site Study

13. Measurement for Learning & Process Improvement

14. Tracking Clinical Outcomes

15. Other Activation Tools • Self-Efficacy for Managing Chronic Disease.pdf • English Self-Efficacy for Diabetes.pdf • MOS_adherence_survey.pdf

16. Other Resources • PatientActivation-1.pdf • RAND 36-MOS-Measure of Patient Adherence.docx • Spanish Chronic Disease Self-Efficacy.pdf • Spanish Diabetes Self-Efficacy.pdf

17. Question/Discussion

18. Thank you!