Patient Journey

Measuring people’s experiences of integrated care; an options appraisal and a recommended set of questions – Picker Institute Europe – 8 January 2014

Posted on January 10, 2014. Filed under: Health Mgmt Policy Planning, Patient Journey | Tags: , , |

Measuring people’s experiences of integrated care; an options appraisal and a recommended set of questions – Picker Institute Europe – 8 January 2014

Developing measures of people’s self-reported experiences of integrated care – Picker Institute Europe – 8 January 2014

An options appraisal on the measurement of people’s experiences of integrated care – Picker Institute Europe – 8 January 2014

Media release: Measuring health and social care integration: new research and recommendations

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Managing Two Worlds Together: Stage 2—Patient Journey Mapping Tools – The Lowitja Institute – May 2012

Posted on May 28, 2012. Filed under: Aboriginal TI Health, Patient Journey | Tags: |

Managing Two Worlds Together: Stage 2—Patient Journey Mapping Tools – The Lowitja Institute – May 2012

by J. Kelly, J. Dwyer, B. Pekarsky, T. Mackean, E. Willis, M, Battersby & J. Glover

ISBN 978-1-921889-19-6

“The Managing Two Worlds Together project aims to add to existing knowledge of what works well and what needs improvement in the system of care for Aboriginal patients from rural and remote areas of South Australia (and parts of the Northern Territory). It explores their complex patient journeys and what happens when they come to Adelaide for hospital care.

Stage 2 focuses on solutions and consists of a small set of action research projects. The patient journey mapping tools are the first output of Stage 2. This project has focused on the specific needs and journeys of country Aboriginal patients in South Australia.”

Managing Two Worlds Together project page (Flinders University website)

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Preventing emergency readmissions to hospital. A scoping review – RAND – 2012

Posted on February 3, 2012. Filed under: Emergency Medicine, Patient Journey, Patient Safety | Tags: , , |

Preventing emergency readmissions to hospital. A scoping review – RAND – 2012

by Ellen Nolte, Martin Roland, Susan Guthrie, Laura Brereton

“The report reviews the evidence and potential for use of ’emergency readmissions within 28 days of discharge from hospital’ as an indicator within the NHS Outcomes Framework. It draws on a rapid review of systematic reviews, complemented by a synopsis of work in four countries designed to better understand current patterns of readmissions and the interpretation of observed patterns. Reviewed studies suggest that between 5 percent and 59 percent of readmissions may be avoidable. Studies are highly heterogeneous, but based on the evidence reviewed, about 15 percent up to 20 percent may be considered reasonable although previous authors have advised against producing a benchmark figure for the percentage of readmissions that can be avoided. The majority of published studies focus on clinical factors associated with readmission. Studies are needed of NHS organisational factors which are associated with readmission or might be altered to prevent readmission.

The introduction of new performance indicators always has the potential to produce gaming. Observers from the USA cite experience which suggests hospitals might increase income by admitting less serious cases, thus simultaneously increasing their income and reducing their rate of readmission. There is also the possibility that there may be some shift in coding of admissions between ’emergency’ and ‘elective’ depending on the incentives. If hospitals are performance managed on the basis of readmission rates, it would be reasonable to expect that some behaviour of this type would occur.”

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Why The Nation Needs A Policy Push On Patient-Centered Health Care [US] – August 2010

Posted on August 20, 2010. Filed under: Health Mgmt Policy Planning, Health Systems Improvement, Patient Journey, Patient Participation |

Why The Nation Needs A Policy Push On Patient-Centered Health Care
Ronald M. Epstein et al
Health Affairs, 29, no. 8 (2010): 1489-1495
doi: 10.1377/hlthaff.2009.0888

Abstract 
 
“The phrase “patient-centered care” is in vogue, but its meaning is poorly understood. This article describes patient-centered care, why it matters, and how policy makers can advance it in practice. Ultimately, patient-centered care is determined by the quality of interactions between patients and clinicians. The evidence shows that patient-centered care improves disease outcomes and quality of life, and that it is critical to addressing racial, ethnic, and socioeconomic disparities in health care and health outcomes. Policy makers need to look beyond such areas as health information technology to shape a coordinated and focused national policy in support of patient-centered care. This policy should help health professionals acquire and maintain skills related to patient-centered care, and it should encourage organizations to cultivate a culture of patient-centeredness.”

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Personalisation through Person – Centred Planning – UK 6 April 2010

Posted on May 6, 2010. Filed under: Patient Journey, Patient Participation |

Personalisation through Person – Centred Planning – UK 6 April 2010

Document type: Publication
Author: Department of Health
Published date: 6 April 2010
Pages: 64

“This joint good practice guidance published by the Putting People First and Valuing People Now teams has been developed to help local areas understand how person-centred planning can help to deliver Putting People First. It is one of the commitments in Valuing People Now.

It includes a range of tools and good practice examples on person centred planning and support planning to help give people more choice and control over their lives.”

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Walk a mile in my shoes – Scrutiny of dignity and respect for individuals in health and social care services: a guide – Centre for Public Scrutiny (UK) – November 2009

Posted on December 4, 2009. Filed under: Patient Journey, Patient Participation | Tags: , |

Walk a mile in my shoes – Scrutiny of dignity and respect for individuals in health and social care services: a guide – Centre for Public Scrutiny (UK) – November 2009

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The point of care: measures of patients’ experience in hospital: purpose, methods and uses – UK – July 2009

Posted on August 12, 2009. Filed under: Clin Governance / Risk Mgmt / Quality, Patient Journey, Patient Participation | Tags: , |

The point of care: measures of patients’ experience in hospital: purpose, methods and uses

“This paper provides a brief guide to the methods used for measuring what matters most to patients. The aim is to help trust boards and other interested parties decide which measurement and feedback tools are appropriate for their requirements.”

The King’s Fund – publications

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Wait Watchers III: Order and Speed…Improving Access to Care through Innovations in Patient Flow 26 March 2009

Posted on April 29, 2009. Filed under: Patient Journey | Tags: , , |

Association of Canadian Academic Healthcare Organizations  26 March 2009

ACAHO Shines a Light on Innovative Solutions that Improve the “Order” and “Speed” in which Patients Access Care
The Association of Canadian Academic Healthcare Organizations (ACAHO), releases its third report on innovative wait times management strategies entitled “Wait Watchers III: Order and Speed…Improving Access to Care through Innovations in Patient Flow”.

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Experience Based Design – NHS Institute for Innovation and Improvement

Posted on April 16, 2009. Filed under: Health Systems Improvement, Patient Journey, Patient Participation | Tags: |

Experience Based Design – NHS Institute for Innovation and Improvement

Experienced based design (ebd) is an exciting new way of bringing patients and staff together to share the role of improving care and re-designing services. It is being developed by the NHS Institute for Innovation and Improvement as a way of helping frontline NHS teams make the improvements their patients really want.

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Toward Health Equity and Patient-Centeredness: Integrating Health Literacy, Disparities Reduction, and Quality Improvement

Posted on April 16, 2009. Filed under: Clin Governance / Risk Mgmt / Quality, Health Systems Improvement, Patient Journey, Patient Participation, Patient Safety | Tags: |

Toward Health Equity and Patient-Centeredness: Integrating Health Literacy, Disparities Reduction, and Quality Improvement. Workshop Summary

Released On:       February 27, 2009

During a time of economic uncertainty, the national discussion of health reform understandably focuses on insurance coverage and cost. To receive the greatest value for health care, it is important to focus on issues of quality and disparity, and the ability of individuals to make appropriate decisions based on basic health knowledge and services, or health literacy. As health care practitioners often see patients from diverse cultures who speak different languages and have a wide range of individual needs, practitioners must ensure all patients receive the same quality of care.

Three IOM bodies (the Forum on the Science of Health Care Quality Improvement and Implementation, the Roundtable on Health Disparities, and the Roundtable on Health Literacy) jointly convened a workshop to discuss these concerns. The workshop, “Toward Health Equity and Patient-Centeredness: Integrating Health Literacy, Disparities Reduction, and Quality Improvement,” was held on May 12, 2008. During this workshop, speakers and participants explored how equity in care delivered and a focus on patients could be improved through concentration on eliminating health disparities and addressing issues of health literacy. For example, providing patients with appropriate medications in their primary languages and offering translation services can vastly improve the health care patients receive. Integrating these seemingly separate areas at the practitioner level was discussed, yielding discussions around resource management, the business case for addressing health literacy and reducing health disparities, cultural competency in the workforce, data collection, and communication. Participants also addressed national-level policy issues of integration, including data collection and measurement.

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Improving the Patient Experience of Inpatient Care – IHI

Posted on April 16, 2009. Filed under: Health Systems Improvement, Patient Journey, Patient Participation | Tags: |

Improving the Patient Experience of Inpatient Care

In October 2008, the Institute for Healthcare Improvement (IHI) completed a 90-Day R&D Project to build on extensive work in the area of patient- and family-centered care. The focus of this project was to identify key drivers that have a positive affect on improving the inpatient care experience.

The materials posted here result from the work of the 90-day project:

1. IHI 90-Day R&D Project Summary Report: Improving the Experience of Inpatient Care
2. Driver Diagram for Improving the Inpatient Care Experience
3. Spreadsheet of Evidence from the Literature to Support the Drivers of the Inpatient Care Experience [see first tab in spreadsheet for explanation]
4. Selected Evidence to Support Primary Drivers of Improved Inpatient Experience of Care
5. Selected Core Readings: Improving the Patient Experience of Inpatient Care

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In Pursuit of Quality: Opportunities to improve patient experiences in British Columbia emergency departments – published Jan 2009

Posted on April 8, 2009. Filed under: Clin Governance / Risk Mgmt / Quality, Emergency Medicine, Patient Journey |

This report shares new insights about patient views on the care they received in BC emergency departments in 2007. The study is the first in BC to look beyond patient ratings of their emergency room care in order to understand what can be done to make that care better. It takes a close look at factors that drive patient ratings of quality – and specifically those that underlie their reports of positive experiences – in order to identify what health care professionals do well and should continue to do. The report also takes a close look at the minority of patients who report negative experiences, to provide perspective about what providers can do to prevent similar experiences in the future. Factors such as staff courtesy, team work, comprehensive care and availability of nurses, appear to be more important than do wait times in influencing patient ratings.

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Patient Pathways: Transfers From Continuing Care to Acute Care – Canadian report

Posted on April 8, 2009. Filed under: Acute Care, Chronic Disease Mgmt, Patient Journey |

Patient Pathways: Transfers From Continuing Care to Acute Care

With increased attention on patient safety, efficiency and appropriate allocation of resources, health system planners and policy-makers are focused on patient pathways—including reasons for patient transfers. This report explores the characteristics of seniors 75 and older who have been transferred from a continuing care setting and admitted into acute care, including reasons for transfers, wait times and discharge following the acute care stay.

When: January 22, 2009

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The point of care: seeing the person in the patient – King’s Fund Programme

Posted on April 7, 2009. Filed under: Clin Governance / Risk Mgmt / Quality, Patient Journey, Patient Participation | Tags: |

The Point of Care is a programme run by The King’s Fund that aims to transform patients’ experience of care in hospital. The goal of the programme is to enable health care staff in hospitals to deliver the quality of care they would want for themselves and their own families.

We are working with patients and their families, staff and hospital boards to research, test and share new approaches to improving patients’ experience.

Dec 2008

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The Point of Care: Seeing the Person in the Patient

Posted on March 25, 2009. Filed under: Patient Journey, Patient Participation |

The Point of Care:  Seeing the person in the patient

“What is The Point of Care?

The Point of Care is a programme run by The King’s Fund that aims to transform patients’ experience of care in hospital. The goal of the programme is to enable health care staff in hospitals to deliver the quality of care they would want for themselves and their own families.

We are working with patients and their families, staff and hospital boards to research, test and share new approaches to improving patients’ experience.”

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