The 1st Annual Crossing the Quality Chasm Summit A Focus on Communities: Report of a Summit (2004) / Chapter Skim
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5 Patient Self-Management Support
5 Patient Self-Management Support
Pages 57-66
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From page 57... ...
The focus was on evidence-based self-management programs that include goal setting, problem solving, symptom management, and shared decision making and are applicable for a diverse population, including those with limited health literacy. To establish a common frame of reference, the participants generally accepted the following definitions (IOM, 2003)
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From page 58... ...
Additionally, best practices must be Participants proposed five key strategies for appropriately tailored for different populations catalyzing the diffusion of self-management and and age groups, particularly children and self-management support: (1) identify and adolescents.
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From page 59... ...
Collaborative relationships with a variety of service providers, including hospitals, managed care organizations, primary care providers, nursing and case management organizations, pharmacies, schools, preschools (including the Head Start programs) , and the American Lung Association, are the foundation for programs incorporating national guidelines developed by the Asthma and Allergy Foundation of America.
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From page 60... ...
a toolkit of standardized materials including a clinic visit form, a clinician guide, a patient overview, patient instruction and medication instruction sheets, a patient diary, and information about the patient registry. More extensive materials are also available to physicians to support their participation in OHFP, including a patient driven action plan, methods for measuring and evaluating outcomes, and guidelines for improving the process of care from a systems perspective.
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From page 61... ...
For example, the standard 10- to 15-minute office visit is not Participants suggested that implementing this conducive to patient-centered care or to more strategy will require a fundamental shift from labor-intensive interactions, such as the perception of self-management as an "add- collaborative goal setting and problem solving/ on" to care to its becoming an expected and action planning. Furthermore, payment systematic part of patient care.
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From page 62... ...
Advancing Better Care Project The Advancing Better Care project is a collaborative effort by member organizations of the Alliance of Community Health Plans in the broad area of patient engagement and activation. The project responds to the priority area of self-management/health literacy identified by the IOM (2003)
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From page 63... ...
The key to good action planning is difficult to imagine progress in self- for the actions to be undertaken to be generated management support without parallel progress by the patient, not the provider. First, the in care coordination, as discussed in Chapter 4, patient indicates what he or she would like to do particularly with regard to the importance of and what is achievable given the family and interdisciplinary teams and a system that social environment.
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From page 64... ...
Health care workers should not only or action planning and follow-up support have specific training in clearly defined after the patient has met with the provider. competencies appropriate to their profession, but also practice and train together as a team with specified roles and performance 64
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From page 65... ...
The participants in this session expressed other health professionals do not routinely their strong belief that self-management and receive formal training in self-management self-management support are not only desirable techniques during their professional education. but necessary to bridge the quality chasm.
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From page 66... ...
1999a. Evidence suggesting that a chronic disease self-management program can improve health status while reducing hospitalization: A randomized trial.
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