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Measuring progress towards patient engagement
Measuring progress towards patient engagement
Measuring progress towards patient engagement
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The Secret to Patient Engagement – More engaging physicians.
If you ask people involved in Patient Engagement about how engaged they are in their own health, the most common reply you will get would be something along the lines of, “I try to take care of myself by doing X or Y or Z.”
About 82% of US adults have a regular doctor whom they visit at least once a year with the average number of visits being 3 per year, which, in fact, is double the number of visits made by people with chronic conditions.
Obviously, one would think that this level of patient engagement would be immensely beneficial to physicians, administrators, health IT vendors and others involved. But that wouldn’t be correct. Let us see why.
Physicians, administrators, health
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IT vendors, etc. each, have their own definition of what patient engagement is. Let us see their definitions and how they measure patient engagement. 1. Physicians/Provider definition of patient engagement: Maintaining appointments, even though it might be about 6-7 appointments annually, along with abundant self-care, would not count as patient engagement from the physicians’ perspective. Most patients do not do as they are told by their physicians - they are often non-compliant. As numerous physicians equate patient engagement with patient compliance, the high non-compliance rates (30%-70%) that are seen these days suggest that a large number of patients are far from engaged. What the clinicians fail to realize is that up to 20% of non-compliance is a direct result of poor physician-patient communication and not lack of engagement. 2. Health IT Professionals and Vendors: Health IT professionals neither consider “showing up” nor the level of compliance of the patient when it comes to defining or measuring patient engagement. The HIMSS (NeHC) Patient Engagement Framework would have you believe that the true patient engagement is all about the use of health information technology and the achievement of Stage 2 Meaningful Use, which means, as long as the patients use the right health IT tools, they are considered engaged. What Health IT industry often overlooks is the fact that 85% of patient prefer to meet their doctor face-to-face when they feel the need. They are reluctant to let technology get in between them and their doctor. The challenge however, the physicians and health IT professionals face, is not how to engage more patients, but actually, it’s about how to be more engaging to the majority of the patients who have already been engaged. The reality is that health care is about everyone but the patient.
Most physicians still relate to their patients using a peculiar communication style where they act as the clinicians knows best, does the most talking and makes almost all decisions for the patient. Patients are encouraged to be passive and compliant rather than being engaged.
Health IT treats patients as stupid and unneeded when it comes to engagement. They ignore the fact that 85% of adults want to be able to interact with their physician face-to-face whenever they want, regardless of their showing willingness to use secure email, patient portals or any other such technology. People are not stupid. They realize that Health IT wants to put technology between themselves and their doctor. A number of patients have stated that laptops and computers in the exam room interfere with the doctor-patient relationship. This is clearly not servingpatient engagement.
The only certain technique to improve patient engagement is to be more engaging to the patient. Which means being more patient-centered. The patient-centered attitude should reflect in the things being done for the patient,the way physicians talk and listen to them, the way products and services are designed, and how patient engagement is
assessed. This includes obtaining the patient’s story, paying attention to their health beliefs, fears and concerns, comprehending their health information needs and interests, understanding their previous health experiences, and so on. The patient has the major stake in their own health. This should never be forgotten. Besides, it’s not like they don’t have brains.
“A healthcare provider’s bedside manner encompasses their medical knowledge, personality, and ability to understand the patient and communicate their concern for them.” (Britt). Although some individuals don’t see the importance of communication and emotional connection with patients in the medical field, doctors who have problems properly interacting with their patients will have a lower chance of success in healing them. Doctors receive so much education but are never taught proper bedside manners, which is the way that physicians interact with patients. In order to ensure a patient’s comfort, psychological well-being, and physical health, a physician must truly understand their patient.
Today patients are encouraged to be active in their care. Patient involvement has led to quality
Unfortunately, the quality of health care in America is flawed. Information technology (IT) offers the potential to address the industry’s most pressing dilemmas: care fragmentation, medical errors, and rising costs. The leading example of this is the electronic health record (EHR). An EHR, as explained by HealthIT.gov (n.d.), is a digital version of a patient’s paper chart. It includes, but is not limited to, medical history, diagnoses, medications, and treatment plans. The EHR, then, serves as a resource that aids clinicians in decision-making by providing comprehensive patient information.
Parse, R. R., Bournes, D. A., Barrett, E. A. M., Malinski, V. M., & Phillips, J. R. (1999). A better way: 10 things health professionals can do to move toward a more personal and meaningful system. On Call, 2 (8), 14-17.
To start implementing this framework, one need to understand and acknowledge that every patient is not only different from one another, but a unique individual. Assumptions and stereotypes about a specific cultural group must be avoided, along with personal biases (Murphy, 2011). Furthermore, actively listening and fully engaging patients’ can improve nurse-patient communication and enhance patient outcome.
...ly normative, but dynamic, pervasive, and individual” (p. 464). When I realized this, I realized that I had a purpose in this aspect of patient care.
Advances in technology have influences our society at home, work and in our health care. It all started with online banking, atm cards, and availability of children’s grades online, and buying tickets for social outings. There was nothing electronic about going the doctor’s office. Health care cost has been rising and medical errors resulting in loss of life cried for change. As technologies advanced, the process to reduce medical errors and protect important health care information was evolving. In January 2004, President Bush announced in the State of the Union address the plan to launch an electronic health record (EHR) within the next ten years (American Healthtech, 2012).
.... Each day your will leave a lasting impression on the people you interact with. By providing care and communicating with your patients, you will foster not only trust but also you will heal not only your patients’ bodies but their minds too. The sense of gratification felt from such service is unparalleled.
This process creates rapport, understanding, and empathy with the client. The therapeutic process of engagement is important to both voluntary and involuntary clients. Practitioners have the ability to utilize several evidence-based techniques to engage their client in treatment. Alyssa’s treatment took on a client-centered approach that engages in open-ended questioning, active listening, and validation and feedback.
Today, many Americans face the struggle of the daily hustle and bustle, and at times can experience this pressure to rush even in their medical appointments. Conversely, the introduction of “patient-centered care” has been pushed immensely, to ensure that patients and families feel they get the medical attention they are seeking and paying for. Unlike years past, patient centered care places the focus on the patient, as opposed to the physician.1 The Institute of Medicine (IOM) separates patient centered care into eight dimensions, including respect, emotional support, coordination of care, involvement of the family, physical comfort, continuity and transition and access to care.2
The Patient Engagement Coach is a close partner and resource to you and your teams in your patient experience improvement efforts. Our mission is to create a patients first culture by coaching and supporting caregivers to provide exceptional experiences for the patient and family. One of the main goals for the Coach is to develop relationships, rapport and establish trust amongst the physicians and care providers. During our time in the Urology Clinic we have been observing, shadowing, rounding with staff and providers, and meeting with physicians on a regular basis to review performance, provide observation feedback, and advance action plans. As a resource, the Patient Engagement Coach has heavily relied on Leadership engagement and participation in Urology to implement patient engagement initiatives.
There are always going to be aspects like customer service or procedural changes that can be done to improve quality of care. I believe that this project will make healthcare more open and accessible to all populations. In my practice, I hope to become a leader that is efficient yet maintains good relations with patients. I plan to implement the five principles of the Triple Aim initiative into my practice to provide patients with a satisfying medical experience. If patients are thoroughly taken care of and emotionally content, there will be less complaints and more people willing to seek medical
Luong, (2012) indicated that work engagement has three extents: (1) cognitive; belief in and support for the goals and values of the organization, (2) affective; sense of belonging, pride and attachment to the organization, (3) behavioral; willingness to go the extra mile, intention to stay with the organization. Also, nurse engagement is considered an affective state that reflects nurse's personal satisfaction and a sense of inspiration and affirmation that get from work and being a part of the organization
It involves health care transformation where by patient passively participating in their health care process to the best of their interest in order to live a quality and healthy life to their expectation. I value the healthcare process as a team work between patients and health care providers. The patient participation concept applies and provides me with a solid foundation towards my beliefs and values in my further practice as cardiothoracic surgery nurse practitioner. I will utilize the attributes to establish a good, trusting, respectful relationship with surgical patients by surrendering some power to patients by negotiating, sharing responsibility, and viewing patient equally. I will also share information and knowledge, provide education based on patients’ experiences, respect patients’ opinions, and expectations. Patient and the health care team will actively engage in intellectual and physical activities. Through this analysis, I am confident that the concept of patient participation will guide my future practice, it aligns with my health care beliefs and values. It provides benefit in the relationships between health care providers and the patient population. The patient participation concept has and will continue to set foundations and be the framework for the health care
Because our focus in this paper is on nursing homes, we looked at patient engagement in the public health and medical fields. In the public health literature, the term patient engagement is often used interchangeably with patient participation and patient involvement (Snyder & Engstrom, 2016). However, in other cases the term patient involvement denotes a specific classification within patient engagement. Robinson et al. (2008), for example, in describing patient-centered care as a measure of health care quality, defines patient involvement as purposeful inclusion of patients in their care or in healthcare development. Carman et al. (2013) places patient and family involvement in a broader engagement framework, and defines patient and family engagement the