Health Coaching - Health Quality & Safety Commission · SEED: The Health Coaching Processes. Our...
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Health Coaching: Can We Afford Not to?
Transcript of Health Coaching - Health Quality & Safety Commission · SEED: The Health Coaching Processes. Our...
Health Coaching:
Can We Afford Not to?
The Problem
• in CMDHB over 40,000 patients with T2DM
•Approximately ¼ with an HbA1c >= 75 mmol/mol
•Mainly affecting Maori, Pacific, high deprivation groups
•Majority of care in primary care
Note: Adapted from “Modified DCIP” [PowerPoint Slides], by Orr-Walker, B. (2016).
VIP-Very Important Patient Ask Permission Setting the Agenda Assess mental health need Ask-Tell-Ask Know your Numbers
Closing the Loop Action plans-Self-tailoring Medication counselling Using handouts effectively
SEED: The Health Coaching Processes
Our Aim•To test the effectiveness of addition of peer health coaches to support the GP team with patients with HbA1c >= 75mmol/molto reduce average HbA1c by 10%
Where to start?
HbA1c is an indicator of a 3 month average of your blood sugars
HbA1c Dec 16 Jan 17 Feb 17 Mar 17 Apr 17 May17 June17 July 17 Aug 17 Sep 17 Oct 17 Nov 17 Dec 17 Jan 18 140 136 132 128 124 120 116 112 108 104 100 96 92 88 84 80 76 72 68 64 62 60 58 56 54 50
GO GREEN –
LIVE LONGER AND HEALTHIER Go- well done and keep it up
Slow down
STOP - Caution
“It’s a comprehensive team approach that works. It helps to alleviate clinic pressure, and we know that important messages will be reinforced to our patients”- Dr Muller, GP
Some staff training and buy in for the model really important
Regular huddles really important
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Avg
Hb
A1
c
Days pre or post visit
Average ofHbA1c
Average ofpremedian
Average ofpostmedian
90 mmol/mol
81 mmol/mol
SPROUT: Run chart showing average HbA1c grouped by days pre or post first MDCIP visit (n=156)
One day a week in a busy clinic
Segmenting Patients into Discrete Categories (n=255)
Plant: Health coaching in other settings
“I am more confident now to talk to my patients”“helpful and very effective for daily working with patients”
“well informed and relevant to my job role in general practice”
Supported diabetes nurse appointment
Nurse and health coach teamlet with clinical back up
Contact us:
•Nicholas Cao, Health Psychologist
•Leona Didsbury, Health Psychologist
Judes Story Https://vimeo.com/277958840
