The ABCs of an Effective Doctor Visit · 10/29/19 1 Licensed by Washington State Health Advocacy...

10/29/19

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Licensed by Washington State Health Advocacy Association 2019© to Tzachi Litov for Use Through Nov 1, 2020

The ABCs of an EffectiveDoctor Visit


Welcome!And Thank You for the Opportunityto Meet!Introductions & A Little Bit About Me…..

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About WASHAA

WASHAA VISION

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We seek to revolutionize how people view their health by transforming

patients into empowered and active partners in their health care

WASHAA MISSION

The Washington State Health Advocacy Association (WASHAA) is a

nonprofit organization dedicated to promoting health advocacy in

Washington State, empowering patients and improving healthcare

outcomes

Find us at www.washaa.org


Why Are We Here?

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Graphic used with permission from Mark Bertolini

10/29/19

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Why We Visit the Doctor

43%Skin Disorders

34%OsteoarthritisJoint Disorders

24%Back Problems

22%Upper

Respiratory(Cold/flu)

22%CholesterolProblems

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About Doctor Visits

Source: Quality and Safety in Health Care

Doctor Visits Are TOO Short.

½ of all Americans with Chronic Illnesses do not receive optimal care due to the

brevity of their doctor visits.

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About Doctor VisitsTime to Talk WithYour Doctor

Guess:……the average time a doctor waits before interrupting a patient

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Today’s Presentation

Be Engaged

Agenda

Compassion

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Why An Agenda?

Prioritize!

Embarassing Issues

Make Use of Time

“Engaged patient to participate more in the visit, he felt heard.”

“Gave my doctor my information so

I wouldn’t be nervous and

forget,”

“Doctor and I on the same page,”

“Got time to think about issues ahead of time”

Feel More in Control

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Elements of Agenda

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Write 3 Questions!Writing down 3 questions is proven to

reduce anxiety!

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How To Create An

Agenda

ü If I could only get accomplished 1 Thingü If I could address the top three thingsü Other items to discussü Your Nameü Date of the Visitü Space to Write Notesü Questionsü Bring or send in advance any

background info

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Resources to Help - General

1 2 3

What is my

MainProblem?

What doI NeedTo DO?

Why is it important for me to do this?

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Resources to Help - TESTS

1/ Do I really need this test or procedure?2/ What are the risks and side effects?

3/ Are there simpler, safer options?4/ What happens if I don’t do anything?5/ How much does it cost and will my insurance pay for it?

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Resources - MEDICATIONS

1. CHANGES?

2. CONTINUE?

3. PROPER USE?

4. MONITOR?

5. FOLLOW UP?

Questions to ask your doctor nurse or pharmacist51/Have any medications been added, stopped or changed and why?

2/What medicines do I need to take and why?

3/How do I take my medications and for how long?

4/How will we monitor this? How will I know if it’s is working; what side effects do I watch for?

5/When is a good time to follow up?

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Take Back Meds Program: https://med-project.org/


Ask Questions: TREATMENT

• What is the test for?• How many times have you done this procedure?• When will I get the results?• Why do I need this treatment?• Are there any alternatives?• What are the possible complications?• Which hospital is best for my needs?• How do you spell the name of that drug?• Are there any side effects?• Will this medicine interact with medicines that I'm

already taking?• What will we learn from the test and how will it direct

the next steps?

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https://med-project.org/

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Simple Agenda Tool

WashingtonStateHealthAdvocacyAssociation2018©

MainReasonIamHereToday:1/

OtherConcerns:2/3/

MyQuestions:••••

WhatShouldIDoFollowingThisVisit:

Name Date

WashingtonStateHealthAdvocacyAssociation2018©

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Be Engaged

• Low Confidence• Feels Powerless• Might be aware of

change but doesn’t know how

• Confident• Sees Choices• Focused on

figuring out what to do

PATIENT PARTICIPANT

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Be Engaged

• Low Confidence• Feels Powerless• Might be aware of

change but doesn’t know how

• Confident• Sees Choices• Focused on

figuring out what to do

PATIENT PARTICIPANTRequest Longer Visit

Take Someone With You

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Be Engaged• Homework• Identify where you are on the Patient –

Participant Continuum• Own Your Personal Health Record• Bring Someone With You

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Take Control of Your Record• Provider Contact• Family/Caregiver• Emergency Contact• Diagnosis, Conditions

• Med/Supplement Record• Allergies• Health Insurance

• Advanced Care Planning

• Health History• Screenings, Tests• Questions for MD

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Track Your Symptoms!

PATIENTPAINDIARYKeeptrackofyourpaineverydayovertime–yourhealthprofessionalmayseeapattern

AlliedHealthAdvocates©2012

Patient: Date:OverallPain(1-10,with10beingworst):Sleep:________________________________________________________________Diet:__________________________________________________________________Activity:_______________________________________________________________Mood:_________________________________________________________________Other:__________________________________________________________________________________________________________________________________________________________________________________________________________________

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Set Goals

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Compassion

• Prepare to wait• Fill out paperwork prior• Bring a good attitude

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Compassion

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Compassion

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After Your Visit

Request a Summary ofYour Visit!

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Role Play!!

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Summary

• ABCs – What Does This Stand For?• Please Fill Out Evaluation• Want Follow Up Tools?

www.washaa.org• THANK YOU!!!

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http://www.washaa.org/

The ABCs of an Effective Doctor Visit · 10/29/19 1 Licensed by Washington State Health Advocacy...

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