Spreading Self Management Support: The BAP prototype in BC
Christina SoutheyBernice Johansen
Matilda Atleo
Patients as PartnersINTEGRATED PRIMARY ACUTE AND COMMUNITY CARE
We will….• Introduce you to the Brief Action Planning
prototype in BC
• Share with you one teams experience
• Give insight into what next
Patients as PartnersINTEGRATED PRIMARY ACUTE AND COMMUNITY CARE
The Brief Action Planning Prototype is a Ministry of Health, Patients as Partners initiative
administrated by ImpactBC
Patients as PartnersINTEGRATED PRIMARY ACUTE AND COMMUNITY CARE
What is Brief Action Planning?
a highly structured, patient-centered, stepped-care, evidence-informed self-management support tool based on the principles and practice of Motivational Interviewing.
-Reims et al, Brief Action Planning White Paper, 2013available at www.centreCMI.ca
Patients as PartnersINTEGRATED PRIMARY ACUTE AND COMMUNITY CARE
Individual care• Activated patient – involved in their own health – self-management• Patient –centred care – system is responsive, respectful,
collaborative http://www.youtube.com/watch?v=SSauhroFTpk&feature=player_detailpage
Program and Service Design• Patients , families, community organizations, strategic partners
engaged in design, delivery and evaluation of health care programs and services
System and CommunityEngagement of patients, families, communities, strategic partners in broader policy development or strategic planning• Representation from patient, families, communities, strategic
partners in governance
Patients as PartnersINTEGRATED PRIMARY ACUTE AND COMMUNITY CARE
Brief Action Planning
Why the BAP PrototypeIn a survey in of Self Management Support skills in BC in:– 87% said patients or clients need more support then they
are able to give– 2/3 or above said they are interested in training in goal
setting, action plans, problem solving and follow-up. – 64% preferred web based training
Patients as PartnersINTEGRATED PRIMARY ACUTE AND COMMUNITY CARE
Aim of the prototype
We aim to provide a method for health care professionals to learn Brief Action Planning (BAP) through a self-paced web training module, coaching and certification program, from June 2012 – October 2012. Such That:
– 90% Participating Professionals rate their confidence in using BAP as 7 or higher out of 10
– 70% of all professionals who complete BAP training are certified by March 31st 2013
– Each person trained in BAP skills applies them to 10 or more patients interactions by March 31st 2013
What is Involved?
Confident BAP practitioners
Online TrainingAnd Certification
Basic skills, certification of BAP
proficiency
1:1 Coaching for Learning and
Feedback
Specific feedback, questions and
answers, BAP support
Group learning and support
(teleconferences)
New concepts, problem solving, Q&A,
team sharing
Measurement and feedback on group
progress
Uptake of training and coaching, confidence,
Use of BAP, Patient Impact
Results to date
June July Aug September October November December January February March0
10
20
30
40
50
60
70
80
90
Prototype members starting web training and certification (7 teams)
Total Started Traning Total CertifiedCoach's training and certifying
Results to date – Team Example
August September October November January February March0
10
20
30
40
50
60
70
One Team’s Progress
Each person using BAP roughly 8-9times/month
One Teams Experience: Nuu-Chah-Nulth Tribal Council
Why was Nuu-Chah-Nulth Interested in Participating?
What has been your experience so far?
Use of BAP
August September October November January February March0
5
10
15
20
25
30
35
40
45
50
Use of BAP for Nuu-Chah-Nulth Health and Human Services Team
Only one person reporting
Making BAP a part of our work
What would you like to do with BAP in the future?
Evaluation Framework
Where to from Here
• Final reporting and evaluation March 2013• Recommendations for next steps to PasP
steering committee• Planning for spread in 13/14
Patients as PartnersINTEGRATED PRIMARY ACUTE AND COMMUNITY CARE
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