 PCMH:  plans demonstrate implementation of 
                                 patient and family-centered care based on the 
                                 needs and preferences of their patients, family 
                                 and caregivers; ensure cultural and linguistic 
                                 competency; and collect and act upon patient 
                                 complaint and satisfaction data to continually 
                                 improve care
   What is                       Healthcare IT/ Stage 2 Meaningful Use:  
   Patient                       Patient engagement is driven by technology 
                                 ranging from patient portals, to electronic data 
   Engageme                      capturing platforms that result in more accurate 
                                 and streamlined diagnostic information. 
   nt?                           Generic:  Patient engagement is the 
                                 cooperation among health care practitioners, 
                                 health care administrators and patients to 
                                 improve and maintain patients’ health. This 
                                 includes helping patients understand and 
                                 manage chronic conditions and prepare for 
                                 expected health events, such as childbirth.  
                                 (NCQA)
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                                 Clinicians can’t assume they know what’s 
   What’s                        best for the patient
   needed to                     Need data to direct change– patient 
   have                          surveys, patient focus groups
                                 Use Proven Strategies: motivational 
   Patient                       interviewing and shared decision making, 
   Engageme                      practice structural changes including 
   nt ?                          team-based care and intensive chronic 
                                 disease management, Electronic Health 
                                 Record and Tools. 
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                                 96% of Patients & Providers think patients 
                                 should be able to read their electronic medical 
                                 records
                                 89% of patients and 64% of providers think 
   Patients,                     that patients should have the right to see all of 
                                 the MDs notes
   Providers &                   Most  patients (54%) think the medical records 
   Technology                    belong to them, only 38% of physicians agree 
                                 Most providers (77%) think they should review 
                                 lab results before they are given to the patient, 
   Medscape survey               but 34% of patients think they should have 
   Sept. 2014                    immediate access to lab results
                                 About 40% of patients and providers have 
                                 security concerns about EHR
                                Unique survey because it asked the same questions of providers and 
                                patients
                                1400 providers, 1100 patients
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                                 Tailor communication approaches to support the 
   Strategies                    patients needs. 
                                     e.g. translate medical information into lay language for the 
   to improve                         patient or implement a patient navigator program. 
   patient                       Train providers and staff to partner effectively with 
                                 patients and families.
   experience                        e.g. engaging patients and alerting them to 
   &                                  community resources. 
                                 Review and design care and system processes, 
   outcomes,                     policies and structures to provide opportunities for 
   and reduce                    partnerships between patients, families and the 
                                 healthcare team. 
   costs                             e.g.  Develop individual care plans reflecting the 
                                      patient's  goals, and provide coaching to help patients 
                                      meet those goals.
                                 Create new partnerships within the organization so 
                                 patients and families become part of the governance 
   Dominick Frosch, Ph.D.        structure. 
                                     Create clear lines of reporting for direct contact 
                                      between patient advisers and leadership, and dedicate 
                                      staff to oversee work with patient and family advisers
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      Strategies to                                             Develop measures and conduct research to 
                                                                  improve care, facilitate changes in processes 
      improve                                                     and assess the relationships between outcomes, 
      patient                                                     patient experiences and engagement. 
                                                                         e.g., use video to capture interactions and 
      experience                                                           observations.
      & outcomes,                                               Make data and information transparent to 
      and reduce                                                  promote organizational accountability for 
      costs                                                       quality, safety and enabling patients and 
                                                                  families to be active in their care. 
                                                                         e.g. Use portals  so patients can access their 
                                                                           electronic health records anywhere, along with 
                                                                           interactive tools that allow them to make 
                                                                           corrections. Make sure they can include 
      Dominick Frosch,                                                     information that's important to them, such as 
      Ph.D.                                                                goals of care. 
                                                                 http://www.informedmedicaldecisions.org/2013/07/08/voices-of-shared-
                                                                  decision-making-with-dominick-frosch/
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