Sara M Locatelli1, Jennifer N Hill2, Barbara G Bokhour3, Laura Krejci4, Gemmae M Fix3, Jeffrey L Solomon5, Carol Van Deusen Lukas3, Sherri L LaVela6. 1. Center of Innovation for Complex Chronic Healthcare (CINCCH), Health Services and Research and Development, Department of Veterans Affairs (VA), Edward Hines VA Hospital, 5000 S 5th Ave. (151H), Hines, IL USA 60141; Center for Evaluation of Practices and Experiences of Patient-Centered Care (CEPEP), Health Services and Research and Development, Hines VA Hospital, 5000 S 5th Ave. (151H), Hines, IL USA 60141. Electronic address: Sara.Locatelli@va.gov. 2. Center of Innovation for Complex Chronic Healthcare (CINCCH), Health Services and Research and Development, Department of Veterans Affairs (VA), Edward Hines VA Hospital, 5000 S 5th Ave. (151H), Hines, IL USA 60141; Center for Evaluation of Practices and Experiences of Patient-Centered Care (CEPEP), Health Services and Research and Development, Hines VA Hospital, 5000 S 5th Ave. (151H), Hines, IL USA 60141. 3. Center for Evaluating Patient-Centered Care in VA (EPCC-VA), VA New England Healthcare System, 200 Springs Road (152) Building 70, Bedford, MA USA 01730; Center for Healthcare Organizations and Implementation Research (CHOIR), VA New England Healthcare System, 200 Springs Road (152) Building 70, Bedford, MA USA 01730; Department of Health Policy and Management, Boston University School of Public Health, 715 Albany Street, Talbot Building, T2W, Boston, MA USA 02118. 4. Office of Patient-Centered Care and Cultural Transformation (OPCC & CT), VA, Veterans Health Administration, 810 Vermont Ave NW, Washington, D.C. USA 20420. 5. Center for Evaluating Patient-Centered Care in VA (EPCC-VA), VA New England Healthcare System, 200 Springs Road (152) Building 70, Bedford, MA USA 01730; Center for Healthcare Organizations and Implementation Research (CHOIR), VA New England Healthcare System, 200 Springs Road (152) Building 70, Bedford, MA USA 01730. 6. Center of Innovation for Complex Chronic Healthcare (CINCCH), Health Services and Research and Development, Department of Veterans Affairs (VA), Edward Hines VA Hospital, 5000 S 5th Ave. (151H), Hines, IL USA 60141; Center for Evaluation of Practices and Experiences of Patient-Centered Care (CEPEP), Health Services and Research and Development, Hines VA Hospital, 5000 S 5th Ave. (151H), Hines, IL USA 60141; Northwestern University Feinberg School of Medicine, Institute for Public Health and Medicine, Center for Healthcare Studies, General Internal Medicine and Geriatrics, 750 N. Lake Shore Drive, Rubloff 10th Floor, Chicago, IL USA 60611.
Abstract
OBJECTIVE: To study of the efforts of four Veterans Affairs (VA) medical centers to engage patients and families in patient-centered care (PCC) transformation. METHODS: Interviews with 107 providers/employees involved in implementation of PCC innovations. Coding used a mixed inductive-deductive approach. RESULTS: Patient and family engagement was considered to be a key element of the design and implementation of PCC innovations. Participants identified formal (e.g., advisory committees, walkthroughs), and informal (e.g., real-time feedback, discussions) methods of engaging patients and families. Asking patients and families what matters most shaped effective, targeted interventions. Participants noted providing a venue for patients and families to engage with planning often became an intervention itself. CONCLUSION: Participants felt that patient and family involvement were beneficial for planning and implementing PCC innovations. Patients and families offer a unique perspective and key understanding of Veterans' needs, and allow employees/providers to discover unexpected outcomes. Offering multiple engagement options maximizes patients and families involved and ensures feedback is sought from a variety of sources. Published by Elsevier Inc.
OBJECTIVE: To study of the efforts of four Veterans Affairs (VA) medical centers to engage patients and families in patient-centered care (PCC) transformation. METHODS: Interviews with 107 providers/employees involved in implementation of PCC innovations. Coding used a mixed inductive-deductive approach. RESULTS:Patient and family engagement was considered to be a key element of the design and implementation of PCC innovations. Participants identified formal (e.g., advisory committees, walkthroughs), and informal (e.g., real-time feedback, discussions) methods of engaging patients and families. Asking patients and families what matters most shaped effective, targeted interventions. Participants noted providing a venue for patients and families to engage with planning often became an intervention itself. CONCLUSION:Participants felt that patient and family involvement were beneficial for planning and implementing PCC innovations. Patients and families offer a unique perspective and key understanding of Veterans' needs, and allow employees/providers to discover unexpected outcomes. Offering multiple engagement options maximizes patients and families involved and ensures feedback is sought from a variety of sources. Published by Elsevier Inc.
Authors: Jerôme Jean Jacques van Dongen; Maarten de Wit; Hester Wilhelmina Henrica Smeets; Esther Stoffers; Marloes Amantia van Bokhoven; Ramon Daniëls Journal: Patient Date: 2017-08 Impact factor: 3.883