Global Framework and Experiences on Patient Family and

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“Global Framework and Experiences on Patient, Family and Community Engagement to Improve Quality of

“Global Framework and Experiences on Patient, Family and Community Engagement to Improve Quality of Care” Dewi Indriani Indonesia Country Office

Outlines l People Centered and Integrated Health Services (PCIHS) l What is PFCE? l

Outlines l People Centered and Integrated Health Services (PCIHS) l What is PFCE? l Why is PFCE? l How PFCE can be implemented? l Country experiences in implementing PFE Indonesia Country Office

What is Patient, Family and Community Engagement? l Empowerment – Participation – Involvement –

What is Patient, Family and Community Engagement? l Empowerment – Participation – Involvement – Engagement use interchangeably l Institute of Medicine, 2012 “ When patients, their families, other caregivers and the public are full, active participants in care, health, the experience of care, and economic outcomes can be substantially improved. A learning health care system is anchored on patient needs and perspectives and promotes the inclusion of patients, families and other care givers as vital members of continuously learning care system” Indonesia Country Office

What is Patient, Family and Community Engagement? Indonesia Country Office

What is Patient, Family and Community Engagement? Indonesia Country Office

Why is Patient, Family and Community Engagement? l Declaration of Alma Ata, 1978 “People

Why is Patient, Family and Community Engagement? l Declaration of Alma Ata, 1978 “People have the right and duty to participate individually and collectively in the planning and implementation of their healthcare” l Better quality, better health outcomes, improved patient experience, lower costs/financially sustainable Indonesia Country Office

How PFCE can be implemented? Indonesia Country Office

How PFCE can be implemented? Indonesia Country Office

How to develop “meaningful engagement”? At 4 levels of engagements 1. Policy level patients/people

How to develop “meaningful engagement”? At 4 levels of engagements 1. Policy level patients/people representatives 2. Organizational level feedback mechanisms, responsiveness to patients need 3. Direct care to have voice – shared decision making 4. Community engagement creating healthy environment Indonesia Country Office

Key issues in PFCE l Health literacy l Representation l Communication l Informed decisions/

Key issues in PFCE l Health literacy l Representation l Communication l Informed decisions/ shared decision making l Resources and systems l Capacity building l Social determinants Indonesia Country Office l Policy making l Accountability

Creating enabling environment for patient engagement l What is enabling environment? PE expected, encourage

Creating enabling environment for patient engagement l What is enabling environment? PE expected, encourage and facilitated l Identifying and engaging stakeholders l Supportive organizational governance, systems and policy l Capacity building for engagement l Accountability and ethical considerations l Advocacy and awareness raising Indonesia Country Office

Engagement and empowerment: Malaysian Experience l Malaysian Society for Quality in Health (MSQH) l

Engagement and empowerment: Malaysian Experience l Malaysian Society for Quality in Health (MSQH) l In 2012, PFPS Network, capacity building patient representatives at MSQH and PS Council l In 2013, PFPS in country workshop, mixture participants l April 2014 patient network launched Indonesia Country Office

Engagement and empowerment: Malaysian Experience Success factors 1. Commitment and support of policy makers

Engagement and empowerment: Malaysian Experience Success factors 1. Commitment and support of policy makers and leaders 2. Internalization and institutionalization of safety culture 3. Proactive and committed champions at national and fcaility levels 4. Smart partnership (public, private and professional associations) 5. Top down and bottom up feedback 6. Implementing WHO PS and nationwide safety goals Indonesia Country Office

Engagement and empowerment: the Thai Experience l In 2009, initiate by Healthcare Accreditation Institute

Engagement and empowerment: the Thai Experience l In 2009, initiate by Healthcare Accreditation Institute (HA Thailand) l In 2014 established “Engagement for Patient safety Programme” l Use 4 approaches: “Share, Chain, Shape and Change” Indonesia Country Office

Indonesia Country Office

Indonesia Country Office

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Promoting Patient and Family Centered Care Using FamilyPromoting Patient and Family Centered Care Using Family
Family Life Cycle and Family Structures Family LifeFamily Life Cycle and Family Structures Family Life
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Family Family What is a family There isFamily Family What is a family There is
Family Medical Leave Alaska Family Leave Military FamilyFamily Medical Leave Alaska Family Leave Military Family
Family Literacy What is Family Literacy Family LiteracyFamily Literacy What is Family Literacy Family Literacy
FAMILY PREMOBILIZATION BRIEFING Military Family Assistance Centers FAMILYFAMILY PREMOBILIZATION BRIEFING Military Family Assistance Centers FAMILY
Family Family What is a family There isFamily Family What is a family There is
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LOCAL EXPERIENCES Innovation practices and experiences related toLOCAL EXPERIENCES Innovation practices and experiences related to
UMD T 3 experiences UMD TIER3 EXPERIENCES OctoberUMD T 3 experiences UMD TIER3 EXPERIENCES October
Near Death Experiences Common Experiences Physical trauma FeelingNear Death Experiences Common Experiences Physical trauma Feeling
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TEACHING WITH CONTRIVED EXPERIENCES CONTRIVED EXPERIENCES is editedTEACHING WITH CONTRIVED EXPERIENCES CONTRIVED EXPERIENCES is edited
ADVERSE CHILDHOOD EXPERIENCES ACE Adverse Childhood Experiences ACEADVERSE CHILDHOOD EXPERIENCES ACE Adverse Childhood Experiences ACE
Near Death Experiences Common Experiences Physical trauma FeelingNear Death Experiences Common Experiences Physical trauma Feeling
Yes we can Transforming patient and staff experiencesYes we can Transforming patient and staff experiences
Toolkits and Standardized Patient Experiences Developing Core PsychiatricToolkits and Standardized Patient Experiences Developing Core Psychiatric
Toolkits and Standardized Patient Experiences Developing Core PsychiatricToolkits and Standardized Patient Experiences Developing Core Psychiatric
Global Framework Agreements Achieving Decent Work in GlobalGlobal Framework Agreements Achieving Decent Work in Global
A global framework in support of the GlobalA global framework in support of the Global
The patient and her problem The patient andThe patient and her problem The patient and
Patient and FamilyCentered Care Patient and FamilyCentered RoundingPatient and FamilyCentered Care Patient and FamilyCentered Rounding
The American Legion Survey of Patient Healthcare ExperiencesThe American Legion Survey of Patient Healthcare Experiences
The American Legion Survey of Patient Healthcare ExperiencesThe American Legion Survey of Patient Healthcare Experiences
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Strategies to Improve Patient Retention Experiences from GranteesStrategies to Improve Patient Retention Experiences from Grantees
Personal experiences Patient discomfort Discomfort with anatomy CulturePersonal experiences Patient discomfort Discomfort with anatomy Culture
Using qualitative research methods to solicit patient experiencesUsing qualitative research methods to solicit patient experiences
Patient experiences of COPD the impacts of interactionsPatient experiences of COPD the impacts of interactions
Patient Engagement in Drug Development Experiences Good PracticesPatient Engagement in Drug Development Experiences Good Practices
Adverse Childhood Experiences Recognized and Addressed in FamilyAdverse Childhood Experiences Recognized and Addressed in Family
Handling Medical Students Experiences in Family Medicine andHandling Medical Students Experiences in Family Medicine and
Adverse Childhood Experiences Recognized and Addressed in FamilyAdverse Childhood Experiences Recognized and Addressed in Family
Patient Satisfaction The Patient Experience and its importancePatient Satisfaction The Patient Experience and its importance
Safe Patient Handling and Transfers Safe Patient HandlingSafe Patient Handling and Transfers Safe Patient Handling
Documentation Patient Safety and Patient Outcomes Kristal HatterDocumentation Patient Safety and Patient Outcomes Kristal Hatter
Patient Safety Culture and Nurse Reported Adverse PatientPatient Safety Culture and Nurse Reported Adverse Patient
Patient Engagement Toolkit Boosting Patient Knowledge Skills andPatient Engagement Toolkit Boosting Patient Knowledge Skills and