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Guiding Post-Hospital Recovery by ‘What Matters:’ Implementation of Patient Priorities Identification in a VA Community Living Center

Background: Patient priorities care (PPC) is an effective age-friendly health systems (AFHS) approach to aligning care with goals derived from ‘what matters’. The purpose of this quality improvement program was to evaluate the fidelity and feasibility of the health priorities identification (HPI) pr...

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Autores principales: Ritchey, Katherine C., Solberg, Laurence M., Citty, Sandra Wolfe, Kiefer, Lea, Martinez, Erica, Gray, Caroline, Naik, Aanand D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10366719/
https://www.ncbi.nlm.nih.gov/pubmed/37489322
http://dx.doi.org/10.3390/geriatrics8040074
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author Ritchey, Katherine C.
Solberg, Laurence M.
Citty, Sandra Wolfe
Kiefer, Lea
Martinez, Erica
Gray, Caroline
Naik, Aanand D.
author_facet Ritchey, Katherine C.
Solberg, Laurence M.
Citty, Sandra Wolfe
Kiefer, Lea
Martinez, Erica
Gray, Caroline
Naik, Aanand D.
author_sort Ritchey, Katherine C.
collection PubMed
description Background: Patient priorities care (PPC) is an effective age-friendly health systems (AFHS) approach to aligning care with goals derived from ‘what matters’. The purpose of this quality improvement program was to evaluate the fidelity and feasibility of the health priorities identification (HPI) process in VA Community Living Centers (CLC). Methods: PPC experts worked with local CLC staff to guide the integration of HPI into the CLC and utilized a Plan–Do–Study–Act (PDSA) model for this quality improvement project. PPC experts reviewed health priorities identification (HPI) encounters and interdisciplinary team (IDT) meetings for fidelity to the HPI process of PPC. Qualitative interviews with local CLC staff determined the appropriateness of the health priorities identification process in the CLC. Results: Over 8 months, nine facilitators completed twenty HPI encounters. Development of a Patient Health Priorities note template, staff education and PPC facilitator training improved fidelity and documentation of HPI encounters in the electronic health record. Facilitator interviews suggested that PPC is appropriate in this setting, not burdensome to staff and fostered a person-centered approach to AFHS. Conclusions: The HPI process is an acceptable and feasible approach to ask the ‘what matters’ component of AFHS in a CLC setting.
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spelling pubmed-103667192023-07-26 Guiding Post-Hospital Recovery by ‘What Matters:’ Implementation of Patient Priorities Identification in a VA Community Living Center Ritchey, Katherine C. Solberg, Laurence M. Citty, Sandra Wolfe Kiefer, Lea Martinez, Erica Gray, Caroline Naik, Aanand D. Geriatrics (Basel) Article Background: Patient priorities care (PPC) is an effective age-friendly health systems (AFHS) approach to aligning care with goals derived from ‘what matters’. The purpose of this quality improvement program was to evaluate the fidelity and feasibility of the health priorities identification (HPI) process in VA Community Living Centers (CLC). Methods: PPC experts worked with local CLC staff to guide the integration of HPI into the CLC and utilized a Plan–Do–Study–Act (PDSA) model for this quality improvement project. PPC experts reviewed health priorities identification (HPI) encounters and interdisciplinary team (IDT) meetings for fidelity to the HPI process of PPC. Qualitative interviews with local CLC staff determined the appropriateness of the health priorities identification process in the CLC. Results: Over 8 months, nine facilitators completed twenty HPI encounters. Development of a Patient Health Priorities note template, staff education and PPC facilitator training improved fidelity and documentation of HPI encounters in the electronic health record. Facilitator interviews suggested that PPC is appropriate in this setting, not burdensome to staff and fostered a person-centered approach to AFHS. Conclusions: The HPI process is an acceptable and feasible approach to ask the ‘what matters’ component of AFHS in a CLC setting. MDPI 2023-07-04 /pmc/articles/PMC10366719/ /pubmed/37489322 http://dx.doi.org/10.3390/geriatrics8040074 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Ritchey, Katherine C.
Solberg, Laurence M.
Citty, Sandra Wolfe
Kiefer, Lea
Martinez, Erica
Gray, Caroline
Naik, Aanand D.
Guiding Post-Hospital Recovery by ‘What Matters:’ Implementation of Patient Priorities Identification in a VA Community Living Center
title Guiding Post-Hospital Recovery by ‘What Matters:’ Implementation of Patient Priorities Identification in a VA Community Living Center
title_full Guiding Post-Hospital Recovery by ‘What Matters:’ Implementation of Patient Priorities Identification in a VA Community Living Center
title_fullStr Guiding Post-Hospital Recovery by ‘What Matters:’ Implementation of Patient Priorities Identification in a VA Community Living Center
title_full_unstemmed Guiding Post-Hospital Recovery by ‘What Matters:’ Implementation of Patient Priorities Identification in a VA Community Living Center
title_short Guiding Post-Hospital Recovery by ‘What Matters:’ Implementation of Patient Priorities Identification in a VA Community Living Center
title_sort guiding post-hospital recovery by ‘what matters:’ implementation of patient priorities identification in a va community living center
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10366719/
https://www.ncbi.nlm.nih.gov/pubmed/37489322
http://dx.doi.org/10.3390/geriatrics8040074
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