Development of Patient-Inclusive Teams: Toward a Structured Methodology

Pomey, Marie‐Pascale; Lebel, Paule; Clavel, Nathalie; Morin, Édith; Morin, Mireille; Neault, Catherine; Tétreault, Benoît; Mulliez, Anna-Paulina Ewalds

doi:10.12927/hcq.2018.25640

“…Patients can be engaged in different activities related to QI: defining quality criteria for care and services [15]; co-designing care processes [16] and developing projects to improve the quality of care and services [17]; providing feedback on the quality of care and services [18]. Finally, patient engagement in QI can take place within QI interdisciplinary clinical teams and managerial committees or projects [19].…”

Section: Introductionmentioning

confidence: 99%

Partnering with patients in quality improvement: towards renewed practices for healthcare organization managers?

Clavel

¹

,

Pomey

²

,

Ghadiri

³

2019

Preprint

Self Cite

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Background: Around the world, many healthcare organizations engage patients as a quality improvement strategy. In Canada, the University of Montreal has developed a model which consists in partnering with patient advisors, providers, and managers in quality improvement. This model was introduced through its Partners in Care Programs tested with several quality improvement teams in Quebec, Canada. Partnering with patients in quality improvement brings about new challenges for healthcare managers. This model is recent, and little is known about how managers contribute to implementing and sustaining it using key practices. Methods: In-depth multi-level case studies were conducted within two healthcare organizations which have implemented a Partners in Care Program in quality improvement. The longitudinal design of this research enabled us to monitor the implementation of patient partnership initiatives from 2015 to 2017. In total, 38 interviews were carried out with managers at different levels (top-level, mid-level, and front-line) involved in the implementation of Partners in Care Programs. Additionally, seven focus groups were conducted with patients and providers. Results: Our findings show that managers are engaged in four main types of practices: 1-designing the patient partnership approach so that it makes sense to the entire organization; 2-structuring patient partnership to support its implementation and sustainability; 3-managing patient advisor integration in quality improvement to avoid tokenistic involvement; 4-evaluating patient advisor integration to support continuous improvement. Designing and structuring patient partnership are based on typical management practices used to implement change initiatives in healthcare organizations, whereas managing and evaluating patient advisor integration require new daily practices from managers. Our results reveal that managers at all levels, from top to front-line, are concerned with the implementation of patient partnership in quality improvement. Conclusion: This research adds empirical support to the evidence regarding daily managerial practices used for implementing patient partnership initiatives in quality improvement and contributes to guiding healthcare organizations and managers when integrating such approaches.

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“…La capacité et la volonté de mieux définir ces rôles et responsabilités s'accentuent tandis qu'on réalise que les formes de savoir peuvent être complémentaires et que l'expertise n'est pas strictement l'apanage des professionnels. Les patients et leurs proches peuvent occuper le rôle de courtiers de connaissances pour conjuguer et appliquer les connaissances de l'écosystème de la santé dans l'ensemble des communautés, mais ils peuvent également redéfinir les priorités en apportant des solutions pragmatiques aux défis du système de santé (Pomey et al 2018).…”

Section: Resultsunclassified

“…The capacity and space to better define these roles and responsibilities are increasing, with the realization that forms of knowledge can be complementary and expertise is not strictly reserved to professionals. Patients and family members can act as knowledge brokers, connecting and translating knowledge across communities in the healthcare ecosystem, but can also redefine priorities by bringing pragmatic solutions to healthcare system challenges (Pomey et al 2018).…”

Section: Engagement Support Elements At the Individual Organizationamentioning

confidence: 99%

“…The development of a shared infrastructure for recruitment, training and mentoring throughout the engagement cycle is also important. The experience of Quebec's local and regional healthcare organizations demonstrates that healthcare organizations need to be agile and responsive to building these engagement infrastructures in a way that is adaptable to local contexts (Pomey et al 2018). Evaluation is another vital mechanism for organizations to stay agile and build learning environments for engagement.…”

Section: Engagement Support Elements At the Individual Organizationamentioning

confidence: 99%

See 1 more Smart Citation

Growing a Healthy Ecosystem for Patient and Citizen Partnerships

Boivin¹,

Dumez²,

Fancott³

et al. 2018

hcq

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Patient and citizen engagement is taking root in a number of healthcare organizations. These initiatives show promising results but require a supportive environment to bring systemic and sustainable impacts. In this synthesis article, we propose an ecosystemic perspective on engagement in health, outlining key elements at the individual, organizational and systemic levels supporting reciprocal and effective relationships among all partners to provide conditions for the co-production of health and care. We argue that growing a healthy engagement ecosystem requires: (1) building local and national "hubs" to facilitate learning and capacity building across engagement domains, populations and contexts; (2) supporting reciprocal partnerships based on co-leadership; and (3) strengthening capacities for research, evaluation and co-training of all partners to support reflective engagement practices that bring about effective change. An Ecosystemic, Reciprocal Perspective on Patient and Citizen Engagement Relationships Ecosystems are communities of individuals interacting with their environment (Gurevitch et al. 2002: 522). Ecosystems are "holonic structures": they are made of entities that are a whole and a part of a larger system at the same time (e.g., atoms, cells, organisms, planet), with the levels dynamically interacting with one another (Koestler 1967: 48). In healthcare, individuals are embedded within the healthcare organizations and systems they interact with (Mella and Gazzola 2017). An ecosystemic perspective on patient and citizen engagement reminds us that healthcare, in its essence, is about relationships between people. This perspective also highlights the idea that these relationships

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“…The Collaboration and Patient Partnership Unit at the University of Montreal's (UofM) Faculty of Medicine [26] developed the Partners in Care Program, tested with several interdisciplinary QI teams within different HCOs [10,18].This program aims to introduce PAs into QI committees. PAs are volunteers who share their experiential knowledge with providers and managers to provide direct input on care and services [12]. A QI committee works according to a Plan-Do-Study-Act method based on improvement cycles.…”

Section: Case Selectionmentioning

confidence: 99%

Partnering with patients in quality improvement: towards renewed practices for healthcare organization managers?

Clavel

¹

,

Pomey

²

,

Ghadiri

³

2019

Preprint

Self Cite

0

View full text Add to dashboard Cite

Background: Around the world, many healthcare organizations engage patients as a quality improvement strategy. In Canada, the University of Montreal has developed a model which consists in partnering with patient advisors, providers, and managers in quality improvement. This model was introduced through its Partners in Care Programs tested with several quality improvement teams in Quebec, Canada. Partnering with patients in quality improvement brings about new challenges for healthcare managers. This model is recent, and little is known about how managers contribute to implementing and sustaining it using key practices. Methods: In-depth multi-level case studies were conducted within two healthcare organizations which have implemented a Partners in Care Program in quality improvement. The longitudinal design of this research enabled us to monitor the implementation of patient partnership initiatives from 2015 to 2017. In total, 38 interviews were carried out with managers at different levels (top-level, mid-level, and front-line) involved in the implementation of Partners in Care Programs. Additionally, seven focus groups were conducted with patients and providers. Results: Our findings show that managers are engaged in four main types of practices: 1-designing the patient partnership approach so that it makes sense to the entire organization; 2-structuring patient partnership to support its implementation and sustainability; 3-managing patient advisor integration in quality improvement to avoid tokenistic involvement; 4-evaluating patient advisor integration to support continuous improvement. Designing and structuring patient partnership are based on typical management practices used to implement change initiatives in healthcare organizations, whereas managing and evaluating patient advisor integration require new daily practices from managers. Our results reveal that managers at all levels, from top to front-line, are concerned with the implementation of patient partnership in quality improvement. Conclusion: This research adds empirical support to the evidence regarding daily managerial practices used for implementing patient partnership initiatives in quality improvement and contributes to guiding healthcare organizations and managers when integrating such approaches.

show abstract

Development of Patient-Inclusive Teams: Toward a Structured Methodology

Cited by 26 publications

References 17 publications

Partnering with patients in quality improvement: towards renewed practices for healthcare organization managers?

Partnering with patients in quality improvement: towards renewed practices for healthcare organization managers?

Growing a Healthy Ecosystem for Patient and Citizen Partnerships

Partnering with patients in quality improvement: towards renewed practices for healthcare organization managers?

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