Guiding Post-Hospital Recovery by 'What Matters:' Implementation of Patient Priorities Identification in a VA Community Living Center.
Autor: | Ritchey KC; Puget Sound Veterans Health Care System, Geriatric Research and Education Clinical Center (GRECC), Tacoma, WA 98498, USA.; Division of Geriatrics and Gerontology, Department of Medicine, University of Washington, Seattle, WA 98109, USA., Solberg LM; North Florida/South Georgia Veterans Health System, Geriatric Research and Education Clinical Center (GRECC), Gainesville, FL 32608, USA., Citty SW; North Florida/South Georgia Veterans Health System, Geriatric Research and Education Clinical Center (GRECC), Gainesville, FL 32608, USA.; College of Nursing, University of Florida, Gainesville, FL 32611, USA., Kiefer L; Michael E. DeBakey Veterans Health Care System, Houston, TX 77030, USA., Martinez E; Puget Sound Veterans Health Care System, Geriatric Research and Education Clinical Center (GRECC), Tacoma, WA 98498, USA., Gray C; Palo Alto Veterans Health Care System, Palo Alto, CA 94304, USA., Naik AD; Michael E. DeBakey Veterans Health Care System, Houston, TX 77030, USA.; Institute on Aging, University of Texas Health Science Center at Houston, Houston, TX 77030, USA. |
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Jazyk: | angličtina |
Zdroj: | Geriatrics (Basel, Switzerland) [Geriatrics (Basel)] 2023 Jul 04; Vol. 8 (4). Date of Electronic Publication: 2023 Jul 04. |
DOI: | 10.3390/geriatrics8040074 |
Abstrakt: | 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. |
Databáze: | MEDLINE |
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