You can teach an old dog new tricks: Innovation & older adults

Acknowledgements

• Dr. Paul Stolee, Heather McNeil, Claire Lafortune, Samantha Black, Jeannette Prorok, Jacobi Elliott & Justine Giosa
• WWLHIN & Rehab Council for their support
• Emmi Perkins, Rehab Alliance

We would appreciate your help with an exercise

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Key informant feedback

Number of seniors over 65 will double

For every 100 people working (Statscan, 2012)

Digitizaton of health

Digital natives

Patient engagement**

“I fear to be patient…what chills me to my bones is indignity, it is the loss of influence over what happens to me…to be made helpless before my time, to be made ignorant when I wish to know... "

I suggest that [patient centredness] is not a route to the point…

BMJ editorial reviews now require "active patient engagement and involvement in setting the research agenda"

Patient experience is correlated with improved care

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EFCAA (2010) states that we must “improve the patient experience” and measure “patient satisfaction”

Patient satisfaction is an individual’s “pleasure or disappointment” that comes from comparatively assessing a service against their personal values and expectations of it (Delanian Halsdorfer et al., 2011; Kotler & Keller, 2009, p789)

"I'm satisfied with the services I received"

Patient experience is an individual’s perspective of the presence or absence of elements encountered while receiving care (McMurray et al., 2015)

"My therapist treated me with respect"
"The waiting area was clean"

Rehabilitative care patients have special needs

Your task in ten

• At your table, introduce yourselves, assign a reader/scribe, who reads information on sheet 1, records responses (including themselves)
• Scribe reads information on sheet 2 (each table has one of the four themes) and records
• Your challenge: Agree on ONE PATIENT EXPERIENCE MEASURE

What we found?

Psychometrically tested tools

1. Group identities

2. Patient & healthcare provider relationship

3. Client & informal caregiver engagement

4. Rehabilitative care ecosystem

5. Pain & functional status/goals

6. General experience

7. Open-ended

Our final themes

• Engagement/relationship/information sharing & communication
• Ecosystem
• Pain management & symptoms/functional challenges & goals
• Care coordination/planning/transitions

So how did you do?

Engagement/ Relationship/ Info sharing & Communication

Ecosystem

Pain & Symptom Management/Goals

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What we chose

• I participated as much as I wanted in the decisions related to my care.
• My family/friends were given the information that they wanted when they needed it.
• My physical pain was controlled as well as possible.
• I always felt safe when participating in treatment activities.

Survey trials and testing over the next year

Are we prepared for the patient revolution?

Strong messaging and leadership to listen to patient voice

Survey says...

Questions?

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