Health Sciences

Advancing Person-Centered Care Planning for Persons With Multiple Chronic Conditions

Chair(s)

• 

  Ana Quiñones, PhD (she/her/hers)

  Professor
  Family Medicine
  Oregon Health & Science University
  Portland, Oregon, United States

  Slides

Co-Chair(s)

• 

  David Dorr, MD, MS, FACMI, FAMIA (he/him/his)

  Professor
  Medical Informatics & Clinical Epidemiology / Medicine
  Oregon Health & Science University
  Portland, Oregon, United States

Discussant(s)

• 

  Arlene Bierman, MD, MS (she/her/hers)

  Chief Strategy Officer
  Office of the Director
  AHRQ
  AHRQ, Maryland, United States

Individual Symposium Abstract First Author(s)

• AT

  Annette Totten, PhD, MPA (she/her/hers)

  Professor
  Department of Medical Informatics and Clinical Epidemiology
  Oregon Health & Science University
  Portland, Oregon, United States
• 

  Anne King, MBA (she/her/hers)

  Oregon State Director
  Oregon Rural Practice-based Research Network
  Comagine Health
  Portland, Oregon, United States

  Slides
• 

  Lyndsey Miller, PhD, RN (she/her/hers)

  Assistant Professor
  School of Nursing
  Oregon Health & Science University
  Portland, Oregon, United States

Providing high quality, comprehensive, longitudinal, person-centered care for persons living with, or at risk for, multiple chronic conditions (MCC) is a critical challenge facing our healthcare system. Persons with MCC often navigate complicated and fragmented healthcare systems that can be inefficient, duplicative, costly, and poorly coordinated which increases risk for avoidable adverse events, and unduly burdens persons with MCC, families, and caregivers with the added responsibility of sharing information and coordinating care across providers. Person-centered care planning (PCCP) is a process of active collaboration and shared decision-making among providers, persons seeking care, families, and caregivers to develop a, person-centered management plan, incorporating patient values, goals, and preferences. This symposium will share preliminary findings of a collaborative, multi-disciplinary AHRQ-funded initiative which aims to examine the current state of the field and convene frontline providers, health care leaders, and policy makers to identify solutions including the necessary resources, conditions, processes, and implementation strategies to address barriers to delivering appropriate, equitable, and high-quality PCCP as a routine component of care delivery. The first presentation will summarize the state of the field regarding PCCP models for persons with MCC identified through environmental scans. The second will discuss barriers, facilitators, and strategies identified during the Partner Roundtable discussions to improve PCCP design and implementation within health care systems. The final presentation will share successes and failures that health professionals and front-line providers have experienced implementing PCCP, as well as best practices and strategies identified during the Learning Collaborative to deliver high-quality PCCP for persons with MCCs.

Presentations:

• 12:00 PM – 1:30 PM PST

  Person-Centered Care Planning for Persons with MCC: Lessons From an Environmental Scan
  

  Individual Symposium Abstract First Author: Annette M. Totten, PhD, MPA (she/her/hers) – Oregon Health & Science University
• 12:00 PM – 1:30 PM PST

  Person-Centered Care Planning for Persons with MCC: Lessons From Partner Roundtable Discussions
  

  Individual Symposium Abstract First Author: Anne E. King, MBA (she/her/hers) – Comagine Health
• 12:00 PM – 1:30 PM PST

  Person-Centered Care Planning for Persons with MCC: Lessons From Learning Collaborative Discussions
  

  Individual Symposium Abstract First Author: Lyndsey M. Miller, PhD, RN (she/her/hers) – Oregon Health & Science University