Diagnosis Dialogue

Teresa Graedon terry.graedon at GMAIL.COM
Mon Jan 27 21:34:11 UTC 2014


Very nice, Bettygene! It looks a lot like the questions the patients brainstormed to help with diagnosis. Do let us know how your evaluations proceed. Would it be all right to provide this to other patient populations?

Terry Graedon, PhD
The People's Pharmacy


On Jan 27, 2014, at 11:45 AM, Bettygene Egan <Bettygene.Egan at KP.ORG> wrote:

> Hi Ilene, 
> 
> We created a guide for patients to help them prepare for their appointments and to encourage them to be more engaged with their clinician.  The guide begins with suggestions of how to prepare for the appointment and what to discuss with the clinician.  During the visit we encourage the patient to confirm why they are there... not just what was listed as their chief complaint, as this may have been determined by someone else and not the actual reason the patient is there.  Also, it is very important to encourage the patient to express fears and concerns as this not only helps the clinician but also could provide medical history that the clinician is not aware of.  The guide promotes patients asking clinicians "what else could it be?" about a diagnosis or "could there be more than one thing going on?"  At the end of the visit we create a teach back approach for patients.  Make sure they understand what their diagnosis is, what they need to do next, what their treatment plan is, and most importantly to state if they cannot follow or do any of the tasks asked of them.   
> 
> We ran a small pilot at one of our medical offices with 8 medicine physicians.  Our objective was to determine if the patient would 
> 
> 1) use the guide at future visits 
> 2) if they didn't ask the question "what else could it be" would they at a future visit, and 
> 3) did they find the guide helped them to be better prepared for their visit 
> 
> Nearly 86% of the 509 patients who responded to our survey said "yes" they would use the guide at a future visit.  Of the 509 patients 36% said "no" they did not ask the provider "what else could it be" however, of those 36% that said no, 64% said they would ask at a future visit.  And nearly 73% said they found the guide helped them to be better prepared for their visit.  We continue to pilot the SMART Partners Guide in diverse demographics to expand our data collection.   
> 
> I am attaching a copy of our draft guide. 
> 
> 
> 
> 
> Bettygene Egan, MBA
> Sr. Project Manager
> National Risk Management
> One Kaiser Plaza, 18 Bayside
> Oakland, CA 94612
> Office: (510) 271-5713  TL: 8-423-5713
> Cell: (510) 912-5148
> Fax: (510) 271-6988
> 
> Administrative Support:
> Van B Nguyen - (510) 267-4892
> 
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> 
> 
> 
> 
> From:        PULSE516 at AOL.COM 
> To:        IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG 
> Date:        01/25/2014 07:34 AM 
> Subject:        [IMPROVEDX] Diagnosis Dialogue 
> 
> 
> 
> Hi 
>   
> We are developing a handout to distribute to the public about how to have a conversation for the best diagnosis. 
>   
> Can you share the: 
>   
> 3 most important things that a patient should ask their doctor / clinician when getting a diagnosis? 
>   
> 3 most important things they should tell their doctor / clinician to get a diagnosis? 
>   
> 3 most important things a patient / family should be concerned about-question when getting a diagnosis? 
>   
> Thank you 
>   
>   
> Ilene Corina, President
> PULSE of NY
> www.pulseofny.org
> (516) 579-4711
> www.patientsafetyconsultants.com
> ----------------------------------------------------------------
> Registration open for March 3, 2014, Patient Safety Awareness Week Conference
> http://www.patientsafetypartners.org/ 
> 
> 
> 
> To unsubscribe from IMPROVEDX: click the following link:
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> 
> Visit the searchable archives or adjust your subscription at: http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?INDEX
> 
> 
> Moderator: Lorri Zipperer Lorri at ZPM1.com, Communication co-chair, Society for Improving Diagnosis in Medicine
> 
> To learn more about SIDM visit:
> http://www.improvediagnosis.org/
> 
> 
> 
> 
> To unsubscribe from IMPROVEDX: click the following link:
> http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?SUBED1=IMPROVEDX&A=1
> 
> or send email to: IMPROVEDX-SIGNOFF-REQUEST at LIST.IMPROVEDIAGNOSIS.ORG
> 
> Visit the searchable archives or adjust your subscription at: http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?INDEX
> 
> 
> Moderator: Lorri Zipperer Lorri at ZPM1.com, Communication co-chair, Society for Improving Diagnosis in Medicine
> 
> To learn more about SIDM visit:
> http://www.improvediagnosis.org/
> 
> <Word Document SMART Partners Patient Pamphlet Revised 1.7.2013.pdf>









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