Re-Imagining Cancer Care: Leading with Capability, Comfort, and Calm - - PowerPoint PPT Presentation

▶
re imagining cancer care leading with capability comfort
SMART_READER_LITE
LIVE PREVIEW

Re-Imagining Cancer Care: Leading with Capability, Comfort, and Calm - - PowerPoint PPT Presentation

Jun 23, 2023 193 likes •651 views

Re-Imagining Cancer Care: Leading with Capability, Comfort, and Calm Our Time Together Value Based Care and Psychosocial Oncology Dell Medical School Interprofessional Education and Practice LIVESTRONG Cancer Institutes

slide-1
SLIDE 1

Re-Imagining Cancer Care: Leading with Capability, Comfort, and Calm

slide-2
SLIDE 2
slide-3
SLIDE 3

Our Time Together

  • Value Based Care and

Psychosocial Oncology

  • Dell Medical School

Interprofessional Education and Practice

  • LIVESTRONG Cancer Institutes
  • Challenge us to reimagine

possibilities

slide-4
SLIDE 4

Here’s the Punchline

We can lead with psychosocial care Measure what matters most to patients And do it as a team

slide-5
SLIDE 5

ReImagining Cancer Care

  • Cancer as Chronic Condition?
  • Early palliative care?
  • What if we flipped the model?
  • What is value?
  • What is truly patient centered?
  • How do we engage community?
  • How do we frame leadership? Teamwork?
slide-6
SLIDE 6

We have to believe in ourselves

slide-7
SLIDE 7

Value Based Care and Psycho Oncology

slide-8
SLIDE 8

IN HEALTH CARE, EVERYONE HAS A STORY

QUALITY OF LIFE AND DIGNITY OF DEATH ARE AT STAKE SMART, CARING, HARD-WORKING PROFESSIONALS HIGHLY VARIABLE OUTCOMES, INCREASING COSTS, SLOW INNOVATION

slide-9
SLIDE 9

THE GOAL MUST BE, TO ACHIEVE

BETTER OUTCOMES FOR INDIVIDUALS AND FAMILIES.

slide-10
SLIDE 10

More treatment is not the real goal. The purpose of health care is health.

Health Care

slide-11
SLIDE 11

Cost Reduction is Necessary and Not Sufficient

LOW COST TICKET THAT DOESN’T GO WHERE YOU NEED?

slide-12
SLIDE 12

The Goal is Creating Value for Individuals and Families

slide-13
SLIDE 13

Capability

slide-14
SLIDE 14

Comfort

slide-15
SLIDE 15

Calm

slide-16
SLIDE 16

The Opportunity: Dell Medical School and LIVESTRONG Cancer Institutes

slide-17
SLIDE 17

What’s Happening at UT Austin?

  • Psychosocial leadership at all levels
  • LIVESTRONG Cancer Institutes
  • Interprofessional education and learning
  • Integrated practice units and integrated

behavioral health

  • Research collaborations and leadership
  • New Health Social Work Department
slide-18
SLIDE 18

Health Interprofessional Education at UT

  • First new medical school at Research I university

in 50 years

  • Year one- Foundations class began fall 2016, we

are now in our third year

  • School of Social Work, Dell Medical School,

School of Nursing, College of Pharmacy

  • Innovative 4-year curriculum
  • Person and patient-centered
  • Strong interprofessional leadership
  • 361 students from 4 professions in 36 teams
  • 12 sessions academic year/ 3 cohorts
  • 45-60 faculty in IP teams
  • Simulation and reflection
  • Center for Health IPE https://healthipe.utexas.edu/
slide-19
SLIDE 19

IPE Simulation Program

IPE Skills Lab

slide-20
SLIDE 20

Team collaboration - Rethink everything

slide-21
SLIDE 21
slide-22
SLIDE 22
slide-23
SLIDE 23

Whole-Person Care that Addresses Patient’s Changing Values and Priorities

Coordinated & Integrated Care via the Patient Support Team and Living Plan, Integration w/ PCP Consistent, Real- time, Instant Communication to Manage Symptoms, Coordinate care, Build trust Intentional Caregiver Support and Assessment

  • f Needs

Throughout Engagement and Education throughout Cancer Journey via Digital tools, Information shepherd Financial Resilience via Cost sharing, Financial transparency before care delivery

Understanding the Person & Family

Physical, Psychosocial, Spiritual, Financial, Cultural, Day-to- Day

The Framework

slide-24
SLIDE 24

Community Planned and Community Engaged

slide-25
SLIDE 25
slide-26
SLIDE 26

Patients and Survivors as Co-Creators

slide-27
SLIDE 27
slide-28
SLIDE 28
slide-29
SLIDE 29

Leading with capability, comfort and calm

Elizabeth Teisberg, PhD & Scott Wallace, JD, MBA Value Institute for Health and Care, Dell Medical School

slide-30
SLIDE 30

PROs

  • Anxiety- GAD 2/7
  • Depression- PHQ 2/9
  • PTSD- PCPTSD5
  • Quality of Life- FACTG
  • Symptom Assessment- MD Anderson Symptom

Inventory

slide-31
SLIDE 31
slide-32
SLIDE 32

What is the vision for CaLM Clinic?

slide-33
SLIDE 33

How CaLM Works: “Flipped” Clinical Model

slide-34
SLIDE 34
slide-35
SLIDE 35

CALM Video Problem + Model

slide-36
SLIDE 36

Assumptions about the CaLM Clinic Model and Whole-Person Assessment

  • 1. We get to know our patients as real, faceted people.
  • 2. We foster and build trusting relationships that promote resilience and vitality
  • 3. This will not happen in one visit and could take time.
  • 4. We will demystify and destigmatize research.
  • 5. We are a nimble responsive team.
slide-37
SLIDE 37

More Assumptions

  • 6. We will adapt the system to deliver care where patients need it.
  • 7. We are not physician-centric in our approach. We value and elevate the

contribution and expertise of all our providers and of patients.

  • 8. We foster an environment that is safe and a culture that is equitable
  • 9. We are building and maintaining a culture of health that extends beyond mental

and physical health.

  • 10. We are a warm, welcoming environment.
slide-38
SLIDE 38

Really?

slide-39
SLIDE 39

Creating a New Model is Challenging

  • Taking leadership and being bold
  • Role clarification and communication
  • Decision-making: internal and external
  • Discussing power and conflict bias
  • Finding new payment models or working with existing ones
slide-40
SLIDE 40

Lessons learned- where do we go from here?

  • ReThink Everything
  • Be ridiculously optimistic and patient
  • Place psychosocial at the center of care
  • Find enthusiastic champions
  • Foster community
  • Build incredible teams
  • Redefine what value means
  • Lead with what matters to patients
  • Focus on capability, comfort and calm
  • Be audacious
slide-41
SLIDE 41
slide-42
SLIDE 42

Now is the time to transform oncology care through innovative interprofessional models of care and collaboration: We Can Lead the Way

slide-43
SLIDE 43

How will YOU answer this challenge?

What leadership will you take?

slide-44
SLIDE 44

Remember… Be like Winky

slide-45
SLIDE 45

Thank you!