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

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 • Challenge us to reimagine possibilities

Here’s the Punchline We can lead with psychosocial care Measure what matters most to patients And do it as a team

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?

We have to believe in ourselves

Value Based Care and Psycho Oncology

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

T HE GOAL MUST BE , TO ACHIEVE BETTER OUTCOMES FOR INDIVIDUALS AND FAMILIES .

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

Cost Reduction is Necessary and Not Sufficient LOW COST TICKET THAT DOESN ’ T GO WHERE YOU NEED ?

The Goal is Creating Value for Individuals and Families

Capability

Comfort

Calm

The Opportunity: Dell Medical School and LIVESTRONG Cancer Institutes

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

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/

IPE Simulation Program IPE Skills Lab

Team collaboration - Rethink everything

The Framework Coordinated & Integrated Care via the Patient Support Team and Living Plan, Understanding Integration w/ Consistent, Real- the Person & PCP time, Instant Family Communication Physical, to Manage Psychosocial, Symptoms, Spiritual, Financial, Coordinate care, Cultural, Day-to- Build trust Day Whole-Person Care that Addresses Patient’s Changing Values and Priorities Financial Intentional Resilience Caregiver via Cost sharing, Support Financial and Assessment transparency of Needs before care Engagement and Throughout delivery Education throughout Cancer Journey via Digital tools, Information shepherd

Community Planned and Community Engaged

Patients and Survivors as Co-Creators

Leading with capability, comfort and calm Elizabeth Teisberg, PhD & Scott Wallace, JD, MBA Value Institute for Health and Care, Dell Medical School

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

What is the vision for CaLM Clinic?

How CaLM Works: “Flipped” Clinical Model

CALM Video Problem + Model

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.

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.

Really?

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

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

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

How will YOU answer this challenge? What leadership will you take?

Remember… Be like Winky

Thank you!