Best Practice Intervention Package - Kansas Foundation for Medical ...

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Tools included on the BPIP Web page under Associated ResourcesTool:Action PlanningMy Action PlanAction Plans that include pictures to help withlimited health literacy.Comprehensive MotivationalInterventions (CMI): A Pragmatic,Stepped--Care Application ofMotivational Interviewing Using BriefAction Planning (B.A.P.)Steven Cole, MDDiabetes ToolMarshall University Center for Rural HealthFlow Chart for High Risk PatientHome Health & Hospice CareNashua, NHHome Telehealth Disease ManagementSeriesPatient Selection CriteriaHeart Failure: Staff Education ToolsPatient Encounter Documentation ToolPatient Self-care WorkbookDecision Support ToolPartnering in Self-ManagementSupport: A Toolkit for CliniciansNew Health PartnershipsPersonal Health RecordGMCF—link from the Focus SectionPromoting Effective Self-ManagementApproaches to Improve Chronic DiseaseCare: Lessons LearnedCalifornia Healthcare FoundationStaff Application ActivitiesTop Ten Posters for:• Physician Follow-up• Personal Health RecordDesigned for:Clinician EducationPatientsAvailable in Spanish and ChineseClinician Education—ResourceExplains the history of the BriefAction Planning (B.A.P. TM ) tool—included in the BPIP on page 42.PatientsCliniciansClinicians and PatientsAvailable for:• HF• COPD• Diabetes• CancerThis series has been updated for thisBPIP. Use all 5 tools together—or useseparately.Clinician EducationThis document provides examples andguidance on the Action Plan andConviction/Confidence Ruler (page41)PatientsAlso available in SpanishClinicians and PatientsSeveral resources to promote selfmanagement.Also includes:• Using Telephone Support toManage Chronic Disease• My Diabetes Plan (English andSpanish)Clinician EducationClinicians- 38 -
1. Goals: Something you WANT to do:_______________________________2. DescribeHow: _________Where: _______What: _______ Frequency: ______When: ______________________3. Barriers: _____________________4. Plans to overcome barriers:5. Conviction ___ & Confidence ___ratings(0 - 10)6. Follow-Up:_________________________
Page 1: Best PracticeIntervention PackageCr
Page 5 and 6: Quick Start GuideQUICK START GUIDE:
Page 7 and 8: Source: Wu, Shin-Yi and Green, Anth
Page 9: CHRONIC CAREIt may assist leadershi
Page 13 and 14: The Bottom LineLeaders must create
Page 15 and 16: DIABETESCenters for Disease Control
Page 17 and 18: SELF-MANAGEMENT: EMPOWERING THE PAT
Page 19 and 20: What is Patient Activation? How Doe
Page 21 and 22: TELEHEALTHTelehealth encompasses a
Page 23 and 24: Focus Section: Improving Care Trans
Page 25 and 26: Checklist for Agency LeadershipHow
Page 27 and 28: CHECKLIST FOR AGENCY LEADERSHIPASSI
Page 29 and 30: CHECKLIST FOR AGENCY LEADERSHIPASSI
Page 31 and 32: Motivational Interventions (CMI) Pa
Page 33 and 34: Tools/Resources available through W
Page 35 and 36: The four conceptual areas (referred
Page 37: and steps toward them.Self-Efficacy
Page 41 and 42: Conviction Ruler0 1 2 3 4 5 6 7 8 9
Page 43 and 44: Partnering with Patients and Famili
Page 45 and 46: Are You at Risk for Going to the Ho
Page 47 and 48: Call Me First!Stay safe and well at
Page 49 and 50: SUCCESS STORIESThere are three succ
Page 51 and 52: Promoting Telehealth as part of a C
Page 53 and 54: TRACKING DATA AND MEASURING PROGRES
Page 55 and 56: Best Practice Intervention Package
Page 57 and 58: Therapy Track: Focus on Improving C
Page 59 and 60: Home Health Aide Track: Focus on Im
Page 61 and 62: Coleman, E.A. (2003). Falling throu
Page 63: http://www.fda.gov/downloads/Medica

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