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Home > Healthcare Providers > Resources
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Resources for Providers
Resources for Providers
In this section, we have gathered all resources for health care providers on this site. We have organized them in two ways, by topic area and by type. You can also use the search feature in the upper right corner of all pages to find specific resources by name or key word.
RESOURCES ORGANIZED BY TOPIC
Supporting Self-Management
General
Emphasize Patient Role
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Following a New Diagnosis: “I look forward to helping you do a better and better job in dealing with this. Just remember, we don’t have to do this all at once.” Sharing Expectations With a New Patient: “In your day to day activities, you will be in a position to do more to improve your condition than anyone else. For the most part, my job and the job of other members of your health care team will be to provide you with the latest scientific information and coaching. You will be doing most of the work and the most important work. It may be difficult and challenging, at times. But if we work well together, I’m certain you will be able to do a great deal to improve your condition and the overall quality of your life.”
Build Relationships
SMS Clinical Skills for Our Clients - How to: Explore Needs, Expectations; Ask Open-Ended Questions; Listen Reflectively; Respond Reflectively; Express Empathy; Collaborate on Goal Setting; Share Information; Explore Values, Motivation Source: Michael G. Goldstein, MD, Associate Director, Clinical Education, Institute for Healthcare Communication, 2007. As adapted by the Integrated Healthcare Center, Penticton, BC
Include Family
Share Information
How to Explore Needs, Expectations; Ask Open-Ended Questions; Listen Reflectively; Respond Reflectively; Express Empathy; Collaborate on Goal Setting; Share Information; Explore Values, Motivation Source: Michael G. Goldstein, MD, Associate Director, Clinical Education, Institute for Healthcare Communication, 2007. As adapted by the Integrated Healthcare Center, Penticton, BC
Collaborate on Goals and Action Plans
“Helping Patients Manage Their Chronic Conditions” 6/2/2008 This article, by T. Bodenheimer, K. MacGregor, and C. Sharifi (California HealthCare Foundation, written in ’05 and revised in 2008) describes five interlocking strategies that help caregivers work successfully within the collaborative model. It also reviews literature describing the effectiveness of self-management support methods in general and in specific contexts. This is one of the first articles to read if you're exploring self-management support strategies in your organization.
What Is MI? An article on the Motivational Interview website that offers a succinct (one page) overview describing the “spirit” of motivational interviewing based on a 1995 article by Stephen Rollnick, Ph.D., & William R. Miller, Ph.D, For those interested, clicking on “Home” gives you access to additional background information on motivational interviewing, including: how it began, philosophy, principles, traps, and training resources of many kinds. Motivational Interviewing in Health Care; Helping Patients Change Behavior. Rollnick and Miller joined with Dr. Cris Butler to put together a definitive book length treatment of MI written “for any health care practitioners who spends time encouraging patients to consider behavior change.” It covers principles, evidence, core skills, getting better at guiding, and a section on removing barriers to change and redesigning service (with several examples). The Guilford Press, NY, 2008. www.guilford.com.
Engage the patient and understand why behavior change might or might not be perceived as worthwhile from the patient's perspective; Explore and enhance the importance of making healthy behavior changes; and Engage in collaborative action planning to support the patient's efforts in making a concrete, personally meaningful and achievable plan for change.
A 33 minute presentation, available for downloading here.
Introducing Provider Teams to Patient Self-Management and Motivational Interviewing - Outlines a presentation suitable for provider teams and professional groups. It introduces self-management support and motivational interviewing by identifying common issues in supporting behavior change in providers and patients. Based on a presentation by Alan Glaseroff, MD, at the Humboldt Del Norte IPA, Northern California. The presentation itself begins at the bottom of the first page of the “Training for Providers” subtopic (under “Health Care Organization”) on this website.
See, particularly, the section with the heading: “Optimistic self-beliefs as facilitators of health-related thought and action.” and the following section with the heading: “Self-efficacy and specific health behaviors.” The next section, “Relationships between perceived self-efficacy, health behaviors, risk perceptions, and intensions to change.” may also be of interest. It looks at self-efficacy in a broader context that includes risk and intention. Note: link takes you to the full text of this chapter as a courtesy preview.
Problem Solving
Follow-Up
- Smith, Ian et al “Nurse led follow up and conventional medical follow up in management of patients with lung cancer: randomised trial.” BMJ 2002;325:1145.
Read More.
- de Wit M, de Wall H, et al. “Monitoring and Discussing Health Related Quality of Life in Adolescents with Type 1 Diabetes Improves Psychosocial Well-being. A randomized controlled trial.” Diabetes Care. 2008 May 28.
- What Is Online Counseling? Alemi, F & Harge, A. pdf Daily email/ phone contact. Motivational Interviewing. Weekly relapse prevention assessment etc.
Delivery System Design
General
- A concise description of delivery system redesign on the Improving Chronic Illness Care (ICIC) website. See “Overview” and “Teams”
- “The ICIC Improving Your Practice Manual – a comprehensive handbook that lays out in detail what it takes to implement the entire Chronic Care Model, including self-management support and delivery system design. Please note: this link takes you to the “Steps to Improvement” page on the Improving Chronic Illness Care (ICIC) website. Be sure to scroll down to and click on: Download a print copy of "Steps to Improvement" – Introduction and a rich collection of resources at the ICIC site.
- The Chronic Illness section on the Institute for Healthcare Improvement (IHI) website. Included here are:
- Audio presentation on chronic care. A 57-minute presentation walking through the Chronic Care Model as presented by Dr. Ed Wagner, Director of the Improving Chronic Illness Care national program, at the 2004 Epidemiology, Biostatistics and Clinical Research Methods Summer Session, co-sponsored by the Seattle VA Epidemiologic Research and Information Center and the University of Washington.
- Assessment of Chronic Illness Care Survey
- Managing Care for Adults with Chronic Conditions – on the Agency for Healthcare research and Quality (AHRQ) website. Note particularly the fourth link down in the left hand navigation box: “Delivering & Coordinating Services”
- See also “Health Care Organization” on this site for information on training for provider team members to support delivery system redesign and ideas for enhancing reimbursement.
Getting Started With Redesign
- Assign Roles, Duties, Tasks for Planned Visit on the ihi.org website.
- Committee on Quality of Health Care in America, Institute of Medicine. Washington, DC, USA: National Academies Press; 2001, chapter 2: 36-60.
- Training for Providers
- Institute for Healthcare Improvement
- API Associates for Process Improvement
- Chronic Conditions topic area at the ihi.org website.
- Healthcare Improvement Skills Center (HISC) - Six, interactive, web based learning activities designed to introduce practicing health care professionals to the core concepts and skills of improvement work (they can be employed by members of an improvement team at their own convenience).
- The Improvement Guide. A book on the role of teams in improvement. Langley et al, Jossey Bass, 1996.
- Involving Patients and Families
- Readiness to Integrate Patients and Families
- Institute for Family Centered Care
- Practice of Patient- and Family-Centered Ambulatory Care: How to Get Started.
Design Options
Decision Support
Clinical Information Systems
Health Care Organization
Make the Case for Self-Management Support
Allocating Resources
Patient and Family Involvement
Community Support
RESOURCES ORGANIZED BY TYPE
Success Stories
Tools
Useful Websites
- Area Agency on Aging
- Assign Roles, Duties, Tasks for Planned Visit
- Associates for Process Improvement (API)
- Center of Excellence for Self-Management Advancement through Research and Translation (the SMART Center). The SMART Center is a National Institute of Nursing Research/National Institute of Health funded Center of Excellence to build the Science of Self-Management: A Systems Approach (P30 NR010676).
- Chronic Care Model – Introduction and a rich collection of resources at the ICIC site.
- Chronic Disease Self-Management Program – Stanford School of Medicine, Kate Lorig et al – publications, an audio tape, training programs, etc. considered by many to be definitive resources and learning opportunities on this topic.
- Committee on Quality of Health Care in America, Institute of Medicine. Washington, DC, USA: National Academies Press; 2001, chapter 2: 36-60.
- Google Health
- Health-e Technologies Initiative
- Healthcare Improvement Skills Center (HISC) - six, interactive, web based learning activities designed to introduce practicing health care professionals to the core concepts and skills of improvement work (they can be employed by members of an improvement team at their own convenience).
- Health Coaches Training Curriculum. Bodenheimer, T. UCSF
- Center for Health Literacy at Maximus
- Health Literacy Institutes in Freeport, Maine
- California Health Literacy Initiative
- Healthy Aging Toolkit – Partrnering Physicians with Community Organizations
Ideal Medical Practices
Informed Medical Decisions (“The Care you Need and No Less. The Care You Want and No More.”)
Institute for Family Centered Care
Institute for Healthcare Improvement
Integrated Care Management Initiative
Involving Patients in Healthcare Improvement Teams
Managing Care for Adults with Chronic Conditions – on the Agency for Healthcare research and Quality (AHRQ) website. Note particularly the fourth link down in the left hand navigation box: “Delivering & Coordinating Services”
Microsoft Health Vault
My Shared Care Plan
National Guidelines Clearinghouse
Panel management: a powerful tool to improve primary care
Panel Management, Business Case for
Panel Management Software Vendors from Forbes.com Please Note: This is not meant to endorse these vendors in any way. Rather, it is to suggest that there are a number of vendors developing software of this kind.
- Panel Managaement, Understanding: A Comparative Study of an Emerging Approach to Populations Care
- Partnering with Patients and Families . . . Recommendations and Promising Practices
- Patient Decision Aids at the Ottowa Health Research Institute
- California HealthCare Foundation Patient Self-Management Resources– a number of useful resources can be found in this section of the website of the California HealthCare Foundation.
- Promoting Effective Self-Management – A summary of the lessons learned by organizations involved in an SMS initiative, including successful strategies for self-management support, system design, patient flow, training, and measurement. Self-management plans in both English and Spanish are available.
- What Is MI? An article on the Motivational Interview website that offers a succinct (one page) overview describing the “spirit” of motivational interviewing based on a 1995 article by Stephen Rollnick, Ph.D., & William R. Miller, Ph.D, For those interested, clicking on “Home” gives you access to additional background information on motivational interviewing, including: how it began, philosophy, principles, traps, and training resources of many kinds.
Video and Audio
- Chronic Care Model Audiovisual Presentation - Ed Wagner, MD, ICIC
- "Coaching Patients for Successful Self-Management" released in August 2008. Presented by William H. Polonsky, Ph.D., C.D.E., of the University of California, San Diego, highlights include how to:
• Engage the patient and understand why behavior change might or might not be perceived as worthwhile from the patient's perspective;
• Explore and enhance the importance of making healthy behavior changes; and
• Engage in collaborative action planning to support the patient's efforts in making a concrete, personally meaningful and achievable plan for change.
• This is a 33 minute presentation, available for downloading once you fill out and submit a license agreement on line. A short preview is also available here.
- Smart Center Introduction – Shirley Moore, PhD, RN, FAAN - Introduction to Center of Excellence for Self-Management Advancement through Research and Translation (SMART Center) Francis Payne Bolton School of Nursing, Case Western Reserve University
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