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Managing Chronic Conditions

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Megan MacNeil

on 2 January 2015

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Transcript of Managing Chronic Conditions

Managing Chronic Conditions & Self-Management Support
What do we do?
Kreindler (2009) recommends the following steps for health organizations implementing CDM
What are we currently doing?
System redesign *JoAnne
Self-management *Megan
Addressing pop health *Val
Policy changes *health communities *Nancy
"Self-management relates to the tasks that an individual must undertake to live well with one or more chronic conditions. These tasks include gaining confidence to deal with medical management, role management, and emotional management,"

(Adams, Greiner & Corrigan, 2004, p.57).
5 Key Principles of Self-Management Support
Collaborative & active partnership between patient and service provider
Patient-centered care
Shared responsibility for outcomes
Empowerment and enhanced capacity as goals of care
Care is life-long
Chronic Conditions in the Annapolis Valley
information from Brad
1. Research & Rationale [Chronic Care Model +]
2. Practice Change [Self-Management Support]
3. Next Steps [Resources & opportunities]
Self-management support is
defined as the systematic provision of education and supportive interventions by health care staff to increase patients' skills and confidence in managing their health problems, including regular assessment or progress and problems, goal setting, and problem-solving support," (Adams, Greiner & Corrigan, 2004, p.57).

Components of Planned
Self-Management Support
Individualized assessment
Personalized advice and information
Collaborative goal setting
Skill enhancement
Follow-up and support
Resource access
Quality clinical care
Tools for Initiating Self-Management
Consider this...

If you have a chronic condition, and visit your doctor 4 times a year for about 15 minutes each visit, that equals one hour. The other 8,759 hours of the year, you are managing your chronic condition on your own!

Moving Forward
What challenges could come up in supporting staff?
What resources
do we have to
draw from?
What do we know
will work?
Full transcript