APPLICATION & EVOLUTION

OF

PATIENT JOURNEY MAPPING

ACROSS

INTERIOR HEALTH

Angela Chapman,

IHA Chronic Disease Management Practice Lead

How has Patient Journey Mapping

(PJM) Been Used in Interior Health?

Where Did We Start

Partnership with Impact BC – Internal Capacity Building

Diabetes Strategy 4 Communities

Aim:

Understand the (i) new diagnosis – approx 1year and (ii) inpatient & acute transition journeys of Adult Persons Living with Type 2 Diabetes

Purpose: To Inform Development of a Diabetes Strategic Plan

Where Have We Gone

Other Initiatives:

Child & Youth Mental Health – Division & IHA

Frail Elderly – Division and IHA

KB Maternal Care – Shared Care & IHA

Adult Mental Health - Shared Care & IHA

Maternal Care – Aboriginal Program

Kamloops Child & Youth Mental

Health Partnership: Thompson Division and

IHA

Aim:

Understand journey of children &youth with mental health disorders from perspective of the patient and his/her family in Kamloops, B.C. from:

Onset of signs and symptoms or feeling unwell to initial diagnosis

Initial diagnosis to first treatment plan

First treatment plan to present day

Kamloops Child & Youth Mental

Health Players:

Patients & Family, Division (GPs), Psychiatrists, IHA Acute & Community, Ministry Child & Family CYMH, School District, Forensics, Facilitators

Format:

Small Groups, Guided Questioning

Graphic Artist Depiction of Journey

Kamloops Child & Youth Mental

Health

Kamloops Child & Youth Mental

Health

Kootenay Boundary Maternal

Care Partnership:

IHA, Division and Shared Care

Aim:

Identify points of tension along the

maternity patient’s journey through

health services from primary to acute

and return to community with their

child

Assist in identifying solutions in the

care model for the Kootenay

Boundary region that address these

points of tension

Kootenay Boundary Maternal

Care

Journey:

Woman believes she is pregnant to

2 months post partum

Players:

GPs, Midwife, IHA P2 and Maternity Staff, Pediatrician, Mgrs, Patients

Format:

1 day (6hr) session

Large group facilitation and

Aboriginal Maternal Care

Goal: 7 Patient Journey Maps – Various

Communities

Aim:

To better understand current state journey of

pre/perinatal care for aboriginal women, both on and

off reserve.Purpose:

To inform improvements to

maternal services for

aboriginal women

Journey Scope:

Woman believes she is

pregnant to 2 months post

partum

Aboriginal Maternal Care

Players: Patients, IH P2 Nursing, Community Outreach

Workers, On Reserve Nurses, Midwives / Doula, GP, Ultrasound Technician, NICU RN, Urban Friendship Centres

Aboriginal consulting group and IH CI Facilitators –train the trainer support & capacity building

2 day session Day 1: Modified Talking Circle, Small Groups

Day 2: Large Group Patient Journey Mapping

What Have

We Learned?

Learning

It is one tool within a broader ‘planning toolbox’

Willingness to see gaps and intent to address

Ensure the right people in the room

Bring on the patients!

Be cognizant of vulnerabilities –

safety, trust, marginalized populations

Lead time and preparation of players is key

Learning (continued...)

Clear Objectives and Journey Scope

May pose challenging if focus on ‘exception’

rather than ‘typical’

Value is in the conversation as much as the

map

Flexibility & Adaptability in Approach

Facilitation Critical – ‘Mindful Facilitation’

Can be resource intensive, but good return on investment

if done well, for right reason, with follow through!

Its all about perspectives

Who knows the whole picture better than the

patient?

Thank

you