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ROJoson PEP Talk: Patient-Centered Care Management - An Advocacy
ROJoson PEP Talk: Patient-Centered Care Management - An Advocacy
1400H - 1500H
Via Zoom
Empowerment
objective - for
laypeople to have an
Patient- understanding of the
centered Care concepts and
Management - principles of
An Advocacy PATIENT-CENTERED
CARE
MANAGEMENT in
their health
management.
Empowerment
objective - for ROJoson PEP Talk
laypeople to have an
Patient- understanding of the I have a Patient
concepts and Empowerment
centered Care Program in which I
Management - principles of
like to empower the
An Advocacy PATIENT-CENTERED lay people or
CARE patients to take
MANAGEMENT in control in the
their health management of
management. their health.
There are 3 courses
in the PEP Talk.
I completed the Core
Course on October 9,
2021.
From October 23,
2021 onwards, I have
been tackling Health
Disorder and Health
Issue Courses. This
may take 3 years or
longer.
My PEP TALK today is
Empowerment entitled:
objective - for
laypeople to have an
Patient- understanding of the Patient-centered
concepts and Care Management
centered Care
principles of – An Advocacy
Management -
An Advocacy PATIENT-CENTERED
CARE
MANAGEMENT in
their health
management.
Contents:
• What is Patient-centered Care Management
Patient- (PCCM) or Patient-centered Care (PCC)?
centered Care • What are the principles of PCCM (based on Picker)?
• Why is it important for physicians to practice
Management - PCCM?
An Advocacy • Why is it important for patients to seek physicians
who practice PCCM?
• What is the current status of PCCM in the
Philippines?
• ROJoson Patient-centered Care Management
Program
• Patient-centered Care Management – An Advocacy
What is Patient-centered Care Management
(PCCM)? Or PCC (Patient-Centered Care)?
Patient-
centered Care
Management -
An Advocacy
What is Patient-centered Care Management
(PCCM)? Or PCC (Patient-Centered Care)?
Patient-
Patient-centered care management is the practice
centered Care by physicians and health institutions of caring for
Management - patients (and their relatives) in ways that are
An Advocacy meaningful and valuable to the individual
patients.
A tall older.
ROJoson Patient-centered Care Management
Program
Patient-
centered Care
Management -
An Advocacy
ROJoson Patient-centered Care Management
Program
Patient-
centered Care
Management - See History of ROJoson Patient-centered Care
An Advocacy Management.
https://sites.google.com/site/rojosonpatientcen
teredcare/history-of-rojoson-patient-centered-ca
re-management-program
ROJoson Patient-centered Care Management
Program
Patient-
ROJoson started his journey on Patient-centered
centered Care
Care Management (PCCM) in 1982 when he
Management - formally started his private practice in general
An Advocacy surgery.
PCCM was not formally and intensely taught
when he was a medical student in UPCM and in UPCM – UP College
surgical residency training in PGH. He would of Medicine
continuously improve his management of
patients along the principles of PCCM using PGH – Philippine
problem-based learning and self-directed General Hospital
learning.
ROJoson Patient-centered Care Management Picker’s 8 Principles of
Patient-Centered Care
Program
Patient- • Respect for patient
centered Care The main centerpiece of ROJoson PCCM values, preferences, and
needs
Management - Program is the • Coordination and
An Advocacy ROJoson Patient Management Process •
integration of care
Information and
(started in 1985) education
• Physical comfort
• Emotional support and
which contains and integrates the alleviation of fear
• Involvement of family
principles of patient-centered care and friends
management. • Continuity and transition
• Access to care
ROJoson Patient-centered Care Management 4Ks of Patient
Program Empowerment:
Patient- Kaalaman, Kakayanan,
centered Care The second centerpiece of ROJoson PCCM Karapatan and
Management - Program is the Kapangyarihan
An Advocacy ROJoson Patient Empowerment Program
Talk (ROJoson PEP Talk) for laypeople /
patients
(started in 2021) to gain greater control
which is a patient-centered over decisions in
empowerment program. medical management
of themselves.
ROJoson Patient-centered Care Management
Circa 1985, he formulated his
Program Management of a Patient Process
Patient- including its maxims, rules and
centered Care guides which would promote
Management - rational, holistic, professional,
An Advocacy compassionate, and cost-
effective treatment.
What are the four basic categories of functions or tasks expected of a physician?
Rapport Emphasis on ADVICE --->>>> PCCM
Diagnosis – Advice • Information and education
Treatment – Advice • Emotional support and alleviation of fear
Advice • Involvement of family and friends
The general quality standards that can be used for these 4 tasks are
rational, effective, efficient and humane.
Patient Case in Point
Management
If there is a need for a paraclinical diagnostic
Process – An procedure, the physician uses the B-R-C-A
Overview processes.
B – stands for benefit; R – risk; C – cost; A –
Availability.
Case in Point
Patient The physician gives or lists the various options
Management of paraclinical diagnostic procedures and then
Process – An gives data on the BRCA.
PCCM
•Overview
Information and education With the data given, the patient is asked what
• Access to care he prefers.
• Respect for patient values, preferences, Procedures Benefit Risk Cost Availability
and needs (goal – to
be more
definite on
the
diagnosis)
Option1
Option2
Option3
PCCM
• Information and education
• Access to care
Patient
• Respect for patient values, preferences, and needs Case in Point
Management
• Involvement of family and friends
Process – An PARACLINICAL DIAGNOSTIC PROCESS – SELECTION - PROCESSING OF
Overview DATA – ILLUSTRATION
Procedures Benefit (goal – to be Risk Cost (PhP) Availability
more definite on the
diagnosis)
Option1 accuracy 99% acceptable 4000 available
Option2 accuracy 90% acceptable 3000 available
Option3 accuracy 60% acceptable 1000 available
With
Which will the data given,
be chosen? the
OPTION 1 ifpatient is asked
patient can afford. what he and 2his
If not, OPTION can be
chosen because it has a 90% accuracy which is high enough.
family prefer.
Patient
PCCM
Management • Information and education
Process – • Access to care
Selection of • Respect for patient values, preferences,
Treatment and needs
Process
Case in Point
In the selection of most cost-effective treatment procedure, the physician
uses the B-R-C-A processes. B – stands for benefit; R – risk; C – cost; A –
Availability. The physician gives or lists the various options of treatment
procedures and then gives data on the BRCA. With the data given, the
patient is asked what he prefers.
PCCM
• Information and education
• Access to care
• Respect for patient values, preferences,
Patient and needs
Management
Process – Case in Point
Selection of The physician tabulates, compares, and analyzes the options and the BRCA
Treatment data like this:
Process Procedures Benefit (goal of Risk Cost Availability
treatment)
Option1
Option2
Option3
PCCM
• Information and education
• Access to care
Patient • Respect for patient values, preferences, and needs
• Involvement of family and friends
Management
Process – Case in Point
Selection of SELECTION OF TREATMENT PROCESS – PROCESSING OF DATA –
Treatment ILLUSTRATION 4
Process
Procedures Benefit (goal of Risk Cost (PhP) Availability
treatment)
Option1 most effective acceptable 2000 available
Option2 effectivity <1 >3 acceptable 3000 available
Option3 least effective acceptable 4000 available
With
Which themost
is the data given, the treatment?
cost-effective patient is OPTION
asked what
1 he and his
family prefer.
Case in Point
Patient
Management ROJoson does a lot
Process – of advice in every
Advice to step of the patient
management
Patient
process.
Process
PCCM Principles:
• Information and
education
• Respect for patient
values, preferences,
and needs
• Involvement of
family and friends
Picker’s 8 Principles of
Patient ADVISING PATIENTS AND RELATIVES Patient-Centered Care
Management · In managing a patient, advising is usually
• Respect for patient
Process – needed on: values, preferences, and
Advice to o clinical diagnosis
needs
• Coordination and
Patient o need, nature and results of a paraclinical diagnostic integration of care
Process procedure
• Information and
education
o pretreatment diagnosis and objectives of treatment • Physical comfort
• Emotional support and
o selection of treatment alleviation of fear
• Involvement of family
o outcome of treatment and prognosis and friends
o health restoration and maintenance after treatment • Continuity and transition
• Access to care
Case in Point
Picker’s 8 Principles of
Patient ADVISING PATIENTS AND RELATIVES Patient-Centered Care
Management · The following are tips in advising:
• Respect for patient
Process – values, preferences, and
o Always include the relatives of the
Advice to patient in the advising, if they are
needs
• Coordination and
Patient available. integration of care
Process • Information and
o Assess the psychological make-up, education
• Physical comfort
the health beliefs, and the level of • Emotional support and
competency of the patient and the alleviation of fear
relatives before making any advice. • Involvement of family
and friends
• Continuity and transition
• Access to care
Picker’s 8 Principles of
Patient ADVISING PATIENTS AND RELATIVES Patient-Centered Care
Management · The following are tips in advising:
• Respect for patient
Process – values, preferences, and
o Make strategies that will promote
Advice to rapport.
needs
• Coordination and
Patient integration of care
o Be honest but not brutally frank.
Process • Information and
For example, slowly divulge the education
• Physical comfort
diagnosis of an incurable disease or a • Emotional support and
frightening disease. alleviation of fear
• Involvement of family
and friends
• Continuity and transition
• Access to care
Picker’s 8 Principles of
Patient ADVISING PATIENTS AND RELATIVES Patient-Centered Care
Management · The following are tips in advising:
• Respect for patient
Process – values, preferences, and
o Use terminologies or explanations
Advice to that can be easily understood by the
needs
• Coordination and
Patient patient and his relatives. integration of care
Process • Information and
o Use all kinds of strategies that will education
• Physical comfort
make the patient and his relatives like • Emotional support and
you. alleviation of fear
• Involvement of family
and friends
• Continuity and transition
• Access to care
Picker’s 8 Principles of
Patient ADVISING PATIENTS AND RELATIVES Patient-Centered Care
Management · The following are tips in advising:
• Respect for patient
Process – values, preferences, and
o Explain to the patient and relatives
Advice to the processes you use in arriving to a
needs
• Coordination and
Patient diagnosis, recommendations for a integration of care
Process paraclinical diagnostic procedures and
• Information and
education
treatment. • Physical comfort
• Emotional support and
alleviation of fear
• Involvement of family
and friends
• Continuity and transition
• Access to care
ROJoson Patient-centered Care Management 4Ks of Patient
Program Empowerment:
Patient- Kaalaman, Kakayanan,
ROJoson PEP Talk (Patient Empowerment
centered Care Program Talk) Karapatan and
Management - Kapangyarihan
An Advocacy Started in May 15, 2021, still on going, every
Saturday 2-3 pm. for laypeople /
patients
The PEP Talk is another centerpiece of ROJoson to gain greater control
PCCM. over decisions in
medical management
ROJoson imparts information and education to of themselves.
empower patients.
ROJoson Patient-centered Care Management Picker’s 8 Principles of
Patient-Centered Care
Program
Patient- • Respect for patient
centered Care There are other ROJoson PCCM programs aside values, preferences, and
from the PATIENT MANAGEMENT PROCESS and needs
Management - • Coordination and
ROJoson PEP Talk. integration of care
An Advocacy • Information and
education
• Physical comfort
• Emotional support and
alleviation of fear
• Involvement of family
and friends
• Continuity and transition
• Access to care
ROJoson Patient-centered Care Management Picker’s Principles of
Program Patient-Centered
Patient- Care
centered Care ROJoson Medical Clinic – NO Queueing, NO Long
Waiting Time for Patients (Started 2015 – still on • Physical comfort
Management -
in 2022) (no long waiting
An Advocacy
time)
The patients do not have to wait for a long time • Access to care
during a patient consultation with me. (appointment
scheduling)
Pledge: NO patients will wait for more than 60
minutes from the booked appointment time.
(99% achievement).
ROJoson Patient-centered Care Management Picker’s Principles of
Program Patient-Centered
Patient- Care
centered Care ROJoson Telemedical Consultation (formally
started March 2020 – COVID19 pandemic; still • Access to care
Management -
on-going 2022) • Physical comfort
An Advocacy
at home
ROJoson Patient-centered Care Management He assists patients
Program with financial
Patient- disability (PFD) –
centered Care ROJoson has an Indigent Patient Help Program. getting PWD cards;
He gives free consultation or discounted being treated in
Management -
consultation fees when indicated. He operates hospitals with lower
An Advocacy gratis for those who cannot afford his expenses; etc.
professional fees; gives big discount on
professional fees; allows down payment and
Picker’s Principle of
post-dated checks for his professional fees;
Patient-Centered
provide surgical materials for free to indigent
Care
patients; etc.
• Access to care
ROJoson Patient-centered Care Management
Picker’s Principle of
Program
Patient- Patient-Centered
Care
centered Care ROJoson Advocacy for Use of Generic Drugs
Management - • Access to care
An Advocacy
ROJoson Patient-centered Care Management https://medicalpricesdatain
ph.wordpress.com/2019/05
Program /29/medical-prices-data-in-
Patient- the-philippines-well-apprec
iated-by-netizens/
centered Care Medical Prices Data in the Philippines -
The online posting of
ROJoson’s Online Publication (started 2012)
Management - Medical Prices Data in the
In the patient management processes, in Philippines is for the benefit
An Advocacy deciding on what option for diagnostic tests and of the Filipino patients – to
guide them on their
treatment procedures to take by a patient, the expenses.
“medical price” is factored in. ROJoson would
factor in the price and would inform his patients. Picker’s Principle of
The four parameters used for comparisons for Patient-Centered
the different options of tests and treatments are Care
benefit, risk, cost and availability or BRCA.
• Access to care
ROJoson Patient-centered Care Management Picker’s Principles of
Program Patient-Centered
Patient- Care
centered Care • ROJoson coordinates referrals to other
physicians when needed. • Access to care
Management - •
He integrates care of several physicians who • Coordination and
An Advocacy are needed for a particular patient. integration of care
• He ensures continuity and adequate transition • Continuity and
of care. He actively follows-up patient. transition of care
Advance Directives
ROJoson Patient-centered Care Management
Program – An Advocacy
Patient-
centered Care
Management -
An Advocacy
ROJoson Patient-centered Care Management
Program – An Advocacy
Patient-
centered Care I am doing an advocacy on PCCM since 1985
when I started my Patient Management Process.
Management -
What are the impact of my advocacy if any, so
An Advocacy far?
ROJoson Patient-centered Care Management
Program – An Advocacy
Patient-
centered Care ROJoson’s advocacies on patient-centered care
management being promoted online,
Management -
particularly in Facebook,
An Advocacy • have influenced at least some of his Filipino
physician followers (medical students,
residents and fellows, and established medical
and surgical practitioners) to follow suit
thereby improving health care delivery
services in the Philippines.
ROJoson Patient-centered Care Management
Program – An Advocacy
Patient-
centered Care ROJoson’s advocacies on patient-centered care
management being promoted online,
Management -
particularly in Facebook,
An Advocacy • have influenced at least some of his Filipino
patients and the lay Filipino people on what
to expect and what to look for in their search
for value-based health care services.
ROJoson Patient-centered Care Management
Program – An Advocacy
Patient-
centered Care ROJoson’s advocacies on patient-centered care
management being promoted online,
Management -
particularly in Facebook,
An Advocacy • have protected and saved his patients from
unnecessary medical procedures and their
corresponding expenses and potential
complications.
ROJoson Patient-centered Care Management
Program – An Advocacy
Patient-
centered Care ROJoson’s advocacies on patient-centered care
management being promoted online,
Management -
particularly in Facebook,
An Advocacy • have empowered his Filipino patients and the
lay Filipino people on at least a knowledge on
how to have value-based health care services
for themselves.
ROJoson Patient-centered Care Management
Program – An Advocacy
Patient-
centered Care ROJoson’s patient-centered care
Management - management has brought about
An Advocacy delightful patient experience
among his patients.
Patient-centered Care Management Program – Picker’s 8 Principles of
Patient-Centered Care
An Advocacy
Patient- • Respect for patient
We know the importance of PCCM.
centered Care HOW CAN YOU HELP ME IN THE ADVOCACY OF values, preferences, and
needs
Management - PCCM? • Coordination and
integration of care
An Advocacy • Information and
• Share this PEP Talk to other people (laypeople education
and health professionals). • Physical comfort
• Emotional support and
• Feedback to hospitals (through feedback alleviation of fear
forms or through social media) to convince • Involvement of family
them to put up a PCCM program. and friends
• Continuity and transition
• Talk to your physicians to convince to do more • Access to care
PCCM programs.
ConWhat are the principles of PCCM (based on Summary
Picker)? Take Away
Patient- tents:
centered Care • What is Patient-centered Care Management
Management - (PCCM) or Patient-centered Care (PCC)?
• What are the principles of PCCM (based on Picker)?
An Advocacy • Why is it important for physicians to practice
PCCM?
• Why is it important for patients to seek physicians
who practice PCCM?
• What is the current status of PCCM in the
Philippines?
• ROJoson Patient-centered Care Management
Program
• Patient-centered Care Management – An Advocacy
Be always in touch with reliable medical Take Away in
information on PATIENT-CENTERED CARE relation to
Patient- MANAGEMENT.
Patient
centered Care Knowledge is power; it gives power.
Empowerment
Management - Use the 4Ks of Patient Empowerment:
An Advocacy Kaalaman, Kakayanan, Karapatan and
Kapangyarihan
to gain greater control over decisions in
medical management of oneself by
knowing the concepts and principles of
PATIENT-CENTERED CARE MANAGEMENT
in their health management.
My PEP TALK today is
Empowerment entitled:
objective - for
laypeople to have an
Patient- understanding of the Patient-centered
concepts and Care Management
centered Care
principles of – An Advocacy
Management -
An Advocacy PATIENT-CENTERED
CARE
MANAGEMENT in
their health
management.