Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Monday, November 19, 2018

Patient engagement: Clinicians like the idea, but do they really know what it means?

If stroke patients were truly engaged they would be demanding 100% recovery. But stroke medical professionals short circuit that and tell them they are lucky to be alive and lucky to be able to recover much. The tyranny of low expectations plays a huge part in this. YOU will have to be cognizant of that bias and scream at your doctors for stroke protocols that lead to 100% recovery. They shouldn't get paid if that goal is not met. That is the only thing that might concentrate the stroke medical world to finally get around to solving stroke. 

Patient engagement: Clinicians like the idea, but do they really know what it means?


Healthcare Finance News | November 16, 2018
Patient engagement and activation practices, or PAE, are being integrated more and more into clinical practice, but not much is known about how, or what the reaction has been among healthcare professionals. PAE can include anything from goal-setting to motivational interviewing and shared decision-making.
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A team of researchers from The Dartmouth Institute for Health Policy and Clinical Practice and the Berkeley School of Public Health at UC Berkeley recently conducted a study designed to shed light on the issue.
What they found was a great deal of positive sentiment about PAE among the healthcare professionals surveyed, but much less understanding and implementation of patient engagement and activation tools and approaches.

IMPACT

To address this gap, the research team assessed levels of patient engagement and activation at 71 primary care sites at two ACOs -- the DaVita Healthcare Partners in Los Angeles and Advocate Healthcare in Chicago. They focused on ACOs because of their reputation for undertaking patient engagement activities.
Four dominant themes emerged during analysis of the interviews: participants recognized and were well aware of PAE terminology, they had positive appraisals of these PAE approaches, they had limited understanding of specific techniques, and they reported or acknowledged partial implementation of PAE approaches.
While most interview participants expressed positive opinions about PAE, and most (but not all) were comfortable answering questions about concepts and skills, many had limited understanding of them—describing them in ways that didn't align with accepted definitions.
Some clinicians, for example, described "goal-setting" as the assigning, without collaboration, of clinical targets to their patients—such as losing a certain amount of weight within a time period.
Many participants also often failed to understand the difference between general patient education materials and patient-facing tools designed to help patients understand trade-offs when comparing treatment options.

THE TREND

As healthcare shifts into the value-based care model, the need to engage the patient and improve care outcomes becomes ever more pressing. For larger hospitals especially, there's a need for a leader who can tap into transforming the patient experience, and some have created the Chief Experience and Innovation Officer, or CXO, for that very purpose.
To read more, click here.

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