Online Program

Improving patient-centered care and professional competence through motivational interviewing

Tuesday, November 3, 2015 : 1:10 p.m. - 1:30 p.m.

Katandria Johnson, DrPH, MS, MA, CCC-SLP, CAS, CPH, Physical Medicine and Rehabilitation, Cook Children's Medical Center of Fort Worth, Fort Worth, TX
Remi Douah, PhD, MPH, College of Design, Center for Design in Health, University of Minnesota, Minneapolis, MN
Nicole Carter, MS, CCC-SLP, Special Education, Dallas ISD, Dallas, TX
For the past 50 years, researchers, such as Parsons (1951) and Roter, Frankel, Hall, and Sluyter (2006) have investigated medical interactions between the health care provider (HCP) and patient. Their studies were conducted in an effort to understand the nature of providers’ communication styles and enhance patient outcomes. One of the methodologies by which such interactions have been evaluated is through Motivational Interviewing (MI). MI  facilitates and engages intrinsic motivation within the patient in order to change behavior through goal-oriented, patient-centered counseling (Rollnick & Miller, 1991).

Innovative trends in the allied health service delivery model are imperative to meet the ever-changing healthcare systems processes and patient treatment outcome metrics.  In collaboration with Cook Children’s Medical Center (CCMC), this program plan and intervention was developed as a MI professional competency training.  Allied health professionals were trained to effectively implement MI in concert with the provisions of the Affordable Care Act within their scope of practice when providing the health education plan (HEP) in the patients’ plan of care (POC).

A multi-modal, didactic MI training program was implemented in CCMCs Physical Medicine and Rehabilitation department.  Allied health professionals were introduced to MI behavioral counseling. As an additional component, HCPs were trained to address treatment compliance and adherence within the POC for patients and their families, whose communicative impairment ICD-10 code is a secondary diagnosis.  HCPs were also given evidence-based templates to document client-centered and patient-reported, baseline and continuous data to monitor treatment adherence and compliance.

The purpose of this presentation is to explain the MI professional training program, to include a smartphone compliant MI application, developed to increase HCP training frequency, intensity and competency in delivering HEP during the patient/family encounter.

Learning Areas:

Administer health education strategies, interventions and programs
Chronic disease management and prevention
Clinical medicine applied in public health
Implementation of health education strategies, interventions and programs
Other professions or practice related to public health
Social and behavioral sciences

Learning Objectives:
Define Motivational Interviewing (MI) and its role in counseling clients and families of pediatric patients with special healthcare needs. Explain the utility/function of MI in healthcare provider training and improving health care outcomes, as delineated in the Affordable Care Act (ACA). Assess the methodology implemented in healthcare provider (HCP) training and patient health education documentation to include a smart phone application developed to increase HCP competency, ACA and insurance reimbursement compliance.

Keyword(s): Patient-Centered Care, Public Health Curricula & Competencies

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: The product currently under investigational use is a smartphone application developed to assist HCPs in measuring and documenting patient treatment, adherence and compliance. The app also enables supervisors/managers to evaluate HCPs' clinical competency.

Qualified on the content I am responsible for because: I am the author and developer of the program plan and intervention being discussed within this abstract.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.