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Post by John Craine on Jun 25, 2015 7:31:19 GMT -5
Practices with the highest Centering enrollments (as a percent of total patients) almost always use an opt-out approach. But many practices feel it is important to offer patients a "choice of care". So why is it acceptable to offer individual care on an opt-out basis but not Centering?
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Post by wallenestoddard on Aug 4, 2015 23:08:07 GMT -5
I am currently fighting that battle! I feel that we will not be truly successful as long as the program is a "boutique" option. I don't know how to convince the administrative/$ types that we need to switch. They are completely caught up in "patient choice" and can't seem to understand that patients will still have a choice, but the expectation is for Centering.
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Post by John Craine on Aug 5, 2015 7:44:16 GMT -5
I am currently fighting that battle! I feel that we will not be truly successful as long as the program is a "boutique" option. I don't know how to convince the administrative/$ types that we need to switch. They are completely caught up in "patient choice" and can't seem to understand that patients will still have a choice, but the expectation is for Centering. We hear this a lot and, frankly, choice can be a good thing. But it must be an informed choice, and that's where the challenge lies for most healthcare practices. We know that Centering is probably a better care option for most patients, but how do we convey the important differences between Centering care and individual appointments in a way that is meaningful enough to the patient to overcome their innate resistance to trying something new? Wallene, you make a tremendous point when you say "[they] can't seem to understand that patients will still have a choice, but the expectation is for Centering." It really is a very simple shift in framing, so why is it so darn difficult? |
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Post by Tanya Munroe on Aug 5, 2015 10:35:30 GMT -5
From the first Strong Start evaluation report "Awardees that used an opt-out approach to enrolling patients... and/or who provided the enhanced care model to all patients as part of the site's standard prenatal care, were particularly effective at enrolling eligible patients..."
We know it works best when it's how you do care...
Other conversation strategies include ASK, AFFIRM, OFFER a new idea. Acknowledge thinking vs. feeling reactions, we know that "facts do not change feelings, and feelings are what influence behavior." (Vera Keene)
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Post by ColleenSenterfitt on Aug 19, 2015 15:53:15 GMT -5
Women who have experienced CenteringPregnancy give it a more than 95% satisfaction rating. But they didn't know they liked it until they tried it!
Women trust their healthcare providers to offer them quality health care and practices that describe Centering as "this is how we do care" report the larger group sizes and greater enrollment overall.
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Post by John Craine on Nov 12, 2015 7:42:46 GMT -5
It's important to realize that the healthcare system is already heavily biased toward individual appointments, from administrators, providers and patients. How can Centering ever be considered an equal choice under these circumstances? Having choices without being provided the tools to effectively evaluate those choices doesn't serve our patients well and results in ill-informed decision making.
At the APHA last week Scripps Family Medicine presented a poster on their Centering practice success. They attributed their enrollment success to the fact that they had moved from an opt-in to an opt-out enrollment strategy. They realized that many of their staff and providers just weren't up to the task of "selling" Centering effectively to the patients. Some of the issue was due to attitudes and apathy, some to personality types, some to lack of buy-in, some to staff turnover and lack of exposure and training around the Centering model, and some to inconsistency of messages to patients. There was constant pressure on the Centering staff to fill groups. (These issues are common to most Centering practices.)
Simply by moving to an opt-out model, they eliminated all of these confounding factors from the enrollment process and gave the patients the opportunity and tools to make an informed choice about their care. After two group sessions patients can opt-out of Centering, and some do, but the vast majority of patients choose to continue in Centering because they are beginning to form bonds with their care team and other members of their groups.
Bottom line - going opt-out drives higher Centering enrollments and eliminates administrative burdens while providing patients the opportunity to make informed decisions about their care experience.
Going opt-out is not a panacea for all the challenges of Centering or perinatal care, but it effectively addresses problem #1 - enrolling patients into groups. Ensuring that patients show up for their groups (or any appointments for that matter) is problem #2, and requires another set of strategies and tactics.
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Post by wendyk on Mar 1, 2018 13:15:45 GMT -5
"It's important to realize that the healthcare system is already heavily biased toward individual appointments, from administrators, providers and patients. How can Centering ever be considered an equal choice under these circumstances?"
This is the bias of our culture because it is what we know, understand and are comfortable with. In the prenatal/pregnancy/birth culture, we need consumers to demand the change as well as getting the healthcare systems on board.
I work at a free-standing birth center and we do offer CenteringPregnancy and our providers are on board. Many of our moms/families don't want it (or think they want it). They are looking for the traditional one -on -one care with their midwives. I need articles/videos/handouts/FB posts directed at the CONSUMER, showing the value and benefits of CenteringPregnancy. I am having a hard time finding that on CHI sites. Any ideas for me? |
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Post by nlewis on Mar 5, 2018 12:41:53 GMT -5
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Post by nlewis on Mar 5, 2018 13:08:29 GMT -5
"It's important to realize that the healthcare system is already heavily biased toward individual appointments, from administrators, providers and patients. How can Centering ever be considered an equal choice under these circumstances?"
This is the bias of our culture because it is what we know, understand and are comfortable with. In the prenatal/pregnancy/birth culture, we need consumers to demand the change as well as getting the healthcare systems on board.
I work at a free-standing birth center and we do offer CenteringPregnancy and our providers are on board. Many of our moms/families don't want it (or think they want it). They are looking for the traditional one -on -one care with their midwives. I need articles/videos/handouts/FB posts directed at the CONSUMER, showing the value and benefits of CenteringPregnancy. I am having a hard time finding that on CHI sites. Any ideas for me? One more thing, wendyk , if you are a licensed Centering site, you have access to the portal where you can find many resources on patient enrollment, including a patient FAQ document. Here are the instructions to access: Navigate to www.centeringhealthcare.orgClick Login button in upper right hand corner and log in. If you need to create an account, follow the prompts for that. You will need your site's license number to create an account which you can get from your Centering Coordinator Once logged in you'll be taken to your Dashboard To the right is a Resource box, click Patient Enrollment & Recruitment ToolkitWe also have some pre-recorded Circle Up Webinars on Patient enrollment and recruitment which are also available through the portal. |
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mollymhunter
In-House Trainers
Posts: 3
I work at a: Healthcare Facility
My job role is: Healthcare Provider
I am interested in Centering because: Better outcomes, better patient-family experience.
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Post by mollymhunter on Dec 27, 2018 13:58:35 GMT -5
We are opt-in, but hope to move to opt-out.  |
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