In our study, if a patient’s PAM level increased one level, that was associated with 8 percent lower [Medicare claims costs over 6 months]. For folks who improved two PAM levels, there was a 15 percent reduction in cost. When PAM level declined, the cost rose 9 percent for each level.  In dollars, the average health care cost for people who remained at PAM level one was $12,700 a year, compared to $9,500 for people at PAM level 4. So, it’s significant. It can add up.

We are really serious about [measuring activation with PAM as part of Integrated Personal Commissioning], and we’re serious about it because it’s absolutely been proven to work.  We’re serious about it because it’s incredibly complementary to the programs that we’ve got.  

Patient Activation is really the key to what we are doing. I can’t imagine doing coaching without getting some idea of where the patient is in terms of their level of activation. It really helps us target the intervention.

The Patient Activation Measure helps to break down the traditional divide between patient and professional which has prevented this in the past, while ensuring that those who need the most support receive it. 

PAM helps [the Extensive Care Service] to be more aware of a patient’s ability and willingness to manage their health and wellbeing. This ensures that patients who are likely to be easily overwhelmed are not overloaded with information, and any goals set are achievable and small successes are built on.