Presentation on theme: "Disclosure I, Sarah Moody-Thomas, PhD, have no relationships with commercial interests to disclose. A commercial interest is any entity producing, marketing,"— Presentation transcript:
Disclosure I, Sarah Moody-Thomas, PhD, have no relationships with commercial interests to disclose. A commercial interest is any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients.
Patient & Family Centered Care Initiative Report of the CCC Sub-Committee on Patient Education January 24, 2012
Patient & Family-Centered Care Institute of Medicine: Care that is respectful of and responsive to individual patient preferences, needs and values, and ensuring that patient values guide all clinical decisions. Planetree and the IPFCC An approach to the planning, delivery and evaluation of care grounded in mutually beneficial partnerships among providers, patients and families. It redefines relationships in health care.
Patient & Family-Centered Care Transforms healthcare into a participatory process Requires teamwork and participation at all levels of the organization
CCC Patient Education Sub- Committee Lynn Besch Jay Besse John Couk Jane Herwehe Sarah Moody Thomas Kathy Viator
Creating a Culture of Patient & Family-Centered Care Recap Spring 2010 - Dr. Kaiser introduced Winter 2011 - Presentation by Christine Bechtel, Planetree Approach Fall 2011 - Jane Herwehe presented at site visits Reviewed basic tenants of PFCC Announced system-wide assessment Encouraged sites to start discussions, pilots
Creating a Culture of Patient-Centered Care Methods Administered Planetree Assessment Resource for PCC improvement Distributed – Fall 2011 Participants – groups at each facility completed the self-assessment tool to rate performance in 11 categories Identify priorities
Self-Assessment Tool N=7 HCSD Facilities 1.Setting the Stage, Strengthening the Foundation 2.Communicating Effectively with Patients and Families 3.Personalization of Care 4.Continuity of Care 5.Access to Information 6.Family Involvement 7.Environment of Care 8.Spirituality 9.Integrative Medicine 10.Caring for the Community 11.Care for the Caregiver
Creating a Culture of Patient-Centered Care 7 facilities calculated their organization’s performance in 11 categories – 70 total questions Prioritized implementation of initiatives Sites differed Some overlap
Creating a Culture of Patient-Centered Care Analyses Multi-method approach Planetree scale - % sites responding Context and Solutions Ranking
Creating a Culture of Patient-Centered Care Methods Context and Solutions Ranking Survey items combined into a table to determine 16 – B – A; 2 – I – A; 1 – O -A Area Affected Level of SignResponsibleMeasure I/O/B A B C DWhoHow
Survey ItemArea Signifi canceResponsibleHow? Expectations for what staff can expect in a patient-centered environment are clearly stated and proactively shared. BA Medical Home & Hosp AdmFormalize Medical Home Iniative Standards The organization's commitment to patient-centered care is formally and consistently communicated with patients, families, staff, leadership, and medical staff (e.g. mission, care values.) BA Medical Home & Hosp AdmFormalize Medical Home Iniative Standards Systems are in place to assist patients and families in knowing who is providing their care, and what the role is of each person on the care team. BANursingWhite boards and table tent cards A patient and advisory council meets regularly and actively provides input to hospital leadership on hospital operations BA Patient Adv & NursingAdvisory Board Creation and Feed-back Loop Patients and family members have been invited to share their experiences with your hospital in focus groups BA Patient Adv & NursingAdvisory Board Creation and Feed-back Loop The input provided by patients and families is used to guide the organization’s strategic direction BA Patient Adv & NursingAdvisory Board Creation and Feed-back Loop Patients and family members participate as members on hospital committees BA Patient Adv & NursingAdvisory Board Creation and Feed-back Loop Opportunities exist for leadership to interact directly with patients and families BBAdmin Non-scheduled visit to floor and one on one random pt visits Patients and families are able to participate in change of shift report IBNursing Determining appropriate scripting and method. Std Report?
Creating a Culture of Patient-Centered Care PICK Chart Developed by Lockheed Martin Organizing and categorizing process improvement ideas When faced with multiple ideas Determine most useful
Creating a Culture of Patient-Centered Care PICK Chart 4 categories; 2x2 matrix Horizontal: scale of payoff Vertical: ease of implementation
Creating a Culture of Patient-Centered Care PICK Chart Payoff Low Payoff High Easy to DoPossibleImplement Hard to DoKillChallenge Michael L. George (2006). Learn Six Sigma for Services. Seoul: McGraw Hill Korea.
Creating a Culture of Patient-Centered Care Priority project emerged Re-examine Self-Assessment Data
Creating a Culture of Patient Centered Care Recommendation Hospital-Family Advising Board (H-FAB) To address multiple areas requiring patient input and feedback Standardized purpose and format
Hospital-Family Advising Boards (H-FABs) Mission: “Creating a patient-centered care environment that promotes healthy lives through health care delivery.” Patient and family participation Input in strategic directions of organization Share experiences
References Thille, P.H. and Russell G.M. (2010). Giving patients responsibility or fostering mutual response-ability: Family physicians’ constructions of effective chronic illness management. Qualitative Health Research, 20(10), 1343-1352. The Joint Commission (2010). Advancing effective communication, cultural competence, and patient- and family-centered care: A roadmap for hospitals. Oakbrook Terrace: The Joint Commission. Laird-Fick, H., Solomon, D., Jodoin, C., Dwamena, F.C., Alexander, K., Rawsthorne, L., Banker, T…Smith, R.C. (2011). Training residents and nurses to work as a patient-centered care team on a medical ward. Patient Education and Counseling, 84, 90-97. Bann, C.M., Sirois, F.M., Walsh, E.G. (2010). Provider support in complementary and alternative medicine: Exploring the role of patient empowerment. Journal of Alternative and Complementary Medicine, 16(7), 1-8.
References Jacob, J. (2010). Voice of the patient: The essence of patient- centered care. Critical Care Nursing, 22, 227-232. Evardsson, D. & Innes, A. (2010). Measuring person-centered care: A critical comparative review of published tools. The Gerontologist. Retrieved from http://gerontologist.oxfordjournals.org/content/early/2010/06/21/g eront.gnq047.full.pdf+html http://gerontologist.oxfordjournals.org/content/early/2010/06/21/g eront.gnq047.full.pdf+html Reynolds, A. (2009). Patient-centered care. Radiologic Technology, 81(2), 133-147. Institute for Family-Centered Care. (2008). Partnering with patients and families to design a patient- and family-centered health care system. Cambridge: Author.