1. Patient Centered Care Model The model which was drawn from NMH’s Henderson Framework for Nursing Practice proposes to provide a healing environment centered around trust, compassion and the incorporation of our patient’s personal values. The frame work is grounded in five guiding principles as well as the hospital’s core values. They address the role of the nurse, the team, and the importance of communication with the patient and family regarding the plan of care. The model focuses upon the clinical and safety needs of individual patients with monitoring, individualized interventions and staffing adjustments. It highlights key areas requiring “in the moment” critical thinking in addition to creating a culture of seamless team collaboration. Examples of areas that our staff focus upon include fall prevention, skin break down, plan of care, pain, mobility, RN & MD communication, team communication and collaboration and ultimately achieving improved patient and staff satisfaction.

2. Shifting the Culture Adoption of this new model requires: Critical thinking and individualized approaches to patient care Flexibility to adapt to meet the needs of our patients Enhanced communication with the patient, their family, physicians and clinical care team members Our foundation is built upon the following: Everyone’s Responsibility For Every Patient Everyday

3. NMH Framework for Nursing Practice The Patient Centered Model of Care is grounded in our Framework for Nursing Practice

4. NMH Framework for Nursing Practice NMH’s Nursing Framework is grounded in five guiding principles as well as the hospital’s core values: The Nurse The role of the nurse is unique and essential to the care of the patient. The nurse demonstrates that unique and essential function through the Seven Attributes of the Northwestern Memorial Hospital Nurse: – Demonstrating compassion for patients and families – Being knowledgeable in relation to complex patient care issues – Being dynamic and proactive when planning, implementing and evaluating the plan of care – Incorporating the role of patient advocate into the plan of care – Working in collaboration with the interdisciplinary team – Being accountable for nursing practice and adhering to professional standards – Maintaining and advancing the practice of nursing and our professional image Nursing Nursing is both a science and an art. Nursing practice is evidence-based and blends research, knowledge and technology with individualized, compassionate approaches to care. Patient The patient is at the center of care delivery. Each patient is a unique human being with complex, dynamic needs. Patients are encouraged to be active and engaged members of the healthcare team. Family/Significant Other Patients are part of a social support system. Involvement of the patient's family and significant others is acknowledged and valued as an integral part of the plan of care. Team The nurse in collaboration with the patient/family and the interdisciplinary team develops an individualized, evidence- based plan of care to promote health, ensure patient safety, facilitate recovery, and when appropriate, ensure a peaceful death for the patient.

5. Expectations The nurse in collaboration with the patient, family, and the multidisciplinary team develops an individualized plan of care to promote health, ensure patient safety and facilitate recovery There is a team approach to achieve daily patient focused individualized care goals Each team member is accountable for their role and responsibility Patient satisfaction will increase through anticipation of care needs and consistency in the delivery of patient care The care approach used reflects our Patient Centered Model of Care and NMH’s Patient’s First Mission Staff satisfaction will increase through improved communication and care coordination

6. Patient Centered Care: Key Elements Teams of RNs and PCTs collaborate to: Patient Communicate the plan of care and goal achievement to the next shift Engage your patient in their care during bedside report Set daily individualized patient focused goals and work plans Safety is a priority huddle with your team Pain, Toileting and Positioning are key during hourly rounds Collaborate with your patient, their family and the team in interdisciplinary rounds Everyone’s Responsibility For Every PatientEveryday Drawn from the NMH Henderson Framework for Nursing Practice