OBJECTIVES 1. Define patient centered care and identify common concepts 2. Discuss how leadership impacts patient centered care 3. Identify key factors and Veterans Health Care System of the Ozarks’ process toward patient centered care
BUILDING AN ORGANIZATION BASED ON PATIENT CENTERED CARE
The Evidence Establishing the Framework-4 Dimensions Disease and illness experience Whole person- biopsychosocial perspective Sharing power and responsibility Therapeutic alliance
The Evidence Patient Outcomes Patient Outcomes at 26 Months in the Patient- Centered Medical Home National Demonstration Project. Joen, C., Ferrer, R., Miller, W., Palmer, R., Wood, R., Davila, M., Stewart, E., Crabtree, B., Nutting, P., & Stange, K. (2010). Annals of Family Medicine. 2010 Vol 8.
The Evidence Patient Perceptions Measuring Patients Perceptions of Patient- Centered Care: A systematic Review of Tools. Hudon, C., Fortin, M., Haggerty, J., Lambert, M., Poitras, M., (2011). Annals of Family Medicine.
The Evidence Trends Trends in Quality During Medical Home Transformation Solberg, L., Asche, S., Fontaine, P., Flottemesch, T., Anderson, L. Annals of Family Medicine.
The Evidence Trends Patient as Center of Health Care Universe: A closer look. Murphy, J. Nursing Economics, 2011, Vol 29, No. 1.
Patient Centered Care Simplified What patient wants What patient needs What patient prefers for their healthcare
Common Concepts in Patient Centered Care Involvement of family and friends in care Importance of education and shared knowledge Collaboration and management by team Sensitivity to nonmedical and spiritual needs Respect for preferences and needs of patients Open communication
KEY FACTORS IN ACHIEVING PATIENT CENTERED CARE… Role of leadership Strategic vision Role of staff Measurement Quality of the environment Supportive technology
PUTTING THE PATIENT FIRST Committed and engaged leaders to help transform organization Culture created by leadership Leaders as “change managers” Environment of : Mutual respect Responsibility Patient first All staff involved
STRATEGIC VISION Clearly delineated Communicated to all staff Clear mission statement Simple, concise
Honor America’s Veterans by providing exceptional health care that improves their health and well-being.
MEASUREMENT Patient surveys Complaints Post discharge phone calls All feedback
QUALITY OF ENVIRONMENT Is facility welcoming? Patient more important than technology Patient partnering in care Patient as individual Caregivers responsive to patient Acknowledge physical environment
IN CLOSING LEADERSHIP IS THE KEY TO PROVIDING PATIENT CENTERED CARE
REFERENCES Hughes, RG (ed.).(March, 2008). Patient safety and quality: An evidence- based handbook for nurses. (Prepared with support from the Robert Wood Johnson Foundation). AHRQ Publication No. 08-0043. Rockville, MD: Agency for Healthcare Research and Quality. Ponte, P., et. Al. The Power of Professional Nursing Practice-An Essential Element of Patients and Family Centered Care. Online Journal of Issues in Nursing. Accessed 2-9-12 at http://www.nursingworld. http://www.nursingWorld.org/MainMenu Categories/ANA Marketplace ANAPeriodicals/OJ.http://www.nursingworld http://www.nursingWorld.org/MainMenu Shaller, D., (October 2007). Patient Centered Care: What does it take? Commonwealth Fund pub. No. 1067.