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Authors: Salena Wright-Brown, APN, MNSc. Debe Wright, MSN Ed., RN.

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Presentation on theme: "Authors: Salena Wright-Brown, APN, MNSc. Debe Wright, MSN Ed., RN."— Presentation transcript:

1 Authors: Salena Wright-Brown, APN, MNSc. Debe Wright, MSN Ed., RN

2 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


4 The Evidence Establishing the Framework-4 Dimensions Disease and illness experience Whole person- biopsychosocial perspective Sharing power and responsibility Therapeutic alliance

5 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.

6 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.

7 The Evidence Trends Trends in Quality During Medical Home Transformation Solberg, L., Asche, S., Fontaine, P., Flottemesch, T., Anderson, L. Annals of Family Medicine.

8 The Evidence Trends Patient as Center of Health Care Universe: A closer look. Murphy, J. Nursing Economics, 2011, Vol 29, No. 1.

9 Patient Centered Care What is it?

10 Patient Centered Care Simplified What patient wants What patient needs What patient prefers for their healthcare

11 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

12 KEY FACTORS IN ACHIEVING PATIENT CENTERED CARE…  Role of leadership  Strategic vision  Role of staff  Measurement  Quality of the environment  Supportive technology

13 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

14 STRATEGIC VISION  Clearly delineated  Communicated to all staff  Clear mission statement  Simple, concise

15 Honor America’s Veterans by providing exceptional health care that improves their health and well-being.


17 MEASUREMENT  Patient surveys  Complaints  Post discharge phone calls  All feedback

18 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

19 SUPPORTIVE TECHNOLOGY  Computer charting  BCMA (Bar Code Medication Administration)  Facebook, Twitter  myHealtheVet  Telehealth  Health Buddy


21 EES IT National Training & Education Office (NTEO) 21

22 Access Records on myHealtheVet


24 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. Categories/ANA Marketplace ANAPeriodicals/OJ.http://www.nursingworld  Shaller, D., (October 2007). Patient Centered Care: What does it take? Commonwealth Fund pub. No. 1067.

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