1. What’s Next? Advancing Healthcare from Provider-Centered to Patient- Centered to Family-Centered Kaitlin Leckie, MS Medical Family Therapy Fellow St Mary’s Family Medicine Residency Keith Dickerson, MD Faculty Physician St. Mary’s Family Medicine Residency Randall Reitz, PhD Director of Behavioral Sciences St. Mary’s Family Medicine Residency Peter Fifield, MA Behavioral Health Services Manager Families First Health and Support Center Collaborative Family Healthcare Association 16 th Annual Conference October 16-18, 2014 Washington, DC U.S.A. Session A4a October 18, 2014

2. Faculty Disclosure We have not had any relevant financial relationships during the past 12 months.

3. Learning Objectives At the conclusion of this session, the participant will be able to: Compare the increasingly complex levels of Engel’s biopsychosocial model with the evolution of healthcare, and explore the implications for advancing healthcare to the next level: family-centered care. Critically analyze provider- and patient- centered approaches and justify the need for family-centered practice Explore the potential for improved patient experience and population health through the presenters’ proposed model of family-centered care Examine practical applications of the model to care planning, care coordinating, and health information technology.

4. References Aschbrenner, K., Bartels, S., Mueser, K., Carpenter-Song, E., & Kinnney, A. (2012). Consumer perspectives on involving family and significant others in a healthy lifestyle intervention. Health & Social Work, 37(4), 207- 215. Campbell, T. L., (2003). The effectiveness of family interventions for physical disorders. Journal of Marital and Family Therapy, 29, 263–281. Campbell, T. L., & Patterson, J. M. (1995). The effectiveness of family interventions in the treatment of physical illness. Journal of Marital and Family Therapy, 21(4), 545–583. doi:10.1111/j.1752-0606.1995.tb00178.x Council, L., Geffken, D., Valeras, A., Orzano, A., Rechisky, A., & Anderson, S. (2012). A medical home: Changing the way patients and teams relate through patient-centered care plans. Families, Systems, & Health, 30(3), 190-198. doi:10.1037/a0029832 Dickinson W. P. (2011). Is there room for the family in our medical home? Family Medicine. 43(3): 207-9. DiGioia, A., Fann, M., Lou, F., & Greenhouse, P. (2013). Integrating patient- and family-centered care with health policy: four proposed policy approaches. Quality Management in Health Care, 22(2), 137-145. doi:10.1097/QMH.0b013e31828bc2ee Dunst, C. J., & Trivette, C. M. (2009). Meta-analytic structural equation modeling of the influences of family- centered care on parent and child psychological health. International Journal of Pediatrics. 2009, 1-9. doi:10.1155/2009/576840 Fox, M. A., Hodgson, J. L., & Lamson, A. L. (2012). Integration: Opportunities and challenges for family therapists in primary care. Contemporary Family Therapy: An International Journal, 34(2), 228-243. doi:10.1007/s10591-012-9189-3 McDaniel, S.H, Doherty W.J., & Hepworth, J. (2014). Medical family therapy and integrated care, 2 nd ed. Washington DC: American Psychological Association Publications. Wolff, J. L. (2012). Family matters in health care delivery. Journal of the American Medical Association, 308(15), 1529-1530.

5. Learning Assessment A learning assessment is required for CE credit. A question and answer period will be conducted at the end of this presentation.

6. Distant History of Medicine

10. Family Activated Care Team care planning project

11. Survey of best practices in family-centered care

12. Clinical Settings

13. In day-to-day operations, how central to healthcare are families and relationships...

14. Families and Health Survey Mission and Leadership Training H.I.T. Financial Family Continuity Golden Circle Why? How? What? Three-World View Health Financial Operational Clinical

15. Session Evaluation Please complete and return the evaluation form to the classroom monitor before leaving this session. Thank you!