Implementing The Leadership Theory in Geriatric Teams D. Garfinkel, M.D.,T. Sinai, J.Ben-Israel, M.D., The Shoham Geriatric Medical Center ISRAEL D. Garfinkel,

Slides:

Advertisements

Similar presentations

Lori Embleton, Program Director WRHA Palliative Care Program

Advertisements

30,000 ft South Carolina St. Francis Team STEPPS Kaiser Patient Safety University University of Aberdeen Fotocommunity.com.

MEDICAL HOME 1/2009 Mary Goldman, D.O., President of MAOFP.

Putting It All Together: Supporting Parents of Children with Special Health Care Needs in Advocacy Karen Tate, Family Consultant Karen M. Hudson, MSW The.

The Attitudes of Elderly Patients and their Relatives to being Boarded from Acute Medical Assessment at the Edinburgh Royal Infirmary. Amy Begg Staff.

Integrated Behavioral Health Care with Underserved Pts: The VCU PC Psychology Program Benjamin Lord, M.S. Virginia Commonwealth University.

A Workshop Facilitated by Glenda M. Payne, RN, MS, CNN ESRD Technical Advisor, CMS Regions 4 & 6 Dallas, TX.

A Day in the Life of Adult Protective Services Prepared by County Welfare Directors Association of California,

MetaStar Hospital Payment Monitoring Program (HPMP) Project Kick Off with Hospital Participants Reduction of Unnecessary One-Day Stays Through Use of.

Care Coordination Program for Heart Failure Susan Levine RN Director Clinical Resource Management Carolyn Timmons BSN,RN Lead Clinical Care Coordinator.

1 III Biannual International Conference on the Future of Primary Care in Europe Patients’ rights thruogh their eyes in public health institutions in Serbia.

Comparing Job Demands, Coping Resources and Well-being Across Different Health Care Providers Working Together Jane B Lemaire MD, Jean E Wallace PhD, Janet.

Studying treatment of suicidal ideation & attempts: Designs, Statistical Analysis, and Methodological Considerations Jill M. Harkavy-Friedman, Ph.D.

Interdisciplinary Pain Team Training Program Michael E. Clark, PhD Candon Norton, PsyD Chronic Pain Rehabilitation Program Tampa Veterans’ Hospital

Principles of medical ethics Lecture (4) Dr. rawhia Dogham.

Training Module 2: Respondent Eligibility Criteria.

Karen Scott Collins, MD, MPH July Public Benefit Corporation Governing:  11 Acute Care Facilities  Four Long Term Care Facilities  Six Diagnostic.

TransforMED Lessons from the National Demonstration Project Lori Heim MD FAAFP.

Creating a service Idea. Creating a service Networking / consultation Identify the need Find funding Create a project plan Business Plan.

Memorial Hermann Healthcare System Clinical Integration & Disease Management Dan Wolterman April 15, 2010.

Therapeutic Education: Cancer Patients on chemotherapy: Shamim Akhter QURESHI MBBS,MPH, Ingénieur d’étude(EHESP) 2 nd June 2012 June 2010.

Guide to Patient & Family Engagement Insert hospital logo here Become a Patient and Family Advisor: Information Session [Hospital Name | Presenter name.

ADAPT serving geriatric populations in rural communities. Project ADAPT Assessing Depression and Proactive Treatment The Minnesota Area Geriatric Education.

CONCLUSION The Quality Improvement Forum was successfully initiated and has implemented a number of QIPs. An audit of each QIP will be performed to determine.

Barriers to Conducting a Public Forum for urinary incontinence I Gruenwald The National Center for Continence and the Neuro Urology Unit Rambam Medical.

Psychological Aspects Of Care To Patients With Chronic Diseases In Different Age.

Treating Chronic Pain in Adolescents Amanda Bye, PsyD, Behavioral Medicine Specialist Collaborative Family Healthcare Association 15 th Annual Conference.

The Christ Hospital Inpatient Palliative Care Consult Service Easing the Burden of Serious Illness.

LATE ADULTHOOD Growing old is not just about adding years to life, but also adding life to years.

The Institute for Post-Acute and Senior Care Kyle Allen, D.O. Medical Director, Post Acute & Senior Services, Summa Health System Chief, Division of Geriatric.

Provide the right care for each patient at the right time in the right care setting Transitions in Care: Caring for our Patients Connecting our Partners.

LECTURE 4 LATE ADULTHOOD 1. OUTLINE 1) Issues of Late Adulthood Development 2) Developmental Task 2.

Effectiveness and Cost of a Transitional Care Program for Heart Failure Arch Intern Med. 2011;171(14): September 11, 2012 Brett Stauffer MD MHS.

Quality Healthcare Includes You! Volunteer Opportunities at University Medical Center.

Engaging Staff in Lean Facility Design

GERIATRIC EDUCATION SERIES Presented in partnership by Funded in part by a grant from the EJC Foundation.

TLCTLC TLCTLC LTCLTC LTCLTC Delaware Valley Geriatric Education Center When Wrong Things Happen with Medications: Risk and Prevention by Donna Miller,

MEWS Tool Code Sepsis Team and Rapid Response Committee

PREVENTION OF READMISSIONS By Michael Burns Widener University.

Kaiser Permanente NORTHERN CALIFORNIA REGION Labor Management Partnership Bilingual Employee Program HCIN Conference July 16, 2009.

Medical Ethics  A set of guidelines concerned with questions of right & wrong, of duty & obligation, of moral responsibility.  Ethical dilemma is a.

A Multidisciplinary Leadership Model in a Community Health Center Greg Thesing, MD November 2014.

Henry M. Sondheimer, MD Association of American Medical Colleges 7 August 2013 A Common Taxonomy of Competency Domains for the Health Professions and Competencies.

Acute medical care – supporting the acute take Dr Andrew Goddard Registrar Royal College of Physicians.

Funded in part by a grant from the EJC Foundation Presented in partnership by GERIATRIC EDUCATION SERIES.

prof elham aljammas APRIL2017

MULTI DISPLINARY CARE.. . PATIENT PHYSICIANNURSESOTHERSDIETITIANPHYSIOTHERAPIST.

Oncology Grand Rounds “Targetting the Undruggable: Past Attempts

ACT Northwest Benton, Washington, Madison Counties

THE AMAZING RACE TO UNIT EXCELLENCE: Developing Professional Practice Behaviors to Impact Patient.

Opioid Management in Primary Care Michael Parchman, MD, MPH

Dr Mohamed Ouda MRCGP 1-Reason for choice of audit 3-Standards set

Research Questions Does integration of behavioral health and primary care services, compared to simple co-location, improve patient-centered outcomes in.

Community Focused Palliative Care in Bala

CTC Clinical Strategy and Cost Committee

Medical Students as Teachers in Extended Care (MedTEC): Development of an interdisciplinary teaching program for medical students Amanda Lathia, MD, MPhil.

MacColl Center for Health Care Innovation

Understanding Psychological Care on a Stroke Rehabilitation Unit

Chapter 12 Health Facility Settings

RISK STRATIFICATION TOOL

PSYCH 628 Enthusiastic Studysnaptutorial.com

Finding True Measures for Chaplaincy Outcomes.

Transforming the Patient Care Experience

LARK DUPONT,MSN,RN,CIC.

Margret Skuladottir, MD, Malmö SAH

Population-Specific Staff

Principal recommendations

Roles of the Mental Health Team:

Presentation transcript:

Implementing The Leadership Theory in Geriatric Teams D. Garfinkel, M.D.,T. Sinai, J.Ben-Israel, M.D., The Shoham Geriatric Medical Center ISRAEL D. Garfinkel, M.D.,T. Sinai, J.Ben-Israel, M.D., The Shoham Geriatric Medical Center ISRAEL For Treating a Patients with Severe Disfiguration

Leadership Theory (Bass 1982) Widely used in industrial organizations, much less in medical settingsWidely used in industrial organizations, much less in medical settings Main Concepts: 1. Group Empowerment 1. Group Empowerment 2. Reframing 2. Reframing 3. Leadership Modeling (personal example) 3. Leadership Modeling (personal example)

The Patient A 62 year old man with Squamous Cell Carcinoma (SCC) - a malignant skin cancer. The SCC was Neglected so that large parts of the face were destroyed resulting in Severe Disfiguration. Admited after Suicide Attempt Moderate- Severe Congestive Heart Failure Chronic Anemia (Serum Hemoglobin 4.5 g/dL)

The Task Preparing a Multi-Disciplinary Team for a deviate procedure  Preparing a Multi-Disciplinary Team for a deviate procedure  Overcoming Total Refusal of the Staff to Treat a Patient  Leading a Group Process in the Ward

METHODS - The Process  Twelve 3 hour sessions with all staff members with all staff members  Led by the Chief Physician & Headnurse, Monitored by the Consultant (Psychologist)  According to the principles & concepts of Leadership Theory (Group Empowerment, Reframing, Leadership Modeling )  12 sessions - 8 before, 4 after the patient’s admittance

The staff filled in Questionnaires at 5 Crucial points during the process  The staff filled in Questionnaires at 5 Crucial points during the process Parameters Parameters  A. Self esteem  B. Image of hospital  C. Image of patient  D. Job ranking  Factor analyses & multiple regression METHODS - QUESTIONNAIRE

Results  19 staff members participated in the process for 6 months  A linear positive correlation between time and all 4 factors  Positive ranking of the process was at its highest level 4 months after conclusion  19 staff members participated in the process for 6 months  A linear positive correlation between time and all 4 factors  Positive ranking of the process was at its highest level 4 months after conclusion

Results The most significant finding – 65 % of staff members changed position towards the patient - from complete refusal of all contact with the patient initially, to regarding him as “family” or “friend” 4 months later. The most significant finding – 65 % of staff members changed position towards the patient - from complete refusal of all contact with the patient initially, to regarding him as “family” or “friend” 4 months later.

Conclusions Leadership theory models may serve as effective tools for preparing multidisciplinary teams in long-term care facilities, to cope with difficult patients.  Leadership theory models may serve as effective tools for preparing multidisciplinary teams in long-term care facilities, to cope with difficult patients.  Through a group process, team members can significantly improve their attitude towards “difficult to treat” patient, while contributing to increase their own self esteem, job ranking and image of their institute.