Download presentation
Presentation is loading. Please wait.
1
Series Call #5 Engaging PFACs in the Improvement of Care Transitions
Massachusetts Patient and Family Advisory Councils Series Call #5 Engaging PFACs in the Improvement of Care Transitions September 17, 2010
2
Patient and Family Advisory Councils Coalition Goals
Support hospitals in establishing PFACs Support hospitals in moving from being “patient and family focused” to providing “patient and family centered care” Support hospitals in engaging their PFACs on the work to improve care transitions. Ma Coalition for the Prevention of Medical Errors Institute for Family Centered Care
3
Patient and Family Advisory Councils Audio Conference Series
Audio Conferences Offered to MA Hospitals Call #1 - July 21, 2009 Call #2 - September 18, 2009 Call #3 - March 9, 2010 Call #4 - June 15, 2010 Call #5 – September 17, 2010
4
Patient and Family Advisory Councils Care Transitions
Context Key Recommendation of State Strategic Plan on Transitions includes: Patient and Family Engagement :Using PFACs to improve care transitions Have an opportunity for Coalition and hospitals to work with PFACs in developing the framework that will help improve care transitions statewide. Looking for hospitals to ask for regular input on this topic from PFAC members.
5
Patient and Family Advisory Councils Care Transitions
Today - Comment from your experience How could hospitals use PFAC to improve care transitions? Make it a regular meeting agenda item? Have your PFAC comment on the strategy, process, and materials? Have you engaged your PFAC(s) in the discussion of transitions? What went well? What didn’t go well? Do you have recommendations from your PFAC? If you haven’t worked on this topic yet, would you be able to obtain member feedback at your next PFAC meeting? How could Coalition support hospitals in improving Care Transitions? We’ll compile what we hear today and share what is possible for a framework. Will incorporate what hospitals doing nationally. Other ideas?
6
Patient and Family Advisory Councils Care Transitions Team
The following health care organizations are participating in this effort MA Coalition for the Prevention of Medical Errors MA Department of Public Health Massachusetts Hospital Association BayState Medical Center Berkshire Hospital Cambridge Health Alliance Cape Cod Hospital Emerson Hospital Faulkner Hospital Jordan Hospital Kindred Northeast Rehabilitation Hospital Massachusetts Eye and Ear MetroWest Medical Center Mount Auburn Hospital New England Rehabilitation Hospital Northeast Health Systems Radius Health Shriners Children’s Hospital Shaughnessy Kaplan Rehabilitation Hospital UMASS Memorial Winchester Hospital
7
Patient and Family Advisory Councils Discussion Agenda
Are there hospitals focusing on improving the process of discharges and/or care transitions currently? What three things would help improve these processes? If you could make one change in this area, what would it be? Have hospitals engaged their PFAC Members in this discussion yet? Do you know what changes your patients and families would like to see made in this area? Would you be able to obtain member feedback on this process at your next PFAC meeting?
8
What Is the Ideal Discharge?
We asked families to describe the ideal discharge at a Family Advisory Council meeting Forty members divided into five groups of 8 people, mixture of families and staff Each group described the ideal discharge for a specific scenario (e.g. short illness, extended illness, out-of-town family, surgery with follow-up therapy, different family structures) We looked for common themes and key differences Follow-up survey, using Survey Monkey
9
Results - Themes Give information Plan ahead Be flexible
Clear and professional Timely Identify who to call Accommodate out-of-town families Plan ahead Start discharge planning at admission, including predictions of timing Arrange parent education before the day of discharge Be flexible Discharge needs may vary with age and independence Consider the logistics of care at home
10
Results - Quantitative
11
Results - Quantitative
12
Results - Quantitative
13
Results - Quantitative
14
Then what? Results presented to the Patient Flow team and to the Patient Care Committee Physicians responded as if our work was rocket science! Results informed the Patient Flow Team as they tested new discharge processes. In February the team reported no flow failures for the very first time.
15
New Process Features Nursing staff in each unit worked with the pharmacy to develop process to provide prescriptions in hand at discharge. New discharge model based on family input Daily goals posted in patient rooms Discharge process begins at admission Discharge predictions (8-12, 12-4, 4-8) posted in patient rooms and in charts Discharge coordinators
16
Sample Handout Developed by the Family Advisory Council
Currently being tested by a couple of inpatient units
17
Figure 1: Care Transitions Infrastructure
P U B L I C H E A L T
18
Patient and Family Advisory Councils Next Steps
Engaging Patients and Families in Improving Transition of Care: Local work of hospital to continue with PFAC Members engaged in the discussion of improving both Care Transitions and hospital discharges. Looking for hospitals to ask for regular input on this topic from PFAC members. Obtain support from hospitals to have Transitions be an on-going PFAC meeting agenda item. Have your PFAC comment on the strategy, process, and materials. MA Coalition will continue to support shared local learning among MA hospitals working with their PFACs on this topic Other Ideas??
19
Massachusetts Patient and Family Advisory Councils
Questions and/or Feedback? Effie Pappas Brickman Director, Patient and Family Advisory Councils
Similar presentations
![[Hospital Name | Presenter name and title | Date of presentation]](/19/5722524/big_thumb.jpg "[Hospital Name | Presenter name and title | Date of presentation]>")
