1. Person-Centered Care THE Organizing Principle for Healthcare Milt Hammerly, MD

2. IOM Principles - STEEEP Safe Timely Effective Efficient Equitable Patient-Centered

3. patient n. 1.One who, or that which, is passively affected; a passive recipient. Malice is a passion so impetuous and precipitate that often involves the agent and the patient. --Gov. of Tongue. 2.A person under medical or surgical treatment; -- correlative to physician or nurse. Like a physician,... seeing his patient in a pestilent fever. --Sir P. Sidney. In patient, a patient who receives lodging and food, as treatment, in a hospital or an infirmary. Out patient, one who receives advice and medicine, or treatment, from an infirmary. Source: Webster's Revised Unabridged Dictionary, © 1996, 1998 MICRA, Inc. In patient Out patient Source

4. patient adjective Synonyms: accommodating, calm, composed, easy-going, enduring, even- tempered, forbearing, forgiving, gentle, imperturbable, indulgent, lenient, long-suffering, meek, mild, mild-tempered, persevering, persistent, philosophic, philosophical, quiet, resigned, self-possessed, serene, stoical, submissive, tolerant, tranquil, uncomplaining, understanding, unruffled, untiring noun Synonyms: case, convalescent, emergency, inmate, invalid, outpatient, shut-in, sick person, subject, sufferer, victim Source:Source: Roget's New Millennium™ Thesaurus, First Edition (v 1.0.5) Copyright © 2004 by Lexico Publishing Group, LLC. All rights reserved.

5. per·son n. A living human. The composite of characteristics that make up an individual personality; the self. The living body of a human. Physique and general appearance. SourceSource: The American Heritage® Stedman's Medical Dictionary Copyright © 2002, 2001, 1995 by Houghton Mifflin Company. Published by Houghton Mifflin Company. Person Noun Synonyms: being, bird, body, cat, chap, character, dude, fellow, guy, human, identity, individual, individuality, joker, lad, life, living soul, man, mortal, party, personage, personality, self, somebody, soul, specimen, spirit Source:Source: Roget's New Millennium™ Thesaurus, First Edition (v 1.0.5) Copyright © 2004 by Lexico Publishing Group, LLC. All rights reserved.

6. (Person-Centered) Integrative Healthcare Safety Science

7. Unifying Taxonomy (based on presumed mechanisms of action) Comprehensive Personalized Collaborative in scope by design of necessity Patient triage (risk-stratification) Contextually ranked evidence (Person-Centered) Integrative Healthcare BiochemicalStructuralMovementEnvironmentMind-BodyEnergy PharmacySurgery CAM Biochemical CAM Structural Less Aggressive More Aggressive Less Risky More Risky Less Costly More Costly Less Passive More Passive

8. Potential Mechanisms of Interactions (good or bad) Pharmacokinetic (A.U.C.)  Absorption –Binding –Permeability Brush border transport Circulation –Precipitation –Transit time  Metabolism-½ life –Liver P-450 system –Renal –Other tissues Metabolite modulation Pharmacodynamic Receptor site competition Additive therapeutic effect –Same mechanism/active ingredient –Other mechanism/active ingredient Reduced therapeutic effect –Opposite mechanism –Other mechanism Additive toxicity –Same mechanism/active ingredient –Other mechanism/active ingredient Reduced toxicity –Repletion/depletion –Altered physiology/other

9. When did it become illicit to elicit … … the mind-body response? “A mind is a terrible thing to waste.” (UNCF)

10. Medical Care Mind-body Medicine Self- Care Healthcare (per Dr. Herbert Benson)

11. Professional Care Coaching Self- Care Healthcare What supports the stool? What the stool supports... Disintermediate whenever possible Empower however possible If needed

12. Professional Care Coaching Self- Care Healthcare What supports the stool? What the stool supports...… a person! Solid Ground Collaborative Coalition (stakeholders to include: employers, insurers, policymakers, providers, NGOs, manufacturers, vendors, etc.)

13. Person Products Payers Purchasers Providers Policy (Products can include foods, programs, info, decision support tools, etc.)

14. Person Products Payers Purchasers Providers Policy Actualization is the capstone

15. Maslow’s Hierarchy Person-centered care strives to meet all of a person’s needs. Body Mind Spirit