1. BY Dr. Eisa Ali Johali JOHALI APCHER QUALITY MODEL A ssertive P atient C entred HE ’ R with Best Evidence Part of HEP Lectures

2. http://www.linkedin.com/groupItem?view=&gid=91190&type=member&item=82879191&commentID=61676430&goback=%2Egmr_91190%2Egn a_91190%2Egmr_91190&report%2Esuccess=8ULbKyXO6NDvmoK7o030UNOYGZKrvdhBhypZ_w8EpQrrQI http://www.linkedin.com/groupItem?view=&gid=91190&type=member&item=82879191&commentID=61676430&goback=%2Egmr_91190%2Egn a_91190%2Egmr_91190&report%2Esuccess=8ULbKyXO6NDvmoK7o030UNOYGZKrvdhBhypZ_w8EpQrrQI BBjkmxwkEOwBjLE28YyDIxcyEO7_TA_giuRN#commentID_6167640 Welcome Prof. Rami; Simply, my approach started with innovate health to encompasses more than 16 dimensions… Johali APCHER Quality Approach is an outcome of more than 25 years reflective experiential learning. APCHER is the abbreviation of its Principles “Assertive Patient Centred Health Education, plus ‘R’ the first letter of one of my lovely program that it is ‘Radiography’. APCHER in Arabic means a cheerfulness assurance\grantee of quality, I am ready and willing to assure optimum quality if you considered all the scientific background of my three integrated models, and follow my specific planning and development stages and steps: These Stages and Steps can be concise in: Assertive Empathetic – Feelings based communication, education and practice rather than aggressive; by which HEP carry the feelings, pains and problems of the patients. It is the first stage of HEP planning process by which HEP have to start from the output the patients and their quality of healthful life, the Best Evidences. Paitent Centred HEP ; Start from background; abilities, needs, interests,, to satisfaction, with self learning and caring, start by simple active participation and end with full independent learning, preventing, protecting, maintaining, growing, developing and assuring their quality of healthful life. (Johali Schematic Diagram - the Model) John WubbeJohn Wubbe very interested, but have to concentrate just now till 23 on University of Maastricht issues. Will reply after that for sure, kind regards John Wubbe.

3. APCHER Philosophy From more than 20 years experiences; I argue that "There is no perfect persons, societies without perfect education; There is no perfect education without perfect philosophy and theories for every components of education; Philosophy of education that not build in learning and learner needs, interests, demands... is not a perfect philosophy; My Perfect build on Japanese Philosophy the Crosby ZD". After meta critical thinking, I argue that the education we have to look for can be derived from “Readiness” the first principle of ‘Perception–Motivation’ theories. Therefore, its philosophical based on “Learning is Most effective when learners are Ready and Willing To Learn”. Its vision based on “There is no perfect Health & Health Care without Perfect Health Education and Promotion (HEP) “. Its mission is to “Achieve Ideal or ZD HEP to reach Ideal ZD Health”

4. Managerial HEPT Communicative Styles The Highest the Most Trusted Styles “Ethically – Humanity” the Highest Quality +VE ASSERTIVENESS (Confidence, Self assure, Be empathic – Other Feelings; Communicate & Educate without Attack..): Give patient freedom for direct expression of ideas, opinions ands desires. The intent of Assertive PT behavior is to communicate in an atmosphere of TRUST. It is “how to communicate straight without hurting others”. It focuses “On What we should Do rather than What we want others to Do”. The Assertive communicate message caries Feeling, Behavior and Effect ”: Example: I Feel Angry ( Feeling ), when you are not comply with medication ( Attitude/Behavior ) and/thus, I blame You ( Effect ) PASSIVE AGRESSIVENESS (Indirect Attack, non assertive): Indirect attack, who has the intent to attack, but is carried out in an indirect avoiding way. Passive behavior designed to avoid conflict at all cost; The Passive or non assertive do not say what they really think out of fear, that other may not agree. PT “ hides ” at corner or behind window of Pharmacy..The recipient/Receiver is often left Puzzle & Confused?! OFFENSEVE AGGRESSIVE ( Direct attacker; Not friendly, non peaceful/ not healthy ): Agg. People seek to “win” in conflict situation by dominating or intimidating (threatening) other. Offensive is the direct attack behavior by which PTs decide to hit out others using blame and putdown words. e g:“As usual you are being hopeless”. Aggressive/Offensive PT, the persons who promote their own interests or points of view indifferent way or hostile to the feeling, thoughts and needs of others. The Lowest the Less Trusted Styles “Ethically – Humanity” the Less Quality -ve Updated 9 Feb 2010Johali4

5. Reasoning APCHER HEPHAP “ HEHA\HEMLT\HEPT\HERT Quality APCHE’R based on the Assertive Style the FEELING of others the patients “HEP is the patient” this is the Ideal way to grantee quality In addition to ”HEP caries patients’ feelings”, It covers all related scientific concepts that we have learn with (e.g Carol Rogers father of Person Centred Psychotherapy”; Jean Piaget; Bloom; Dewey....etc) It is arranged “Highest to the Lowest” effect on the quality of human communication & education Its overall goal is Quality, the intent goal, the desire and the need for every person, patient and every community and nations. APCHE’R Quality Model consists of “Three Major Models”: Patient Centred HEP the P Self Awareness Assertive based HEP the Style Best Evidence HEP the scientific research & assessment Patients and any health education "Persons or customer the Centre of any HEMLT planning and activities. P's nature, characters, abilities, needs, interests, problems, risk factors and all the related information are the foundation "the Best Evidences" by which we promote, motivate and grantee its "Readiness and Willingness. By scientific research we collect these best evidences. All of these HE processes are done under "Assertiveness" concept by which MEP feels that he is the Patients carrying his sickness and healthful feelings. Updated 9 Feb 2010Johali5

6. Johali HEPAHP APCHER QUALITY the Model Updated 9 Feb 2010Johali6