A Patient-Centered Care Journey - Livestrong · •Decreased length of stay for patients •Decreased ED return visits •Fewer medication errors •Improved liability claims experience

Sharing Collective Knowledge:

Where Have We Been?

A Patient-Centered Care Journey

Presented by Randall Carter - Planetree, SVP [email protected] www.planetree.org

Where Have We Been?

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Through the Patients’ Eyes

*Based on 6,000+ focus groups with more than 50,000 patients, family members and professional caregivers across the care continuum over the past decade.

Top Concerns*

1. Absence of caring attitudes from providers

2. Dismissal / trivialization of the patient voice

3. Lack of information, continuity in care and

choice

4. Access to social support

Planetree Patient-Centered Care Components

Compassionate Human Interactions

Access to Meaningful Information

Support & Participation of Family,

Friends

Healing Environments

Healthy Communities

Support for body, mind & spirit

Arts and Entertainment

Spirituality

Caring Touch

Integrative Therapies

Healthy Food and Nutrition

• Respect for patients’ values, preferences and expressed needs

• Coordination and integration of care

• Information, communication and education

• Physical comfort

• Emotional support and alleviation of fear and anxiety

• Involvement of family and friends

• Transition and continuity

• Access to care

Picker Patient-Centered Principles

“…providing care that is respectful of and responsive to individual patient preferences,

needs, and values and ensuring that patient values guide all clinical decisions…”

“ ‘Patient-centeredness’ is a dimension of health care quality in its own right…its proper

incorporation into new health care designs will involve some radical, unfamiliar, and disruptive

shifts in control and power, out of the hands of those who give care and into the hands of those

who receive it.” – Donald Berwick, M.D.

An idea whose time has come

“The care of a disease may be entirely impersonal;

the care of the patient must be completely personal.”

Francis Peabody, M.D., Care of the Patient, JAMA 1927

It is harder to change the culture of a health care

organization than it is to build a new facility.

PHD

Health-Care Providers Want

Patients to Read Medical

Records, Spot Errors

The aim is to move patients and doctors into

a relationship of "shared accountability"

The Wall Street Journal, June 9, 2014

“The clinical picture is not just a photograph of a person in bed; it is an

impressionistic painting of the person surrounded by their home, their work,

their relations, their friends, their joys, their sorrows, hopes and fears.”

Dr. Francis Peabody

Patient Storyboards

“Why is the hospital not as humanely practical in aesthetic effect as it tries to be in physical support?”

- Frank Lloyd Wright

When asked to report clinical and operational benefits of following

a Patient-centered model, hospitals report:

• Increased patient satisfaction

• Increased staff retention

• Enhanced staff recruitment

• Decreased length of stay for patients

• Decreased ED return visits

• Fewer medication errors

• Improved liability claims experience

Frampton, S. and Charmel, P. (2009) Putting Patients First, Best Practices in Patient-Centered Care, 2nd Edition, San Francisco, Jossey-Bass Publishing

Rx For The ‘Blockbuster Drug’ Of Patient

Engagement - Susan Dentzer

Health Aff February 2013 32:202;

doi:10.1377/hlthaff.2013.0037

• Are less likely to require an emergency room visit or hospital stay

• Are more likely to adhere to treatment plans

• Adopt healthy behavior changes

• Are associated with better health outcomes

• Doctors believe 71% of patients with breast cancer

rate keeping their breast as top priority. The figure

reported by patients is just 7%.

• Once patients are informed about the risks of sexual

dysfunction after surgery for benign prostate disease,

40% fewer prefer surgery.

• Only 41% of Medicare patients believe that their

treatment reflected their preference for palliative

care over more aggressive interventions.

Patient-centered care

is not an isolated aim.

It’s a unifying one.

Randall Carter

Senior Vice President

[email protected]

www.planetree.org

541-965-1922

@RandallLCarter

Curating on the topic of PCC http://www.scoop.it/u/randall-carter

Thank You