LEADERSHIP AND THE JOURNEY TO PATIENT CENTERED CARE Authors: Salena Wright-Brown, APN, MNSc. Debe Wright, MSN Ed., RN
Dec 13, 2015
LEADERSHIP AND THE JOURNEY TO PATIENT CENTERED CARE
Authors:Salena Wright-Brown, APN, MNSc.Debe Wright, MSN Ed., RN
OBJECTIVES
1. Define patient centered care and identify common concepts
2. Discuss how leadership impacts patient centered care
3. Identify key factors and Veterans Health Care System of the Ozarks’ process toward patient centered care
The Evidence
Establishing the Framework-4 Dimensions
Disease and illness experienceWhole person- biopsychosocial
perspectiveSharing power and responsibilityTherapeutic alliance
The Evidence
Patient Outcomes
Patient Outcomes at 26 Months in the Patient-Centered Medical Home National Demonstration Project.
Joen, C., Ferrer, R., Miller, W., Palmer, R., Wood, R., Davila, M., Stewart, E., Crabtree, B., Nutting, P., & Stange, K. (2010). Annals of Family
Medicine. 2010 Vol 8.
The Evidence
Patient Perceptions
Measuring Patients Perceptions of Patient-Centered Care: A systematic Review of Tools.
Hudon, C., Fortin, M., Haggerty, J., Lambert, M., Poitras, M., (2011). Annals of Family Medicine.
The Evidence
Trends
Trends in Quality During Medical Home Transformation
Solberg, L., Asche, S., Fontaine, P., Flottemesch, T., Anderson, L. Annals of Family Medicine.
The Evidence
Trends
Patient as Center of Health Care Universe: A closer look.
Murphy, J. Nursing Economics, 2011, Vol 29, No. 1.
Patient Centered CareWhat is it?
Patient Centered Care Simplified
What patient wantsWhat patient needsWhat patient prefers for their
healthcare
Common Concepts in Patient Centered Care
Involvement of family and friends in care
Importance of education and shared knowledge
Collaboration and management by team
Sensitivity to nonmedical and spiritual needs
Respect for preferences and needs of patients
Open communication
KEY FACTORS IN ACHIEVING PATIENT CENTERED CARE…
Role of leadership Strategic vision Role of staff Measurement Quality of the environment Supportive technology
PUTTING THE PATIENT FIRST
Committed and engaged leaders to help transform organization
Culture created by leadership Leaders as “change managers” Environment of :
Mutual respect Responsibility Patient first All staff involved
STRATEGIC VISION
Clearly delineated Communicated to all staff Clear mission statement
Simple, concise
Honor America’s Veterans by providing exceptional health care that improves their health and well-being.
STAFF
OUR MOST VALUABLE RESOURCE!
MEASUREMENT
Patient surveys Complaints Post discharge phone calls All feedback
QUALITY OF ENVIRONMENT
Is facility welcoming? Patient more important than
technology Patient partnering in care Patient as individual Caregivers responsive to patient Acknowledge physical environment
SUPPORTIVE TECHNOLOGY
Computer charting BCMA (Bar Code Medication
Administration) Facebook, Twitter myHealtheVet Telehealth Health Buddy
EES IT National Training & Education Office (NTEO)
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Access Records on myHealtheVet
IN CLOSING
LEADERSHIP IS THE KEY TO PROVIDING PATIENT CENTERED CARE
REFERENCES
Hughes, RG (ed.).(March, 2008). Patient safety and quality: An evidence-based handbook for nurses. (Prepared with support from the Robert Wood Johnson Foundation). AHRQ Publication No. 08-0043. Rockville, MD: Agency for Healthcare Research and Quality.
Ponte, P., et. Al. The Power of Professional Nursing Practice-An Essential Element of Patients and Family Centered Care. Online Journal of Issues in Nursing. Accessed 2-9-12 at http://www.nursingworld. http://www.nursingWorld.org/MainMenu Categories/ANA Marketplace ANAPeriodicals/OJ.
Shaller, D., (October 2007). Patient Centered Care: What does it take? Commonwealth Fund pub. No. 1067.