a patient-centered care journey - livestrong · •decreased length of stay for patients...
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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
www.planetree.org
541-965-1922
@RandallLCarter
Curating on the topic of PCC http://www.scoop.it/u/randall-carter
Thank You