Debi Temple, Bella Pepito, Carolina Puig, & Jeff Norris

• Founded by a patient named Angelica Thieriot in 1978.

• Planetree: a non-profit organization that promotes patient centered care.

• Mission- facilitates efforts to provide patient-centered care in healing environments

Studies show care & kindness are important in healing

Focus is on personalized care

Cognizance and acknowledgement of own vulnerabilities

Listening to patient’s concerns and fears

Development of health resources centers

Customized patient information packets

Bedside collaborative care conferences

Patient guides/navigators

Open medical chart policies

Family has a great impact on healing

Patients want their families included & involved in decisions

Illness affects the whole family

Strategies for family involvement- unrestricted visitation, family spaces, care partner programs, collaborative conferences

• Healing environment through good (hotel quality) food

• Smell of baked good/popcorn on floor daily

• On-floor dietary.• 24 hour a la carte meal

service• International menus

• Human well being includes more than good physical health

• Interfaith chapel, sanctuary, meditation space

• Blessing of the Hands ritual• White Rose Program

• CAM (Complementary and Alternative Medicine)

• Chiropractic, traditional Chinese medicine, homeopathy, accupuncture

• P.A.W.S. program• Coronado Hosp. in

California requiring licensed team members to be trained in healing touch, clinical aromatherapy and massage.

To alleviate physical discomfort and emotional distress

Waterscapes, landscapes, flower/gardens, figurative art

Painting, storytelling, humorous movies and clowns

Music Thanatology

Incorporates all 5 senses into healing

Inclusion of natural elements throughout

Reduce noise and light pollution

Empower patients with control of

environment

Healing design works for staff as well

Core concept of Planetree added in 2002Focus

Health and Community5 Determinants of Health

Biological, social, intellectual, environmental and spiritual

Community factorsInterest, values, age, shared event, circumstance

Behavioral health setting

Continuing care environment

Expansive Integrated Healthcare

System

“We have moved past the question of whether providers should partner with patients and families on quality and safety: the question now is how?” (Johnson, etal, 2008). Focus areas:

Human interactions and communicationPatient education and access to information Involvement of family and friendsNutritionCommunity partnershipsStructures and processes that support patient involvementPatient-centered care when things go wrong

Reduced length of stayReduced cost per caseImproved patient satisfaction

scoresImproved outcomesReduced Litigation

Role of public policy is voice of patientA journey toward outcomesPriorities involving the continuum of careFocus on performance measurementShift to bundled reimbursement for total care

Change-averse industryFlavor of the month

improvement processFear of increased time

and costParadigm shift in

provider attitudesHow to overcome

barriers