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

BUILDING AN ORGANIZATION BASED ON 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)

21

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.