Patient-Centered CareBy: Jessica Krohe Christine Smith Lara Blackstock

What is Patient-Centered Care?

Active involvement of the patient and the family where they are in full control of the decision-making towards all of the options for treatment

3 models that form the foundation of patient-centered care: The Commonwealth Dimensions The Institute of Family-Centered Care The Planetree model

The Commonwealth Dimensions

Respect for the patient’s values, preferences, and expressed needs

Coordination and integration of care Information, communication and education Physical comfort Emotional support Involvement of family and friends

Family-Centered Care Model Founded in 1992; reflects these core

concepts: Dignity and respect Information-sharing Participation Collaboration

The Planetree Model Founded in 1978; main focus is

spirituality and having an overall healing environment Integrates health partnerships Includes nurturing aspects of

nutrition Incorporates the arts for

healing purposes Incorporates massage and

human touch

What do patients want? To be treated like what they think or believe

matters To be a priority to their healthcare providers To be informed and have their providers

communicate with them in a way that they understand

To be cared for in an effective, timely manner

To be treated by competent staff

How can organizations achieve this goal of patient-centered care? Organizations must have:

Committed and engaged leadership Well-defined and clearly communicated

strategic vision Patient and family involvement Supportive work environment Measurement and feedback Quality environment Innovative technology

What does a good environment consist of? Safe and clean surroundings Patient privacy Engagement of all human senses Experience of the body, mind and

spirit Access to arts and entertainment Value of human beings over

technology

What difference does patient-centered care make? Higher overall patient satisfaction scores Lower costs per case Shorter average length of stay Reduction in adverse events and malpractice

claims Increased employee satisfaction

How is Patient-Centered Care measured? Hospital Consumer Assessment of

Healthcare Providers and Systems (HCAHPS)

National Quality Forum (NQF) National Regulatory Bodies Hospital-based/facility-based

surveys

Patient-Centered Care in Action CVS Caremark launches a patient care model called

“Pharmacy Advisor” that targets medication adherence by giving patients the ability to engage with a pharmacist one-on-one

Focuses on patients with diabetes, high blood pressure, high cholesterol, coronary artery disease and congestive heart failure.

Reports from the Pharmacy Advisor for diabetes showed that therapy initiation rates increased by 68% for the patients counseled by pharmacist at retail stores.

Medication adherence rates increased by 3.9% after pharmacist consultation.

Conclusion Patient-Centered Care is the new trend

in the healthcare field Patient/Provider partnerships have

shown to help improve the overall patient experience and health.

Patients feel as if their concerns are valid, which leads to better cooperation for therapy.

Questions?

Sources Charmel, P. A., & Frampton, S. B. (2008, March). Building the

Business Case for Patient-Centered Care. Healthcare Financial Management. Retrieved from http://planetree.org/wp-content/uploads/2012/01/HFM-business-case-for-Planetree.pdf

Epstein, MD, R. M., & Street Jr, PhD, R. L. (2011, March/April). The Values and Value of Patient-Centered Care. Annals of Family Medicine, 9(2), 100-103. doi:10.1370/afm.1239

Shaller, D. (2007). Patient-Centered Care: What Does It Take? The Commonwealth Fund. Retrieved from http://www.commonwealthfund.org/usr_doc/Shaller_patient-centeredcarewhatdoesittake_1067.pdf

Drenkard, Karen N. PhD, RN,NEA-BC, FAAN. (2013). American Association of Colleges of Nursing. Patient-Centered Care. Retrieved from http://www.aacn.nche.edu/qsen/workshop-details/new-orleans/KD-PCC.pdf

PR, N. (2013, June 20). CVS Caremark's Innovative Pharmacy Advisor® Program Highlighted in New National Report Released by IMS Institute for Healthcare Informatics. PR Newswire US.