Disclosure

1. LSU SCHOOL OF Medicine-New Orleans Disclosure I, Sarah Moody-Thomas, PhD, have no relationships with commercial interests to disclose. A commercial interest is any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients.

2. Patient & Family Centered Care Initiative Report of the CCC Sub-Committee on Patient Education January 24, 2012

3. Patient & Family-Centered Care Institute of Medicine: Care that is respectful of and responsive to individual patient preferences, needs and values, and ensuring that patient values guide all clinical decisions. Planetree and the IPFCC An approach to the planning, delivery and evaluation of care grounded in mutually beneficial partnerships among providers, patients and families. It redefines relationships in health care.

4. Patient & Family-Centered Care • Transforms healthcare into a participatory process • Requires teamwork and participation at all levels of the organization

5. CCC Patient Education Sub- Committee • Lynn Besch • Jay Besse • John Couk • Jane Herwehe • Sarah Moody Thomas • Kathy Viator

6. Creating a Culture ofPatient & Family-Centered Care • Recap • Spring 2010 - Dr. Kaiser introduced • Winter 2011 - Presentation by Christine Bechtel, Planetree Approach • Fall 2011 - Jane Herwehe presented at site visits • Reviewed basic tenants of PFCC • Announced system-wide assessment • Encouraged sites to start discussions, pilots

7. Creating a Culture of Patient-Centered Care • Methods • Administered Planetree Assessment • Resource for PCC improvement • Distributed – Fall 2011 • Participants – groups at each facility completed the self-assessment tool to rate performance in 11 categories • Identify priorities

8. Self-Assessment ToolN=7 HCSD Facilities • Setting the Stage, Strengthening the Foundation • Communicating Effectively with Patients and Families • Personalization of Care • Continuity of Care • Access to Information • Family Involvement • Environment of Care • Spirituality • Integrative Medicine • Caring for the Community • Care for the Caregiver

9. Creating a Culture of Patient-Centered Care • 7 facilities calculated their organization’s performance in 11 categories – 70 total questions • Prioritized implementation of initiatives • Sites differed • Some overlap

10. Creating a Culture of Patient-Centered Care • Analyses • Multi-method approach • Planetree scale - % sites responding • Context and Solutions Ranking

13. Creating a Culture ofPatient-Centered Care • Methods • Context and Solutions Ranking • Survey items combined into a table to determine 16 – B – A; 2 – I – A; 1 – O -A

15. Creating a Culture ofPatient-Centered Care • PICK Chart • Developed by Lockheed Martin • Organizing and categorizing process improvement ideas • When faced with multiple ideas • Determine most useful

16. Creating a Culture ofPatient-Centered Care • PICK Chart • 4 categories; 2x2 matrix • Horizontal: scale of payoff • Vertical: ease of implementation

17. Creating a Culture ofPatient-Centered Care • PICK Chart Michael L. George (2006). Learn Six Sigma for Services. Seoul: McGraw Hill Korea.

18. Creating a Culture ofPatient-Centered Care • Priority project emerged • Re-examine Self-Assessment Data

21. Creating a Culture ofPatient Centered Care • Recommendation Hospital-Family Advising Board (H-FAB) • To address multiple areas requiring patient input and feedback • Standardized purpose and format

22. Hospital-Family Advising Boards (H-FABs) • Mission: “Creating a patient-centered care environment that promotes healthy lives through health care delivery.” • Patient and family participation • Input in strategic directions of organization • Share experiences

23. … more to come Thank you!

24. References • Thille, P.H. and Russell G.M. (2010). Giving patients responsibility or fostering mutual response-ability: Family physicians’ constructions of effective chronic illness management. Qualitative Health Research, 20(10), 1343-1352. • The Joint Commission (2010). Advancing effective communication, cultural competence, and patient- and family-centered care: A roadmap for hospitals. Oakbrook Terrace: The Joint Commission. • Laird-Fick, H., Solomon, D., Jodoin, C., Dwamena, F.C., Alexander, K., Rawsthorne, L., Banker, T…Smith, R.C. (2011). Training residents and nurses to work as a patient-centered care team on a medical ward. Patient Education and Counseling, 84, 90-97. • Bann, C.M., Sirois, F.M., Walsh, E.G. (2010). Provider support in complementary and alternative medicine: Exploring the role of patient empowerment. Journal of Alternative and Complementary Medicine, 16(7), 1-8.

25. References • Jacob, J. (2010). Voice of the patient: The essence of patient-centered care. Critical Care Nursing, 22, 227-232. • Evardsson, D. & Innes, A. (2010). Measuring person-centered care: A critical comparative review of published tools. The Gerontologist. Retrieved from http://gerontologist.oxfordjournals.org/content/early/2010/06/21/geront.gnq047.full.pdf+html • Reynolds, A. (2009). Patient-centered care. Radiologic Technology, 81(2), 133-147. • Institute for Family-Centered Care. (2008). Partnering with patients and families to design a patient- and family-centered health care system. Cambridge: Author.