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Delivering Great Care: Engaging Patients and Families as Partners
From a distance, it looks like health care has always been patient-centered. After all, the focus is on healing the patient. But up close, the view is very different, as anyone who has ever received or delivered care knows.
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Unifying a Community Around Simplifying Care Processes
Two powerful innovations are helping patients and providers work together effectively and efficiently in Whatcom County, Washington: the Shared Care Plan and Clinical Care Specialists. Whatcom County’s Community Health Improvement Consortium is focused on improving safety and efficiency, reducing costs, and eliminating barriers across the entire system of care.
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At Memorial Hermann Hospital, Family Members are Included in Rounds
At Memorial Hermann Hospital (Houston, Texas, USA) patient-centeredness takes many forms. For example, family members are now included in rounds on the Shock Trauma ICU. This new model not only provides families with the most complete and current information about their patient, but also saves physicians time.
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HealthPartners Medical Group Where Patients Are at the Center of “Prepared Practice Teams”
Patients are increasingly working in partnership with their health care providers, no longer simply the passive recipients of care. But it takes planning for this new model of provider-patient interaction to be effective, and HealthPartners Medical Group (Minneapolis, Minnesota, USA) has replaced the reactive, visit-by-visit form of care with the HealthPartners Planned Care Model.
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Prairie Lakes Hospital Where Nurses Are Responsible for “The Whole Patient”
At Prairie Lakes Hospital (Watertown, South Dakota, USA), part of the Transforming Care at the Bedside initiative and a member of IHI’s IMPACT network, staff members keep on top of patients’ needs without being on top of patients.
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Pursuing Perfection: Report from Whatcom County, Washington on Patient-Centered Care
When the Community Health Improvement Consortium (CHIC) of Whatcom County received the Pursuing Perfection grant, they started to focus on one of the IOM aims — patient-centered care.
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Pursuing Perfection: Report from Cincinnati Children’s on Improving Family-Centered Care for Cystic Fibrosis Patients
The Cystic Fibrosis Center at Cincinnati Children’s Hospital Medical Center (Cincinnati, Ohio, USA) wanted better results for its patients. But leaders didn’t want to just improve outcomes; they wanted to increase collaboration among providers, patients, and families, enabling all partners to be equally vital team members working together toward common goals.
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Don Berwick's Challenge: Eliminate Restrictions on Visiting Hours in the Intensive Care Unit
I would like to make a rather bold suggestion regarding "visiting hours" in critical care units. After several years of work in the IOM "Chasm" report context, ongoing instruction from Susan Edgman-Levitan and other true experts in authentic "patient-centeredness," many exchanges with scholars in service industries, and study of leading-edge redesign efforts like Planetree, I have come to believe strongly that visiting restrictions of any type in intensive care units are relics, which will be proven to be unnecessary, and potentially even harmful to the trajectory of healing, communication, and patient safety.
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Across the Chasm Aim #3: Health Care Must Be Patient-Centered
Providing health care that focuses on the patient’s needs and respects the patient’s values is one of the chief aims outlined in the Institute of Medicine’s report, Crossing the Quality Chasm: A New Health System for the 21st Century.
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Improvement Report: Maintaining the "Care Connection" in a Statewide HIV Program
The Christiana Care Health Services HIV Program (Wilmington, Delaware, USA) has developed a multi-disciplinary, patient-centered approach to HIV care delivery that has improved patient retention and maintained the "care connection" between patients and their providers resulting in decreased lost to follow-up, increased numbers of patients on appropriate therapy, and decreased mortality rates.
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