IHI Open School Person- and Family-Centered Care Courses

Overview

The relationship between patient and provider is changing. Many health care systems aim to provide not only high-quality services, but also patient-centered care that advances the unique health goals of each person and family. In this course, you’ll learn about the ideal relationship to promote health — especially for underserved people who face the greatest barriers to health — as well as some practical skills to make the relationship a reality.

In Lesson 1, you’ll learn about several models of patient-provider relationships, and we’ll introduce a new model: patient-provider partnerships. You’ll also hear from a patient about her experience with illness and treatment.

In Lesson 2, you’ll see how social conditions, trust in health care, and culture affect the patient-provider relationship.

In Lesson 3, you’ll learn several concrete skills any provider can use in clinical interactions with patients to foster such partnerships. You’ll also learn about new models of care that position patients at the center.

Estimated Time of Completion: 1 hour 30 minutes 

Lessons

• Lesson 1: Patient-Provider Partnerships for Health
• Lesson 2: Understanding Patients as People
• Lesson 3: Skills for Patient-Provider Partnerships

Course Objectives

After completing this course, you will be able to:

1. Describe the partnership model of patient-provider relationships.
2. Explain why the partnership model can improve health.
3. Discuss how social conditions, faith, culture, and trust affect the patient-provider relationship.
4. Identify at least four skills to improve clinical interactions with patients. 

Continuing Education

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.25 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

In support of improving patient care, the Institute for Healthcare Improvement is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the health care team.

The Institute for Healthcare Improvement designates this internet enduring activity for a maximum of 1.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The Institute for Healthcare Improvement designates this internet enduring activity for a maximum of 1.25 credits for nurses and pharmacists. This activity is approved to award 1.25 credits toward Certified Professional in Patient Safety (CPPS) recertification.

This program has been approved by the National Association for Healthcare Quality for a maximum of 1.25 CPHQ continuing education credits for this event.

As a Jointly Accredited Organization, the Institute for Healthcare Improvement is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. Regulatory boards are the final authority on courses accepted for continuing education credit. Social workers completing this course receive 1.5 general continuing education credits. 

Overview

What are the key attributes of patient- and family-centered care, and how can you bring them into health care? In this course, you’ll learn the four core concepts of patient-centered care as described by the Institute for Patient- and Family-Centered Care and how to apply them. You’ll also see how your health care system can involve patients in redesigning care.

Estimated Time of Completion: 1 hour 

Course Objectives

After completing this course, you will be able to:

1. Describe four dimensions of patient- and family-centered care.
2. Identify practices of health care providers that can promote patient- and family-centered care.
3. Discuss how health care systems can collaborate with patients and families on an institution-wide level.

Continuing Education

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

In support of improving patient care, the Institute for Healthcare Improvement is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the health care team.

The Institute for Healthcare Improvement designates this internet enduring activity for a maximum of 1 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The Institute for Healthcare Improvement designates this internet enduring activity for a maximum of 1 credits for nurses and pharmacists. This activity is approved to award 1 credits toward Certified Professional in Patient Safety (CPPS) recertification.

This program has been approved by the National Association for Healthcare Quality for a maximum of 1 CPHQ continuing education credits for this event.

As a Jointly Accredited Organization, the Institute for Healthcare Improvement is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. Regulatory boards are the final authority on courses accepted for continuing education credit. Social workers completing this course receive 1 general continuing education credits. 

Overview

Clinicians juggle many tasks all day long: assessing patients, making critical decisions, administering medications, documenting care, admitting and discharging patients, and much more. But when the clinician is able to embrace an aware, focused, and present state — that transcends the execution of tasks — that is practicing mindfulness. This course will show you how to incorporate mindfulness into your practice. You’ll learn how it can improve patient safety, quality of care, the patient experience, and joy in work in any health care setting.

This content was made possible through grant funding awarded to the primary author, Kate FitzPatrick, DNP, RN, ACNP, NEA-BC, FAAN, by the Robert Wood Johnson Foundation (Executive Nurse Fellowship Program, 2014 Cohort).

Estimated Time of Completion: 1 hour 

Course Objectives

After completing this course, you will be able to:

1. Describe the need for mindfulness practices in the health care setting, including how these practices relate to quality of care, patient safety, patient experience, and joy in work.
2. Explain the difference between informal and formal mindfulness practice.
3. List several examples of mindfulness exercises for the health care setting.
4. List four situations in health care when mindfulness is especially important.
5. Conduct a body scan.

Continuing Education

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

In support of improving patient care, the Institute for Healthcare Improvement is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the health care team.

The Institute for Healthcare Improvement designates this internet enduring activity for a maximum of 1 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The Institute for Healthcare Improvement designates this internet enduring activity for a maximum of 1 credits for nurses and pharmacists. This activity is approved to award 1 credits toward Certified Professional in Patient Safety (CPPS) recertification.

This program has been approved by the National Association for Healthcare Quality for a maximum of 1 CPHQ continuing education credits for this event.

As a Jointly Accredited Organization, the Institute for Healthcare Improvement is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. Regulatory boards are the final authority on courses accepted for continuing education credit. Social workers completing this course receive 1 general continuing education credits. 

Overview

How does the language we use to describe health conditions affect the way we treat patients? In this short course, you’ll learn to recognize substance use disorders (SUD) as a chronic disease — like diabetes — that can be prevented and treated. You’ll practice swapping stigmatizing phrases that frame SUD as a moral failing with language that emphasizes the person, rather than the condition, and emphasizes the possibility and power of recovery. 

Estimated Time of Completion: 30 minutes 

Course Objectives

After completing this course, you will be able to:

1. Define substance use disorder as a chronic disease rather than a moral failing.
2. Describe how you will use person-first, recovery-focused language to help destigmatize substance use disorders. 

Continuing Education

In support of improving patient care, the Institute for Healthcare Improvement is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the health care team.

The Institute for Healthcare Improvement designates this internet enduring activity for a maximum of .5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This activity is approved to award .5 credit(s) toward Certified Professional in Patient Safety (CPPS) recertification.

The Institute for Healthcare Improvement designates this internet enduring activity for a maximum of .5 credits for nurses and pharmacists.

Overview

In this one-lesson course, we’ll introduce you to patient and family shadowing, a valuable exercise for health professions students and health care professionals at any stage of their career. You’ll learn five steps for using shadowing to better empathize with patients and families. You’ll see how empathy can help you in your daily work, and how it can drive a sense of urgency to start testing and spreading changes to improve care.

Estimated Time of Completion: 30 minutes 

Course Objectives

After completing this course, you will be able to:

1. Define patient and family shadowing.
2. List five steps for conducting a successful shadowing project.
3. Describe how to interact with patients, families, and clinical staff involved in a shadowing project.
4. Discuss how you can use your shadowing experience to create a care experience flow map, observational summary, and final report.
5. Explain how shadowing can help you come up with ideas for changes to improve care.

Continuing Education

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to .5 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

In support of improving patient care, the Institute for Healthcare Improvement is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the health care team.

The Institute for Healthcare Improvement designates this internet enduring activity for a maximum of .5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The Institute for Healthcare Improvement designates this internet enduring activity for a maximum of .5 credits for nurses and pharmacists. This activity is approved to award .5 credits toward Certified Professional in Patient Safety (CPPS) recertification.

This program has been approved by the National Association for Healthcare Quality for a maximum of .5 CPHQ continuing education credits for this event.

Overview

In conjunction with the Boston University School of Medicine and The Conversation Project (an initiative of IHI), the IHI Open School offers this course to introduce students and health professionals to basic skills for having conversations with patients and their families about end-of-life care wishes. This course will also help you develop skills to have conversations with patients and their families about their preferences for care at the end of life. As part of developing these skills, the course invites you to “have the conversation” yourself, with a family member or other loved one.

In Lesson 1, we’ll talk about why it’s important to communicate with patients and families about their wishes regarding end-of-life care. People are dying for different reasons today than they were a century ago, but too often they aren’t dying where (or how) they’d like to.

Lesson 2 will guide you step by step through the delicate, but meaningful process of having the conversation about end-of-life care. We’ll show you a video of people who have had the conversation with their families, and we’ll introduce you to something called The Conversation Project.

In Lesson 3, we’re going to focus on practical skills for having the conversation with patients and their families about their wishes regarding end-of-life care; about how best to respond to questions they might ask you; and about difficult family situations and how to deal with them. We are focusing on talking about end-of-life care, but the truth is, these are skills that will help with all important conversations you have with patients and their loved ones.

Estimated Time of Completion: 1 hour 30 minutes 

Lessons

• Lesson 1: Conversation: An Essential Element of Good End-of-Life Care
• Lesson 2: The Conversation Begins with You
• Lesson 3: Understanding and Respecting Your Patients’ Wishes 

Course Objectives

After completing this course, you will be able to:

1. Conduct conversations with patients and families to learn their wishes for end-oflife care.
2. Explain available treatment options to patients and families in terms they can understand.
3. Demonstrate how to answer difficult questions related to end-of-life care.
4. Facilitate conversations with patients and families to help them make decisions about end-of-life care, based on an understanding of what matters most to them. 

Continuing Education

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.5 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

In support of improving patient care, the Institute for Healthcare Improvement is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the health care team.

The Institute for Healthcare Improvement designates this internet enduring activity for a maximum of 1.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The Institute for Healthcare Improvement designates this internet enduring activity for a maximum of 1.5 credits for nurses and pharmacists. This activity is approved to award 1.5 credits toward Certified Professional in Patient Safety (CPPS) recertification.

This program has been approved by the National Association for Healthcare Quality for a maximum of 1.5 CPHQ continuing education credits for this event.

As a Jointly Accredited Organization, the Institute for Healthcare Improvement is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. Regulatory boards are the final authority on courses accepted for continuing education credit. Social workers completing this course receive 1.5 general continuing education credits. 

Overview

The John A. Hartford Foundation and the Institute for Healthcare Improvement (IHI), in partnership with the American Hospital Association (AHA) and the Catholic Health Association of the United States (CHA), set a bold vision to build a social movement so that all care with older adults is age-friendly care. This means all older adults receive care that: follows an essential set of evidence-based practices; causes no harm; aligns with what matters to the older adult and their family caregivers Becoming an Age-Friendly Health System entails reliably providing a set of four evidence-based elements of high-quality care, known as the “4Ms,” to all older adults in your system. When implemented together, the 4Ms represent a broad shift by health systems to focus on the needs of older adults.

Lesson 1 will review the 4Ms Framework. Follow along with the Guide to Using the 4Ms in the Care of Older Adults to learn how to become an Age-Friendly Health System.

In Lesson 2, we will review a series of steps (a “recipe”) for integrating the 4Ms into your standard care: understand your current state; describe care consistent with the 4Ms; design or adapt your workflow; provide care; study your performance; improve and sustain care. In practice, you can approach steps two through six as a loop aligned with Plan-Do-StudyAct (PDSA) cycles.

Lesson 3 will review how to do this.

Estimated Time of Completion: 1 hour 15 minutes

Lessons

• Lesson 1: Overview of Age-Friendly Health Systems
• Lesson 2: Putting the 4Ms into Practice: A Recipe
• Lesson 3: Integrating the 4Ms into Care Using PDSA 

Course Objectives

After completing this course, you will be able to:

1. Define age-friendly care.
2. Describe the 4Ms framework, which presents four evidence-based elements of high-quality care for older adults.
3. Explain how you will assess the current state of the 4Ms in your health system and how to act on those findings to incorporate the 4Ms into routine care.
4. List six steps you will take to integrate the 4Ms into standard care for older adults.

Continuing Education

In support of improving patient care, the Institute for Healthcare Improvement is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the health care team.

The Institute for Healthcare Improvement designates this internet enduring activity for a maximum of 1.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The Institute for Healthcare Improvement designates this internet enduring activity for a maximum of 1.25 credits for nurses and pharmacists.

As a Jointly Accredited Organization, the Institute for Healthcare Improvement is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. Regulatory boards are the final authority on courses accepted for continuing education credit. Social workers completing this course receive 1.25 general continuing education credits.