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Carolyn Ells - One of the best experts on this subject based on the ideXlab platform.
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Defining elements of Patient-Centered Care for therapeutic relationships: a literature review of common themes
European Journal for Person Centered Healthcare, 2017Co-Authors: Stephen Clarke, Carolyn Ells, Brett D. Thombs, David ClarkeAbstract:Rationale and aims: Patient-Centered Care is a recognized clinical method and ideal for patient - health professional relationships. Many definitions have influenced its evolution. For this research, our aim was: (1) to assess definitions and descriptions of Patient-Centered Care to draw out elements of Patient-Centered Care that are considered to be important markers of successful Patient-Centered Care in the patient - health professional relationship and (2) to propose a set of elements that collectively reflect the diversity of ‘Patient-Centered’ definitions that describe the patient-professional relationship in this literature. A secondary aim was (3) to provide elements that could be used for development of a quality assessment tool. Methods: We conducted a critical interpretive review of Patient-Centered Care and Patient-Centered communication literature, beginning with a critical synthesis that yielded 12 articles that introduced new theoretical and definitional work on Patient-Centered Care and Patient-Centered communication. We used an inductive and iterative analysis process to identify and group common themes. We used operational language to describe these themes. Results: We identified 6 elements (each with 2 or more sub-elements) of the patient - health professional relationship that are considered important markers of successful Patient-Centered Care (as found in this literature). The 6 elements are: (1) Engaging the Patient as a Whole Person, (2) Recognizing and Responding to Emotions, (3) Fostering a Therapeutic Alliance, (4) Promoting an Exchange of Information, (5) Sharing Decision-Making and (6) Enabling Continuity of Care, Self-Management and Patient Navigation. Conclusions: Comparable fundamental elements were common among most authors within this literature: we found that variation in theory was typically a matter of degree and language. This work contributes analyses towards greater theoretical consistency for conceptions of Patient-Centered Care. It also provides avenues for future development of quality assurance benchmarks.
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A Patient-Centered Care Ethics Analysis Model for Rehabilitation
American Journal of Physical Medicine & Rehabilitation, 2013Co-Authors: Matthew Hunt, Carolyn EllsAbstract:ABSTRACTThere exists a paucity of ethics resources tailored to rehabilitation. To help fill this ethics resource gap, the authors developed an ethics analysis model specifically for use in rehabilitation Care. The Patient-Centered Care Ethics Analysis Model for Rehabilitation is a process model to g
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A Patient-Centered Care Ethics Analysis Model for Rehabilitation
American Journal of Physical Medicine & Rehabilitation, 2013Co-Authors: Matthew Hunt, Carolyn EllsAbstract:There exists a paucity of ethics resources tailored to rehabilitation. To help fill this ethics resource gap, the authors developed an ethics analysis model specifically for use in rehabilitation Care. The Patient-Centered Care Ethics Analysis Model for Rehabilitation is a process model to guide Careful moral reasoning for particularly complex or challenging matters in rehabilitation. The Patient-Centered Care Ethics Analysis Model for Rehabilitation was developed over several iterations, with feedback at different stages from rehabilitation professionals and bioethics experts. Development of the model was explicitly informed by the theoretical grounding of Patient-Centered Care and the context of rehabilitation, including the International Classification of Functioning, Disability and Health. Being patient centered, the model encourages (1) shared control of consultations, decisions about interventions, and management of the health problems with the patient and (2) understanding the patient as a whole person who has individual preferences situated within social contexts. Although the major process headings of the Patient-Centered Care Ethics Analysis Model for Rehabilitation resemble typical ethical decision-making and problem-solving models, the probes under those headings direct attention to considerations relevant to rehabilitation Care. The Patient-Centered Care Ethics Analysis Model for Rehabilitation is a suitable tool for rehabilitation professionals to use (in real time, for retrospective review, and for training purposes) to help arrive at ethical outcomes.
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Relational autonomy as an essential component of Patient-Centered Care
IJFAB: International Journal of Feminist Approaches to Bioethics, 2011Co-Authors: Carolyn Ells, Matthew Hunt, Jane Chambers-evansAbstract:Despite enthusiasm for Patient-Centered Care, the practice of Patient-Centered Care is proving challenging. Further, it is curious that the literature about this subject does not explicitly address patient autonomy, since (1) patients guide Care in Patient-Centered Care, and (2) respect for patient autonomy is a prominent health-Care value. We argue that by explicitly adopting a relational conception of autonomy as an essential component, Patient-Centered Care becomes more coherent, is strengthened, and could help practitioners to make better use of a principle of respect for autonomy. Hence, its use appears promising to narrow the theory–practice gap.
Mahvash Salsali - One of the best experts on this subject based on the ideXlab platform.
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Seeking Humanizing Care in Patient-Centered Care Process: A Grounded Theory Study.
Holistic Nursing Practice, 2017Co-Authors: Mohammad Ali Cheraghi, Maryam Esmaeili, Mahvash SalsaliAbstract:Patient-Centered Care is both a goal in itself and a tool for enhancing health outcomes. The application of Patient-Centered Care in health Care services globally however is diverse. This article reports on a study that sought to introduce Patient-Centered Care. The aim of this study is to explore the process of providing Patient-Centered Care in critical Care units. The study used a grounded theory method. Data were collected on 5 critical Care units in Tehran University of Medical Sciences. Purposive and theoretical sampling directed the collection of data using 29 semistructured interviews with 27 participants (nurses, patients, and physician). Data obtained were analyzed according to the analysis stages of grounded theory and constant comparison to identify the concepts, context, and process of the study. The core category of this grounded theory is "humanizing Care," which consisted of 4 interrelated phases, including patient acceptance, purposeful patient assessment and identification, understanding patients, and patient empowerment. A core category of humanizing Care integrated the theory. Humanizing Care was an outcome and process. Patient-Centered Care is a dynamic and multifaceted process provided according to the nurses' understanding of the concept. Patient-Centered Care does not involve repeating routine tasks; rather, it requires an all-embracing understanding of the patients and showing respect for their values, needs, and preferences.
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Explaining the Context of Patient-Centered Care in Critical Care Units
Journal of Holistic Nursing and Midwifery, 2017Co-Authors: Maryam Esmaeili, Mohammad Ali Cheraghi, Mahvash SalsaliAbstract:Introduction Patient-Centered Care refers to Care with respect for and responsiveness to patients‟ preferences, needs, and values; in this type of Care, it is ensured that a patient's values are valued in clinical decision-making. Achieving Patient-Centered Care is not simple and needs a proper context to be provided.Objectives The purpose of this study is to explain the context of Patient-Centered Care in critical Care units.Materials And Methods This study is of a qualitative nature with a content analysis approach. A total of 26 deep, semi-structured interviews were used in this study. The research setting included critical Care units of selected hospitals of the Tehran University of Medical Sciences. Participant's speeches were recorded with a tape recorder and immediately transcribed word-by-word. After reading the interviews, the resulting data were coded and then classified according to the similarities and differences in order to understand the general text of the interviews; the sub-categories and the sub- categories were extracted.Results The study data led to the identification of three categories: specialized nature of Care, individual factors, and organizational factors. The third category consisted of three subcategories such as hardware, attention-to-model experiences, and the actual performance of managers.Conclusion Patient-Centered Care is a multidimensional and subjective concept focused on nurse's perceptions. In order to achieve Patient-Centered Care, not only the effectiveness of the nurse's efforts but up-to-date knowledge, the hardware structure of Care, and the performance of managers at a wider level are also important.
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Barriers to Patient-Centered Care: a thematic analysis study
International Journal of Nursing Knowledge, 2013Co-Authors: Maryam Esmaeili, Mohammad Ali Cheraghi, Mahvash SalsaliAbstract:Purpose To explore nurses’ attitudes and experience toward the barriers to achieving Patient-Centered Care in the critical Care setting. Methods A qualitative exploratory design with thematic analysis approach was used to collect and analyze data, and identify barriers to Patient-Centered Care. Data collection was based on in-depth semi-structured interviews. Findings Data analyses resulted in the identification of three themes: (a) lack of common understanding of teamwork, (b) individual barriers, and (c) organizational barriers. Conclusion This study goes beyond reporting problems with Patient-Centered Care to try to understand why patients do not always receive high-quality Care. Implication for Nursing Practice For achieving Patient-Centered Care, not only nurses’ individual efforts in following up-to-date evidence-based practice and having a holistic view are necessary, but also team coordination, organizational support, and elimination of nursing job problems.
Matthew Hunt - One of the best experts on this subject based on the ideXlab platform.
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A Patient-Centered Care Ethics Analysis Model for Rehabilitation
American Journal of Physical Medicine & Rehabilitation, 2013Co-Authors: Matthew Hunt, Carolyn EllsAbstract:ABSTRACTThere exists a paucity of ethics resources tailored to rehabilitation. To help fill this ethics resource gap, the authors developed an ethics analysis model specifically for use in rehabilitation Care. The Patient-Centered Care Ethics Analysis Model for Rehabilitation is a process model to g
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A Patient-Centered Care Ethics Analysis Model for Rehabilitation
American Journal of Physical Medicine & Rehabilitation, 2013Co-Authors: Matthew Hunt, Carolyn EllsAbstract:There exists a paucity of ethics resources tailored to rehabilitation. To help fill this ethics resource gap, the authors developed an ethics analysis model specifically for use in rehabilitation Care. The Patient-Centered Care Ethics Analysis Model for Rehabilitation is a process model to guide Careful moral reasoning for particularly complex or challenging matters in rehabilitation. The Patient-Centered Care Ethics Analysis Model for Rehabilitation was developed over several iterations, with feedback at different stages from rehabilitation professionals and bioethics experts. Development of the model was explicitly informed by the theoretical grounding of Patient-Centered Care and the context of rehabilitation, including the International Classification of Functioning, Disability and Health. Being patient centered, the model encourages (1) shared control of consultations, decisions about interventions, and management of the health problems with the patient and (2) understanding the patient as a whole person who has individual preferences situated within social contexts. Although the major process headings of the Patient-Centered Care Ethics Analysis Model for Rehabilitation resemble typical ethical decision-making and problem-solving models, the probes under those headings direct attention to considerations relevant to rehabilitation Care. The Patient-Centered Care Ethics Analysis Model for Rehabilitation is a suitable tool for rehabilitation professionals to use (in real time, for retrospective review, and for training purposes) to help arrive at ethical outcomes.
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Relational autonomy as an essential component of Patient-Centered Care
IJFAB: International Journal of Feminist Approaches to Bioethics, 2011Co-Authors: Carolyn Ells, Matthew Hunt, Jane Chambers-evansAbstract:Despite enthusiasm for Patient-Centered Care, the practice of Patient-Centered Care is proving challenging. Further, it is curious that the literature about this subject does not explicitly address patient autonomy, since (1) patients guide Care in Patient-Centered Care, and (2) respect for patient autonomy is a prominent health-Care value. We argue that by explicitly adopting a relational conception of autonomy as an essential component, Patient-Centered Care becomes more coherent, is strengthened, and could help practitioners to make better use of a principle of respect for autonomy. Hence, its use appears promising to narrow the theory–practice gap.
Barbara Cliff - One of the best experts on this subject based on the ideXlab platform.
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Patient-Centered Care: the role of healthCare leadership.
Journal of Healthcare Management, 2012Co-Authors: Barbara CliffAbstract:Throughout the year, we have been discussing the value of Patient-Centered Care. The columns have focused on important aspects of this topic, such as the evolution of Patient-Centered Care, patient satisfaction, community engagement, and technology. At the heart of all these components, however, is healthCare leadership.HEALTHCare LEADERSHIP REVISITEDStrong leadership is critically important to organizations, regardless of the setting. Researchers have defined leadership in many different ways, but it is often associated with risk taking, dynamic, creative, change, and vision (Hughes, Ginnett, and Curphy 1999). Applying many of these same concepts, the HealthCare Leadership Alliance and American College of HealthCare Executives (2011) define healthCare leadership as "the ability to inspire individual and organizational excellence, create a shared vision and successfully manage change to attain the organization's strategic ends and successful performance." Leaders determine, communicate, and guide the vision of any organization, and thus leadership engagement in any culture change initiative toward Patient-Centered Care is crucial (Frampton et al. 2008).HEALTHCare LEADERSHIP AND Patient-Centered CareChanging the paradigm of Care to a Patient-Centered model represents one such organizational culture change and requires the involvement of senior executives. Implementing a Patient-Centered model of Care has profound implications for the way Care is planned, delivered, and evaluated. Although most leaders in healthCare organizations today embrace the basic tenets of a Patient-Centered philosophy, it wasn't always that way. Prior to 2001, healthCare leaders frequently identified barriers to the widespread adoption of Patient-Centered practices resulting from ( 1 ) a general resistance to change, (2) the perception that implementation would cost too much time and resources, and (3) a lack of clarity on how to initiate and maintain a culture change of this magnitude (Frampton and Charmel 2009).The dynamics surrounding Patient-Centered Care changed significantly when the Institute of Medicine (2001) identified Patient-Centeredness as one of six aims of improvement for the US healthCare system. Even today, however, leaders often find that moving toward a Patient-Centered model requires an unanticipated level of commitment and significant adjustments in organizational structures (Ponte et al. 2003).A study commissioned by The Picker Institute in 2007 explored what steps would be necessary to achieve more rapid and widespread implementation of Patient-Centered Care in both inpatient and ambulatory healthCare settings. Its findings indicated that the single most important factor contributing to Patient-Centered Care is "the commitment and engagement of senior leadership . . . the organizational transformation required to actually achieve the sustained delivery of patientcentered Care will not happen without top leadership support and participation" (Shaller 2007).The Institute for HealthCare Improvement embarked on a study in 2011 to identify key factors in achieving an exceptional patient and family experience of inpatient hospital Care. It, too, found that a primary driver was leadership, and the study's authors reinforced the idea that "effective leaders focus the organization's culture on the needs of patients and families (i.e., providing Care that is Patient-Centered, rather than provider-centered), tap into innovative ideas, and have the persistence and skills to create a patient and family-centered Care culture. Leaders from executives to front-line managers share a commitment to this goal, and understand that it is led by senior leaders and is part of the organization's core strategy" (Balik et al. …
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Patient-Centered Care: the role of healthCare leadership.
Journal of Healthcare Management, 2012Co-Authors: Barbara CliffAbstract:Throughout the year, we have been discussing the value of Patient-Centered Care. The columns have focused on important aspects of this topic, such as the evolution of Patient-Centered Care, patient satisfaction, community engagement, and technology. At the heart of all these components, however, is healthCare leadership.HEALTHCare LEADERSHIP REVISITEDStrong leadership is critically important to organizations, regardless of the setting. Researchers have defined leadership in many different ways, but it is often associated with risk taking, dynamic, creative, change, and vision (Hughes, Ginnett, and Curphy 1999). Applying many of these same concepts, the HealthCare Leadership Alliance and American College of HealthCare Executives (2011) define healthCare leadership as "the ability to inspire individual and organizational excellence, create a shared vision and successfully manage change to attain the organization's strategic ends and successful performance." Leaders determine, communicate, and guide the vision of any organization, and thus leadership engagement in any culture change initiative toward Patient-Centered Care is crucial (Frampton et al. 2008).HEALTHCare LEADERSHIP AND Patient-Centered CareChanging the paradigm of Care to a Patient-Centered model represents one such organizational culture change and requires the involvement of senior executives. Implementing a Patient-Centered model of Care has profound implications for the way Care is planned, delivered, and evaluated. Although most leaders in healthCare organizations today embrace the basic tenets of a Patient-Centered philosophy, it wasn't always that way. Prior to 2001, healthCare leaders frequently identified barriers to the widespread adoption of Patient-Centered practices resulting from ( 1 ) a general resistance to change, (2) the perception that implementation would cost too much time and resources, and (3) a lack of clarity on how to initiate and maintain a culture change of this magnitude (Frampton and Charmel 2009).The dynamics surrounding Patient-Centered Care changed significantly when the Institute of Medicine (2001) identified Patient-Centeredness as one of six aims of improvement for the US healthCare system. Even today, however, leaders often find that moving toward a Patient-Centered model requires an unanticipated level of commitment and significant adjustments in organizational structures (Ponte et al. 2003).A study commissioned by The Picker Institute in 2007 explored what steps would be necessary to achieve more rapid and widespread implementation of Patient-Centered Care in both inpatient and ambulatory healthCare settings. Its findings indicated that the single most important factor contributing to Patient-Centered Care is "the commitment and engagement of senior leadership . . . the organizational transformation required to actually achieve the sustained delivery of patientcentered Care will not happen without top leadership support and participation" (Shaller 2007).The Institute for HealthCare Improvement embarked on a study in 2011 to identify key factors in achieving an exceptional patient and family experience of inpatient hospital Care. It, too, found that a primary driver was leadership, and the study's authors reinforced the idea that "effective leaders focus the organization's culture on the needs of patients and families (i.e., providing Care that is Patient-Centered, rather than provider-centered), tap into innovative ideas, and have the persistence and skills to create a patient and family-centered Care culture. Leaders from executives to front-line managers share a commitment to this goal, and understand that it is led by senior leaders and is part of the organization's core strategy" (Balik et al. …
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Using technology to enhance Patient-Centered Care.
Journal of Healthcare Management, 2012Co-Authors: Barbara CliffAbstract:Patient-Centered CareAs hospitals and health systems continue to introduce information technology and other tools of a modern and progressive high-tech healthCare environment, great opportunities still remain for a high-touch, personalized, and patient-focused experience. Indeed, Patient-Centered hospitals have developed innovative ways to use technology to support and enhance personalized patient Care (Frampton et al. 2008).HEALTH INFORMATION TECHNOLOGYHealth information technology (HIT) refers to the use of a variety of electronic methods to manage information about the health and medical Care of individuals and groups of patients (RWJF 2006). In general, it allows healthCare providers to collect, store, retrieve, and transfer information electronically. The US Department of Health and Human Services (2011) suggests that HIT makes it possible for healthCare providers to better manage patient Care through secure use and sharing of health information. It further affirms that widespread use of HIT can make our healthCare system more efficient, reduce paperwork for patients and doctors, expand access to affordable Care, and build a healthier future for the United States. Across the country, hospitals and healthCare systems are experiencing a proliferation of information technology.The benefits of using HIT may be visible across an organization, but information isn't what is at the center of this approach. Patients are.Patient-Centered CareThe Institute of Medicine (2001) recognizes Patient-Centered Care as one of six major domains of healthCare quality and defines it as "Care that is respectful of and responsive to individual patient preferences, needs, and values," ensuring that patient values guide all clinical decisions. Planetree, an internationally recognized leader in patientcentered Care, has demonstrated great strides in advancing the concept. The Planetree model of Care is a Patient-Centered, holistic approach to healthCare that promotes mental, emotional, spiritual, social, and physical healing, in part by empowering patients and families through the exchange of information (Planetree 2012).The promise of greater efficiency, improved quality of Care, enhanced patient safety, and significant financial incentives are compelling health systems to continue to invest in HIT. However, a number of Planetree members are finding that technology need not come at the expense of Patient-Centered Care - though balancing the two must be an intentional process (Planetree 2010).Patient-Centered Care AND HITHIT has tremendous potential to enable, support, and enhance Patient-Centered Care. Effective, meaningful use of HIT can actually be viewed as an essential element of a healthCare system that is designed to meet the patient's needs and preferences at the right time, in the right setting, for the right reason, and at the right cost (Powell 2009b). Furthermore, when designed and used appropriately, HIT is expected to enhance patient safety, improve communication between patients and providers, and contribute to better patient Care (IOM 2011).The literature reflects that there can be a positive relationship between HIT and Patient-Centered Care. Powell (2009a) identified that a fully Patient-Centered healthCare system will exhibit Care that is comprehensive, coordinated, personalized, and planned when enabled and supported by effective and meaningful HIT. Additionally, a study conducted by Penfield and Anderson (2011) identified that "HIT is transforming the way health-related information is gathered, stored, shared and used. . . . HIT will revolutionize the entire American health Care system, making it more efficient, more effective and more focused on meeting the needs of patients." Furthermore, a recent study conducted by Finkelstein and colleagues (2012) concluded that significant evidence exists to confirm the positive impact of HIT on Patient-Centered Care.CASE IN POINT AT WINDBER MEDICAL CENTERWindber Medical Center, a 54-bed hospital in western Pennsylvania, is a Designated Planetree Patient-Centered Hospital. …
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Patient-Centered Care and community engagement.
Journal of Healthcare Management, 2012Co-Authors: Barbara CliffAbstract:When you think of Patient-Centered Care, do you immediately think of the hospitalized patient? Hospital-based Care is only part of the picture. In the current regulatory environment, community engagement within a Patient-Centered framework has become increasingly important.CARING FOR THE COMMUNITYIn 2001, the Institute of Medicine (IOM) released its seminal report, Crossing the Quality Chasm: A New Health System for the 21st Century. This report identified six aims for improving the US healthCare system by asserting that Care must be safe, effective, patient centered, timely, efficient, and equitable. The IOM further asserted that leaders can support accountability to individual patients while also assuming responsibility to the community at large for the populations they serve.Many Patient-Centered hospitals have expanded their approach beyond Care to the hospitalized patient. Many offer quality and safety programs for community members. In addition, through prevention programs and other efforts, these hospitals focus on preventing disease and promoting health to meet the entire community's healthCare needs (Frampton et al. 2008).COMMUNITY HEALTH NEEDS ASSESSMENTHealthCare leaders must first identify and prioritize community health needs (IOM 2001). According to Section 9007 of the Patient Protection and Affordable Care Art (ACA), all 501(c)(3) hospitals must conduct a community health needs assessment (CHNA) every three years and adopt a strategy for its implementation in order to maintain their tax-exempt status (PPACA 2010).A CHNA seeks to understand and document health status, behaviors, and needs in the community served by the hospital (Bilton 2011). Collected data can then be used to develop strategies to address identified needs, with the goal of contributing to improvements in the community's health. The Patient-Centered model has been identified as a way to reduce avoidable emergency Care use and hospitalizations and a resource-effective way to manage chronic disease and provide coordinated Care among the population (Davey 2011). Overall, Patient-Centered Care, whether in the hospital or in the community, can result in better healthCare delivery and improved patient outcomes (Patient-Centered Primary Care Collaborative 2012).Patient-Centered Care AND THE COMMUNITYPlanetree has greatly advanced the concept of Patient-Centered Care and is an internationally recognized leader in the field. Planetree has worked to personalize, humanize, and demystify the healthCare experience for patients and their families since 1978 (Planetree 2012). A key component of the Planetree philosophy is the creation of healthy communities; the group believes that hospitals are successfully "redefining healthCare to include the health and wellness of the communities they serve" (Planetree 2012). Many Patient-Centered hospitals have successfully engaged with their communities in the design and implementation of outreach programs, resulting in a positive impact on the quality of health. …
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The evolution of Patient-Centered Care.
Journal of Healthcare Management, 2012Co-Authors: Barbara CliffAbstract:Patient-Centered Care has become a central goal for the US healthCare system under the Affordable Care Act. But haven't patients always been central to the business of hospitals? What is so different about the present reality of Patient-Centered Care?"Patient-Centered Care" is used to describe numerous related paradigms but has no universally accepted definition. According to the Institute for HealthCare Improvement (201 1), "Care that is truly Patient-Centered considers patients' cultural traditions, their personal preferences and values, their family situations, and their lifestyles. It makes the patient and their loved ones an integral part of the Care team who collaborate with healthCare professionals in making clinical decisions . . . When Care is Patient-Centered . . . unneeded and unwanted services can be reduced." A healthCare system that is truly Patient-Centered may provide higher quality healthCare with greater efficiency while improving the patient experience.Patient-Centered Care REVISITEDReferences to Patient-Centered Care date to the 1950s (Balik et al. 2011) but true provision of Patient-Centered Care has not been a priority for healthCare institutions - and for understandable reasons. Patient safety, quality of Care, and a healthy operating margin have often been more immediate concerns than Patient-Centered Care, which comprises "softer," nonclinical components such as involving family and friends in Care, considering the spiritual aspects in Care, designing a physical environment that is healing, and providing nutritious and nurturing food (Frampton et al. 2008). This view no longer stands. In 2001, the Institute of Medicine released its seminal report, Crossing the Quality Chasm: A New Health System for the 21st Century, which identified six aims of improvement for the US healthCare system by asserting that Care must be "safe, effective, Patient-Centered, timely, efficient, and equitable."Patient-Centered Care's move into the mainstream after decades on the fringe is largely the result of the convergence of several evolving social and economic realities:1 . The aging of baby boomers and the associated rise in consumer expectations around the healthCare experience2. Unprecedented access to health information, fueled by the Internet3. The demand for greater transparency in reporting of outcomes, and new governmental incentives to report those results for widespread dissemination to the public4. Increased demand for timely and convenient access to costly medical technologies and pharmaceuticals that continue to drive healthCare costs - including out-of-pocket costs for patients and employer contributions - increasingly skyward (Frampton and Channel 2009)Awareness is growing that to achieve the best outcomes, patients and families must be more actively engaged in decisions about their healthCare and must have enhanced access to information and support (Johnson et al. 2008). Patient-Centered Care shifts the focus from the diagnosis to the patient, a shift that can result in significant improvements in clinical outcomes, patient satisfaction, and cost reduction.EMBRACING THE PLANETREE PHILOSOPHYPlanetree is an internationally recognized leader in Patient-Centered Care and has made great strides in advancing the concept. The Planetree model of Care is a Patient-Centered, holistic approach to healthCare, promoting mental, emotional, spiritual, social, and physical healing. It empowers patients and families through the exchange of information and encourages healing partnerships with Caregivers. It seeks to maximize positive healthCare outcomes by integrating optimal medical therapies and incorporating art and nature into the healing environment" (Planetree 2011).Windber Medical Center, a 54-bed hospital in western Pennsylvania, is a Designated Planetree Patient-Centered Hospital. We are the only Planetree hospital in Pennsylvania and one of only thirteen hospitals in the country to have achieved Planetree Designation status, which can be viewed as the gold standard of patientcentered Care. …
W. Gregg - One of the best experts on this subject based on the ideXlab platform.
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Health Information Technology Coordination to Support Patient-Centered Care Coordination
Yearb Med Inform, 2015Co-Authors: O. Steichen, W. GreggAbstract:Objective: To select papers published in 2014, illustrating how information technology can contribute to and improve Patient-Centered Care coordination. Method: The two section editors performed a literature review from Medline and Web of Science to select a list of candidate best papers on the use of information technology for Patient-Centered Care coordination. These papers were peer-reviewed by external reviewers and three of them were selected as “best papers”. Results: The first selected paper reports a qualitative study exploring the gap between current practices of Care coordination in various settings and idealized longitudinal Care plans. The second selected paper illustrates several unintended consequences of HIT designed to improve Care coordination. The third selected paper shows that advanced analytic techniques in medical informatics can be instrumental in studying Patient-Centered Care coordination. Conclusions: The realization of true Patient-Centered Care coordination is dependent upon a number of factors. Standardization of clinical documentation and HIT interoperability across organization and settings is a critical prerequisite for HIT to support Patient-Centered Care coordination. Enabling patient involvement is an efficient means for goal setting and health information sharing. Additionally, unintended consequences of HIT tools (both positive and negative) must be measured and taken into account for quality improvement.
