Patient-Centered CareDiana Gonzalez

Merisa AkuszewskiAzusa Pacific University

Objectives❖Definition❖Eight Dimensions ❖Essentials of Patient-Centered Care

➢ Communication➢ Teamwork➢ Service Quality

❖ Patient-Centered Care Outcomes❖Facilitators & Barriers

Defining Patient-Centered Care

“Patient centered care is care based on a partnership between the patient, their families, and the health care provider that is focused on the patient’s values, preferences, and needs”

Boykins, D. (2014). Core Communication Competencies in Patient-Centered Care. ABNF Journal, 25(2), 40-45.

❖ Care is individualized and customized

➢ Cultural competency➢ Patient advocacy

❖ Patients and families, not clinicians, have control over health care decisions.➢ Patient Autonomy

Defining Patient-Centered Care

Hughes, R. (2011). Overview and summary: Patient-centered care: Challenges and rewards. The Online Journal of Issues in Nursing,16 (2). McCance, T., McCormack, B., Dewing, J. (2011). An exploration of person-centredness in practice. The Online Journal of Issues in Nursing, 16 (2) Manuscript 1.

http://www.nationalresearch.com/products-and-solutions/patient-and-family-experience/eight-dimensions-of-patient-centered-care/

Communication❖ Therapeutic Communication

➢ Nursing Students ❖Barriers to Communication❖ Interprofessional Collaboration

➢ SBAR➢ Huddles

Boykins, D. (2014). Core Communication Competencies in Patient-Centered Care. ABNF Journal, 25(2), 40-45.

Teamwork❖ Partnership

between patient and caregivers

❖ Shared-decision making

❖ Multidisciplinary collaboration needed to provide personalized care

Ignatavicius, D. & Worman, L. (2013). Medical-Surgical Nursing: Patient-Centered Collaborative Care. (7th ed.). St. Louis, Mo: Saunders Elsevier.

Service Quality ❖Dimensions❖Gaps in Service

➢ Patient Expectation vs. Nurse Perception Gap➢ Nurse and nursing administrator perceptions

vs. Patient centered care standards gap❖ Patient Satisfaction

➢ Surveys, HCAP’s

Dabney, B., & Huey-Ming, T. (2013). Service Quality and Patient-Centered Care. MEDSURG Nursing, 22(6), 359-364.

Patient-Centered Care Leads to...

(Bertakis & Azari, 2011; Grumbach & Grundy, 2010; Oshima Lee & Emanuel, 2013)

❖ Better outcomes❖ Safer environment

➢ Fewer medical and medication errors

➢ Fewer patient falls❖ Lower cost❖ Decreased length of stay❖ Increased patient

satisfaction

Facilitators & Barriers to Patient- Centered CareKey Organizational-Level Facilitators:❖ Strong, committed senior leadership❖ Communication of strategic vision❖ Engagement of patients and families❖ Sustained focus on employee satisfaction❖ Regular measurement and feedback reporting❖ Adequate resourcing for care delivery redesign❖ Building staff capacity to support delivering patient-centered care❖ Accountability and incentives❖ Culture that is strongly supportive of change and learning

Barriers:❖ Attitudes of healthcare professionals❖ Time needed to implement changes

(Luxford, Safran, & Delbanco, 2011)

References❖ Bertakis, K. & Azari, R. (2011). Patient-centered care is associated with decreased health care utilization. Journal of

American Board of Family Medicine, 34(3), 229-239. doi: 10.3122/jabfm.2011.03.100170

❖ Boykins, D. (2014). Core Communication Competencies in Patient-Centered Care. ABNF Journal, 25(2), 40-45. Retrieved from: http://web.b.ebscohost.com/ehost/detail?vid=6&sid=86ab2aa1-ef3d-45e6-9022-89a0ff2d6533%40sessionmgr111&hid=120&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=rzh&AN=2012546038

❖ Dabney, B., & Huey-Ming, T. (2013). Service Quality and Patient-Centered Care. MEDSURG Nursing, 22(6), 359-364. http://web.b.ebscohost.com/ehost/detail?vid=6&sid=86ab2aa1-ef3d-45e6-9022-89a0ff2d6533%40sessionmgr111&hid=120&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=rzh&AN=2012416250

❖ Grumbach, K. & Grundy, P. (2010). Outcomes of implementing patient centered medical home interventions: A review of the evidence from prospective evaluation studies in the United States. Patient Centered Primary Care Collaborative, 1-16. Retrieved from: http://forwww.pcpcc.net/files/evidence_outcomes_in_pcmh_2010.pdf

❖ Hughes, R. (2011). Overview and summary: Patient-centered care: Challenges and rewards. The Online Journal of Issues in Nursing,16 (2).

❖ Ignatavicius, D. & Worman, L. (2013). Medical-Surgical Nursing: Patient-Centered Collaborative Care. (7th ed.). St. Louis, Mo: Saunders Elsevier.

❖ Luxford, K., Safran, D. & Delbanco, T. (2011). Promoting patient-centered care: A qualitative study of facilitators and barriers in healthcare organizations with a reputation for improving the patient experience. International Journal for Quality in Health Care, 23(5), 510-515. Retrieved from: http://intqhc.oxfordjournals.org/content/23/5/510.full.pdf+html

❖ McCance, T., McCormack, B., Dewing, J. (2011). An exploration of person-centredness in practice. The Online Journal of Issues in Nursing, 16 (2) Manuscript 1.

❖ Oshima Lee, E. & Emanuel, E. (2013). Shared decision making to improve care and reduce costs. New England Journal of Medicine, 368 (1), 6-8. doi:10.1056/NEJMp1209500 Retrieved from http://www.nejm.org/doi/full/10.1056/NEJMp1209500