Patient Centered Healthcare

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My Research Presented at the 2009 University of Illinois Research Symposium

My Research Presented at the 2009 University of Illinois Research Symposium

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  • 1. Patient Centered Healthcare: A Complex(ity) Model
    W Richard Goddard, Dr. Susan Farner
    Department of Kinesiology and Community Health
    College of Applied Health Sciences
  • 2. Margaret J. Wheatley
    “We Must interact with the world in order to see what we might create. Through engagement in the moment, we evoke our futures.”
  • 3. Healthcare today
    The United States currently spends 16.8% of its gross domestic product on Healthcare…and it is still increasing
    65 million people are currently uninsured
    In regard to policy, the U.S. is struggling to balance the country’s constant craving for increased access while maintaining quality and sustaining cost.
  • 4. Patient centered healthcare
    The idea that the patient needs to be the focus of the H.C. system in order for it to be properly functioning
    Unfortunately, the patient population is not one size fits all.
    Age, Race, Religion, Gender, Socioeconomic Status
  • 5. Complexity Science
    Humans live in a complex world full of unpredictability, irrational thought, and systematic approaches that fail to achieve desirability
    Complexity introduces the idea that randomness is the ideal standpoint to predict the unpredictable
    Interaction within relationships create the opportunity to succeed with sustainability
  • 6. Complexity relationships
    Relates back to Newtonian Quantum Function
    Particles can have individual and predictable relationships
    But no particle can be categorized from one another*
    There NEEDS to be both the individual and the system involved in an organization (no gray area)
    Creating relationships are key!
    *Zukav 1979, 248-50
  • 7. Relationships Continued
    Individuals are non-predictable beings, like particles.
    They behave, influence, and belong to different backgrounds which make them behave differently to different situations
    In a Health Care Organization (HCO), some individuals can hardly understand H.C. and its structure. Yet, positively or negatively, they STILL contribute to the system!
    This is why pairing relationships is integral
  • 8. Complexity applied to The Patient
    The patient needs to be involved in the system in order for it to function properly
    When the patient is given the opportunity to pair itself with the system, knowingly or unknowingly it creates a natural outcome rather than promoting dissonance
  • 9. Patient Centered Models Compared
    Former Models
    Complexity Model
    Patient is the Alpha/Omega
    Everything revolves around the patient, time is of no concern
    Life is unpredictable and so is the system
    Relationships are the key to creating opportunities
    Patient is dynamic
    System components interact with patient the most
  • 10. Patient-Centered Complexity
    Flash construction provided by Kevin Fritz
  • 11. Individual and system Implementation
  • 12. System implementation: strategic planning
    The world is not linear, nor does it allow progressive long-term plans without complications
    Move toward focus in strategy innovation and complexity interpretation
    Developing identity and purpose is essential, but use it as a process to develop more relationships between individuals
    Idea of a “Team Force” and why it has been successful
  • 13. Strategic planning continued
    When the strategic plan incorporates reality and individual behaviors of its counterparts it naturally interacts with the complexities of the world
    With the patient integrated, it allows their behaviors and relationships guide the strategic plan
    By paying careful attention to relationships and patient centered care, a certain indicator may not be an improvement
    Increased Cost
    But quantum reaction suggests that the overall spectrum of the plan will be affected positively
    Community Support, Inflow of Patients from Exterior Markets (Revenue)
  • 14. Implementation: Step 1
    Psychologically and systematically the population needs to accept the proposition
    If initial conditions are not set appropriately the model is pulled apart by opposing viewpoints
    Social norms, political climate, education of issue
    Reniscow & Page, 2008
  • 15. Implementation: Step 2
    Follow the Quantum Model of Behavior Change
    Trigger the quantum receptors that motivate the patient to behave in a chaotic fashion
    Waves of inspiration
    Sense of Truth (Epiphany)
    Dramatic Events that create a permanent memory
    Reniscow & Page, 2008
  • 16. Implementation: Step 2 continued
    Complexity Science and the lottery ball
    Ping pong balls
    Intervention, attitude, social norm, knowledge
    Interior Walls: Human Psyche
    Velcro slabs: motivational receptors
    Explains why some people stick to certain behaviors
    Create influence through larger motivational component and relationships
    Cohen et. Al, 1972
  • 17. Implementation: Step 3