This document discusses strategies for improving patient experience scores on the HCAHPS survey through patient-centered care. It notes that HCAHPS performance is becoming increasingly important for hospital reimbursement. The document recommends partnering with patients, creating a healing physical environment, making data meaningful to staff, focusing on care transitions beyond the hospital, and prioritizing compassionate care. Planetree is introduced as an organization that advocates for these patient-centered approaches and certifies hospitals that meet standards for patient-centered culture and environments.
Why is there a need for nursing documentation
Good record keeping promotes
Who reads nursing records
What is expected of a registered nurse
Record keeping should demonstrate
Nurses accountability
Legal Matters of Nursing Record's
Why is there a need for nursing documentation
Good record keeping promotes
Who reads nursing records
What is expected of a registered nurse
Record keeping should demonstrate
Nurses accountability
Legal Matters of Nursing Record's
Nursing innovation is a fundamental source of progress for health care systems around the world. And nurses innovate to find new information and better ways of promoting health, preventing disease and better ways of care and cure
Nursing innovation is a fundamental source of progress for health care systems around the world. And nurses innovate to find new information and better ways of promoting health, preventing disease and better ways of care and cure
Partnering with Patients, Families and Communities for Health: A Global Imper...EngagingPatients
Engagement is an essential tool to improving global health. This report introduces a new framework for engagement to help countries assess current programs and think strategically about future engagement opportunities. It spotlights barriers to engagement and offers concrete examples of effective engagement from around the globe.
This infographic speaks to the challenges Emergency Departments face in caring and following up with the growing population of patients they see, and demonstrates how some EDs are seeing measurable improvements in care, patient satisfaction and efficiency.
PFCC INFOGRAPHIC: Six Steps to Patient EngagementEngagingPatients
The challenges of creating patient and family-centered care seem daunting. However, the PFCC Innovation Center of UPMC demonstrates it's easier than you think. In this infographic, you see it begins by engaging patients through a simple six step process.
Building Patient-Centeredness in the Real World: The Engaged Patient and the ...EngagingPatients
This paper examines the separate but intertwined ethical, economic and clinical concepts of patientcenteredness and how ACOs provide a structure for turning those concepts into a functioning reality.
This resource summarizes the eight recommendations outlined in the Institute of Medicine's a new consensus study entitled, Improving Diagnosis in Health Care. The recommendations are aimed at making diagnoses more accurate, reliable, efficient, and safe. This work is a continuation of the IOM’s Quality Chasm series.
Clinical practice guidelines and quality metrics often emphasize effectiveness over patient-centered care. In this article, the authors offer three approaches to personalizing quality measurement to ensure patient preferences and values guide all clinical decisions.
This presentation from the 2014 ASHRM Conference analyzes the legal, regulatory and clinical risks related to meaningful consent and offers ways to mitigate them.
Presented at the 2015 IHI International Forum byThe Royal Melbourne Hospital of Victoria,Australia, this poster,speaks to the power of Shadowing to engage patients and families in decisions of care, specifically the post-discharge planning process.
In Part II, Ms. Greenhouse provides suggestions for integrating the Patient and Family Centered Care Methodology and Practice (PFCC M/P) in those healthcare organizations where Lean process improvement approaches (Lean, Six Sigma and Toyota, etc.) are already in use.
Patients and their loved ones often hold critical knowledge that informs diagnosis. This toolkit from the Institute of Medicine offers patients, families and clinicians guidance on how they can collaborate to improve diagnosis.
Safety is Personal: Partnering with Patients and Families for the Safest CareEngagingPatients
The work of NPSF"s Lucian Leape Institute's Roundtable on Consumer Engagement, "Safety Is Personal: Partnering with Patients and Families for the Safest Care" is a call to action for health leaders, clinicians, and policy makers to take the necessary steps to ensure patient and family engagement at all levels of health care.The report identifies specific action items for health leaders, clinicians, and policy makers to pursue in making patient and family engagement a core value in the provision of health. care.
In first of two-part series, Pamela Greenhouse explores the differences and similarities of the Patient and Family Centered Care Methodology and Practice (PFCC M/P) and leean process improvement approachs, such as Lean, Six Sigma and Toyota. She believes that the PFCC M/P can be the unifying theme for health care, incorporating both process improvement and performance improvement.
Caring-Centric Implementation of Sleep & Pain InitiativesKaiser Permanente
Within two critical care units, there was a need identified to formalize a process to improve sleep, optimize pain control overnight, and minimize disturbances as individualized to each patient.
As new payment models emerge that emphasize value over volume, providers are being compelled to look more closely at how to motivate patients—especially those with multiple chronic conditions—to actively manage their care, make better decisions and change behaviors. This editorial webinar will explore the relationships between engagement and improved health outcomes, greater patient satisfaction and better resource utilization. Our panel of experts will share proven strategies for building patients' confidence, disseminating self-management tools and making the best use of your care team.
An ACO Case Study: Quality Improvement in HealthcareHealth Catalyst
OSF HealthCare—one of the first Pioneer Accountable Care Organizations (ACOs)—has a strong history of providing outstanding quality improvement in healthcare within hospitals, clinics, home health and other health provider entities across Illinois. For ACOs to succeed under value-based care, it is critical that organizations effectively coordinate care in the effort to maximize quality and safety, while minimizing costs and waste. It is also imperative that ACOs understand patients’ needs and values and incorporate them into all health decisions.
Please join Leslie Falk, Health Catalyst and the OSF team—recipient of the 2014 Illinois Hospital Association (IHA) Institute for Innovations in Care and Quality’s first annual Tim Philipp Award for Excellence in Palliative and End-of-Life Care—as they discuss how they leveraged technology and data to launch a community-wide supportive care initiative that has successfully maximized value for the populations they serve.
Attendees of the webinar will:
Learn how OSF is improving healthcare quality and delivering on the Triple Aim.
Explore innovative ways to improve care coordination.
Discover how technology-enabled solutions drives community, patient, and physician engagement.
Understand the benefit of a team approach to improving care coordination.
News from the Coal Face: There’s light at the end of the tunnel. Presented by Dr Andrew Miller, General Practitioner, at HINZ 2014, 11 November 2014, 4.30pm, Marlborough Room
20131210 Electronic Health Records - Is the NHS ready? What about patientsamirhannan
On 12th December 2013, Dr Hannan (GP / family physician) along with Marilyn Gollom (patient) presented this talk to Health 2.0 Manchester. You can watch the talk by going to http://www.htmc.co.uk/pages/pv.asp?p=htmc0519.
Purpose of the Call:
Women's College Hospital is an academic ambulatory hospital. The speaker will share their hospital’s journey as they sought to implement best practices for medication reconciliation from other settings customized for the ambulatory environment.
Read more and watch the webinar recording: http://bit.ly/1sxHIUP
Aligning Incentives for Patient Engagement: Enabling Widespread Implementation of Shared Decision Making
May 24, 2013
Jeff Thompson, Washington State Health Care Authority
David Downs, Engaged Public
David Swieskowski, Mercy ACO Mercy Clinics, Inc.
Lisa Weiss, High Value Healthcare Collaborative
Kate Chenok, Pacific Business Group on Health
Rob Reid: Redesigning primary care: the Group Health journeyThe King's Fund
Rob Reid, Senior Investigator at Group Health Research Institute, explains the journey taken by Group Health in support of integrated primary care. A case study in how primary care can be delivered effectively and efficiently to a population, Rob laid out the challenges facing general practice in the States, and how Group Health worked to improve the situation for both patients and the workforce.
For more information contact: Slideshare@marcusevans.com
Presentation delivered by Donna Medina, Regional Director,OSF Hospice and Homecare Foundation at the marcus evans Home Care Leadership Summit held on July 13 & 14 2015 in Palm Beach FL.
iHT2 Health IT Summit Atlanta 2013 – Thomas Graf, MD, Chief Medical Officer, Population Health, Geisinger Closing Keynote: Accelerating HealthCare Delivery through EHR Optimization
On 12th December 2013, Dr Hannan (GP / family physician) along with Marilyn Gollom (patient) presented this talk to Health 2.0 Manchester. You can watch the talk by going to http://www.htmc.co.uk/pages/pv.asp?p=htmc0519.
Similar to Patient-Centered Strategies for HCAHPS Improvement (20)
This helpful guide gives caregivers and clinicians a better understanding of dementia and the need for a patient-centered dementia care. It includes practical tips for communicating, eating well and improving well-being, plus advice on assistive technology and creative therapies.
In this presentation from the Beryl Institute's 2016 Patient Experience Conference, Edwards-Elmhurst Healthcare’s ED Chair and Patient Experience Director detail how they are leveraging technology to follow up with ED Patients and the exceptional results they’ve enjoyed.
Creating a standard of care for patient and family engagementEngagingPatients
Nationally-recognized governance expert Beth Daley Ullem addresses the state of patient engagement in heathcare and provides a vision for establishing a minimum standard of care for patient engagement programs.
This infographic from The Beryl Institute presents key findings from its study, the "State of Patient Experience 2015: A Global Perspective on the Patient Experience Movement," which engaged over 1,500 respondents in 50 countries, sharing challenges and opportunities in addressing the patient experience across all healthcare settings.
Closing the Loop: Strategies to Extend Care in the EDEngagingPatients
This HIMSS15 presentation discusses the challenges faced in hospital emergency departments and offers insights for implementing a process to follow up with discharged ED patients to enhance outcomes and satisfaction,while optimizing utilization and reducing risk.
Patient & Family Advisory Councils: the Business Case for Starting a PFAC & P...EngagingPatients
This webinar was presented on March 12, 2015 by Barbara Lewis. It looks at the prevalence and roles that Patient & Family Advisory Councils (PFACs) are playing in U.S. hospitals today, and builds a business case for their implementation:
The journey a young asthma patient takes can be scary, but this poster provides a pictorial representation of what pediatric patients can expect when they visit the hospital, helping to ease their anxiety and improve their experience.
This Patient Poster was co-designed by an ICU patient and family, and staff at Magee-Womens Hospital of UPMC to provide staff with a better understanding of the patient and his preferences. Guided by principles of the PFCC Methodology and Practice, they set out to create the ideal care experience for this patient and others.
Gamification as a means to manage chronic diseaseEngagingPatients
UPMC is exploring ways to better engage patients through shared decision making and new approaches to encourage patients and their families to take control of their health. This presentation describes a pilot program UPMC has initiated to leverage gamification as a means to manage chronic heart failure.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
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Cardiac conduction defects can occur due to various causes.
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The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
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Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
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12. The heart of the
matter –
relationships and
communication.
“I find that if the doctors
would just talk in my terms
instead of these long
words, that would help. I
am not a doctor; these
words don’t mean nothing
to me.”
-
19. 1. Partner with Patients and Families
Patient Pathways
Shared Medical Records
20. 77.8%
69%
50%
60%
70%
80%
90%
Yes No
*Note: In a random survey of 4500 adults, 79% patients expressed interest in access (Fowles, Arch Intern Med. 2004)
Were you told you could read your medical chart?
Verysatisfiedwiththeiroverallhospitalexperience?
Patients who are told they could read their medical chart are more
likely to be very satisfied with their overall hospital experience
Impact of Shared Medical Record on Overall
Patient Satisfaction with Care
23. Bedside shift report drives patient satisfaction
82
84
86
88
90
92
94
96
Nurses treat you
with
courtesy/respect
Nurses attitude
toward requests
Attention to
special/personal
needs
Nurses kept you
infromed
Staff include you
in decision re:
treatment
Staff worked
together to care
for you
6 months prior to implementation of bedside report
6 months after implmentation of bedside report
Effects of bedside shift change at a Planetree Designated Hospital
24. Partnering with Patients…Beyond the Bedside
• Invite patients to serve on hospital committees and HCAHPS
improvement task forces
• Invite board members to round on patients prior to every board meeting
• Invite a patient to share his or her story (what went well, what didn’t
go well) to kick off every board meeting
25. 2. Create a physical environment that supports your culture
“Why is the hospital not as humanely practical in
aesthetic effect as it tries to be in physical support?”
Frank Lloyd Wright
29. More Evidence
The use of call lights by patients decreased by 40%
following implementation of decentralized nursing
stations & 24-hour visitation (Charmel, 2003)
30. 3. Make data
meaningful to
staff.
But remember, the data
are not the point,
patient experiences are
the point!
-
36. Compassion in Action
VA New Jersey Sleep Menu
Good Samaritan
Hospital Patient
Story Board
Physician
communication
coaching
Patient Experience training and education for
staff- Middle Management Training
37. “[The doctor]
came in, pulled
up a chair and
said he wanted
to talk…and we
talked on my
terms.”
39. Planetree Designated Hospitals and HCAHPS performance:
A marker of Quality:
Planetree Designated
Hospitals consistently
outperform the National
Average on HCAHPS since
public reporting of scores
began.
40. 69
70
71
72
73
74
75
76
Mar-09 Jun-09 Sep-09 Dec-09 Mar-10 Jun-10 Sep-10 Dec-10 Mar-11 Jun-11 Sep-11 Dec-11 Mar-12
CMS Reporting Period
Patient's Room and Bathroom Always Kept Clean
Designated Hospital Average National Average
41. 62
63
64
65
66
67
68
Mar-09 Jun-09 Sep-09 Dec-09 Mar-10 Jun-10 Sep-10 Dec-10 Mar-11 Jun-11 Sep-11 Dec-11 Mar-12
CMS Reporting Period
Responsiveness
Designated Hospital Average National Average
42. Note: The difference is statistically significant (p<0.05).
80
81
82
83
84
85
86
87
88
Mar-09 Jun-09 Sep-09 Dec-09 Mar-10 Jun-10 Sep-10 Dec-10 Mar-11 Jun-11 Sep-11 Dec-11 Mar-12
CMS Reporting Period
Patients Given Information About Recovery At Home
Designated Hospital Average National Average
43. 56
57
58
59
60
61
62
63
64
65
66
Mar-09 Jun-09 Sep-09 Dec-09 Mar-10 Jun-10 Sep-10 Dec-10 Mar-11 Jun-11 Sep-11 Dec-11 Mar-12
CMS Reporting Period
Staff Always Explained About Medicines
Designated Hospital Average National Average
44. 75
76
77
78
79
80
81
82
83
84
85
Mar-09 Jun-09 Sep-09 Dec-09 Mar-10 Jun-10 Sep-10 Dec-10 Mar-11 Jun-11 Sep-11 Dec-11 Mar-12
CMS Reporting Period
Doctors Always Communicated Well
Designated Hospital Average National Average
45. Note: The difference is statistically significant (p<0.05).
74
75
76
77
78
79
80
Mar-09 Jun-09 Sep-09 Dec-09 Mar-10 Jun-10 Sep-10 Dec-10 Mar-11 Jun-11 Sep-11 Dec-11 Mar-12
CMS Reporting Period
Nurses Always Communicated Well
Designated Hospital Average National Average
46. Note: The difference is statistically significant (p<0.05).
68
69
70
71
72
73
Mar-09 Jun-09 Sep-09 Dec-09 Mar-10 Jun-10 Sep-10 Dec-10 Mar-11 Jun-11 Sep-11 Dec-11 Mar-12
CMS Reporting Period
Pain Was Always Well Controlled
Designated Hospital Average National Average
47. 55
56
57
58
59
60
61
62
Mar-09 Jun-09 Sep-09 Dec-09 Mar-10 Jun-10 Sep-10 Dec-10 Mar-11 Jun-11 Sep-11 Dec-11 Mar-12
CMS Reporting Period
Patient's Room Always Kept Quiet At Night
Designated Hospital Average National Average
48. Note: The difference is statistically significant (p<0.05).
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
Mar-09 Jun-09 Sep-09 Dec-09 Mar-10 Jun-10 Sep-10 Dec-10 Mar-11 Jun-11 Sep-11 Dec-11 Mar-12
CMS Reporting Period
Percent of Patients Highly Satisfied
(Overall Rating 9 or 10)
Designated Hospital Average National Average
49. Note: The difference is statistically significant (p<0.05).
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
Mar-09 Jun-09 Sep-09 Dec-09 Mar-10 Jun-10 Sep-10 Dec-10 Mar-11 Jun-11 Sep-11 Dec-11 Mar-12
CMS Reporting Period
Would Definitely Recommend Hospital to Friends and Family
Designated Hospital Average National Average
50. The Bottom Line on VBP and Designation
A preliminary analysis indicates that, as a group, Patient-
Centered Designated Hospitals are poised to receive:
•127%in reimbursement revenue
•$770,000(100% of all withheld monies plus additional revenues)