Some slides are taken from different textbooks of medicine like Davidson, Kumar and Clark and Oxford, and some from other presentations made by respected tutors. I'm barely responsible for compilation of various resources per my interest. These resources are free for use, and I do not claim any copyright. Hoping knowledge remains free for all, forever.
Definition: Patient-Centered Care
Definition Patient-centered care (patient centred care): “Is a model in which providers partner with families to identify and satisfy the full range of patient needs and preferences.”
To expand this definition, patient-centered care is dependent on the involvement of the staff and care team as well.
“To succeed, a patient-centered approach must also address the staff experience as staff’s ability and inclination to effectively care for patients is unquestionably compromised if they do not feel care for themselves" (Picker Institute).
Researchers from Harvard Medical School, on behalf of Picker Institute and The Commonwealth Fund, defined seven primary dimensions of patient-centered care model.
These factors are identified as:
Respect for patients’ values, preferences and expressed needs
Coordination and integration of care
Information, communication and education
Physical comfort
Emotional support and alleviation of fear and anxiety
Involvement of family and friends
Transition and continuity
The presentation describes in brief the patients need, expectations and how to develop the patient care and feedback system to obtain maximum patient satisfaction.
Some slides are taken from different textbooks of medicine like Davidson, Kumar and Clark and Oxford, and some from other presentations made by respected tutors. I'm barely responsible for compilation of various resources per my interest. These resources are free for use, and I do not claim any copyright. Hoping knowledge remains free for all, forever.
Definition: Patient-Centered Care
Definition Patient-centered care (patient centred care): “Is a model in which providers partner with families to identify and satisfy the full range of patient needs and preferences.”
To expand this definition, patient-centered care is dependent on the involvement of the staff and care team as well.
“To succeed, a patient-centered approach must also address the staff experience as staff’s ability and inclination to effectively care for patients is unquestionably compromised if they do not feel care for themselves" (Picker Institute).
Researchers from Harvard Medical School, on behalf of Picker Institute and The Commonwealth Fund, defined seven primary dimensions of patient-centered care model.
These factors are identified as:
Respect for patients’ values, preferences and expressed needs
Coordination and integration of care
Information, communication and education
Physical comfort
Emotional support and alleviation of fear and anxiety
Involvement of family and friends
Transition and continuity
The presentation describes in brief the patients need, expectations and how to develop the patient care and feedback system to obtain maximum patient satisfaction.
Person centered care models with reference to dementia care, has demonstrated positive outcomes for behavioral disturbance. This presentation will increase awareness and understanding about person-centered care for people with dementia. Discussion includes complex needs of people with dementia, leading to compromised behavioral symptoms; including non-pharmacological approaches, sleep-wake-cycle disturbance, verbal outbursts and aggression. Further discussion encompasses evidence based outcomes with the use of person centered care that focuses on preserving the "personhood" of the individual.
Patient safety is the absence of preventable harm to a patient during the process of health care and reduction of risk of unnecessary harm associated with health.
In the presentation, a summary of initiatives to be taken by hospitals in different areas for patient safety have been described for the knowledge, practices and implementation of patient safety initiative by hospital managers/Administrators.
Person centered care models with reference to dementia care, has demonstrated positive outcomes for behavioral disturbance. This presentation will increase awareness and understanding about person-centered care for people with dementia. Discussion includes complex needs of people with dementia, leading to compromised behavioral symptoms; including non-pharmacological approaches, sleep-wake-cycle disturbance, verbal outbursts and aggression. Further discussion encompasses evidence based outcomes with the use of person centered care that focuses on preserving the "personhood" of the individual.
Patient safety is the absence of preventable harm to a patient during the process of health care and reduction of risk of unnecessary harm associated with health.
In the presentation, a summary of initiatives to be taken by hospitals in different areas for patient safety have been described for the knowledge, practices and implementation of patient safety initiative by hospital managers/Administrators.
2021-2022 NTTAP Webinar: Fundamentals of Comprehensive CareCHC Connecticut
Join us as we discuss the core concepts of team-based care and introduce elements of team-based care that builds upon these basics to support your teams in advancing their capability to provide satisfying and effective care to complex patient populations. .
We will be joined by Margaret Flinter, Senior Vice President/Clinical Director for Community Health Center, Inc., and both Thomas Bodenheimer, MD, Physician and Founding Director, and Rachel Willard Grace, Director, from the Center for Excellence in Primary Care.
Write a 3 page evidence-based health care delivery plan for one .docxowenhall46084
Write a 3 page evidence-based health care delivery plan for one component of a heart failure clinic.
Nursing within an organization is a critical component of health care delivery and is an essential ingredient in patient outcomes (Kelly & Tazbir, 2014). The concern for quality care that flows from evidence-based practice generates a desired outcome. Without these factors, a nurse cannot be an effective leader. It is important to lead not only from this position but from knowledge and expertise.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Competency 2: Explain the accountability of the nurse leader for decisions that affect health care delivery and patient outcomes.
Describe accountability tools and procedures used to measure effectiveness.
Competency 3: Apply management strategies and best practices for health care finance, human resources, and materials allocation decisions to improve health care delivery and patient outcomes.
Develop an evidence-based plan for health care delivery.
Competency 4: Apply professional standards of moral, ethical, and legal conduct in professional practice.
Apply professional and legal standards in support of a care plan.
Competency 5: Communicate in manner that is consistent with the expectations of a nursing professional.
Write content clearly and logically, with correct use of grammar, punctuation, mechanics, and current APA style.
In an effort to improve the patients' health literacy concerning heart failure, it is important that the clinic staff and the hospital staff present a consistent, evidence-based message on self-care to these patients and their families in order to decrease acute exacerbation and re-admissions. Review current evidence for clinical practice guides or protocols when developing your patient teaching plans and materials. Consider the following:
What does the patient know about the disease process as a baseline?
What does the patient need to do understand as far as the best self-care processes?
Can the patient identify proper medication compliance?
Is there a financial issue that affects compliance?
Who buys and prepares the food in the home?
Can the patient verbalize when to seek medical assistance?
Instructions
Deliverable:
Develop an evidence-based plan for health care delivery.
Scenario:
The hospital where you work has an issue with increased readmissions within 30 days of discharge. After examining the core measures, it was found that heart failure was the most common core measure disease process experiencing the highest rate of readmissions. The leadership team has given your team the charge of developing a nurse-run outpatient heart failure clinic. The purpose of this clinic is to ensure that discharge education is presented to the patient in an orderly, consistent manner and complies with evidence-based practice protocol.
Marita Schifalacqua, RN, MSN, NEA-BC, FAAN,
Chris Costello, MEng, MBA, and Wendy Denman, RNC, BBM, BSN, MSN
Roadmap for Planned Change, Part 2
Bar-Coded Medication Administration
hange—savored by some and feared by many.
How do you as nurse leaders use your
knowledge and insight to move forward and transfer
your vision for quality and safety into reality? What do
you need to do to get key stakeholders on the bus and,
in some cases, even drive the bus? The roadmap for
planned change allows for an infrastructure of thought
brought to increase the likelihood for successful
change. Successful change is important to our patients
and to us as providers of that care.
This article, the second of a two-part series,
focuses on the application of change theory and the
elements of project management most critical to
successfully implementing a bar-coded medication
administration (BCMA) program. Examples will be
from one hospital’s experience, Saint Francis Medical
Center in Grand Island, Nebraska, to a health
system’s (Catholic Health Initiatives, Denver, Colorado)
approach to planning for 30 hospitals.
The definition of the BCMA program includes a
consistent, integrated information technology strategy,
with a focus on point-of-care BCMA to ensure that the
right person receives the right medication, in the right
dosage, via the right route, at the right time (five
rights). The bar code on medication is scanned before
administration to patients.
C
April 200932 Nurse Leader
Nurse Leader 33www.nurseleader.com
APPLICATION OF CHANGE THEORY AND
PROJECT MANAGEMENT
The first article discusses concepts and tools of both change
leadership and project management that lend support in plan-
ning and managing large- or small-scale change. Change lead-
ership is a common methodology of theory and tools that,
when used routinely, are central to integrating a change man-
agement model with the people side of change.
Project management is an application of knowledge, skills,
tools, and techniques customized to the initiative.The project
management elements discussed in the first article that are
most critical to successfully implementing planned change are
project charter, project budget and budget management, proj-
ect plan and schedule management, project staff organization,
project communications management, and project risk and
issue management.
CURRENT STATE ANALYSIS
Changing a process as complex as BCMA can and will
impact a variety of stakeholders. It is important to review
the process of medication administration from the time the
medication enters the facility through the time that the med-
ication is billed to the patient. Employees working in depart-
ments that will experience change with BCMA need to
know that their role is important and that their viewpoint
is valued.
Leadership
The chief nursing officer and vice president of ancillary services
were the executive cosponsors of the project.There was a
BCMA stee ...
For this assessment, you will implement the preliminary care coo.docxtemplestewart19
For this assessment, you will implement the preliminary care coordination plan you developed in Assessment 1. Present the plan to the patient in a face-to-face clinical learning session and collaborate with the patient in evaluating session outcomes and addressing possible revisions to the plan.
NOTE
: You are required to complete this assessment after Assessment 1 is successfully completed.
Care coordination is the process of providing a smooth and seamless transition of care as part of the health continuum. Nurses must be aware of community resources, ethical considerations, policy issues, cultural norms, safety, and the physiological needs of patients. Nurses play a key role in providing the necessary knowledge and communication to ensure seamless transitions of care. They draw upon evidence-based practices to promote health and disease prevention to create a safe environment conducive to improving and maintaining the health of individuals, families, or aggregates within a community. When provided with a plan and the resources to achieve and maintain optimal health, patients benefit from a safe environment conducive to healing and a better quality of life.
This assessment provides an opportunity for you to apply communication, teaching, and learning best practices to the presentation of a care coordination plan to the patient.
You are encouraged to complete the Vila Health: Cultural Competence activity prior to completing this assessment. Completing course activities before submitting your first attempt has been shown to make the difference between basic and proficient assessment.
Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:
Competency 1: Adapt care based on patient-centered and person-focused factors.
Design patient-centered health interventions and timelines for care delivered through direct clinical interaction that is logged in the CORE ELMS system.
Competency 2: Collaborate with patients and family to achieve desired outcomes.
Evaluate learning session outcomes and the attainment of mutually agreed-upon health goals, in collaboration with a patient.
Competency 3: Create a satisfying patient experience.
Evaluate patient satisfaction with the care coordination plan and progress made toward Healthy People 2020 goals and leading health indicators.
Competency 4: Defend decisions based on the code of ethics for nursing.
Make ethical decisions in designing patient-centered health interventions.
Competency 5: Explain how health care policies affect patient-centered care.
Identify relevant health policy implications for the coordination and continuum of care.
Preparation
In this assessment, you will implement the preliminary care coordination plan you developed in Assessment 1 and communicate the plan to the patient in a professional, cultura.
Point of Care CNA The Heart of Healthcare.pdfArticles Reader
Point of Care CNAs are the backbone of healthcare. As we continue to navigate the complexities of modern healthcare, let’s remember to acknowledge and appreciate the invaluable contributions of Point of Care CNAs who tirelessly work to enhance the quality of patient care.
Artificial intelligence (AI) offers new opportunities to radically reinvent the way we do business. This study explores how CEOs and top decision makers around the world are responding to the transformative potential of AI.
The case study discusses the potential of drone delivery and the challenges that need to be addressed before it becomes widespread.
Key takeaways:
Drone delivery is in its early stages: Amazon's trial in the UK demonstrates the potential for faster deliveries, but it's still limited by regulations and technology.
Regulations are a major hurdle: Safety concerns around drone collisions with airplanes and people have led to restrictions on flight height and location.
Other challenges exist: Who will use drone delivery the most? Is it cost-effective compared to traditional delivery trucks?
Discussion questions:
Managerial challenges: Integrating drones requires planning for new infrastructure, training staff, and navigating regulations. There are also marketing and recruitment considerations specific to this technology.
External forces vary by country: Regulations, consumer acceptance, and infrastructure all differ between countries.
Demographics matter: Younger generations might be more receptive to drone delivery, while older populations might have concerns.
Stakeholders for Amazon: Customers, regulators, aviation authorities, and competitors are all stakeholders. Regulators likely hold the greatest influence as they determine the feasibility of drone delivery.
The Team Member and Guest Experience - Lead and Take Care of your restaurant team. They are the people closest to and delivering Hospitality to your paying Guests!
Make the call, and we can assist you.
408-784-7371
Foodservice Consulting + Design
Senior Project and Engineering Leader Jim Smith.pdfJim Smith
I am a Project and Engineering Leader with extensive experience as a Business Operations Leader, Technical Project Manager, Engineering Manager and Operations Experience for Domestic and International companies such as Electrolux, Carrier, and Deutz. I have developed new products using Stage Gate development/MS Project/JIRA, for the pro-duction of Medical Equipment, Large Commercial Refrigeration Systems, Appliances, HVAC, and Diesel engines.
My experience includes:
Managed customized engineered refrigeration system projects with high voltage power panels from quote to ship, coordinating actions between electrical engineering, mechanical design and application engineering, purchasing, production, test, quality assurance and field installation. Managed projects $25k to $1M per project; 4-8 per month. (Hussmann refrigeration)
Successfully developed the $15-20M yearly corporate capital strategy for manufacturing, with the Executive Team and key stakeholders. Created project scope and specifications, business case, ROI, managed project plans with key personnel for nine consumer product manufacturing and distribution sites; to support the company’s strategic sales plan.
Over 15 years of experience managing and developing cost improvement projects with key Stakeholders, site Manufacturing Engineers, Mechanical Engineers, Maintenance, and facility support personnel to optimize pro-duction operations, safety, EHS, and new product development. (BioLab, Deutz, Caire)
Experience working as a Technical Manager developing new products with chemical engineers and packaging engineers to enhance and reduce the cost of retail products. I have led the activities of multiple engineering groups with diverse backgrounds.
Great experience managing the product development of products which utilize complex electrical controls, high voltage power panels, product testing, and commissioning.
Created project scope, business case, ROI for multiple capital projects to support electrotechnical assembly and CPG goods. Identified project cost, risk, success criteria, and performed equipment qualifications. (Carrier, Electrolux, Biolab, Price, Hussmann)
Created detailed projects plans using MS Project, Gant charts in excel, and updated new product development in Jira for stakeholders and project team members including critical path.
Great knowledge of ISO9001, NFPA, OSHA regulations.
User level knowledge of MRP/SAP, MS Project, Powerpoint, Visio, Mastercontrol, JIRA, Power BI and Tableau.
I appreciate your consideration, and look forward to discussing this role with you, and how I can lead your company’s growth and profitability. I can be contacted via LinkedIn via phone or E Mail.
Jim Smith
678-993-7195
jimsmith30024@gmail.com
Oprah Winfrey: A Leader in Media, Philanthropy, and Empowerment | CIO Women M...CIOWomenMagazine
This person is none other than Oprah Winfrey, a highly influential figure whose impact extends beyond television. This article will delve into the remarkable life and lasting legacy of Oprah. Her story serves as a reminder of the importance of perseverance, compassion, and firm determination.
3. 7-Implementing patient centered care.
8.Strategies for implemented pcc .
9.Tools to implement ppc .
10.Core Processes of Client Centered Care
11-Barriers that faces health care leader on implement patient
centered care
12.Role of Nurses on implement patient centered care
13.Role of health care leadership on implement patient
centered care.
Out Line
4. Educational objectives:
At the end of this lecture the master student will be able to :
1-Define Patient centered care.
Identify Benefits of implement patient centered care.
3.Identify the importance of Patient centered care
4.The values and beliefs of pcc
5.Factors Contributing to Patient Centered Care
6.Explain implementing patient centered care.
7.Explain Strategies for implemented pcc .
5. 7.Explain Strategies for implemented pcc .
8.Explain Tools to implement ppc .
9.Explain Core Processes of Client Centered Care.
10.List Barriers that faces health care leader on implement
patient centered care
11.Identify the Role of Nurses on implement patient
centered care
12.Identify Role of health care leadership on implement patient
centered care.
Educational
Objectives
6. Introduction
Patient centered care (PCC) is a concept that describes organizing
healthcare
system around the It is a standard of care that ensures that the patient is in
the center of healthcare delivery The PCC approach emerged in the early
50s of the previous century and became suddenly prevalent in the healthcare
policies in the
late 90s. The reason for it may be attributed to the need of healthcare system
to find ways to improve quality of care, while correcting the imbalance in
care, that is, to stay away from the biomedical model, toward a focus on
interaction, cooperation, and holistic approach
7. Definition
PCC is a multidimensional concept includes: biopsychosocial,
patient as a person, sharing power and responsibility.
PCC definitions are delivery of respectful and responsible care,
which considers each patient's preferences, needs, and
personal values, and ensures that personal values of each
patient will be at the base of all patient elated therapeutic
decisions.
8. Benefits of implement patient centered car
Attain better financial performance
A hospital system that is guided by the needs of
patients and families becomes
significantly more efficient. It reduces waste of a
hospital's material and staff
resources through making fewer process delays,
maximizing patient educational
efforts and decreasing diagnostic tests and referrals
9. Improve market share
Hospitals implementing a more patient
centered approach successfully improve
employee satisfaction and retention. A more efficient
system decreases employee
burnout, improves staff relationships.
10. Improve patient health outcomes
The best reason for implementing a patient
centered model in your hospital is that
it is the right thing to do. Patients receiving this kind of care are
happier, more satisfied, heal more quickly, are in less pain and
stay
healthier that is improved patient health outcomes
11. Importance of patient centered care:
1-Meeting people’s needs and expectations Person-centered
approaches, such as shared decision making and self-
management
2-support, specifically aim to enable people to play a more
active role in defining the outcomes that are important to them,
deciding the treatment and support that is best for them, and
managing their health .
12. 3-Improving clinical outcome; Person centered approaches
can improve clinical outcomes.
For example, various types of self-management support have
been found to improve physical symptoms
or clinical outcomes in people with arthritis, asthma, diabetes,
hypertension, heart disease, heart failure, stroke, cancer and
other conditions, at least in the short term
13. 4-Increasing staff satisfaction and morale
Persone centered care in nursing homes
found that this approach improved job
satisfaction, reduced emotional exhaustion.
14. 5-Improving cost effectiveness
There are a range of studies showing that
person
centered approaches such as self
management support and shared decision
making can reduce service usage
15. The values and beliefs of pcc :
Those were identified as foundational to client centered care:
1-Respect:
Respect clients‘ wishes, concerns, values, priorities,
perspectives, and strengths.
2-Human Dignity
Care for clients as whole and unique human beings, not as
problems or diagnoses
16. Clients Are Experts for Their Own Lives:
Clients know themselves the best.
Clients as Leader
Follow the lead of clients with respect to information
giving, decision making, care in general and
involvement of others
17. Clients’ Goals Coordinate Care of the Health Care
Team
Clients define the goals that coordinate the practices
of the health care team. All members of the team
work toward facilitating the achievement of these
goals.
Continuity and Consistency of Care and Caregiver
18. Continuity and consistency of care and caregiver provides a
foundation for client centered care.
Timeliness
The needs of clients and communities deserve a prompt
response.
Responsiveness & Universal Access:
Care that is offered to clients is universally accessible and
responsive to their wishes, values, priorities, perspectives, and
concerns.
19. Factors Contributing to Patient-Centered Care
1-Leadership
Leadership and board of directors sufficiently committed and engaged to
unify and
sustain the organization in a common mission.
2-A strategic vision
Clearly and constantly communicated to every member of the organization.
3-Involvement of patients and families
At multiple levels, not only in the care process but as full participants in key
committees throughout the organization.
20. 4-Care for the caregivers through a supportive work
environment That engages employees in all aspects of process
design and treats them with the same dignity and respect that
they are expected to show patients and families.
5-Supportive technology That engages patients and families
directly in the process of care by facilitating information access
and communication with their caregivers
21. Implementing patient centered care
Organization of the healthcare system that puts the patient in
the center requires significant changes in the process of
healthcare delivery.
The PCC dimensions as described may serve as a basis for
developing policies and
procedures for implementing this approach.
Healthcare system managers who are trying to implement the
PCC approach are faced with the problem of defining PCC
within the organization
22. Successful implementation of client centered care
requires the following strategies:
1. Organizational and managerial support
2. Organizational champions
3. Education and training for nurses
4-Education and training for non-nurses.
23. 5-. Model of care delivery that ensures continuity of care and
continuity of caregiver
6. Organizational and unit policies congruent with client
centered care
7- Positive worklife environment.
8-. Humanizing the physical environment, routines, and the
language of care giving
Cont………….
24. Tools to implement ppc:
Decision Aids (DA)
Print Materials
Print materials are often used during the clinical encounter. They usually
require the provider to explain and fill in the gaps
but often provide a good high
level summary so patients can wrap their heads around the information.
Good examples are the diabetes cards created by Victor Monitory.
There are also simplified matrixes, tables or grids.
A matrix or grid is often set up with common questions patients have about each
treatment in rows with answers to these questions in columns under each treatment
option.
25. Predictive risk tools
can provide patients with a graphical model that helps
them understand how their personal traits like age,
gender, genetic markers and blood tests predict
both their risk of complications from a given treatment
and likelihood of benefiting from it.
26. Videos and Interactive Multimedia Programs
Videos and web-based multimedia programs are decision aids that can be
used
before, during or after clinician encounters.
They can cover a large amount of information by leveraging narration and
animation.
This kind of standardized presentation also helps eliminate possible
provider bias, and ensures the standard options are given equal weight.
These presentations also allow patients to watch them at home in a more
relaxed environment, when they have time to focus and absorb the
information.
This also allows partners and family members to watch and gain the same
understanding so they can support and be part of the decision making
27. Barriers that faces health care leader on implement pcc:
(1) A general resistance to change.
(2) The perception that implementation would cost too much
time and resources.
(3) A lack of clarity on how to initiate and maintain a culture
change of this magnitude
28. Nursing and patient centered care
The PCC implementation among all health care workers is an
important and essential part in daily work, nurses play the most
significant role in PCC implementation ratings of quality of
nursing care in hospitals by patients, had the most significant
effect on the overall experience of care and services, even more
than the experience of care provided by a physician or
housekeeping services. Bad experience of nursing care had a
disproportionally negative effect on the perception of quality of
care and PCC.
29. Nursing education and patient centered care one of the most important
elements in PCC implementation is the training of nursing staff on PCC.
The nursing training programs should provide nurses tools to identify the
unique needs of each patient, as well as provide tools for shared decision
making.
One of the important tools for this is advanced communication skills In
addition, it
is important to teach content related to quality of care and patient safety.
30. Role of health care leadership on implement pcc:
*Effective leaders focus the organization‘s culture on the needs of patients
and families, 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
*Leaders must clearly articulate a hospital‘s commitment to meet the unique
Needs of its patients to establish an organizational culture that values patien
and Family centered care.
31. furthermore, they must demon-strate that commitment ―by
communicating openly, soliciting and responding to input from
staff, patients, families and others, and ensuring staff members
have the resources and flexibility they need to provide patient
centered care In their own behaviors and values, leaders set
the tone for the successful Implementation of patient –centered
care