Patient Centered Healthcare

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My Research Presented at the 2009 University of Illinois Research Symposium

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Patient Centered Healthcare

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

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