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Putting Patients First (eBook)

Best Practices in Patient-Centered Care
eBook Download: PDF
2008 | 2. Auflage
John Wiley & Sons (Verlag)
978-0-470-40347-1 (ISBN)

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The second edition of Putting Patients First showcases what Planetree facilities and the Planetree organization have learned about the commitments, conditions, practices, and policies that are needed to do more than give lip service to being--patient-centered.--It should be read by every student, nurse, physician, administrator, trustee, policy maker, and lay person who is committed to creating healing environments, holding facilities accountable for their rhetoric, and truly reforming health care.

Susan Frampton, Ph.D. is President of Planetree Institute, a non-profit organization that promotes and provides education in patient-centered care, Frampton works with a growing alliance of hospitals and health centers around the country and in Europe that have implemented Planetree's unique patient-centered model of care. Prior to her work with Planetree, she spent over twenty years at several hospitals in the New England area. Her work focused on community education, wellness and prevention, planning, and development of integrative medicine service lines. Frampton serves on the Connecticut Healthcare Research and Education Foundation's Patient Safety Organization, and is an invited member of the Institute of Medicine panel on reducing medical error and improving patient safety.

Patrick Charmel is President and Chief Executive Officer of Griffin Hospital and its parent corporation Griffin Health Services Corporation. Among the positions he has held at Griffin are Assistant to the Administrator, Assistant Administrator, Clinical Services and Vice President, Hospital Operations. He became President and CEO in 1998. During his tenure he has positioned Griffin Hospital as an award-winning, innovative organization, recognized as an industry leader in providing personalized, humanistic, consumer-driven health care in a healing environment. Since adopting the Planetree philosophy in 1991, over 550 hospitals have visited and toured Griffin and its award-winning patient-care building. Under Charmel's leadership, Griffin Hospital was named one of fifteen Hospitals With Heart' by AARP's Modern Maturity Magazine, was featured on the CNBC produced 'Wall Street Journal Report' and was spotlighted, along with Planetree, in a PBS special 'Hospitals With a Heart' that aired in 2004.

Planetree is an international affiliation of hospitals utilizing the Planetree model of patient centered care that seeks to humanize and demystify the health care experience for patients and families.


The second edition of Putting Patients First showcases what Planetree facilities and the Planetree organization have learned about the commitments, conditions, practices, and policies that are needed to do more than give lip service to being--patient-centered.--It should be read by every student, nurse, physician, administrator, trustee, policy maker, and lay person who is committed to creating healing environments, holding facilities accountable for their rhetoric, and truly reforming health care.

Susan Frampton, Ph.D. is President of Planetree Institute, a non-profit organization that promotes and provides education in patient-centered care, Frampton works with a growing alliance of hospitals and health centers around the country and in Europe that have implemented Planetree's unique patient-centered model of care. Prior to her work with Planetree, she spent over twenty years at several hospitals in the New England area. Her work focused on community education, wellness and prevention, planning, and development of integrative medicine service lines. Frampton serves on the Connecticut Healthcare Research and Education Foundation's Patient Safety Organization, and is an invited member of the Institute of Medicine panel on reducing medical error and improving patient safety. Patrick Charmel is President and Chief Executive Officer of Griffin Hospital and its parent corporation Griffin Health Services Corporation. Among the positions he has held at Griffin are Assistant to the Administrator, Assistant Administrator, Clinical Services and Vice President, Hospital Operations. He became President and CEO in 1998. During his tenure he has positioned Griffin Hospital as an award-winning, innovative organization, recognized as an industry leader in providing personalized, humanistic, consumer-driven health care in a healing environment. Since adopting the Planetree philosophy in 1991, over 550 hospitals have visited and toured Griffin and its award-winning patient-care building. Under Charmel's leadership, Griffin Hospital was named one of fifteen Hospitals With Heart" by AARP's Modern Maturity Magazine, was featured on the CNBC produced "Wall Street Journal Report" and was spotlighted, along with Planetree, in a PBS special "Hospitals With a Heart" that aired in 2004. Planetree is an international affiliation of hospitals utilizing the Planetree model of patient centered care that seeks to humanize and demystify the health care experience for patients and families.

PUTTING PATIENTS FIRST: Best Practices in Patient-Centered Care, Second Edition 5
CONTENTS 7
ACKNOWLEDGMENTS 11
THE EDITORS 13
THE CONTRIBUTORS 15
PROLOGUE 25
THE PLANETREE MODEL 32
ESSENTIAL ELEMENTS OF PATIENT-CENTERED CARE 37
CURRENT TRENDS IN PATIENT-CENTERED CARE 40
REFERENCES 42
INTRODUCTION 29
Part I: ESSENTIAL ELEMENTS OF PATIENT-CENTERED CARE 45
Chapter 1: HUMAN INTERACTIONS AND RELATIONSHIP-CENTERED CARING 47
INTRODUCTION 48
RELATIONSHIP-CENTERED CARE/CARING 50
ROLE OF SOCIAL SUPPORT IN HEALTH AND HEALING 58
PUTTING CONCEPTS INTO ACTION 62
REFERENCES 68
Chapter 2: ACCESS TO INFORMATION: INFORMING AND EMPOWERING DIVERSE POPULATIONS 71
ACCESS TO INFORMATION AT THE BEDSIDE 72
ACCESS TO INFORMATION IN THE COMMUNITY 85
CONCLUSION 92
REFERENCES 92
Chapter 3: HEALING PARTNERSHIPS: THE IMPORTANCE OF INVOLVING PATIENTS, FAMILIES, AND VOLUNTEERS 95
INTRODUCTION—THE IMPORTANCE OF PARTNERSHIPS 96
VOLUNTEERS AS PARTNERS 112
QUO VADIS—THE FUTURE 116
REFERENCES 116
Chapter 4: NUTRITION: THE NURTURING AND HEALING ASPECTS OF FOOD 119
FOOD, HEALTH, AND THE HEALING ENVIRONMENT 120
ONE HOSPITAL’S JOURNEY: WINDBER MEDICAL CENTER 128
FOOD AND HEALING 133
REFERENCES 136
ADDITIONAL SOURCES 136
Chapter 5: SPIRITUAL AND CULTURAL DIVERSITY: INNER RESOURCES FOR HEALING 139
RELIGION, SPIRITUALITY, AND MEDICINE 140
DEFINITIONS OF RELIGION AND SPIRITUALITY 142
IMPORTANCE OF RELIGION AND SPIRITUALITY IN HEALTH CARE 146
SPIRITUALITY IN THE CARE OF THE DYING 150
PLANETREE SPIRITUALITY 152
ORGANIZATIONS AND THEIR SPIRITUALITY 153
REFERENCES 155
Chapter 6: INTEGRATING COMPLEMENTARY AND ALTERNATIVE PRACTICES INTO CONVENTIONAL CARE 157
DEFINITION OF CAM 158
EPIDEMIOLOGY AND POPULATION SIGNIFICANCE 159
INTEGRATIVE MEDICINE 163
CONCLUSIONS 168
REFERENCES 170
Chapter 7: EFFECTS OF VIEWING ART ON HEALTH OUTCOMES 173
WHAT ARE HEALTH OUTCOMES? 174
THEORIES: ART THAT CAN IMPROVE OUTCOMES 176
PREFERENCES FOR VISUAL IMAGES 178
STRESS-REDUCING EFFECTS OF VIEWING ART 181
EFFECTS OF VIEWING NATURE ON PAIN 183
EFFECTS OF NATURE VERSUS ABSTRACT IMAGES ON OUTCOMES 184
GUIDELINES FOR SELECTING HEALTH CARE ART 185
PLANETREE ARTS PROGRAMS 187
REFERENCES 190
Chapter 8: HEALING ENVIRONMENTS: CREATING A NURTURING AND HEALTHY ENVIRONMENT 195
PRIVACY 197
PATIENT SAFETY 200
NOISE CONTROL 200
VIEWS OF AND ACCESS TO NATURE 201
LIGHTING 204
THERAPEUTIC ENHANCEMENTS 207
GATHERING SPACES 207
ENVIRONMENTAL CONTROL 209
GETTING AROUND THE FACILITY: WAYFINDING 209
SEPARATION OF TRAFFIC TYPES 212
STAFF SUPPORT AREAS 212
STAFF WORKSTATIONS 213
EDUCATION SPACES 214
CONCLUSION 216
REFERENCES 217
Chapter 9: HEALTHY COMMUNITIES: EXPANDING THE BOUNDARIES OF HEALTH CARE 219
THE HEALTHY COMMUNITIES MOVEMENT 220
A BROADER DEFINITION OF HEALTH 221
COMMUNITY 223
REFERENCES 230
ADDITIONAL RESOURCES 231
Part II: CURRENT TRENDS IN PATIENT-CENTERED CARE 233
Chapter 10: BUILDING THE BUSINESS CASE FOR PATIENT-CENTERED CARE 235
DEMONSTRATING PLANETREE’S EFFECTIVENESS 236
THE INDUSTRY SHIFTS ITS FOCUS 241
PRODUCT DIFFERENTIATION 242
FINANCIAL IMPERATIVE 245
IMPROVED CLINICAL OUTCOMES 248
HEALTH CARE WORKFORCE SHORTAGE 250
IN CONCLUSION: A STRONG BUSINESS CASE 252
REFERENCES 253
Chapter 11: THE PHYSICIAN-PATIENT RELATIONSHIP IN THE PATIENT-CENTERED CARE MODEL 255
THE CHANGING PHYSICIAN PERSPECTIVE 256
THE PATIENT PERSPECTIVE 258
THE PAYER PERSPECTIVE 261
THE ROLE OF PLANETREE 263
PHYSICIAN INVOLVEMENT IN PLANETREE 265
REFERENCES 269
Chapter 12: ADAPTING PATIENT-CENTERED CARE TO DIVERSE HEALTH CARE SETTINGS 271
BEHAVIORAL HEALTH: NEW YORK–PRESBYTERIAN HOSPITAL 272
CONTINUING CARE: WESLEY VILLAGE 277
INTEGRATED HEALTH CARE: AURORA HEALTH CARE 286
CONCLUSION 291
Chapter 13: INTEGRATING QUALITY AND SAFETY WITH PATIENT-CENTERED CARE 293
HUMAN INTERACTIONS AND COMMUNICATION 295
PATIENT EDUCATION AND ACCESS TO INFORMATION 299
INVOLVEMENT OF FAMILY AND FRIENDS 301
NUTRITION 302
COMMUNITY PARTNERSHIPS 302
SUPPORTING PATIENT INVOLVEMENT 304
WHEN THINGS GO WRONG 305
CONCLUSIONS 307
REFERENCES 308
Chapter 14: PATIENT-CENTERED CARE AS PUBLIC POLICY: THE ROLE OF GOVERNMENT, PAYERS, AND THE GENERAL PUBLIC 311
USING PUBLIC POLICY LEVERS 314
CHALLENGES, PROSPECTS, AND OPPORTUNITIES 325
REFERENCES 327
Chapter 15: BREAKING DOWN THE BARRIERS TO PATIENT-CENTERED CARE 329
EXPLORING THE BARRIERS 330
NEW STRATEGIES TO OVERCOME THE BARRIERS 333
YOUR ROLE IN OVERCOMING THE BARRIERS 336
REFERENCES 344
EPILOGUE 345
NAME INDEX 349
SUBJECT INDEX 355

Erscheint lt. Verlag 3.10.2008
Reihe/Serie Jossey-Bass Public Health
Jossey-Bass Public Health/Health Services Text
Jossey-Bass Public Health/Health Services Text
Sprache englisch
Themenwelt Medizin / Pharmazie Allgemeines / Lexika
Medizin / Pharmazie Gesundheitswesen
Studium Querschnittsbereiche Prävention / Gesundheitsförderung
Schlagworte Öffentlicher Gesundheitsdienst u. Gesundheitspolitik • Gesundheits- u. Sozialwesen • Health & Social Care • Krankenpflege • Leitungstätigkeit u. Management i. d. Krankenpflege • Leitungstätigkeit u. Management i. d. Krankenpflege • nursing • Nursing Management & Leadership • Öffentlicher Gesundheitsdienst u. Gesundheitspolitik • patient-centered health, health patient-centered, patients and health, patients and healthcare, patient care, managed care, patient managed care, health care and patients • Public Health Services & Policy
ISBN-10 0-470-40347-0 / 0470403470
ISBN-13 978-0-470-40347-1 / 9780470403471
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