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Safety Net Medical Home Initiative Juliette Schlucter March 7, 2011 Shall We Dance? Patient and Family-Centered Partnerships to Advance Safety, Quality and the Experience of Care

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Page 1: Shall We Dance? - Safety Net Medical Home · Safety Net Medical Home Initiative. Juliette Schlucter. March 7, 2011. Shall We Dance? Patient and Family-Centered Partnerships to Advance

Safety Net Medical Home Initiative

Juliette Schlucter

March 7, 2011

Shall We Dance?Patient and Family-Centered Partnerships to

Advance Safety, Quality and the Experience of Care

Page 2: Shall We Dance? - Safety Net Medical Home · Safety Net Medical Home Initiative. Juliette Schlucter. March 7, 2011. Shall We Dance? Patient and Family-Centered Partnerships to Advance

2Copyright 2006 Bridgekeeper Inc. All rights reserved

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C opyright 2011 B ridgekeeper, Inc .

Page 3: Shall We Dance? - Safety Net Medical Home · Safety Net Medical Home Initiative. Juliette Schlucter. March 7, 2011. Shall We Dance? Patient and Family-Centered Partnerships to Advance

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Shared Expertise

A Cultural Shift Expectations of Families Expectations of HealthCare

Professionals Getting Comfortable with Uncertainty Honoring each other’s expertise

C opyright 2011 B ridgekeeper, Inc .

Page 4: Shall We Dance? - Safety Net Medical Home · Safety Net Medical Home Initiative. Juliette Schlucter. March 7, 2011. Shall We Dance? Patient and Family-Centered Partnerships to Advance

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Core Concepts of Family-Centered Care

Family-centered care places emphasis on mutually beneficial partnerships between patients, families and healthcare professionals. It acknowledges that families, however they are defined, are essential to patients’ health and well-being and are allies for quality and safety within the health care system.

Respect and dignityCommunication and Information SharingParticipationCollaboration

4C opyright 2011 B ridgekeeper, Inc .

Page 5: Shall We Dance? - Safety Net Medical Home · Safety Net Medical Home Initiative. Juliette Schlucter. March 7, 2011. Shall We Dance? Patient and Family-Centered Partnerships to Advance

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Creating A Blueprint for Action

The Patient Perspective The Staff Perspective

Understanding then

Bridging The Gap

C opyright 2011 B ridgekeeper, Inc .

Page 6: Shall We Dance? - Safety Net Medical Home · Safety Net Medical Home Initiative. Juliette Schlucter. March 7, 2011. Shall We Dance? Patient and Family-Centered Partnerships to Advance

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Bridging The Gap

“Two words, information and communication are often used interchangeably, but they signify quite different things. Information is giving out; communication is getting through.”

Sidney Harris

6C opyright 2011 B ridgekeeper, Inc .

Page 7: Shall We Dance? - Safety Net Medical Home · Safety Net Medical Home Initiative. Juliette Schlucter. March 7, 2011. Shall We Dance? Patient and Family-Centered Partnerships to Advance

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So, How Do We Get Through?

C opyright 2011 B ridgekeeper, Inc .

Page 8: Shall We Dance? - Safety Net Medical Home · Safety Net Medical Home Initiative. Juliette Schlucter. March 7, 2011. Shall We Dance? Patient and Family-Centered Partnerships to Advance

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Strategies for Getting Through

Transforming a culture through collaboration. Incorporating patient/family and staff

perspectives in strategy, operational goals and implementation.

Getting all of the stakeholders in the room. Behavior based skills.

8C opyright 2011 B ridgekeeper, Inc .

Page 9: Shall We Dance? - Safety Net Medical Home · Safety Net Medical Home Initiative. Juliette Schlucter. March 7, 2011. Shall We Dance? Patient and Family-Centered Partnerships to Advance

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Creating a Culture of Collaboration

Patients/Families on Staff Patient/Family Faculty Patient/Family and Youth Advisory

Councils Facility Design Sharing Best Practices Patient Safety and Quality A Culture of Transparency

C opyright 2011 B ridgekeeper, Inc .

Page 10: Shall We Dance? - Safety Net Medical Home · Safety Net Medical Home Initiative. Juliette Schlucter. March 7, 2011. Shall We Dance? Patient and Family-Centered Partnerships to Advance

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Patient and Family-Centered Best Practices for Safety and Quality

Bedside Rounds With Patients and Families Family Presence during resuscitation Patient/Family engagement in decision

making and change of shift. Delivering care when a computer is between

the staff and patient or family. KIDS Communication Skills

10C opyright 2011 B ridgekeeper, Inc .

Page 11: Shall We Dance? - Safety Net Medical Home · Safety Net Medical Home Initiative. Juliette Schlucter. March 7, 2011. Shall We Dance? Patient and Family-Centered Partnerships to Advance

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What Does it Mean to Partner?

C opyright 2011 B ridgekeeper, Inc .

Page 12: Shall We Dance? - Safety Net Medical Home · Safety Net Medical Home Initiative. Juliette Schlucter. March 7, 2011. Shall We Dance? Patient and Family-Centered Partnerships to Advance

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Page 13: Shall We Dance? - Safety Net Medical Home · Safety Net Medical Home Initiative. Juliette Schlucter. March 7, 2011. Shall We Dance? Patient and Family-Centered Partnerships to Advance

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It is time to ask some tough questions of our patients, our families and our staff: I feel supported by staff to speak up if I believe something is

not going well. My gut instincts about my or my loved one’s illness were

listened to, validated and responded to by my health care team.

I understood the safety risks in my care and how I can work with my team to prevent them.

My healthcare team explained the risks and benefits of my treatment in ways I could understand and make decisions.

P atient and F amily-C entered C ollaboration is not the s ame as C us tomer S ervice

13C opyright 2011 B ridgekeeper, Inc .

Page 14: Shall We Dance? - Safety Net Medical Home · Safety Net Medical Home Initiative. Juliette Schlucter. March 7, 2011. Shall We Dance? Patient and Family-Centered Partnerships to Advance

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Patient and Family-Centered Care is About Good Stewardship

Juliette Schlucter

Page 15: Shall We Dance? - Safety Net Medical Home · Safety Net Medical Home Initiative. Juliette Schlucter. March 7, 2011. Shall We Dance? Patient and Family-Centered Partnerships to Advance

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Direc tional C ards

C opyright 2011 B ridgekeeper, Inc .

Page 16: Shall We Dance? - Safety Net Medical Home · Safety Net Medical Home Initiative. Juliette Schlucter. March 7, 2011. Shall We Dance? Patient and Family-Centered Partnerships to Advance

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C ultural E ffec tivenes s

C opyright 2011 B ridgekeeper, Inc .

Page 17: Shall We Dance? - Safety Net Medical Home · Safety Net Medical Home Initiative. Juliette Schlucter. March 7, 2011. Shall We Dance? Patient and Family-Centered Partnerships to Advance

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Critical Success Factors

Enlist support from the top Tie programs to vision and core values Tie collaboration to performance appraisal Look for champions Stay true to the culture of your institution.

C opyright 2011 B ridgekeeper, Inc .

Page 18: Shall We Dance? - Safety Net Medical Home · Safety Net Medical Home Initiative. Juliette Schlucter. March 7, 2011. Shall We Dance? Patient and Family-Centered Partnerships to Advance

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Changing A Culture

Name it Build Awareness Share Successes Provide Resources Measure Educate Empower Prepare the Next

Generation

C opyright 2011 B ridgekeeper, Inc .