Sustaining the Patientand Family- Centered Care Philosophy Neurosciences Center of Excellence 20 Bed Unit 10 universal ICU beds / 10 Med Surg beds Family space in every room Open nursing unit Support services for patients (healing arts / resource center) Rounding in the room with patient / family Family presence during Codes Staff signed on Neuroscience ICU/Universal Room The Journey Began…2003 Patient Advisors Mark Hines Founding Advisor RAM/Renovations Staff Development/Interviewing Staff Christine Abbott Founding Advisor Cindy Cox Ga Tech Project Renovations Community Education Grooms Family Renovations Jackie Hogan Founding Advisor Elliott Family Remaking American Medicine Community Education Elliott Family Remaking American Medicine Community Education Neuroscience PFCC Model Performance Improvement • • • • • • • Care Pages Guide to Area Services Brochure Orientation to Unit Introduction to PFCC Patient rounds Patient Advisors participate in staff development Resource Area with public access computers 3 West Email Address for praise, complaints, concerns, suggestions, and interest in becoming a Patient Advisor. Neuroscience Rounds Encouraging patients and families to be active partners in their healthcare. Sharing, Partnering, and Collaborating. Performance Improvement: Medication Reconciliation – Collaboration with Pharmacy Pharmacist collaborating with patients and families to ensure Medication Safety Patients being discharged with updated medication list. Patient Safety Teaching • • • • • • • • • • Physical Therapy Occupational Therapy Speech Therapy Respiratory Therapy Nurse Clinician Social Worker Nutritional Services Nurses Environmental Services Security Patient and Family Participation Neurosciences Center of Excellence Results Patient Satisfaction – 10th → 90th percentile Staff vacancy rate – 7.5% → 0%; have waiting list Length of stay decreased – 50% in Neurosurgery Perceptions of the unit by doctors, staff, and house staff Capacity for continuous improvement Staff owns and protects the culture Trends in Patient Concerns 18 16 14 12 10 8 6 4 2 0 FY 04 FY 05 FY 06 FY 07 Continuing the Journey… • Sharing our experiences (health-system wide, other hospitals and community clubs) • Expanding to the outpatient setting • Education of medical, nursing, and pharmacy students • Chief Residents presenting at National Organizations Parade of Champions ……. Sustaining the Patient- and Family- Centered Care Philosophy Sustaining Patient- and FamilyCentered Care