Patient Family Center Care

Running head: PATIENT FAMILY CENTER CARE 1

Institution

Student

Date

PATIENT FAMILY CENTER CARE 2

Patient Family Center Care

Business Practices

Emory Health Care is one of the integrated care systems which are primarily committed

to the following acts: provision of best care to the patients, involved with the education of health

professionals and other leaders for the pursuit of research and discovery. Over the time, the

hospital has been relying on the Patient Family Center Care to deliver its mandate efficiently.

The patient and family engagement has been seen as a way of increasing importance to health

facilities. This has been brought by the various benefits that are associated with the family center

care in the organization.

In most health facilities, patient-centered care has been significantly impacted by

business activities, regulatory practices and the aspect of reimbursement programs. Improved

business practices in the health centers, for instance, have ensured that there is enhanced

participation in the health facilities. This way, patients, the healthcare practitioners, healthcare

leaders and the families tend to be collaborating for batter formation of policies which are

deemed necessary for the improvement of hospitals. Improved business practices in health

centers have also increased the information sharing. Both the healthcare practitioners and they

are now able to communicate effectively. With well-laid ground business practices, the health

officials are therefore not seen to be more biased with patient and family information. This

aspect has also been enhanced with a well-laid foundation on regulatory measures put in place by

the facility.

In some instances, some regulations are put in place by federal or the state government.

According to Clark & Guzzetta (2017), most of these provisions have increased the number of

PATIENT FAMILY CENTER CARE 3

patient enrolment. This has been true primarily to the individual states that are seen to be

embossing laws that are in favor of the health sectors. The reimbursements structure has seen

improvement in family and friends. This has been seen mainly when the PECC focus on the

accommodation. As put by Clark & Guzzetta (2017), this aspect also enables most of the

families to help in the decision-making process. With wells torture of decision making, families

feel part of the hospital management thus boosting their morale.

Patient and Family Centered Care Tool (PFCC)

(See the attacked PECC on the appendix)

Setting Descriptions

As stipulated by Atlanta Regional Commission, between the year 2010 and 2015, the

population of the Atlanta region county grew by 2225,000 residents. For the past few weeks for

past few years, EUHS PSA has also experienced population growth. Between the periods, 2010

and 2016, the population is expected to grow by at least 60,623. This according to Tidwell et al.

(2011), is an annual average growth of 1.7%? This particular growth is expected to continue in

the next five years. Between the periods 2016 and 2021, the EUHSPSA population is expected to

have an increment of about 50,621 people. This figure will represent an annual average of 1.3%.

(Tidwell et al., 2011).

For the age distribution, the overall population of EUHS PSA is younger than the whole

population of Georgia. In 2016, it was recorded that about 12.9% of the total Georgia population

was above the age of 65. For the EUHSPSA, it was 11.3% of its total population which was over

the said age of 65.it is also recorded that about one-third of the EUHS population falls between

PATIENT FAMILY CENTER CARE 4

the ages of 35-54. The other significant category is the race distribution, EUHS is currently

known to be serving ethnically and racially diverse group. However, the majority of the

population is the white in-Hispanic residents which accounts for 50% of its overall population.

When it comes to gender, the whole community is evenly distributed between males and the

females. The female childbearing age of the population fall between the ages of 15-44. This

represents about 41% of the overall female population and about 21% of the total population

(Tidwell et al., 2011).

Strengths and weaknesses

The strengths and weaknesses of the facility will be addressed in the following domains:

leadership and operations, quality improvement, Environment & Design, advisors, personnel,

information, and education. Both the strength and the weaknesses of were accessed with the use

of PECC. The following is an illustration of the strength and weaknesses of the facility.

Domain 1: leadership and operations: strength: The significant strength of the

administration in this facility is the fact that they are committed to the following; provision of the

unapplied care to the patients. Secondly, they ensure that the future of the healthcare is improved

and finally they are an atom which is committed to saving the community. One of the leadership

structures in the hospital is the board of directors. The board of directors is usually made up of

the community leaders. These are individuals who are considered to be experts in both the

healthcare and the business. The hospital is highly recommending them because they are known

to be providing available guidance which has formed the basis in which the hospital is governed

and shaped.

PATIENT FAMILY CENTER CARE 5

Domain 2: Mission, Vision, Values: strengths: The mission of the hospital is well stated.

Its primary role as stipulated in the mission statement is to serve the humanity. This is intended

to be achieved by improving health system of the facility through nitration of the following

factors; health care delivery, education, and discovery.

The core values of the hospital are based on the community which is served by the

hospital. The overall population as stipulated by its implications includes student's patient's

learners, faculty, employs, and partners.

For the vision of the hospital, the facility has been working very hard to ensure that it is

recognized as leading academic and community health facility. It aimed at achieving this vision

since it looks forward to being differentiated by innovation, discovery, and quality and

compassionate. Currently, EHC has considered being the most compressive health facility in

Georgia.

Domain 3: Advisors: There exist advisors in the form of patient family advisors. These

are individuals who are either current or could be patient and family members. These individuals

usually volunteer their time to partner with the EHC leadership, doctors, and staff. They are also

known to be serving on committees, project teams, and counsels.

Domain 4: Quality Improvement: strength: The foundation of the facility mission is based

on the high-quality health provision. This is typically seen in the portion of high quality is safe

and patient and family-centered environment. At the hospital, the management team, staff and

the community at large committed to the transparency when it comes to the communications

with the patients. They also work extra hard to ensure that the right of the patients is well

PATIENT FAMILY CENTER CARE 6

recognized in the facility. Some of the critical quality matrices in the hospital include patient

satisfaction, readmission rates, core measures and stroke measures.

Domain 5: Personnel: The facility has firm personnel ranging from the board of directors

to the ordinary staff members

Domain 6: Environment & Design: The hospital decision is one of the best in Georgia. It

is placed in a conducive environment which is easily accessible both by road and air.

Doamin7: Information/Education: The facility provides affiant information to the relative

stakeholders. It has a website where most of the information regarding the hospital can be

accessed. From the site, one can get information regarding the type of services that are offered in

the hospital. Also, it has currently launched an online doctor chat. This is an on a lined base

platform that enables the patient to reach their doctors. They are also able to ask their doctors

questions on this particular platform.

Domain 8: Diversity & Disparities: The social disparity is recognized as one of the social

drivers in the area that directly impacts the health needs. According to Clark & Guzzetta (2017),

to be reported that the number of uninsured and the aspect of the underinsured population is

significant. Also, the element of safety and affordable housing has over the time been reported to

be an issue which has many causes and effects. Because of this, there is usually the aspect of

high medical debt. The existence of the medical liability over the time has resulted into to a loss

of home thus leaving a vast majority of the population to be homeless.

PATIENT FAMILY CENTER CARE 7

Another diaper was seen in access to the services. Some of the issues that are currently

contributing to the lack of access include, wait times, transportation and capacity. In this case, it

has been noted that existence of poor access has led to the inappropriate usage of ED services.

Domain 10: Charting & Documentation: One of the documentation areas which the

hospital has been performing quite well is the existence of advance directives. These are

documents that are usually written in advance when there is a severe illness or injury. Some of

these papers include; living wills the durable power of attorney. The manifest of the living will

have been significant in the identification of various interventions and life-threatening

occurrence that an individual might need. This document is significant in letting the patient name

an individual who can make healthcare decisions in case you are not able to make them on your

own.

Doamin11: Care Support: One of the support cares which has been developed in the

hospital is the patient education and awareness. This has been profoundly significant in enabling

the overall community to be making educated decisions as far as health is concerned.

Domain 12: care: One of the issues which have been identified in this field is the

existence of the preventive care. One of the preventive concerns which have profoundly been

established is the primary care. The community, however, tends not to be fully satisfied with the

level of primary care in the hospital. This aspect has been brought by the fact that there is

inadequate attention which is offered to prevention.

Weaknesses: One of the issues which have been identified in this field is the existence of

the preventive care. One of the careful considerations which have profoundly been established is

the primary care. The community, however, tends not to be fully satisfied with the level of

PATIENT FAMILY CENTER CARE 8

primary care in the hospital. This aspect has been brought by the fact that there is inadequate

attention which is offered to prevention.

Area of Improvement

One of the challenges facing healthcare today is the aspect of patient care in the hospital.

As such, the possible area which was chosen that needs a lot of improvement was the care

support domain. The inadequacy of the primary care has been brought by inadequate night shift

workers in the hospital. This has intern recorded to be affecting the operations and the quality of

services provided. As such, one of the areas that need massive improvement in the hospital is

the area of care as far as night shift duties are concerned. The specific group of person target, in

this case, is the nurses and their workforce during the night duties. One of the recommendations

regarding this weakness is the aspect of stabilizing more care units to allow more nurses during

night shifts. This will be done to ensure that at any particular time, the hospital will have enough

nurses to provide service efficiency and patient-centeredness program in the facility (Wieck &

Landrum, 2010). Overall, this particular domain improvement will lead to the enhanced patient

family-centered environment.

Improvement Strategy

The strategies that will be used to ensure this goal include; first, the management of the

hospital will look at a way in which they can create a long-term solution to the current care

facility in the institution. One of the measures that will have to be adopted in this case includes

the elimination of the use of an agent of nurses and the creation of a multidisciplinary team. This

particular aspect will have to be made a high priory in the facility. To ensure its success, the

hospital management will have to seek input from the administration to look at which areas are a

PATIENT FAMILY CENTER CARE 9

bit fit for the creation of extra facilities. Also, nurses who will take part in the night shifts will

attract specific incentives which will be made avail be to the nurses. This motivation will in most

cases availed to the nurses who will be working during the weekend and during public holidays.

This will be done as a way of motivating the nurses to work for the facility for a more extended

period, at the end of it all, it is the patient who will be receiving the overall benefit of this

program (Hooper, 2008).

To effetely retain most of the nurses in the night shift duties, the team will also have

atom come up with a safe patient handling program. This will be a program that will be used to

show the nurses that the facility and hospital management internal care about them and are

confident in their ability to do their work. As such, there will be a program which will only focus

on the nurse and patient safety. In this case, the pram will have to be made visible and also

universal. As such, it will have to include all the several shifts and possible areas of nursing in

the facility. The facility will, therefore, have to set a goal to ensure that this is indeed followed.

Change Theory

One of the theories that will be used to ensure that this steerage is implemented in the

organization is the lawing change theory. This change will be brought to the body by the change

agent. The change agent, in this case, is the person who is charged with bringing the planned

change of nurse’s retention in the facility. The Lawing change theory for instances purely relies

on the driving and resistances forces which are available in the center. The team that will be

formed will have to act as the change agents. They will be the core individuals who will be

pushing the employees towards the desired direction of change. Most of the employees who will

be target include the directors since it will be a new policy in the hospital management. As such,

PATIENT FAMILY CENTER CARE 10

for it to efficiently be successful, the existing driving force, in this case, will have to be more

dominant (Wieck & Landrum, 2010).

Financial Implications

The financial implication for the implementation of this action will mean that the

management will be inching and extra cost. The additional cost will be incurred during the initial

stages of the programs. However, once it will be accepted and starts its operation in the facility,

the quality of the services provided in the hospital will increase. With the improved quality and

the level of patient-centeredness in the center, the hospital anticipates an increase when it comes

to admission.

Methods

The effectiveness of the strategy will be measured by the following: first, it will be

addressed by the number of admission in the hospital as a result of the approach. The increment

in quantity with all other actors kept constant will show that the policy is indeed working and

benefiting the society and the hospital. The second measure of success will be the financial

implication of the strategy. With the increased profits when all other factors are kept constant,

this will show that the stray worked. It will also figure out the nurse’s satisfaction. The overall

nurse's happiness can be achieved through distribution no questioners. The questions formation

in the questioners will test the level of nurse’s comfort in the facility.

As such the strategy can be said to be one of the avenues that will enable the facility to

increase its patient family and staff satisfaction. It will also eventually result in a lot of financial

savings. Whenever a health facility hires nurses, the nurses are in most cases taken through

PATIENT FAMILY CENTER CARE 11

training and orientation. These are all factors that need a resource to be implemented. With the

reduction in staff turnover, money which is currently used in training the nurses from time to

time will be saved.

Multidisciplinary Team

This section will discuss the significant team members that will be instrumental in the

implementation of the weaknesses that have been identified with the use of PECC.

Chief Nurse Officer: Provides insight into the delivery of care through nursing services,

provides insight into the budget, and create ‘buy-in' for the strategy with nursing managers and

administration. The individual will also collaborate with the financial manager to look at the

finical implication of the whole approach. Through him or her, the facility will be presented with

an overview of the entire SWOT analysis of the whole strategy.

Financial manager/officer: This is an officer who will be responsible for the day to day

operation of the stagy. He/ she will track down the financial implication of the whole strategy.

Monitoring and evaluation officer: This individual will be drawn from the existing management

group. He/ she will be in charge of the overall monitoring and evaluation often the whole

strategy. He/ she will be updating the management with the progress of the procedure in the

facility.

Program officer: Will come up with procedures and techniques to be followed when

implementing the strategy. He/she will also lease with the other team members to ensure that the

objective of the policy is pursued to the latter.

PATIENT FAMILY CENTER CARE 12

Team Diversity

Cultural diversity will play Avery significant role in ensuring that the objective of the

strategy is achieved. From different cultural backgrounds and information provided, the

management will be able to come up with something tangible that can benefit the facility. During

its policy implementation, it will also ensure that different cultural views are incorporated in the

implementation of the strategy. As such, at the end of the project, no culture or any ethical race

should feel that their rights have been infringed.

Leadership Theories

To ensure that this team works together for the common goal, one of the leadership

approaches that will be implied is the transformational leadership. This will bring into place new

ideas which will be incorporated into the management. Enhancing noses retention is a new

concept in the facility and as such will have to be implemented with an approach that includes

changes as well.

Implementation of Strategy

During the implantation process, the team will be making a timely report to the

healthcare management. This will be done through fortnight meetings with the administration.

The sessions will be essential in putting the team on track. Through these meetings, advances

and challenges of the project will be discussed efficiently. Based on the difficulties that the team

will be facing, the management will be a blue to offer specific solutions or suggestion to ensure

the success of the strategy.

PATIENT FAMILY CENTER CARE 13

Communication to Organization

To access the team, skill during this process, there will be an action plan which will be

drawn by each team member. This particular action plan will indicate the workload covered, and

the possible challenge that they could be facing during the implication phase. The action plan

will also ensure that all the team me members remain in line with the objective of the strategy.

This will even be accessing the fortnight meeting with the health center management.

PATIENT FAMILY CENTER CARE 14

Reference

Balik, B., Conway, J., Zipperer, L., & Watson, J. (2011). Achieving an exceptional patient and

family experience of inpatient hospital care. IHI innovation series white paper.

Cambridge, Massachusetts: Institute for Healthcare Improvement, 14.

Clark, A. P., & Guzzetta, C. E. (2017). A paradigm shift in patient/family-centered care in

intensive care units: bring in the family. Critical care nurse, 37(2), 96-99.

Creasy, K. R., Lutz, B. J., Young, M. E., & Stacciarini, J. M. R. (2015). Clinical Implications of

Family‐Centered Care in Stroke Rehabilitation. Rehabilitation Nursing, 40(6), 349-359.

DeCaporale-Ryan, L. N., Salloum, R. M., Peyre, S. E., & Linehan, D. C. (2017). Coaching in

General Surgical Training: A Novel Approach Emphasizing Resident Wellness,

Professionalism, and Patient and Family-Centered Care. Journal of the American College

of Surgeons, 225(4), e151.

Hooper, V. D. (2008). Patient-family centered care: Are we there yet?. Journal of PeriAnesthesia

Nursing, 23(6), 440-442.

Lor, M., Crooks, N., & Tluczek, A. (2016). A proposed model of person-, family-, and culture-

centered nursing care. Nursing Outlook, 64(4), 352-366.

Tidwell, T., Edwards, J., Snider, E., Lindsey, C., Reed, A., Scroggins, I. & Brigance, J. (2011). A

nursing pilot study on bedside reporting to promote best practice and patient/family-

centered care. Journal of Neuroscience Nursing, 43(4), E1-E5.

PATIENT FAMILY CENTER CARE 15

Wieck, K. L., Dols, J., & Landrum, P. (2010, January). Retention priorities for the

intergenerational nurse workforce. In Nursing Forum (Vol. 45, No. 1, pp. 7-17).

Blackwell Publishing Inc.

Appendix

Domain

RATE

Leadership/Operations

Mission, Vision, Values

Advisors

Quality Improvement

Personnel

Environment & Design

Information/Education

Diversity & Disparities

Charting & Documentation

Care Support

Care

Place new order. It's free, fast and safe

Paper type

Deadline

Page count

550 words

Total price: $ 15.00

Our customers say

Jeff Curtis

USA, Student

"I'm fully satisfied with the essay I've just received. When I read it, I felt like it was exactly what I wanted to say, but couldn’t find the necessary words. Thank you!"

Ian McGregor

UK, Student

"I don’t know what I would do without your assistance! With your help, I met my deadline just in time and the work was very professional. I will be back in several days with another assignment!"

Shannon Williams

Canada, Student

"It was the perfect experience! I enjoyed working with my writer, he delivered my work on time and followed all the guidelines about the referencing and contents."