- 1. Compassionate Care Robb Johnson, MPH, MPA Director of
Programs The Schwartz Center for Compassionate Care
2. 3. Does Compassion Matter? 4. Major Poll Results
- 84% of patientsand81% of doctorsbelieve compassionate care
makes a difference in how well patients recover from illness
- 81% of patientsand71% of doctorsbelieve compassionate care can
make a difference inwhether a patient lives or dies
- Only53% of patientsand58% of doctorsbelieve the US healthcare
system is a compassionate one
- 20-point gapbetween the compassionate care patients wanted and
what they actually experienced
- 67% of patientsand55% of doctorsare concerned that current
changes in the US healthcare system will make it more difficult for
caregivers to provide compassionate care
5. Yes, but how can we keep it up? 6. Schwartz Center Rounds 7.
Piloted at Massachusetts General Hospital in 1997
-
- Now in 240 sites in 34 states, plus UK,reaching 70,000
caregivers per year
8. Topics
- Team conflict around treatment plans
- Does stopping treatment mean giving up?
- Pain management in the addicted patient
- Cultural and religious barriers
9. Evaluation of Rounds Impact
- 87% of respondents reported gaining new ideas/strategies for
challenging patient situations
- 87% reported more compassion for patients and families
Lown BA, et al.Acad Med.2010. 10.
- 93% reported greater appreciation for the roles/contributions
of colleagues from other disciplines
- 88% reported a greater sense of belonging to a caregiving
team
- 76% reported feeling less alone in work with patients
Lown BA, et al.Acad Med . 2010. 11.
- Caregivers reported feeling less stressed and better able to
cope with the emotional demands of clinical work
- Approximately 50% reported changes in practices or policies
within the department or hospital at large.
12. Other Benefits
- CME for physicians, CEUs for nurses, social workers, and
chaplains
- Helps satisfy ACGME communications requirements for residents
and fellows
- Rounds included in Joint Commission toolkit for meeting patient
safety goals
13. In participants own words
- Rounds are a place where people who don't usually talk about
the heart of the work are willing to sharetheir vulnerability, to
question themselves. Rounds are an opportunity for dialogue that
doesnt happen anywhere else in the hospital.
14.
- There is more heart in what we do with patientsthe connections
are deeper, we are less afraid of difficult topics. Since we know
there is support for us in the institution, were willing to take
more risks.
15.
- We initiated Schwartz Center Rounds in 2002 and they are still
going strong, with an average of over 100 attendees each month. The
format allows for a free exchange of ideas, feelings, and
reactions, reinforcing the common humanity of caregivers, patients,
and families. They are clearly now part of the fabric of our
institution.
- Vice President and Chief Medical Officer
- University of Rochester Medical Center
16.
- For information on our other programs, including Schwartz
Center Grants
- to support innovative programs across the country, please visit
our website.
- www.theschwartzcenter.org
17.
- The Gift of You, the Gift of Me
18. www.theschwartzcenter.org