Sustaining the Patient- and Family- Centered

Care Philosophy

NeurosciencesCenter 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

Cindy CoxGa Tech Project

RenovationsCommunity Education

Grooms FamilyRenovations

Christine AbbottFounding Advisor

Elliott FamilyRemaking American Medicine

Community Education

Elliott FamilyRemaking American Medicine

Community Education

Jackie HoganFounding Advisor

Mark HinesFounding AdvisorRAM/Renovations

Staff Development/Interviewing Staff

Neuroscience PFCC Model

Performance Improvement

• Care Pages• Guide to Area Services• Brochure

Orientation to UnitIntroduction 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

Patient and Family Participation

• Physical Therapy• Occupational Therapy• Speech Therapy• Respiratory Therapy• Nurse Clinician• Social Worker• Nutritional Services• Nurses• Environmental Services• Security

Neurosciences Center of ExcellenceResults

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

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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 Family- Centered Care