Debi Temple, Bella Pepito, Carolina Puig, & Jeff Norris

Founded by a patient named Angelica Thieriot in Planetree: a non-profit organization that promotes patient centered care. Mission- facilitates efforts to provide patient-centered care in healing environments

Studies show care & kindness are important in healing Focus is on personalized care Cognizance and acknowledgement of own vulnerabilities Listening to patient’s concerns and fears

Development of health resources centers Customized patient information packets Bedside collaborative care conferences Patient guides/navigators Open medical chart policies

Family has a great impact on healing Patients want their families included & involved in decisions Illness affects the whole family Strategies for family involvement- unrestricted visitation, family spaces, care partner programs, collaborative conferences

Healing environment through good (hotel quality) food Smell of baked good/popcorn on floor daily On-floor dietary. 24 hour a la carte meal service International menus

Human well being includes more than good physical health Interfaith chapel, sanctuary, meditation space Blessing of the Hands ritual White Rose Program

CAM (Complementary and Alternative Medicine) Chiropractic, traditional Chinese medicine, homeopathy, accupuncture P.A.W.S. program Coronado Hosp. in California requiring licensed team members to be trained in healing touch, clinical aromatherapy and massage.

To alleviate physical discomfort and emotional distress Waterscapes, landscapes, flower/gardens, figurative art Painting, storytelling, humorous movies and clowns Music Thanatology

Incorporates all 5 senses into healing Inclusion of natural elements throughout Reduce noise and light pollution Empower patients with control of environment Healing design works for staff as well

Core concept of Planetree added in 2002 Focus Health and Community 5 Determinants of Health Biological, social, intellectual, environmental and spiritual Community factors Interest, values, age, shared event, circumstance

Behavioral health setting Continuing care environment Expansive Integrated Healthcare System

“We have moved past the question of whether providers should partner with patients and families on quality and safety: the question now is how?” (Johnson, etal, 2008). Focus areas: Human interactions and communication Patient education and access to information Involvement of family and friends Nutrition Community partnerships Structures and processes that support patient involvement Patient-centered care when things go wrong

Reduced length of stay Reduced cost per case Improved patient satisfaction scores Improved outcomes Reduced Litigation

Role of public policy is voice of patient A journey toward outcomes Priorities involving the continuum of care Focus on performance measurement Shift to bundled reimbursement for total care

Change-averse industry Flavor of the month improvement process Fear of increased time and cost Paradigm shift in provider attitudes How to overcome barriers