Excellence through Patient and Family Centred Care Project Quality & Safety Challenge 2012 Averil Boon RN BOP DHB Quality & Safety Challenge 2012 Averil Boon RN BOP DHB

Objective To establish a clear organisational plan, direction and scope with related priorities for organisational implementation of the core concepts of patient and family centred care (PFCC) across the continuum of care at Bay of Plenty District Health Board (BOPDHB) To establish a clear organisational plan, direction and scope with related priorities for organisational implementation of the core concepts of patient and family centred care (PFCC) across the continuum of care at Bay of Plenty District Health Board (BOPDHB)

Process – Phase 1 Research Literature review, workbooks, guides, presentations and templates developed Communication – presentations Board, Executive, education & in-services …… Two self-assessment workshops identified opportunities for improvement; action plan Stakeholder analysis Communication plan Research Literature review, workbooks, guides, presentations and templates developed Communication – presentations Board, Executive, education & in-services …… Two self-assessment workshops identified opportunities for improvement; action plan Stakeholder analysis Communication plan

Workbooks & Guides 1.1 Literature Review 1.2 Facilitator’s Guide 1.3 Organisational Leaders Self Assessment 1.4 – 1.7 Presentations (examples 10 – 30 mins) 2.1 Organisational Self Assessment template 2.2 Stakeholder Analysis and Communication Guide 3.1 Getting Internal Stakeholders Involved 3.2 Getting External Stakeholders Involved 3.3 Volunteer Patient Advisor Information Sheet 3.4 Volunteer Patient Advisor Role Description 3.5 Volunteer Patient Advisor Application Form 1.1 Literature Review 1.2 Facilitator’s Guide 1.3 Organisational Leaders Self Assessment 1.4 – 1.7 Presentations (examples 10 – 30 mins) 2.1 Organisational Self Assessment template 2.2 Stakeholder Analysis and Communication Guide 3.1 Getting Internal Stakeholders Involved 3.2 Getting External Stakeholders Involved 3.3 Volunteer Patient Advisor Information Sheet 3.4 Volunteer Patient Advisor Role Description 3.5 Volunteer Patient Advisor Application Form

BOP DHB Results Self-assessment workshop results: BOPDHB Admission to Discharge Planner Patient stories opening BOPDHB Board meetings Consumer involvement in workshops, Bay Navigator, pathway development, co-design projects Linking with other BOPDHB projects Final report and recommendations Self-assessment workshop results: BOPDHB Admission to Discharge Planner Patient stories opening BOPDHB Board meetings Consumer involvement in workshops, Bay Navigator, pathway development, co-design projects Linking with other BOPDHB projects Final report and recommendations Workshop 1 Workshop 2 Out of a possible 1.DIGNITY & RESPECT INFORMATION SHARING PARTICIPATION COLLABORATION TOTAL32.5 (43%)36.75 (48%)76

Steven Johnson Where Good Ideas Come From: the Natural History Of Innovation (2012) He describes “the strange and beautiful truth about the adjacent possible is that its boundaries grow as you explore them. Each new combination opens up the possibility of other new combinations”. 5 th International Conference of Patient and Family Centered Care He describes “the strange and beautiful truth about the adjacent possible is that its boundaries grow as you explore them. Each new combination opens up the possibility of other new combinations”. 5 th International Conference of Patient and Family Centered Care

Next steps – Phase 2 This is the really exciting bit ……. Achieving cultural transformation within the BOPDHB will take time but we have begun opening those doors and are looking forward to exploring new opportunities and combinations of ideas BOPDHB’s journey is well underway! This is the really exciting bit ……. Achieving cultural transformation within the BOPDHB will take time but we have begun opening those doors and are looking forward to exploring new opportunities and combinations of ideas BOPDHB’s journey is well underway!

Action Plan Priority projects: Visiting Food options for different ethnic groups Signage and way finding Family participation in ward rounds Patient goal setting and communication Volunteer Patient Advisors Priority projects: Visiting Food options for different ethnic groups Signage and way finding Family participation in ward rounds Patient goal setting and communication Volunteer Patient Advisors

Action Plan (cont.) Consumer Feedback Professional standards (Shared Expectations) Review of role descriptions Education, orientation, training and in- services Experience based co-design projects What other doors will open? Consumer Feedback Professional standards (Shared Expectations) Review of role descriptions Education, orientation, training and in- services Experience based co-design projects What other doors will open?

To the Health Quality and Safety Commission Thank you It’s been great fun, hugely successful and more progress achieved more rapidly than I could have believed possible And the project is still gaining momentum! To the Health Quality and Safety Commission Thank you It’s been great fun, hugely successful and more progress achieved more rapidly than I could have believed possible And the project is still gaining momentum!