2. Denise Cooney NURS 511 Ferris State University

3.  Definition per the American Hospital Association (2013)  Purpose: Improve quality, safety and patient satisfaction (JONA, 2014)  Equity in patient care (Joint Commission)  Begins at admission and continues until patient discharged

4.  Non-for-profit, community owned health system  City population = 33,400*  County population = 160,000*  Staff = approximately 400 physicians and 3700 other staff  Complex adaptive system * Census.gov, 2014

5. Mission We lead our community to better health and well-being at every stage of life. Vision We will create Michigan’s healthiest community through exceptional health care and inspiring a passion for wellness. Values Values are the attitudes, mind sets, beliefs and norms that determine how work is accomplished and how we interact with each other and with our customers. Values are the tools needed to accomplish out vision.

6. Community Healthcare Patient & Family

7.  Palliative care program  Clinical Educators: Chronic Disease Management  Telehealth/Telemedicine  Home health  Hospice home and in home hospice care  Center for Family Health  Hospitalist program  GME (Graduate Medical Education)

8.  Assessment of: Resources Processes Values Community needs  Health model as a business model

10.  Directors  Managers  Nursing Staff  Educators  Physicians  Clerical staff (includes registration)

11. (Vermoch & Bunting, 2010) Dignity & Respect Information sharing ParticipationCollaboration

12.  Increased patient satisfaction  Reduced error rate  Lowers cost of care  Measure quality of care  Barriers to achieving goals

13. “To improve patient care, we need accessible, reliable indicators of quality that are important to patients, and that can then be used to establish quality of care benchmarks, to flag potential problems or successes, follow trends over time and identify disparities across organizations, communities, populations and regions” (Stelfox, Boyd, Straus & Gagliardi, 2013, p.1). A patient and family model of care can help organizations achieve this goal. Along with this a successful application of the patient and family centered model of care will provide an increased sense of trust in the health care team (Ingram, et al. 2014).

14. Allegiance Health. (2014). Allegiance health: about us. Retrieved from: http://www.allegiancehealth.org/about-ushttp://www.allegiancehealth.org/about-us Benham-Hutchins, M., & Clancy, T.R. (2010). Managing organizational complexity: Social networks as embedded complex adaptive systems. Journal of Nursing Administration 40(9), 352-356. doi: 10.1097/NNA.0b013e3181ee42bc Census.gov. (2014). United States census bureau. Retrieved from: http://quickfacts.census.gov/qfd/states/26/26075.html Clay, A. & Parsh, B. (2014) Patient-and family-centered care: not just for kids. Nursing 44(5) p. 57-58. doi: 10.1097/01.NURSE.0000445764.18817.d2 Ingram, T.C., Karmat, P., Coopersmith, C., Vats, A. (2014). Intensivist perceptions of family-centered rounds and its impact on physician comfort, staff involvement, teaching, and efficiency. Journal of Critical Care 29(6) p. 915-918. doi: 10.1016/j.jcrc.2014.07.015

15. Marshall, E.S. (2011). Practice design and management. In E. Marshall (Ed.) Transformational Leadership in Nursing: From Expert Clinician to Influential Leader (p. 155-180). New York, NY: Springer Publishing Company, LLC Marshall, E.S. (2011). Economics and finance. In E. Marshall (Ed.) Transformational Leadership in Nursing: From Expert Clinician to Influential Leader (p. 225 – 244). New York, NY: Springer Publishing Company, LLC Mastro, K.S., Flynn, L., & Preuster, C. (2014). Patient and family centered care: a call to action for new knowledge and innovation. The Journal of Nursing Administration 44(9) p. 446-451. doi: 10.1097/NNA.0000000000000099 Reed, P., Conrad, D.A., Hernandez, S.E., Watts, C., & Marcus- Smith, M. (2012). Innovation in patient-centered care: lessons from a qualitative study of innovative health care organizations in Washington state. BMC Family Practice 13(120). doi: 10.1186/1471-2296-13-120

16. Stelfox, H.T., Boyd, J.M., Straus, S.E. & Gagliardi, A.R. (2013). Developing a patient and family centered approach for measuring the quality of injury care: a study protocol. BMC Health Services Research 13(31). doi: 10.1186/1472-6963-13-31 Vermoch, K.L. & Bunting Jr., R.F. (2010). Benchmarking patient and family centered care: highlights from a study of practices in 26 academic medical centers. Journal of Healthcare Risk Management 30(2) p. 4- 10. doi: 10.1002/jhrm.20047 Weinberger, S.E., Johnson, B.H. & Ness, D.L. (2014). Patient and family centered medical education: the next revolution in medical education?. Annals of Internal Medicine 161(1) p. 73-75. doi: 10.7326/M13- 2993