1. Sustaining the Patient- and Family- Centered Care Philosophy

2. Neurosciences Center 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

3. Neuroscience ICU/Universal Room

4. The Journey Began…2003 Patient Advisors

5. Neuroscience PFCC Model

6. Performance Improvement Care Pages Guide to Area Services Brochure Orientation to Unit Introduction 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.

7. Neuroscience Rounds Encouraging patients and families to be active partners in their healthcare. Sharing, Partnering, and Collaborating.

8. Performance Improvement: Medication Reconciliation – Collaboration with Pharmacy Pharmacist collaborating with patients and families to ensure Medication Safety Patients being discharged with updated medication list.

9. 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

10. Neurosciences Center of Excellence Results  Patient Satisfaction – 10 th → 90 th 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

11. Trends in Patient Concerns

12. 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

13. Parade of Champions ……. Sustaining the Patient- and Family- Centered Care Philosophy

40. Sustaining Patient- and Family- Centered Care