Barriers and Enablers of PFCC

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Questions and Answers

What is a key purpose of the staff liaison meeting with the patient advisory council?

  • To inform the council about the latest research on patient safety
  • To provide training on the use of data analytics in patient care
  • To discuss the committee's budget and resource allocation
  • To explain how the patient representatives are selected and oriented (correct)

What is the primary role of the committee chair in a patient advisory council?

  • To welcome and orient patients to the council and act as their contact person (correct)
  • To develop and implement the council's budget and financial plans
  • To conduct research on patient safety and quality improvement
  • To represent the council in meetings with hospital administrators

How does the involvement of patients in advisory councils impact the development of the Patient-Centered Medical Home (PCMH) model?

  • It primarily assists in developing the budget and resources for the model
  • It hinders the process by introducing conflicting perspectives
  • It is considered a key factor for successful implementation of the model (correct)
  • It has little to no impact on the successful implementation of the model

What is a significant benefit of a successful partnership between patients and healthcare professionals?

<p>It can create more opportunities for patients to participate in patient safety initiatives (A)</p> Signup and view all the answers

Which of the following statements is FALSE about the evidence regarding patient advisory councils (PACs) in healthcare?

<p>PACs are generally considered ineffective in improving patient outcomes and safety. (D)</p> Signup and view all the answers

What is the primary purpose of a patient advisory council?

<p>To advise clinic staff on ways to improve clinic performance and patient experience (C)</p> Signup and view all the answers

Which of the following is NOT mentioned as a key factor in successfully implementing the PCMH model?

<p>Training staff in the use of electronic health records (EHRs) (D)</p> Signup and view all the answers

According to the content, what is a potential outcome of a successful partnership between healthcare professionals and patient advisory councils?

<p>Expansion of patient involvement to higher organizational levels (C)</p> Signup and view all the answers

Which of the following is NOT a way that a PAC can contribute to improving patient communication?

<p>Creating a mission statement (A)</p> Signup and view all the answers

What is the main challenge described in the 'A Concrete Example...' section?

<p>Increasing the size of the clinic in a high-growth area (D)</p> Signup and view all the answers

What is a recommendation for ensuring a diverse PAC?

<p>Asking providers and staff for nominations (A)</p> Signup and view all the answers

What is a key role of clinic leadership in supporting a PAC?

<p>Providing dedicated time for staff working with the PAC (B)</p> Signup and view all the answers

What is one example of a barrier to participation that funding might address?

<p>Lack of transportation for some patients attending meetings (B)</p> Signup and view all the answers

What is the suggested duration for a PAC member serving on the council?

<p>Six months to one year (A)</p> Signup and view all the answers

How can the clinic notify patients about the opportunity to join the PAC?

<p>Through newsletters, flyers, and clinic signs (D)</p> Signup and view all the answers

What is one way funding can be used to demonstrate respect for patient members' time?

<p>Offering a financial reward like a gift card (C)</p> Signup and view all the answers

What is one impact of staffing constraints on Patient and Family Centred Care?

<p>Reduced levels of experience among staff (A)</p> Signup and view all the answers

Which of the following is considered a barrier to Patient and Family Centred Care due to physical resource constraints?

<p>Insufficient comfortable chairs (B)</p> Signup and view all the answers

What behavior may indicate unsupportive staff attitudes towards Patient and Family Centred Care?

<p>Cynical views toward PFCC (C)</p> Signup and view all the answers

Which principle is NOT part of achieving Patient and Family Centred Care?

<p>Minimize patient-families' access to records (B)</p> Signup and view all the answers

How does leadership impact Patient and Family Centred Care?

<p>Leaders are crucial for developing a PFCC culture (A)</p> Signup and view all the answers

What factor contributes to high staff workloads that can hinder Patient and Family Centred Care?

<p>Recruitment delays (D)</p> Signup and view all the answers

Which of the following enhances staff satisfaction in the context of Patient and Family Centred Care?

<p>Positive staff relations (D)</p> Signup and view all the answers

Which statement is true about casual staff in the context of Patient and Family Centred Care?

<p>Casual staff may lack context-specific experiential knowledge. (A)</p> Signup and view all the answers

What is a primary benefit of staff well-being programs in relation to PFCC?

<p>They facilitate staff resilience and promote job satisfaction. (A)</p> Signup and view all the answers

How does staff cultural diversity contribute to PFCC?

<p>By promoting respect for patient and family cultural considerations. (A)</p> Signup and view all the answers

Which of the following values is NOT typically identified as an enabler of PFCC by clinical managers?

<p>Compliance (B)</p> Signup and view all the answers

What is the primary goal of engaging patients in quality committees?

<p>To increase the chance that care is patient-centred. (C)</p> Signup and view all the answers

In the process of building a collaborative care plan, what should be prioritized when setting goals?

<p>Making the goals patient-centered. (C)</p> Signup and view all the answers

What is emphasized during the brainstorming activity for accomplishing patient goals?

<p>Patients should take the lead in identifying possible activities. (B)</p> Signup and view all the answers

Which of the following is NOT something that patient representatives can identify?

<p>hospital profit margins. (B)</p> Signup and view all the answers

What is the recommended approach when helping a patient choose an activity?

<p>Simplify the decision by recommending one activity. (B)</p> Signup and view all the answers

What should patient representatives reflect on before joining a quality committee?

<p>Their emotional readiness for patient safety incidents. (A)</p> Signup and view all the answers

Which of the following steps is NOT part of the nine steps to building a collaborative care plan?

<p>Identify the patient's weaknesses relentlessly. (C)</p> Signup and view all the answers

What kind of support is provided to members of patient groups?

<p>Orientation, training, and ongoing support. (B)</p> Signup and view all the answers

Why should patient representatives ask for at least one other patient on the committee?

<p>To ensure more voices are heard. (D)</p> Signup and view all the answers

What potential barrier can arise from staff cultural diversity in PFCC?

<p>Difficulty in effective communication. (A)</p> Signup and view all the answers

Which of the following is a responsibility of providers and organizations?

<p>Recruit experienced patients for committees. (B)</p> Signup and view all the answers

What should patients do if their role on the committee differs from what they expected?

<p>Communicate to the chair about the discrepancy. (D)</p> Signup and view all the answers

What is the role of patient representatives in evaluating outcomes?

<p>To identify outcomes that matter to patients, families, and the community. (C)</p> Signup and view all the answers

What is the main purpose of conducting patient surveys?

<p>To study trends regarding specific experiences and identify problems (C)</p> Signup and view all the answers

How can national patient surveys be conducted in England and Scotland?

<p>Through mail, telephone, and electronically (A)</p> Signup and view all the answers

What benefit do tailored surveys provide compared to general surveys?

<p>They examine specific areas in greater detail (B)</p> Signup and view all the answers

What is one advantage of national surveys in health care?

<p>They allow for easy comparisons against local performances (B)</p> Signup and view all the answers

Which of the following is NOT a method for conducting surveys mentioned?

<p>Automated voice surveys (D)</p> Signup and view all the answers

Population surveys are useful for understanding variations in the views of which group?

<p>Local communities from different geographical areas (B)</p> Signup and view all the answers

What is an example of a community service that might be explored in a tailored survey?

<p>Community nursing services (C)</p> Signup and view all the answers

What is a characteristic of telephone surveys?

<p>They can explore issues in greater depth through conversation (D)</p> Signup and view all the answers

Flashcards

Staff Well-being Programs

Programs aimed at enhancing staff resilience and job satisfaction to facilitate PFCC.

Formal Structures for PFCC

Established processes that aid in supporting Patient-Family-Centered Care (PFCC) within organizations.

Cultural Diversity Impact

Diverse staff backgrounds promote respect but can hinder communication in PFCC.

Health Professional Values

Core values of health professionals that enable effective PFCC; include respect, communication, and partnership.

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Collaborative Care Plan

A patient-centered approach to developing actionable healthcare goals through collaboration between patients and clinicians.

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Specific Goal Focus

The first step in collaborative care; helps patients define a specific health goal they want to achieve.

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Brainstorming Activities

A step in creating a collaborative care plan; involves generating ideas for activities to meet the patient's goal.

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Choosing an Activity

The process of narrowing down options to one feasible activity for the patient to start making progress.

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Purpose of Surveys

To study trends and experiences in patient care.

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National Patient Surveys

Surveys in England and Scotland assessing patient healthcare experiences.

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Tailored Surveys

Surveys designed to explore specific areas in detail.

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Online Surveys

Surveys conducted electronically via a computer.

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Telephone Surveys

Surveys where a researcher guides participants through questions via phone.

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Hand-held Electronic Devices

Portable devices used for short, tailored surveys in various settings.

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Population Surveys

Surveys that capture opinions from local communities and populations.

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Repeat Surveys

Conducting the same type of survey regularly to monitor changes over time.

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Improved Patient Communication

Strategies to enhance communication with patients, such as designing welcome packages.

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Patient Satisfaction Surveys

Tools designed to gather feedback on patient experiences in healthcare settings.

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Clinic Wait Time Improvement

Efforts aimed at reducing the time patients spend waiting in clinics or on calls.

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Walking Room Walk-Throughs

Assessment of clinic spaces to identify improvements in the waiting area.

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Plan-Do-Study-Act (PDSA)

A quality improvement strategy to test and implement changes effectively.

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Multi-Prong Communication

Using various methods to communicate information, such as emails and local ads.

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Diverse Recruitment

Involves selecting a variety of individuals to ensure representation on the PAC.

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PAC Mission Statement

A formal summary created by PAC members defining their purpose and goals.

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Patient Advisory Council (PAC)

A representative group of patients and caregivers that meets with clinic staff to improve performance.

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Role of Committee Chair

To welcome and orient patients, and encourage dialogue among committee members.

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Staff Liaison Purpose

To explain the selection process and contributions of patient representatives to the committee.

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Patient Engagement Importance

Strong leadership and patient/family engagement drives sustainable change in healthcare.

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PAC Evidence

Limited evidence exists, but shows that PACs are positively related to patient experience.

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Jointly Setting Priorities

When patients and providers collaboratively choose clinic priorities for better outcomes.

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Chronic Care Model

A healthcare model emphasizing patient-centered care and proactive management of chronic diseases.

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PCMH Model

Patient-Centered Medical Home model focusing on coordinated, comprehensive care.

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Barriers to PFCC

Factors that inhibit patient and family-centered care.

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Staffing Constraints

Insufficient staff levels affecting patient care quality.

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High Workloads

Increased demands on healthcare staff leading to pressure.

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Physical Resource Constraints

Lack of necessary physical space and equipment.

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Unsupportive Attitudes

Negative behaviors towards implementing PFCC principles.

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Leadership Focus

The essential role of leadership in promoting PFCC.

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Employee Engagement

Staff involvement and buy-in to PFCC practices.

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Positive Staff Relations

Good working relationships among healthcare team members.

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Primary Goal of Patient Engagement

To increase patient-centred care at the front line.

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Roles of Patient Representatives

They bring unique perspectives from their experiences in healthcare.

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Identifying Gaps in Service

Patients help spot shortcomings in healthcare delivery.

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Patient-Focused Outcomes

Evaluating results that matter to patients and families.

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Training for Patient Representatives

Orientation and training are provided for effective participation.

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Emotional Readiness

Patients should reflect on their readiness before joining committees.

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Confidentiality in Committees

Understanding privacy aspects is crucial for patient representatives.

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Recruiting Experienced Patients

Organizations should recruit patients with prior experience.

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Study Notes

Barriers to Patient and Family Centered Care

  • Staffing constraints and reduced experience levels of staff are a significant barrier to patient and family-centered care (PFCC). Units often have insufficient staff, due to recruitment delays and staff absences that are not always filled. Management staffing shortages also hinder PFCC.
  • High workloads and time pressures are cited as major obstacles to PFCC.
  • Physical and budgetary constraints, such as insufficient space for private conversations, limited equipment (beds, computers, comfortable chairs), and other resource limitations, impact PFCC.
  • Unsupportive staff attitudes, including cynicism, inflexibility, and lack of motivation, contribute to the problem.

Patient and Family Centered Care Enablers

  • Leadership emphasizing PFCC, supporting positive staff relations, and clear expectations are essential for enabling PFCC.
  • High staff satisfaction and good working relationships between teams are key enablers.
  • Staff well-being programs that promote resilience and job satisfaction also support PFCC.
  • Formal structures and processes, such as communication support systems, that facilitate better connection between hospital staff and patients/families, are essential.
  • Staff cultural diversity promotes respect for patient and family cultural considerations, enabling PFCC.

Collaborative Care Plan

  • Patient involvement in the development of a collaborative care plan is essential for a successful patient-centered approach. This includes a focus on the patient's specific goals, brainstorming of potential activities, individualized selection of one activity, clarifying the frequency/duration of the activity, establishing a timeline/place for the activity, identifying possible obstacles, and assessing patient confidence.
  • Supporting patients to identify ways to increase their confidence is important.
  • Collaborating with the patient is vital in creating a successful care plan, and follow-up appointments are essential for monitoring and maintenance.

Patient Experience Surveys

  • Surveys are a crucial method to gather patient feedback about their healthcare experiences.
  • Using surveys to understand trends, identify problems, and inform practice is a valuable tool to improve patient care.
  • These can include various methods such as mail, telephone, or electronic surveys.

Patient Advisory Councils (PACs)

  • Patient advisory councils are representative groups of patients and caregivers who meet to improve clinic performance.
  • Patient councils have the potential to positively influence patient experience.
  • It is important that clinics are supported by leadership.
  • Recruiting a diverse group of patients or family members, providing support and resources for participants (funding for meeting refreshments, etc.), and facilitating a formal mission statement will help successfully establish a PAC.

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