[Charting and Documentation] Upon admission to the hospital, patients are given access to the patient portal. This does not allow them to update their chart and unfortunately, it is not updated with inpatient lab results. The portal is valuable for obtaining records after discharge and for communication with outpatient providers.
ORGANIZATIONAL LEADERSHIP 7 [Care Support] Activating Rapid Response is not an option for patients and families at St. Thomas Midtown. The remaining elements of Care Support are all strengths for the facility. There are no set visiting hours, except for two designated “cuddle time” blocks for mother/baby. Bedside shift report is required so that’s patients and families are involved in the nursing handoff. The hospital has worked diligently to make discharge medication reconciliation a priority. Discharge paperwork includes a current list of medications with the last date and time received and the next date and time each medication is due. [Care] St. Thomas Midtown excels in these elements; no weaknesses are noted. Every shift, the care team sets goals together with the patient/family. Case Management provides many choices for the patient/family when transitioning care and discusses the best fit for a specific situation. Pain is assessed often, taken seriously and treated immediately. Areas of Improvement One of the best ways to improve patient/family centered care is to bring the patients and families into the care team. This will be accomplished by establishing a Patient Family Advisory Council. A Patient Family Advisory Council (PFAC) is an opportunity for the healthcare organization to integrate patient/family perspectives and experiences into improved patient and family centered care efforts ("Forming a Patient and Family Advisory Council (PFAC) Patient and family perspectives can help you achieve more patient-centered care in your practice", n.d.). Patients and families value having their opinions taken into consideration and have the opportunity to become healthcare advocates for their community (West & Brown, n.d.). Strategy for Improvement
ORGANIZATIONAL LEADERSHIP 8 Although making patient centered care a priority sounds like a great idea, resistance to change will be expected. St. Thomas Midtown is fortunate to have some amazing, loyal employees that have been working in the facility for over forty years. Change is hard; it is necessary. Considering the pay-for-performance based regulatory requirements requiring patient centered care and St. Thomas’ Midtown’s valued accreditation status through the Joint Commission, a successful Patient Family Advisory Council (PFAC) is necessary. Lewin’s 3-step Change Theory is an exceptional choice for implementing this Council because it will push employees in the desired direction toward accepting and participating in the PFAC (Kristonis, 2005).
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