Pfc 101 introduction to patient centered care maureen

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PFC 101: Introduction to Patient-Centered Care
Maureen Bisognano, IHI Senior Fellow and President Emerita, has helped popularize the idea of asking patients, "What matters to you?" in addition to, "What's the matter?" This question helps providers do which of the following? (A) Make a more accurate diagnosis (B) Record their patients' end-of-life care wishes (C) Understand patients' health goals and priorities (D) Decide on the best treatment option Understand patients' health goals and priorities The best answer is C. The simple re-framing of the typical question in health care settings, "What's the matter?" to "What matters to you?" creates a very different conversation. Instead of hearing only patients' immediate health complaints, providers hear about patients' health goals. With this information, health care providers are better positioned to help patients work on their long-term goals for quality of life, which is especially important in managing chronic disease. It also changes the conversation from being only about health care things such as diagnosis and treatment and more about health, including the life circumstances that are affecting the patient's health. PFC 101: Introduction to Patient-Centered Care
You're a hospitalist in a large referral hospital, and you have just discharged a patient who suffered a stroke due to high blood pressure. You've used many strategies, such as Ask-Tell-Ask, shared decision making, and brief action planning with the patient. The patient's primary care doctor says he will follow up with the patient. Two weeks later, the patient is back in the hospital, and you find out the primary care doctor never followed up. What's the best thing to do next? PFC 101: Introduction to Patient-Centered Care
patient's record that she was non-compliant in completing the follow- up care plan (D) A and B

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