In their commentary about factors that are critical to creating medical homes, Homer and Baron noted: “In our experience, the unique perspective that family members bring refocuses transformation efforts away from provider concerns and toward bringing value for families and patients.” —Homer & Baron, Journal of General Internal Medicine , 2010
5 ADVANCING THE PRACTICE OF PATIENT- AND FAMILY-CENTERED CARE IN PRIMARY CARE AND OTHER AMBULATORY SETTINGS: HOW TO GET STARTED PART II: MOVING FORWARD WITH PATIENT- AND FAMILY- CENTERED CARE: ONE STEP AT A TIME Establishing patient- and family-centered care requires a long-term commitment. It entails transforming the organizational culture. This approach to care is a journey, not a destina- tion—one that requires continual exploration and evaluation of new ways to collaborate with patients and families. An organizational culture that embraces the concepts of respect and dignity for all, effective sharing of information, patient and family participation in care and decision-making, and authentic partnerships with patients and families in direct care and at the practice level is beneficial to all—clinicians, staff, patients, and families. The following steps can help set a primary care or ambulatory practice on its journey in developing effective partnerships with patients and families and advancing the practice of patient- and family-centered care. 1. Appoint a practice leader as an Executive Sponsor. 2. Designate a Staff Liaison to coordinate and support work with patient and family advisors. 3. Identify at least two patient or family advisors to serve on the clinical transformation team. 4. Implement a process for key leaders and the clinical transformation team to learn about patient- and family-centered care and partnerships with patients and families in pri- mary care and other ambulatory care. 5. Assess the extent to which patient- and family-centered core concepts and strategies are currently implemented within your primary care or other ambulatory practice. (More information about this assessment process can be found in Part IV and Appendix A.) 6. Identify initial roles for patient and family advisors. 7. Determine the qualities and skills that advisors serving in the above roles should have. 8. Develop a patient and family advisor recruitment and selection plan, informational materials for recruitment, and an application form.
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