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1.
Ann Intern Med ; 169(11): 796-799, 2018 12 04.
Artigo em Inglês | MEDLINE | ID: mdl-30476985

RESUMO

In this position paper, the American College of Physicians (ACP) examines the rationale for patient and family partnership in care and reviews outcomes associated with this concept, including greater adherence to care plans, improved satisfaction, and lower costs. The paper also explores and acknowledges challenges associated with implementing patient- and family-centered models of care. On the basis of a comprehensive literature review and a multistakeholder vetting process, the ACP's Patient Partnership in Healthcare Committee developed a set of principles that form the foundation for authentic patient and family partnership in care. The principles position patients in their rightful place at the center of care while acknowledging the importance of partnership between the care team and patient in improving health care and reducing harm. The principles state that patients and families should be treated with dignity and respect, be active partners in all aspects of their care, contribute to the development and improvement of health care systems, and be partners in the education of health care professionals. This paper also recommends ways to implement these principles in daily practice.


Assuntos
Assistência Centrada no Paciente/organização & administração , Relações Médico-Paciente , Relações Profissional-Família , Humanos , Equipe de Assistência ao Paciente , Cooperação do Paciente , Participação do Paciente , Satisfação do Paciente , Assistência Centrada no Paciente/normas
2.
Jt Comm J Qual Patient Saf ; 40(3): 111-8, 2014 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-24730206

RESUMO

BACKGROUND: The Society of Hospital Medicine's (SHM's) Glycemic Control Mentored Implementation (GCMI) program, which, like all MI programs, is conducted as an improvement collaborative, is intended to help hospitals improve inpatient glycemic control in diabetic and nondiabetic patients by educating and mentoring quality teams. METHODS: Hospital quality improvement (QI) teams applied for participation in GCMI from 2009 through 2012. Accepted sites were assigned either a hospitalist or endocrinologist mentor to work through the life cycle of a QI project. SHM's Implementation Guide, online resources, measurement strategies, Web-based Glycemic Control Data Center for Performance Tracking, webinars, interactive list-serve, and other tools help mentors guide these teams through the program. Mentors in GCMI bring expertise in both inpatient glycemic control and QI. RESULTS: One hundred fourteen hospital QI teams were enrolled into the GCMI program in the course of 2.5 years. Of these 114 sites, 90 completed the program, with 63 of them uploading data to the Data Center. Feedback from the sites was consistently positive, with the listserve, Data Center, and mentorship reported as the top three most effective components of the program. Ninety-five percent of respondents stated that they would recommend participation in an SHM-mentored implementation program to a colleague. Participants reported improved leadership skills and increased institutional support for glycemic control. CONCLUSIONS: Hospital quality teams participating in the GCMI program gained support to overcome barriers, focus on improving glycemic control, network with peers and expert mentor physicians, collect and analyze data, and build quality leaders. The features and structure of this program can be used in other multisite QI goals and projects.


Assuntos
Glicemia , Comportamento Cooperativo , Diabetes Mellitus/sangue , Administração Hospitalar , Melhoria de Qualidade/organização & administração , Internet , Inovação Organizacional , Objetivos Organizacionais , Equipe de Assistência ao Paciente/organização & administração
3.
Jt Comm J Qual Patient Saf ; 38(7): 301-10, 2012 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-22852190

RESUMO

BACKGROUND: The Society of Hospital Medicine (SHM) created "Mentored Implementation" (MI) programs with the dual aims of educating and mentoring hospitalists and their quality improvement (QI) teams and accelerating improvement in the inpatient setting in three signature programs: Venous Thromboembolism (VTE) Prevention, Glycemic Control, and Project BOOST (Better Outcomes for Older adults through Safe Transitions). METHODS: More than 300 hospital improvement teams were enrolled in SHM MI programs in a series of cohorts. Hospitalist mentors worked with individual hospitals/health systems to guide local teams through the life cycle of a QI project. Implementation Guides and comprehensive Web-based "Resource Rooms," as well as the mentor's own experience, provided best-practice definitions, practical implementation tips, measurement strategies, and other tools. E-mail interactions and mentoring were augmented by regularly scheduled teleconferences; group webinars; and, in some instances, a site visit. Performance was tracked in a centralized data tracking center. RESULTS: Preliminary data on all three MI programs show significant improvement in patient outcomes, as well as enhancements of communication and leadership skills of the hospitalists and their QI teams. CONCLUSIONS: Although objective data on outcomes and process measures for the MI program's efficacy remain preliminary at this time, the maturing data tracking system, multiple awards, and early results indicate that the MI programs are successful in providing QI training and accelerating improvement efforts.


Assuntos
Distinções e Prêmios , Mentores , Segurança do Paciente , Qualidade da Assistência à Saúde/organização & administração , Gestão da Segurança/organização & administração , Glicemia , Comunicação , Continuidade da Assistência ao Paciente/organização & administração , Comportamento Cooperativo , Médicos Hospitalares/organização & administração , Humanos , Capacitação em Serviço/organização & administração , Joint Commission on Accreditation of Healthcare Organizations/organização & administração , Liderança , Cultura Organizacional , Grupo Associado , Melhoria de Qualidade/organização & administração , Estados Unidos , Tromboembolia Venosa/prevenção & controle
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