Transplant Patient-Centered Care The Henry Ford Experience

November 10, 2011

Marwan Abouljoud, MD, FACSPatricia Kosel-Rozanski, R.N., BSN

Elizabeth Rubinstein, TLC Coordinator

Pledge To improve and extend life

by meeting the needs of transplant patients and their families with compassionate,

innovative and personalized quality care.

• Collaborative inquiry• Inclusion, inspiration and integrity• Empowerment• Positivity• Emotional intelligence principles• Intentional change

Culture

STEERING COMMITTEE

WORK GROUPPROGRAM

DIRECTORSSTAFF FORUM

QUALITY COMMITTEE

REPORTINGCOMPLIANCE

CONTRACTINGFINANCE

MARKETINGOUTREACH

TRANSPLANT RESEARCHCLINICAL

OPERATIONSCOMMUNICATIONS

CMEDATA GROUP

COUNCIL OF ADVISORS

STAFF ADVISORY

PATIENT CCCTLC

• Transplant Living Community (TLC)• Patient Centered Care Committee (PCCC)• Discussing a framework of engaging

patients in the transplant experience• Transition from pre transplant to post

transplant• Role of patients

DISCUSSIONThe Henry Ford Experience: Listening from all directions

TLC Program• Established June 2008• Principles based upon hospice volunteer

model and national mentorship programs• Great patients = Great ambassadors• Training Curriculum

– HIPAA guidelines and patient safety– Understanding lifestyle versus medical issues– Mentorship with trained TLC ambassador

• Positive resource for patient communication• Establish tools for patient to self advocate• Educational support for patient and family• Address life style issues outside medical arena• Reinforce health care compliance• Complement medical staff goals• Community outreach

TLC Objectives

Patient Centered Care Committee

An integrated multidisciplinary approach established January 2010 to improve the

excellence of care based on medical expertise and patient experience

Patient Centered Care Committee• Members

– Healthcare representatives from all transplant disciplines, TLC ambassadors, patients

– All are stake holders in PCCC success

• Feedback – Action driven model– Consistent message/education– Patient safety foremost– Engagement aligned with patient needs from

both healthcare members and patient perspectives

The 3 TiersThe 3 TiersAn integrated approach to patient centered care

•Treatment Treatment PlanPlan

•Care PathwayCare Pathway•Patient GoalsPatient Goals

Engage, Empower, Improve

Through the combined efforts of TLC, PCCC, and the 3 Tier approach,

transplant patients will be empowered, engaged, and show an overall improvement as evidenced

by:

• Consistent communication • Increased patient satisfaction• Increased compliance • Establish a healthy lifestyle• Decreased readmission• Adaptability with future needs

and healthcare reform

Engage, Empower, Improve

“Friends are those rare people who ask how you are and then wait to hear the answer…”

Ed Cunningham

The Henry Ford Experience:Listening From All Directions