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PowerPoint Presentation - Institute for Patient- and Family-Centered

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					Hardwiring the Parent Voice
   Building a Foundation called
     Family Support Services




                                  1
                          Presenters


Kris Green
Supervisor,
Family support services




                              Ted Hawley
                              Family Action Council



                                                      2
                 Today’s objective
   Describe successful techniques to hardwire family
    needs for services at the bedside
   An example of a organizational chart that redefined
    family-centered care as family support services
   Using “S.W.O.T.” and “priority matrix,” as tools to
    start a plan for your hospital on:
           1. Goal setting
           2. Recruiting parents
           3. Funding opportunities
           4. Getting established


                                                          3
               Family-Centered Care is a
               philosophy of care that

   Recognizes and respects the pivotal role of
    the family in the care of an ill child
   Supports the family, as they define it,
    building on their strengths
   Promotes a healthy pattern of living
   Views professionals and the parents as equals
    in the goal of achieving what is best for the
    child


                                                    4
               Key Elements of FCC process

   The family is the constant in the child’s life
   Information exchange is unbiased
   Recognize and respects different methods of
    coping
   Encourages and facilitates family to family
    support
   Found not only in program or at the bedside,
    but incorporates POLICY


                                                     5
               This means that


through program and administrative development,
   families and parents are fully integrated in the
       care delivery at the Children’s Hospital
so that they can be the best parents for their child
 who is admitted to the hospital with a diagnosis
    that changed their family as they knew it



                                                       6
             Remote Alaska . . . .

   Photo removed




                                     7
Alaska’s Geographic &
Diversity Challenges (scale)




                               8
             Hospital within Hospital:
             Providence Alaska Medical Center

   360 Bed Campus
   99-107 Beds are the Children’s Hospital and
    Women’s Center
       - 26 bed pediatric center
       - 37 licensed bed NICU (census 45+)
       - 32 post-partum
       - 7 LDR
   Outpatient subspecialty clinics

                                                  9
            Lofty goals:
            Bringing change to an 75 yr. old hospital

   Photo removed
             The journey of many steps,
                 is worth the reward




                                                    10
                 History of family involvement

   1991 - Parents for Parents-Volunteer Group
   1996 – Focus group that supported remodel
    planning and program development
   1997 – Family Advisory Council.
   1998 – Part time Parent Coordinator hired
   2000 – FT position
   2004 - Family Support Services concept for
    FCC initiatives to ancillary services; 1.5 paid
    parent roles
   2006- Family Support Services launched
                                                      11
           Family Support Services
                Purpose (06’)


    Compassionately provide
therapeutic family-centered care
      by collaborating to
 support those in need as they
 navigate the healthcare system.




                                     12
                Family support services (06’)
                a multidisciplinary design

1.   Program development (in- & out-patient)
2.   Volunteers - (Hospital & Community)
3.   Parent in Board roles (FAC and Governing)
4.   Direct parent support: groups, 1:1, within
     TCHAP and throughout Ancillary services
5.   Initiatives & policy setting with an emphasis
     on FCC principles


                                                     13
            Monumental Task…..
            What family-support services looks like

   Photo removed




                                                      14
                                                                      Family Support Services

Family Action Council
                                                                                         Supervisor
                                                                                       Family Support Services
                                                                                             Kris Green

                                                                               Volunteers                        CMN
     2007 Iniatives                                                           Kuddle Korp                     fundraising
Communications material                                                       Peds center                       grants
Integrate FCC priniciples                                                  Parents For Parents                 donations
     Palliative Care

                                  Child Life          Hospital based Ed         parent navigator             Bereavement Coun            MBU outreach           Security Staff
                                3 fte positions         1.6 fte position             NICU                     Dina Banez, chair               .5 fte          Hospitality Services
                                                                                       .5                                                      PPD
                                                                                                                                       Cmty, NICU, Prenatal


                                 1. Pediatrics         student teachers         Parents for Parents         Unit based intervention       Life on Lily pad    Volunteer Support
                            2. Out patient services         aides                NICU volunteers             peds ctr, L/D, NICU                                 Unit support
                                3. Surgery Cntr                                                              ED and day surgery                               Donation support

                      4. ED / NICU
                                                         Adult Educ                      D/C life support     community based           PAMC
                                                      Parenting Classes                                                               committee

                                CL Practicum
                                CL internships




                                                                                                                                                                                     15
                        How did we do this?

   Learned and used business speak to include family
    involvement in both care delivery and program/space
    development
   Research and validate the need for change–example:
       Direct cost savings
       Increasing family satisfaction scores.
   Make the pitch – selling family involvement to a high-
    level administrator
   Started small, advertised successes, and promoted
    both staff and patient satisfaction.


                                                             16
              Get input from a variety
              of sources. . .

   Family Action (advisory) Councils
   Teen or Youth Councils
   Physicians
   Nursing
   RT / Speech / OT / PT
   Child life, teachers, and
    navigators



                                         17
                  S.W.O.T. Analysis:
                  Strengths and Weaknesses
A strength is something a company is good at doing or
   a characteristic that gives it an important edge
      A skill or expertise
      A valuable resource
      An achievement that creates market advantage


A weakness is something a company lacks or does
  poorly in comparison to its competition
    Lack of skill or expertise
    Poor track record
    Lack of resources



                                                        18
                  S.W.O.T. Analysis:
                  Opportunities and Threats
An opportunity is a future situation that can positively change an
   organization:
     Increase in demand for services or choice by families

     Improved satisfaction scores

     Saves money when continuity of care is woven through units
      and services where families have needs

A threat is a present or emerging situation that can be hurt the
   company
     Competition

     Low satisfaction scores

     Inability to attract staff due to satisfaction or advanced
      technology abilities.


                                                                   19
                      Family-centered care:
                      Business speak 101

                        Matching an internal        An environmental
           Strength        strength with           threat to a current
                        opportunity produces     organizational strength
                             leverage                is vulnerability
INTERNAL
                                                    A huge problem
                         Organizations that
                                                 emerge when outside
                       don’t seize opportunity
                                                  influences attack an
           Weakness    become constrained.
                                                      organization’s
                                                        weakness



                            Opportunity                  Threat



                                   EXTERNAL
                                                                           20
   Photo removed




                    21
            It’s your turn……
S.W.O.T. analysis

1. Break into 2 groups
2. Brainstorm S.W.O.T. for YOUR organization
   on the following topics:
      • Kris: funding and getting established
      • Ted: recruiting and goal setting
3. Come back together with report out
4. Using worksheet, document good ideas for
   you to shamelessly use…..!

                                                22
            Get Creative –
            See the potential

   Photo removed




                                23
                  Priority matrix tips

   Bucket similar topics

   Set expectation that majority rules with
    following voting tools:
          Vote using single dot color – most votes win
          Voting dot value: red, green, yellow
          Thumbs up or down (yes or no)



                                                          24
          Priority and Payoff Matrix



high
         Jewels       Tough or Risky


       Quick fixes     Drop
 low



       easy              difficult
                                       25
             Provided in packets today -

   Worksheets to take back
   Copy of by-laws
   Goals and accomplishments of
    family action council
   Promotional materials
   Contact information


                                           26
The Children’s Hospital at Providence
3200 Providence Drive • POB 196602
       Anchorage, AK 99519

          Kris Green
        907-261-5895 (Phone)
   Kristine.green@providence.org

                                        27

				
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