What’s Next? Advancing Healthcare from Provider-Centered to Patient-
Centered to Family-CenteredKaitlin Leckie, MS
Medical Family Therapy FellowSt Mary’s Family Medicine Residency
Keith Dickerson, MD
Faculty PhysicianSt. Mary’s Family Medicine Residency
Randall Reitz, PhDDirector of Behavioral Sciences
St. Mary’s Family Medicine Residency
Peter Fifield, MABehavioral Health Services Manager
Families First Health and Support Center
Collaborative Family Healthcare Association 16th Annual ConferenceOctober 16-18, 2014 Washington, DC U.S.A.
Session A4aOctober 18, 2014
Faculty Disclosure
• We have not had any relevant financial relationships during the past 12 months.
Learning Objectives
At the conclusion of this session, the participant will be able to:
• Compare the increasingly complex levels of Engel’s biopsychosocial model with the evolution of healthcare, and explore the implications for advancing healthcare to the next level: family-centered care.
• Critically analyze provider- and patient- centered approaches and justify the need for family-centered practice
• Explore the potential for improved patient experience and population health through the presenters’ proposed model of family-centered care
• Examine practical applications of the model to care planning, care coordinating, and health information technology.
ReferencesAschbrenner, K., Bartels, S., Mueser, K., Carpenter-Song, E., & Kinnney, A. (2012). Consumer perspectives
on involving family and significant others in a healthy lifestyle intervention. Health & Social Work, 37(4), 207-215.
Campbell, T. L., (2003). The effectiveness of family interventions for physical disorders. Journal of Marital and Family Therapy, 29, 263–281.
Campbell, T. L., & Patterson, J. M. (1995). The effectiveness of family interventions in the treatment of physical illness. Journal of Marital and Family Therapy, 21(4), 545–583. doi:10.1111/j.1752-0606.1995.tb00178.x
Council, L., Geffken, D., Valeras, A., Orzano, A., Rechisky, A., & Anderson, S. (2012). A medical home: Changing the way patients and teams relate through patient-centered care plans. Families, Systems, & Health, 30(3), 190-198. doi:10.1037/a0029832
Dickinson W. P. (2011). Is there room for the family in our medical home? Family Medicine. 43(3): 207-9.
DiGioia, A., Fann, M., Lou, F., & Greenhouse, P. (2013). Integrating patient- and family-centered care with health policy: four proposed policy approaches. Quality Management in Health Care, 22(2), 137-145. doi:10.1097/QMH.0b013e31828bc2ee
Dunst, C. J., & Trivette, C. M. (2009). Meta-analytic structural equation modeling of the influences of family-centered care on parent and child psychological health. International Journal of Pediatrics. 2009, 1-9. doi:10.1155/2009/576840
Fox, M. A., Hodgson, J. L., & Lamson, A. L. (2012). Integration: Opportunities and challenges for family therapists in primary care. Contemporary Family Therapy: An International Journal, 34(2), 228-243. doi:10.1007/s10591-012-9189-3
McDaniel, S.H, Doherty W.J., & Hepworth, J. (2014). Medical family therapy and integrated care, 2nd ed. Washington DC: American Psychological Association Publications.
Wolff, J. L. (2012). Family matters in health care delivery. Journal of the American Medical Association, 308(15), 1529-1530.
Learning Assessment
• A learning assessment is required for CE credit.
• A question and answer period will be conducted at the end of this presentation.
FamilyActivatedCareTeamcare planning project
Survey of bestpractices in
family-centered care
Primary
care cl
inic
Community m
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Training c
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Other s
pecialty
medica
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Hospita
l
Other p
sychiat
ric or m
ental healt
h agency
Hospice
0%
20%
40%
60%
80%
Clinical Settings
In your current healthcare setting
In the average American healthcare setting
In the ideal healthcare setting
0% 25% 50% 75% 100%
Always Case-by-case Not at all
In day-to-day operations, how central to healthcare are families and relationships...
Families and Health Survey
Mission and Leadership
TrainingH.I.T.
Financial
FamilyContinuity
GoldenCircle
Why?
How?
What?
Three-WorldView
Health
FinancialOperational
Clinical
Session Evaluation
Please complete and return theevaluation form to the classroom
monitor before leaving this session.
Thank you!