A case for integrating the Patient and Family Centered Care Methodology and Practice in Lean healthcare organizations

Introducing community integrated nursing teams: How one Clinical Commissioning Group applied an evidence-based approach

“…Evidence suggests that prior attempts to improve patient and family engagement through processes such as the application of Lean methodologies (Wickramasinghe, 2014) and Patient and Family Centred Care Methodology and Practice have had success in putting patients at the centre of service delivery (DiGioia et al 2015). St Helen's CCG have recognised the long term commitment required for partnership working with the setting up of working groups and regular engagement, and in doing so have established cycles of learning rather than one off results.…”

Determining the True Cost to Deliver Total Hip and Knee Arthroplasty Over the Full Cycle of Care: Preparing for Bundling and Reference-Based Pricing

“…For those using Lean Six Sigma or other process improvement approaches, TDABC + PFCC M/P augments these approaches in that it provides the ability to identify true cost of care delivery for clinical conditions over a full cycle of care, focuses more intensely on understanding the current state as patients and families experience it (important for protecting experiences while driving down costs), and breaks down silos of care providers across all episodes and processes of care in order to drive down costs while protecting outcomes and experiences of care [12].…”

“…We calculated capacity rate per personnel type as described by Kaplan and Porter [2,3] (pp. [11][12], which can be summarized as follows:…”

What is the potential of patient shadowing as a patient-centred method?

“…It may aid the diagnosis of aspects of routine care practice that hinder patient-centredness and the identification of actionable opportunities to improve care delivery 3 4 12. Examples include the strengthening of effective transitions between different healthcare providers/services,12 the creation of a more efficient prioritisation system for treating patients within specific care pathways13 and the delivery of better education to patients in the discharge phase in order to reduce avoidable return visits 6 13. Other improvement actions may be simpler and less expensive, but nevertheless capable of improving patients' care experience.…”