Planetree Annual Conference:
Monday, October 20th - Workshops
Tuesday, October 21st - Planetree Member Highlights
Monday, October 20th - Workshops: 8:30 AM – 10:00 AM
Transitioning Care and Working Together: Providers, Patients and Caregivers
Presented by Cheri Lattimer, Nancy Skinner, and Annette Schmidt, of the National Transitions of Care Coalition
When patients are transitioned from one care setting to another, meaning from the emergency room to hospital; from hospital to home; hospital to skilled nursing facility; primary care physician to a specialist they often experience a road of poor information exchange, disruption of services, medication errors and a healthcare system that does not meet their needs . Continuity of care must be managed actively in order for patients and their care givers to successfully overcome the challenges of complex health tasks on top of mounting administrative and economic hurdles. In this panel discussion we will address these concerns and offer examples of solutions and models that are attempting to improve transitions of care interventions that affects all populations and ages in today’s healthcare.
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Forming A Planetree Physician Advisory Team
Presented by: Dr. Dhananjay Bendre, Dr. Michael Severino, Dr. Mark Kalchbrenner, Loretta Bogolin RN, CNO, and Diane Ball RN, of Delnor Community Hospital
Dialogue with three physicians, the CN0 and Planetree Coordinator from Delnor-Community Hospital and learn how they formed a Planetree Medical Advisory Team. They will share the story of their journey and learn how it has been an effective forum for physician engagement, a medium for education and policy making. Identifying key physicians as leaders for membership, and the importance of Hospital Executive involvement will be discussed. A radiation oncologist, OB specialist and Cardiologist will share insights, discuss obstacles and barriers and words of wisdom from the physician perspective. Opportunities for questions and answers will be provided.
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Planetree Implementation Strategy
Presented by: Philip Wilner, M.D., and John Flanagan, MPA of New York-Presbyterian Hospital
New York-Presbyterian Hospital began it’s Planetree Journey in 2003 when Planetree was introduced at the Westchester Division, a 260-bed free standing academic behavioral health facility in suburban New York. In 2006 New York Presbyterian expanded its Planetree initiative to the Weill Cornell Medical Center (NYP/WC), an 866- bed urban academic medical center in New York City. The Planetree model was implemented in the Rehabilitation Medicine and Psychiatry Departments. In 2008 the model was introduced to the Emergency Department. This presentation will review the history of Planetree at NYP/WC, challenges and successes with implementation, and plans to move the initiative forward and expand to other departments in the hospital.
The objective of the presentation is to share NYP/WC’s experiences with Planetree implementation to create a dialogue with other large academic medical centers, develop best practices, and encourage other large medical centers to join the Planetree organization.
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Trauma Informed Care-Transforming Our Culture
Presented by Sara E. Banzhaf of Alegent Health
Summary and Implications for Nursing Practice:
Alegent Health Behavioral Services embarked on this journey to Trauma Informed / Strength Based Care in 2001 by establishing a Restraint and Seclusion Best Practice Team. Best practices were implemented from national research resulting in a philosophical and culture chance in nursing practice. Through restraint and seclusion reduction strategies a common theme arose that many patients with episodes of restraint / seclusion had severe histories of trauma. The focus of transformed from not only reducing restraint / seclusion rates, but to incorporate strength based care and trauma informed care principles into patient care.
Since the implementation of these Trauma Informed Care principles into the culture of the Behavioral Health programs have successfully reduced restraint / seclusion rates from 3.5% in 2001 to less than 0.48% in September 2007, and the Alegent Health Behavioral Service Line has been recognized as a national leader in Trauma Informed Care- most recently at the American Psychiatric Nursing Association National Conference being awarded the first place award in the category of Practice.
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Creating a Dynamic Planetree Retreat
Presented by Chris Kelleher, Karen Lundberg and Ruth Fugee of Fauquier Hospital
Planetree is integral to Fauquier Health System and defines how we care for patients and each other. The Planetree 1st Level Retreat explores the components of Planetree and how they apply to the healthcare setting. The 2nd level retreat is for those who have been in the organization over a year. They come together to review the meaning and components of Planetree and to define for themselves how the principles are integrated into their jobs and interactions with patients, families, and each other.
This presentation will be a mini-model of the Fauquier Health System Planetree 2nd Level Retreat. The agenda for the retreat will be shared along with a demonstration of the drawing exercise and communication skits. The drawing activity encourages participants to share their experiences and perceptions, creating a drawing that represents how everyone works together and connects with each other. The skits are humorous and mimic actual experiences to identify on-stage and off-stage behavior and communication skills.
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How to Create a Spiritual Care Program in Your Community Hospital
Presented by Kathy Hedderman, M.A., B.C.C of Longmont United Hospital
This presentation will include innovative ideas on how to create a chaplaincy program that is broad based and outreaching. Imagine having 70 people on your team and providing 10,200 patient visits in one year! Longmont United Hospital is blessed with the collaboration of the hospital chaplain and the community clergy in caring for the spiritual needs of our patients, families, and staff. We will share the Mission, Vision, Values and Core Values which are the foundation of our practice of spiritual care. We will describe the relationships built between the hospital chaplain and the local clergy/faith leaders which has developed into a dynamic team of Volunteer Chaplains. They visit patients daily, respond to traumas and deaths, provide 24/7 on-call coverage, offer grief support and worship services. An Advisory Board offers guidance, vision , and support to the hospital chaplain. Finally, we will invite open discussion of all participants in sharing the wisdom and ideas from spiritual care programs throughout the country.
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Patient-Centered Hospital Designation
Presented by Carrie Brady, J.D., Vice President of Quality, Planetree
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Hypnosis : A Way to Go Through Pain
Presented by Maryse Audet of Centre de réadaptation Estrie
Neuropsychologist at the Centre de réadaptation Estrie since 1993, Maryse Audet has a passion for treating pain through hypnosis. She is dedicated to patients for whom traditional treatments (ergotherapy, physiotherapy, pharmacology) have failed. These people often come to her at the limits of hope. They are convinced that they tried everything. Their last resort is learning to live with the pain. And what if their brain still had a few surprises in store for them… Why not try hypnosis?
In this presentation, Maryse Audet will present the basis of her practice and make you discover imagery: her main work tool and that of her patients. She will address the conditions under which hypnosis is used and her principal success factors. You will discover this set of concepts through Marc’s story. Following a work accident, Marc finds himself with a severed leg and unbearable pain. He explores every means of controlling the pain, even undergoing five surgeries. Nothing works and fear adds on to the neurological and phantom pain… until the day he experiences hypnosis.
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Monday, October 20th -10:30 AM – 12:00 PM
Communication : It's All About Aiming it Right !
Presented by Maryse Audet of Centre de réadaptation Estrie
First Canadian facility to adopt the Planetree model, the Centre de réadaptation Estrie has put everything in place for its staffs to take rapid ownership of the Planetree components, implement them and contribute to them through personal and original initiatives. During this presentation, we will make you discover the communication strategies that we gave preference to and the tools we created to achieve our goal. For example, we will introduce you to our change management and communications team. We will also discuss the “antennas” we gave ourselves to accompany and support the dissemination of the model, its integration and ownership. Lastly, we will present some of our winning achievements. This presentation will be punctuated by discussion allowing you to share and enrich your own experience.
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Measuring the Impact of Planetree Patient-Centered Care
Presented by Susan Stone, CNO, Ph.D. of Sharp Coronado Hospital
Using an evidence based approach Sharp Coronado Hospital demonstrated how Planetree’s implementation improved inpatient quality outcomes. During this presentation we will discuss research objectives, background, methods, results and conclusions.
Objectives:
- Participants will understand and be able to describe the research objectives.
- Participants will understand and be able to describe the research method.
- Participants will understand and be able to describe research findings.
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Hardwiring Strategic Initiatives into Nursing Quality
Presented by Mary A. Shehan, RN, MSN of Swedish Covenant Hospital
Swedish Covenant Hospital is on the journey to Planetree Designation and Magnet Certification. In doing so, nursing administration recognizes that the hospital strategic initiatives truly reflect the meaning of being a Planetree and a Magnet organization. These strategic initiatives include providing high quality patient care measured by outcome performance data while improving processes and advancing a healing environment with improved patient experience and service. Over the last several years the progress of SCH's management team towards achieving hospital strategic initiatives has been measured by a dashboard highlighting those goals. This year, the Division of Nursing has adapted the management team dashboard and brought it to the bedside. Developed especially for use on nursing units, this dashboard ties directly to the staff annual merit review, and it includes hospital-wide quality goals and Planetree initiative implementation. As the Division of Nursing moves toward a shared governance model, each unit's Council/Staff Action Team determines which initiative will be measured specifically in relation to creating a healing environment.
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Innovative Approaches to Implementing Integrative Modalities by Direct Care Staff
Presented by Karen Maier of Northern Westchester Hospital
The Integrative Medicine Program at NWH has become an increasingly popular with patients, caregivers, and staff. The challenge now is to accommodate the number of daily requests for services combined with the challenges the nursing shortage brings to implementing patient care.
Within the forum of Shared Governance, a strategy of obtaining and training direct care staff unit by unit has evolved to solve this challenge and enhance patient care at the bedside as well creating an awareness of how intention and presence can enhance patient care and patient satisfaction.
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Pastoral Care For The Sick, Suffering, and Dying - a Pastoral Care Program for Local Clergy
Presented by Vance Midgett of Halifax Regional Hospital
Pastoral Care For The Sick, Suffering, and Dying is a six-month program led by Pastoral Care Services of Halifax Regional Hospital to offer Clergy the tools necessary to effectively offer compassionate ministry to those who are faced with illness, suffering, death and personal crises. The program incorporates independent reading, twenty-four hours of classroom instruction/discussion, case consultations, and a volunteer Chaplaincy component. The program which is divided into 6 topics: Pastoral Care and Practices of Caring; Listening: Intentional and Active; Spiritual Formation for Caring; Grief and Loss; Illness, Trauma and Suffering; and Anger, Conflict and Reconciliation is academic, creative, and reflective in its approach. The program offers a system in which local clergy can gain training to best meet the spiritual needs of their parishioners when they enter the hospital. The program also offers a way for the hospital to identify well equipped clergy to assist in meeting the spiritual needs of their patients. Incorporating a program such as this falls under the Planetree components of Spirituality and Healthy Communities. Those taking this seminar during the Planetree Conference will find it interactive in nature, learning how to effectively facilitate the program. Participants will receive curriculum to use for incorporating their own course.
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Patient-Centered Care Council
Presented by Todd Liu and Dr. Marya Chaisson of Griffin Hospital
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Achieving Excellence through Transformation Grand Rounds
Presented by Connie Blietz, RN, BSN, MBA, CNA, BC of Alegent Health
Alegent Health Mercy Hospital approached Core Measures as a priority to demonstrate excellence. The foundation for success had already been put into place with Mercy Hospital's successful achievement of Magnet Status since July 2005. Full support was given from the Board of Directors, CEO, hospital administration, engaged physicians and staff. The directive was clearly outlined within the leadership performance evaluation process which included achievement of the Alegent 20 targets. The bar was raised as without significant improvement targets would not be met. The Alegent 20 includes composite outcome scores for Acute MI, Pneumonia and Heart Failure.
To move the bar of excellence, Mercy Hospital leadership created the right culture which placed the patient at the center of care. Best practice guidelines were put into place. Use of technology was not an option and concurrent review kept the entire campus aware and alert to areas that required additional attention. The concurrent review provided accurate, timely and reliable information to make the rapid changes required for improvement. Physicians and staff were highly engaged as there needs were attended to enabling them to keep their focus on the patient through the incredible chaos of change.
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Monday, October 20th -1:30 PM – 3:00 PM
Life Stories 101
Presented by Sarah Pearson of Warrenton Overlook Health & Rehabilitation Center
The Life Stories 101 Affiliate Highlight session would teach the participants the importance of the Life Stories Program and how to implement a Life Stories Program. Participants would learn how to interview the resident/patient effectively by learning how to prepare for the Life Stories interview, learn the importance of using a legal release, will be given a set of example questions to interview, will learn what questions to ask and what questions not to ask, error to avoid during the interview, now to end the interview adn how to effectively record and display the complete Life Story. I will also review the next steps that Warrenton Overlook is taking the Life Stories Program which is making a scrap book album for the resident/patient to keep in their room so that newcomers (staff, volunteers, etc.) learn more about the resident/patient they are caring for.
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Easing the Transition from Acute to Long Term Care: The Work of Swedish Covenant Hospital's Long Term Care Council (Tentative)
Presented by: Beth Toczylowski, RN, CCM, and Patricia Koepp, RN, MS of Swedish Covenant Hospital
As Swedish Covenant Hospital continues on its Planetree journey, the Divison of Nursing acknowledges that connection to our community is a vital part of advancing a healing environment. SCH Nursing Administration has long recognized that one of the most difficult times in one's life is making decisions relating to long term care options. It is the family who typically makes these hard decisions, and frequently they have to make them in a very short time period. Therefore, the Division of Nursing has initiated a Long Term Care Council. Members of this Council include nursing homes with whom the hospital has a long-standing relationship, and members of the hospital's Case Management and Social Services staff. Together the Council looks at ease of placement, facility skill level, and common staff educational needs.
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How to Engage Physicians with Implementing the Planetree Model of Care
Presented by: Dr. David Cloney of Bayhealth Medical Center
Do your physicians practice Planetree. Do they support the process and become champions of Patient Centered Care. Physicians the world over believe that by healing the body the patient is better for it. But what's really missing is seeing the patient as a whole being
This presentation will help you break down barriers and walls that are preventing your organization from moving forward with the Planetree Model of Care.
Dr. David Cloney, President of the Medical Staff at Bayhealth Milford Memorial Hospital has developed a team of physicians that work on different projects that promote the model of care. It's like a swat team that move in work on a project and then move on to another team and another project. states Richard Butto, VP of Customer Service.
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Lyons House: Using Patient Input to Design Healing Spaces
Presented by: Leon Green, Ph. D and Michelle Smith
This presentation will provide an overview of the collaboration in VANJHCS among the Planetree staff, Mental Health and Behavioral Sciences staff and mental health veterans to foster Planetree components of “Empowering Veterans though Information and Education” and “Architectural Design Conducive to Health and Healing.” The presentation will focus on the pivotal role of empowering mental health veterans to make decisions about the design, development, operations and functions of the clubhouse to facilitate recovery in mental health veterans.
The Lyons House provides veterans with the opportunity to improve their independent functioning and quality of life through veteran to veteran activities, emotional and social support, educational activities and self-help empowerment in a setting designed with Planetree concepts to maximize these outcomes. Veterans worked in partnership with mental health staff to develop activities in the Lyons House that promote recovery concepts of hope, dignity, responsibility, respect, equality, trust, empowerment, self-determination and healing. Mental health veterans partnered with Planetree staff to design the clubhouse space to enhance and maximally facilitate the functioning of these recovery activities. Involvement in a clubhouse supplements and often lessens the need for formal clinical services.
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Choosing and Using the Right Music for Relaxation
and Well-Being: Setting the Record Straight
Presented by Steven Halpern
The importance of sound and music in the hospital environment is
now well-agreed upon. But understanding how to choose the right
music is not. Learn how to separate fact from fiction to create the
optimum soundscapes for your hospital You'll learn how to make the
best choices to suit your needs.
In this entertaining and informative presentation, Steven will
share insider's insights and secrets that support clients and staff. In
hands-on and fun demonstrations, you'll learn how heartbeat, mood
and healing are affected by the rhythm and compositional structure.
You'll verify the wisdom of your own body, and comprehend the limitations.
Recommended for nurses, administrators and caregivers of all kinds,
you'll come away re-energized and enthused about incorporating more
of the healing powers of music in your hospital.
Steven Halpern is the pioneering composer /sound healer/ researcher
whose innovative approach to composing healing, therapeutic music
revolutionized the alternative and complementary health care environment.
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Methods for Measuring Patients Preferences: Expressing the Patient’s Perspective in the Era of Evidence-Based Medicine
Presented by:
John F P Bridges Ph. D., Assistant Professor, Johns Hopkins Bloomberg School of Public Health and Founding Editor, The Patient – Patient Centered Outcomes Research
When patients are transitioned from one care setting to another, meaning from the emergency room to hospital; from hospital to home; hospital to skilled nursing facility; primary care physician to a specialist they often experience a road of poor information exchange, disruption of services, medication errors and a healthcare system that does not meet their needs. Continuity of care must be managed actively in order for patients and their care givers to successfully overcome the challenges of complex health tasks on top of mounting administrative and economic hurdles. In this panel discussion we will address these concerns and offer examples of solutions and models that are attempting to improve transitions of care interventions that affects all populations and ages in today’s healthcare.
Learning Objectives:
- To discuss why there is a growing need to express the patients point of view
- To review current methods for for measuring quality of life and patient outcomes
- To introduce methods for to measure patient preferences in medicine
- To offer an example of how patient preferences can be measured.
- To challenge participants to use scientific methods to express patients preferences
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Monday, October 20th -3:30 PM – 5:00 PM
Transforming to a Patient-Centered Culture: A Five Part Physician Education Series
Presented by: Roberta Carlson, Administrator, Physician Integration and Metro Specialists Division and Jane Jones, Manager Clinic Operations of Aurora Health Care
Being a large integrated health care system, Aurora Health Care has expanded its Planetree journey to include not only the hospital setting but every part of the organization, including all of the Primary and Specialty Care Ambulatory clinics. We recognized that in order to be successful in changing the current culture to being totally patient-centered where everyone is considered a caregiver, physicians' support and buy-in is imperative. A great way to accomplish this would be by providing in -depth education on the principles of Planetree. Our program provides research-based data on how the Planetree model of care has a positive impact on patient loyalty and patient outcomes. We will discuss the challenges with presenting an educational format that engages the physicians while respecting their time limitations. The program was developed knowing the unique needs of the physician audience including time limitations, the need to present research-based information, and having the information delivered by a credible source such as their physician peer group.
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NC Children's Hospital Pediatric Rapid Response Team: The Family Alert Initiative
Presented by: Doreen Marlowe RN
The NC Children’s Hospital has recently developed a Family Alert Initiative, which enables family members to call for help in the hospital in a similar fashion to calling 911 from their homes. The Family Alert system is being added to the existing pediatric rapid response system in place at NC Children’s Hospital. The Family Alert Initiative itself is a significant achievement, but what is particularly notable is the way in which NC Children’s Hospital has partnered with families in implementing and evaluating the initiative and how NC Children’s Hospital intends to use the program to identify effective ways to partner with families to improve safety and to share that knowledge with others.
Topics will include:
Why develop a Family Alert Initiative with the rapid response team?
Obstacles to over come prior to initiation
What is the Family Alert System describing Phase 1,2,3 .
Educational Rollout for families and healthcare providers
Success of program including outcome data
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Becoming a Planetree Hospital
Presented by: Nick Jacobs, CEO of Windber Medical Center
The presentation will take the attendees on a journey into the change necessary to move a hospital to a Planetree facility with journeys into thinking that will include examples like the following:
Larry Dossey, M.D. from Reinventing Medicine, For more than a century the profession of medicine has tried to become increasingly scientific and technical, because this is where we believed the future of healing lay. Now a monumental shift is occurring, empowered by the evidence that consciousness is a powerful factor in the world.
Finally, Dr. Karen Donelan, Senior Scientist in Health Policy, Massachusetts General Hospital, gave a wonderful description of her experience in the health care system. A dear member of her family received timely access when the pcp's answering service worked, the receptionist, technician and doctor all showed compassion and demonstrated their desire to be there for the family and the patient. At every step information and decisions were shared, so much so that the family felt part of the care team, and finally the doctors were highly trained and had all of the right tools. She described this as truly, significantly different care than they had ever observed with other family members. According to Dr. Donelan, It was seamless, high quality , accessible, compassionate and expert with a fully disclosed price and plan of treatment.
It was the care that her dog, Rico was given by the vet.
Surprised, don't be.
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Advancing a Healing Environment Across the Continuum of Care
Presented by: Art Slowinski of Swedish Covenant Hospital
While acute care remains at the center of hospital operations, hospitals are branching out into wellness promotion with a vision to be places where people come on not only to get well, but to stay well. Swedish Covenant Hospital has partnered with the Galter Life Center, an award-winning medical-fitness facility on the North Side of Chicago. The operating philosophies of both organizations are very much in concert and the creation of the partnership between SCH and Galter Life Center is allowing both organizations to advance a healing environment across the continuum of care. As a Planetree affiliate, SCH recognizes the need to care for the whole patient during times of illness as well as helping them to maintain health. The medical fitness model at Galter Life Center works with the whole person - physical, mental, emotional, and spiritual - to enhance wellness in a non-hospital, yet clinically based, setting. One of the most important functions of this partnership is a reciprocal service referral program, which allows for a seamless integration of care for SCH patients and GLC clients in times of health or illness. This partnership between SCH and GLC is also creating opportunities for expansion of CAM services, employee wellness for both SCH and GLC employees, and community outreach.
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Improving Pain Management and HCAHPS Scores Through the Use of Music Therapy
Presented by: Debra Rasmussen, RN, BSN, CMSRN and Stephanie Kleba, MT-BC of Delnor Community Hospital
Discover the magic behind the music at Delnor Hospital. Music Therapy is a successful program that reaches out to patients, families and staff to create a calm, healing environment. Learn how this complementary modality has improved outcomes in a medical surgical setting with focus on pain management and HCAHPS scores. Results of the pain study with the link to Music Therapy in the inpatient medical surgical unit will be shared. Music Therapy will be defined. Overall, the session will take an insightful and in depth look at developing such a hospital program with understanding the day to day working model. Obstacles, barriers, and lessons learned will be revealed. This session will end with an experience in Music Therapy. Don't miss this unique opportunity.
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Community Design
Presented by: Vickie Detroy of St. Mary’s Health System
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MCMC University: An Employee Experience
Presented by: Cynthia Kortge of Mid-Columbia Medical Center
For over 15 years Mid-Columbia Medical Center has held a unique and interactive cultural orientation known as MCMC University. In 2006 we revisited the commitment to our employees and the Planetree Philosophy by creating a new comprehensive 5 day curriculum for MCMC U with a journey and adventure thru the treacherous & challenging landscape of the healthcare industry. MCMC University creates the ultimate healing environment for those that give care to others, and is the launching pad for the unique and state of the art Employee Experience at Mid-Columbia. Join us as we share the secrets of this wildly successful orientation process and find ways that you can further infuse the theme of Personalize. Humanize. Demystify. and the spirit of Planetree into your organization.
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Cleveland Clinic’s Patient’s First Mission and Best Practices
Presented by: Lyman Sornberger of Clevland Clinic Health Systems
As part of its focus on improving patient satisfaction, Cleveland Clinic Health Systems [CCHS], discovered that its financial transaction process and expectations were unclear to patients. The front-end registration staff was fearful about asking for money. Patients who called with questions received different responses depending on which staff member answered the call. In summary, the internal processes were not designed and implemented to ensure that patients would understand the financial transactions process and their responsibilities.
CCHS was determined to improve communications with patients about the financial transactions process. The company began extensive staff training focusing on effective communication with customers. Staff were trained in phone communication and communication with patients at registration and admission (including collection methods). The training incorporated role-playing within staged scenarios likely to be encountered by staff in their work with patients. Staff were trained in the use of protocols and scripts for scenarios they would frequently encounter.
The patient plays an integral part in the revenue cycle. Patients who understand what they are expected to do during the billing process are more likely to do it.
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State of Grace
Presented by:Rebecca and Robert Blustone
State of Grace is a multi-media presentation by Rebecca Bluestone, tapestry artist, ovarian cancer survivor and caregiver to her late mother who died of breast cancer and Robert Bluestone, guitarist and caretaker of Rebecca, which is designed specifically for the healthcare community. "State of Grace" evolved from their conviction to communicate about the things that are truly important in life and to share how creativity and imagination can allow us access to connection, empathy and compassion. In this presentation they will speak about the following issues: ‘How do we move from seeing adversity in our lives as a diminishing factor, to finding potential for joy and a State of Grace? How do we find possibility where it appears there is no possibility?
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Tuesday, October 21st - Planetree Member Highlights
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Tuesday, October 21st - 10:00 AM – 11:00 AM
Small-Scale Living Accommodation for Psychogeriatric Residents in the Netherlands
Presented by: Heidi Ruis of Rivas Zorggroep
This presentation describes small-scale living accommodation for psychogeriatric residents in the Netherlands.
The Judith Leysterhof in Hardinxveld-Giessendam in The Netherlands was established with the vision that it must feel like home for its psychogeriatric residents. It is designed to offer a warm, safe and familiar environment in which the employees, residents and their loved ones form a household. By running this household together, everyone makes a meaningful contribution to daily activities, which helps to enhance residents’ feelings of self-worth, dignity and respect.
Staff receive special training to work in this small-scale residential facility, so that they can function confidently in a broad range of situations. Staff look after residents, prepare meals, do the shopping, dress wounds and maintain contact with loved ones. Nursing tasks are sometimes necessary and are carried out by trained clinical staff. Staff at the Judith Leysterhof report high job satisfaction, solidarity and loyalty, and this is reflected in minimal staff turnover.
Only one year after opening, the Judith Leysterhof has earned a reputation as a facility where the experience of the resident and his or her relatives are prioritized. This is evidenced by the growing waiting list of psychogeriatric individuals and their loved ones who have selected the Judith Leysterhof as they place they would like to live.
By means of the 10 components the organization will be commended in detail.
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Composting and Recycling
Presented by: Lou Grieme of Longmont United Hospital
In 1991, a group of staff organized an effort at Longmont United (LUH) to begin recycling paper without patient information on it, and encourage recycling during Earth Day. Basic recycling continued for years, adding confidential papers and compacting and recycling cardboard. In the spring of 2004, we revitalized our recycling efforts by developing a group of passionate volunteers called “luhcares4earth”, who developed an Environmental Statement and created the Traveling Earth Award.
A waste stream audit revealed opportunities to expand recycling and separation efforts, including the expansion of co-mingle collections and composting. Recycling Coordinators positions were developed in each department. These individuals educate their coworkers and determine their department’s needs for collection bins. This eliminates 13 trash hauls annually. In the first three months, 48 tons of waste was diverted from the landfill.
Food composting from the kitchen and cafeteria areas is our latest exciting project. We have also begun retrieving plastic basins, Styrofoam coolers, and polar packs from the landfill, giving them away on a “Freecycle” cart. In the last quarter of 2007, composting at Longmont United saved an additional 10,235 pounds of waste from the landfill.
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A Canadian Experience of Planetree
Presented by: Jim Graham, RN, BN, BKin, MHS CRC
The Calgary Health Region provides services to an area almost twice the geographical size of the state of Connecticut. With close to 30000 employees the idea of operationalizing our mission of being a partner in care was and remains daunting. Add into the mix our unique system of health and that we deal with a 97% unionized environment partnering with Planetree is one of several tools being used to enhance our understanding of patient and family centered care. In 2004 two of our patients died tragically following a mix up with a dialysate solution. Since these deaths the health region has done unprecedented work in the areas of safety including leading the continent in the creation of our disclosure policy and committing to redefine and enrich our understanding of the potential and meaning of patient centered care. As the journey has unfolded there have been many learning but the future looks bright as we continue to grow and learn.
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Aurora Health Care - Planetree Physician Advisory Council
Presented by: Robert Devermann, MD and Cindy Pfaff of Aurora Health Care
Aurora Health Care is committed to creating a ubiquitous culture of patient centered care. To do so requires the participation and support of physicians. Aurora Health Care has over 1000 employed physicians and has created a number of strategies to develop this physician support. In this session we will focus on the first of its kind, Physician Advisory Council. We will share its charter, objectives, and goals and year to date activities. In addition we will share additional strategies of CME presentations, brief video modules, our physician website, and annual physician orientation. The last half of the session will be include a Q & A opportunity with a representative group of our physician advisors.
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Designing a Critical Access Hospital
Presented by: Midwest Medical Center
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Transitioning a Medical Library to a Planetree Health Resource Center Model
Presented by: Rene Brown, MLS of Sentara Williamsburg Regional Medical Center
Tighter budgets coupled with changes in Joint Commission requirements have impacted the mission of the Hospital Medical Library. Our communities now have an expectation of having patient friendly information available to them. Small and medium sized hospitals can meet that expectation through cultural changes in the service outlook of their medical libraries.
An interactive approach, including a panel of staff who champion the Planetree model of empowering patients and families with education and information, a poll of the audience’s level of progress in utilizing Planetree components at their sites to deliver educational information to the community and adequate question and answer period would be offered.
“How to develop handouts” will be made available.
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Healing by Design: Planetree in ED Planning
Presented by: Sandy Haryasz, CEO of Banner Page Hospital
Banner Page Hospital Emergency Department is the result of a highly collaborative team of designers and hospital administrators, physicians and staff who looked to Planetree principals to improve patient care and staff satisfaction without neglecting functionality and throughput efficiency in a small emergency department. Utilizing a curved plan that echoes the nautilus shape, a fossil common to the project's surrounding area; stark, straight hallways were avoided, providing patients more privacy and views into private garden areas, while retaining vital staff access. Thoughtful design combined healing colors and textures, natural and non-toxic finishes, open nursing stations and abundant natural light with an arrangement that decreases patient traffic flow through public areas and increases patient satisfaction through the creation of a truly inspirational healthcare environment. The hospital is a shining example of the compatibility of efficient emergency department design and patient/patient-family/staff comfort and satisfaction.
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Photo Contest
Presented by: Kimberly Foreman of Hackettstown Regional Medical Center
Hackettstown Regional Medical Center constructed a new West Wing that opened in 2005. Many other areas were renovated and updated recently. We found ourselves in need of artwork, but that could be expensive. We either needed a fundraiser or to get the artwork donated.
The Planetree Team coordinated an Employee Photography Contest. We had basic rules/ requirements:
1. No smaller than 8x10
2. Matted (framing was optional, use non-glass to cover)
3. Theme: Nature, wildlife/animals, landscape or skylines
4. We get to keep the photograph as it is donated.
5. Fabulous prizes would be awarded.
We gave a timeframe (extended once by popular demand), and 59 photographs were submitted. We had 6 judges with specific criteria for judging. Three photographs were placed (1st, 2nd, 3rd) and several were given honorable mentions based on their scores. Prizes were awarded:
1st prize: Digital Frame
2nd prize: Noise reducing headphones
3rd prize: DVD player
All honorable mention photograph winners received a gift certificate to the hospital gift shop.
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Tuesday, October 21st -11:30 AM - 12:30 PM
Career Advancement Program: Leadership Opportunities For Front-line Staff
Presented by: Faith Wajdowicz, RN, DNS of Bishop Wicke Health Center at Wesley Village
This presentation will describe how Wesley Village, a senior living community in Shelton, Connecticut, developed a career advancement program to motivate line staff to become leaders within their individual departments. The focus of the program was on front-line staff who have the potential to assist their peers and the management team to enhance the quality of life for the residents who reside on their campus. It also provides employees who desire personal and professional growth the ability to do so in their current work environment.
This presentation will detail the specific steps that Wesley Village took to develop this program in conjunction with its overall vision of the Planetree Relationship-Centered Model of Care. It will demonstrate that, although the program has been challenging, it has helped to create a culture where leadership is no longer exclusive to the management team and where decision-making is made with the input of staff at all levels.
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Creating a Change Culture in a Large Institution
Presented by: Hazel Curtis, RN, MPH of Loma Linda University Medical Center
Implementing a change in direction is challenging for any hospital. Visioning, designing, developing and communicating a new way of providing patient centered care in a technologically advanced, 800-bed academic institution is a monumental challenge. Administration, in cooperation with grass roots employees, have tackled this challenge to achieve a new culture of providing care while maintaining the highest standards of excellence. From refining the vision, mission, and values statements, reflecting on the historical purpose of providing whole person care, to redesigning structures and processes to ensure patient safety, Loma Linda University Medical Center has embarked upon the pursuit of change with a relentless spirit. Through the campaign of “Innovating Excellence,” LLUMC has integrated both Planetree principles with process improvements to create a culture of compassionate, safe, faithful, patient-centered care.
This course will focus on the role administration has taken to create a culture conducive to change. Specific strategies utilized by the education department to entice and engage the staff in embracing change will be discussed.
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Planetree Staff Retreats
Presented by: Diane Clark of New York-Presbyterian Hospital
New-York Presbyterian Westchester Division has conducted two highly successful rounds of Planetree staff retreats. Third level retreats for all employees including new hires, are well on the way for 2008. The retreat process has been one of the most powerful and successful aspects of the implementation and integration of Planetree at the Westchester Division. We have an amazing interdisciplinary group of dedicated and dynamic facilitators who have been at the center of major culture change generated by the retreat.
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Bringing the Patient and Family Voice into Health Care
Presented by: Joanne Ganton of Calgary Health Region
The Calgary Health Region believes that a health care system that consistently includes patients and families will be safer and will provide a better experience – for patients, families, staff and physicians. The Patient Experience team at the Calgary Health Region is working with a number of Region projects to help bring the patient and family voice into the planning process. There are many examples within our Region of health-care consumers successfully partnering with us where the planning and delivery of health care has been considerably improved as a result. We refer to these individuals as Patient Experience Advisors and they are vitally important members of Region committees and teams, as they bring the perspective and voice of patients and families to the Region’s work.
The integration of the patient and family voice into the health system is vital to advancing an organization philosophy of patient and family centered care. Learn about examples of successful engagement of patients and families in Calgary Health Region facility design and service improvement projects, and the tools and resources their Patient Experience team has developed to assist staff and managers develop greater levels of patient and family engagement.
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Compassion + Time = Unique Volunteer Opportunities from Vision to Reality
Presented by: Sean Jeung and Becca Schickling of Valley View Hospital
Drawing from 3 successful programs (Remembrance Bears, Assist Program, Threads of Love) we will take you on a journey of specialization. Learn how to utilize the unique talents and gifts already present in your volunteer community to create fresh and engaging volunteer programs. This workshop will provide the tools, encouragement and steps necessary to take you and your hospital to the next level of excellence.
The format for our presentation will be a combination of lecture, power point, handouts and displays. We will allow time for a question and answer period to ensure participants are able to fully utilize the knowledge presented to incorporate such programs into their own hospitals.
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Integrative Therapies and Spiritual Care in Long Term Care
Presented by: Rosemarie Cruz and Becky Miller of Sharp Coronado Hospital
Long Term Care is an environment that naturally embraces the philosophy of Planetree. Many of the programs that exist in this type of setting fit very easily into the Planetree Model of Care. However, does the traditional program fit every level of care in Long Term Care? At Sharp Coronado Hospital, we have been challenged to “think outside of the box” and address all four levels of care in our long term care setting. We have sought creative solutions as we implement Integrative Therapies and Spiritual Care in residents who are cognitively impaired. How can you experience the divine presence, hope, comfort and peace that one’s faith gives when you cannot speak, your movement is limited and you require total care in a residential facility? The Spiritual Care department searches for the answer to that question in meeting the spiritual needs of our residents. Our goal: Find ways to assist the patients to experience the Divine through multi sensory moments of music, touch, texture and aromas. How do you measure the outcomes from programs that you have implemented? Hear our story of how we crossed those bridges and made a difference in the lives of our residents by “thinking outside of the box”.
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Implementation of Guided Labyrinth Walks
Presented by: Jean M. Brinker RN BSN and Rachel Allen CMP of Windber Medical Center
Walking a Labyrinth is a Pilgrimage, a sacred walk on a symbolic path, leading us to the path of inner healing and restoring balance. Labyrinths have been found in many ancient cultures worldwide. Composed of geometric patterns found in nature, the labyrinth has been used for centuries as a means of prayer, reflection, meditation and comfort, for personal and spiritual growth.
Health Care facilities, churches, schools, community centers and corporations in the United States are utilizing labyrinths as healing modalities. Studies indicate that using the labyrinth enhances inter and intra personal communication and has the potential to facilitate brain synchrony, creating opportunities for increased intuitive awareness.
You will receive information about protocols and considerations for administering indoor, outdoor or finger labyrinths in a hospital setting and the possibilities for funding these programs. You will demonstrate awareness of the effectiveness of labyrinths as a tool to enhance wellness for patients, their families, hospital staff, volunteers and the community by participating in a Guided Labyrinth Walk.
There will be information provided about the Labyrinth Society and the World Wide Labyrinth Indicator as a tool for networking and resources.
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Maximizing Employee Engagement
Presented by: Daniel Lambert and Ana Paiva of VA New Jersey Health Care System
The VANJHCS uses many techniques to engage employees and orient them to the Planetree philosophy.
• Established an employee-initiated recognition program, Caregiver of the Month, designed to recognize employees who exemplify the principles of patient focused care.
• Developed the Planetree Quote of the Week, a weekly message sent to all employees. The quotes are intended to inspire and motivate staff while capturing the essence of our patient centered model of care.
• Launched Faces of VANJHCS to build on the Who Are We Really” introductions at Planetree Staff Retreats and highlight employees who live interesting lives every day both in and out of work.
• Developed “Caring for the Caregiver” program which includes meditation, massage, yoga, and humor groups for employees.
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Common Scents approaches to developing a Clinical Aromatherapy program in the hospital setting
Presented by:Heather Hascall MA, CTRS, CCAP & Tami Fleshman CTRS, HTA, CCAP of Good Samaritan Health System
We will guide you through the inception, development and implementation of Clinical Aromatherapy in a hospital setting. Experience this hospital's Planetree journey toward integrating Clinical Aromtherapy - including the bumps and forks in the road. What worked? What did not work? Learn from their experiences and interactions during the planning stages that involved the hospital Pharmacy &Therapeutics Committee and Medical Executive Committee. Learn how to make the right moves, gain acceptance in a hospital setting, and implement a strong program that will have you experiencing the sweet smell of success!
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Tuesday, October 21st -3:00 PM – 4:00 PM
Resident Retreats-A Natural Step in Planetree Implementation
Presented by: Carlene C. Rhea, Anne G. Henfey, Virginia Brown and
Beth Schave-Bemis of Middlewoods of Farmington
Planetree nurtures our minds, bodies and spirits. Middlewoods of Farmington, an Assisted Living Community, found that our staff Retreats were essential in teaching our staff about these important connections in our work and in our lives. A Retreat provided the opportunity for reflection, for fun, as well as providing the gift of time to work on individual relationships. As our staff members returned from their Retreats, we soon realized that our Residents could benefit from the same experience.
Using the Planetree Continuing Care Model as our guideline, we developed a Retreat format that focuses on relationships, and the many changes that our Residents face within themselves and our community. Activities such as guided imagery, trust walks,a partnering experience, discussions about how to celebrate life and continue to fulfill our dreams filled our Retreat agenda. Our workshop will provide an overview of the Resident Retreat experience and specific examples of how this experience would be of benefit to your community.
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The Patewood Experience
Presented by: Beverly Haines of Greenville Hospital System
The Patewood Hospital is a new faciity of the Greenville Hospital System. The architectural design was based upon the Planetree philosopy health and healing. The Patewood staff (from President to houskeeping) was hired according to the principles of patient and family centered care. Once on board, a Patewood Experience team was formed to develop the process and culture of care for all patients and families. The team met bi-weekly until the project was complete. The outcome was outstanding! Patient and family satisfaction, as measured by HCAHPS, and individual stories and compliments. Employee satisfaction is evident by the culture they have created. An employee satisfaction survey is in process at this time and results will be available in early spring.
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How to Implement a Successful Tobacco-Free Environment
Presented by: Theresa Ceniccola of Sentara Virginia Beach General Hospital
Tobacco free campuses are quickly becoming the standard of care among hospitals nationwide. But an effective initiative requires more than developing a policy and posting signage. A successful program involves planning, education and enforcement. Sentara Virginia Beach General Hospital became a 100% tobacco free environment on January 1, 2008. The first hospital in the region to become tobacco free, SVBGH positioned the initiative as an investment in the health of the community with a focus on tobacco cessation and support. Follow our year-long timeline and learn how SVBGH structured our committee, established an effective policy, determined enforcement parameters, overcame obstacles, developed resources and ultimately created a healthier and safer environment. Participants will learn how to develop a budget and identify measurements for tracking success.
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A Planetree Patient-Centered Experience: Connecting the Dots With Organizational Initiatives
Presented by: Carol Wahl, VP and Maybe John Allen, CEO of Good Samaritan Hospital
Patient satisfaction, patient safety, patient-centered care delivery, work life balance, mission-driven strategic planning -- these are just a few of the initiatives that organizations are implementing and balancing on an on-going basis. In order to maintain a an integrated patient-centered culture, it is important to connect the dots for all stakeholders. Connecting the dots for people also encourages ownership and accountability -- and creates a consistent internal and external message. This presentation provides a journey of one organization's commitment to providing connections.
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Aging in Place: Helping Elders Remain in Their Community
Presented by: Knight Steel, MD, Lisa Tank, MD, Joselina Goris-Hernandez, APN, Barbara Vaitovas, BA and Hackensack University Medical Center
The mission of the House Calls for Elders program is to maximize each individual’s function and quality of life for the longest period of time in the setting of choice – the home.
House Calls for Elders is staffed by four board-certified geriatricians and two advanced practice nurses who provide care 24 hours a day seven days a week. Furthermore medical students, housestaff and geriatric fellows rotate onto the service thereby assuring that they come to appreciate the need to view care as a continuous process with the elder and his or her family members as the individuals for whom all care systems in all sites of care must be designed.
Those cared for in the program usually have accumulated a host of chronic illnesses over a lifetime. Patients, families and the professional providers of care collaborate in the assessment and overall management of their diseases and full range of needs. Attention is directed to care in all realms including the physical, emotional and spiritual, as well as to caregiver stress. With such an all-encompassing approach the House Calls for Elders Program is designed to be an essential component of our hospital—a hospital without walls.
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Unleashing Creative Power to Inspire Planetree Initiatives
Presented by: Jim Van den Beuken of Planetree Netherlands
Bright ideas transform our healthcare system and energize our spirits. Creative power inspires new solutions, revitalises initiatives, fuels entrepreneurial spirit and innovates the way we deliver care. In this engaging session we will explore key elements of personal creativity and share effective ways to high energy teamwork and innovative actions. You will take away some practical and some new inspiring ways to apply the Planetree components and improve care for our patients and employees. Some examples from the Netherlands will be shared.
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Ask and You Shall Receive: Gathering Employee Feedback Through a Staff Advisory Council
Presented by: Dawn Faucett and Paula Stettbacher of Aurora Health Care
In a hospital setting, Patient Advisory Councils are recommended as a way to continually keep the wants, needs and perceptions of the community in full view as programs and initiatives are developed. As Human Resources programs are developed and enhanced, it is also vital to have feedback from caregivers to ensure services are personalized, humanized, and demystified for them. This session will provide an overview of the key components in establishing a Human Resources Staff Advisory Council. It will provide insights on selecting members from across an integrated healthcare organization, suggestions about how best to gather real time, specific feedback, and examples of how Staff Advisory Council feedback has been used by Planetree work teams.
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Organics on the Menu: Incorporating Organic Foods into Patient Food Services
Presented by: Maria L. Simmons, Manager of Swedish Covenant Hospital
There is strong consumer demand for organic and sustainable food products, borne out of concern for personal wellness and environmental awareness. Swedish Covenant Hospital's Patient Food Services team has embraced this need, and has incorporated organic foods into the hospital's inpatient menus. During implementation of the organic initiative, the Patient Food Services team faced and overcame many challenges, ranging from vendor reluctance to provide organic foods, pricing issues, to the Midwest's shorter growing season. Despite the initial road blocks to success, Swedish Covenant Hospital has started to tear down the walls surrounding the provision of organic and sustainable food options within heathcare food service to offer these healthy options to patients.
