Putting Patients First

Susan Frampton, Ph.D.  is President of Planetree Institute, a non-profit organization that promotes and provides education in patient-centered care, Frampton works with a growing alliance of hospitals and health centers around the country and in Europe that have implemented Planetree’s unique patient-centered model of care. Prior to her work with Planetree, she spent over twenty years at several hospitals in the New England area. Her work focused on community education, wellness and prevention, planning, and development of integrative medicine service lines. Frampton serves on the Connecticut Healthcare Research and Education Foundation’s Patient Safety Organization, and is an invited member of the Institute of Medicine panel on reducing medical error and improving patient safety. Patrick Charmel is  President and Chief Executive Officer of Griffin Hospital and its parent corporation Griffin Health Services Corporation. Among the positions he has held at Griffin are Assistant to the Administrator, Assistant Administrator, Clinical Services and Vice President, Hospital Operations. He became President and CEO in 1998. During his tenure he has positioned Griffin Hospital as an award-winning, innovative organization, recognized as an industry leader in providing personalized, humanistic, consumer-driven health care in a healing environment. Since adopting the Planetree philosophy in 1991, over 550 hospitals have visited and toured Griffin and its award-winning patient-care building. Under Charmel’s leadership, Griffin Hospital was named one of fifteen Hospitals With Heart” by AARP’s Modern Maturity Magazine, was featured on the CNBC produced “Wall Street Journal Report” and was spotlighted, along with Planetree, in a PBS special “Hospitals With a Heart” that aired in 2004. Planetree is an international affiliation of hospitals utilizing the Planetree model of patient centered care that seeks to humanize and demystify the health care experience for patients and families.

• Acknowledgments ixThe Editors xiThe Contributors xiiiPrologue xxiiiAngelica ThieriotIntroduction: Patient-centered Care Moves Into the Mainstream xxviiSusan B. FramptonPart One: Essential Elements of Patient-centered CareChapter One: Human Interactions and Relationship-centered Caring 3Jean Watson and Susan B. FramptonChapter Two: Access to Information: Informing and Empowering Diverse Populations 27Candace Ford Gray and Michele A. SpatzChapter Three: Healing Partnerships: The Importance of Involving Patients, Families, and Volunteers 51Alexandra Harrison, Gail MacKean, and Margaret CullivanChapter Four: Nutrition: The Nurturing and Healing Aspects of Food 75David L. Katz and F. Nicholas JacobsChapter Five: Spiritual and Cultural Diversity: Inner Resources for Healing 95Steven L. Jeffers and Dennis KennyChapter Six: Integrating Complementary and Alternative Practices into Conventional Care 113David L. Katz and Ather AliChapter Seven: Effects of Viewing Art on Health Outcomes 129Roger S. UlrichChapter Eight: Healing Environments: Creating a Nurturing and Healthy Environment 151Kimberly Nelson Montague and Robert F. SharrowChapter Nine: Healthy Communities: Expanding the Boundaries of Health Care 175Randall L. Carter and Catherine WhalenPart Two: Current Trends in Patient-centered CareChapter Ten: Building the Business Case for Patient-centered Care 191Patrick A. CharmelChapter Eleven: The Physician-patient Relationship in the Patient-centered Care Model 211H. Lee Kanter and Steven F. HorowitzChapter Twelve: Adapting Patient-centered Care to Diverse Health Care Settings 227Heidi Gil, Wendy W. Peche, and Philip J. WilnerChapter Thirteen: Integrating Quality and Safety with Patient-centered Care 249Carrie Brady and James B. ConwayChapter Fourteen: Patient-centered Care as Public Policy: The Role of Government, Payers, and the General Public 267Carolyn M. Clancy, Janet M. Corrigan, and Dwight N. McNeillChapter Fifteen: Breaking Down the Barriers to Patient-centered Care 285Carrie Brady and Susan B. FramptonEpilogue 301Linda K. KenneyName Index 305Subject Index 311

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