CULTURE DEFINITION

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CULTURE DEFINITION

• CUMULATIVE DEPOSIT OF KNOWLEDGE, EXPERIENCE,
  BELIEFS, VALUES, ATTITIDES, MEANINGS, HIERACHIES,
  RELIGION, NOTIONS OF TIME, CONCEPTS OF THE
  UNIVERSE, AND MATERIAL OBJECTS AND POSSESSIONS
  ACQUIRED BY A GROUP OF PEOPLE IN THE COURSE OF
  GENERATIONS THROUGH INDIVIDUAL AND GROUP STRIVING.

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WHAT?

• KNOWLEDGE SHARED BY A RELATIVELY LARGE GROUP
• EFFECTIVE COMMUNICATION
• CULTIVATED BEHAVIOR
• A WAY OF LIFE
• SYMBOLIC COMMUNICATION
• PATTERNS OF LIFE
• SUM TOTAL OF LEARNED BEHAVIOR
• COLLECTIVE PROGRAMING OF MINDS

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JUDGE NO MAN UNTIL YOU WALK A MILE IN HIS
MOCCASINS

• TRY BEFORE JUDGEMENT

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PATIENT-CENTERED CARE 2015

• SCENARIOS, VISIONS, GOALS STEPS.
• BY THE PICKER INSTITUTE FOR ALTERNATIVE FUTURES
  ON BEHALF OF THE PICKER INSTITUTE

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CULTURALLY COMPETENT PATIENT-CENTERED CARE

• ACKNOWLEDGE DIFFERENCES
• IDENTIFY DIFFERENCES
• ANALYZE DIFFERENCES

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KNOW THE PATIENT AS A PERSON NOT A DISEASE
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AUDACIOUS GOALS

• PATIENTS SHARE IN DECISIONS
• PATIENTS DIRECT THEIR CARE
• PATIENTS USE DATA TO CHOSE SUPPORATIVE PROVIDERS
• PATIENTS MEASURE AND REWARD PROVIDERS
• PATIENTS PERSPECTIVE A PRIORITY IN POLICY AND
  PLANNING

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PRIME ASPECTS OF PATIENT-CENTERED CARE

• RESPECT FOR PATIENTS VALUES
• COORDINATION/INTEGRATION OF CARE
• INFORMATION, COMMUNICATION AND EDUCATION
• PHYSICAL COMFORT
• EMOTIONAL SUPPORT
• INVOLVE FAMILY AND FRIENDS
• TRANSITION AND CONTINUITY

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AIMS IN HEALTHCARE

• SAFE FIRST DO NO HARM
• EFFECTIVE
• PATIENT-CENTERED
• TIMELY
• EFFICIENT
• EQUITABLE

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MORE GOALS

• ADOPT IOMS RULES FOR HEALTHCARE QUALITY AND
  SAFETY
• ACCESS TO PATIENT-CENTERED INFORMATION
• PATIENT-CENETERED CARE TENTS IN LICENSING
  REQUIREMENTS

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• TRAIN HEALTH PROFESSIONALS TO SUPPORT PATIENTS
• PROMOTE JOINT CONTRACTING FOR CARE
• PROVIDE HEALTH LIVING SKILLS EDUCATION
• ANTICIPATE LATE LIFE CARE NEEDS

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PATIENT-CENTERED CARE

• PATIENTS INTEREST AND CONCERNS SHOULD BE AT THE
  CENTER OF THEIR OWN HEALTHCARE EXPERIENCE

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PATIENT-CENTERED CARE

• EACH PATIENT HAS A PERSONAL PHYSICIAN
• SINGLE PHYSICIAN TEAM LEADER
• WHOLE PERSON ORIENTATION
• COORDINATED/INTEGRATED CARE
• CQI
• APPROPRIATE AND RELIABLE FUNDING

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CORE CONCEPTS OF PATIENT-CENTERED CARE

• DIGNITY AND RESPECT
• INFORMATION SHARING
• PARTICIPATION
• COLLABORATION
• SENSITIVITY
• COMMUNICATION

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PATIENT-CENTERED COMMUNICATION

• IDENTIFY AND RESPOND TO PATIENTS IDEAS AND
  EMOTIONS
• FIND A COMMON GROUND FOR PATIENT AND PHYSICIAN

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THE GREAT EQUALIZERS

• ECONOMICS
• EDUCATION
• GEOGRAPHIC RESIDENCE
• INDIVIDUAL EXPERIENCES
• PLACE OF BIRTH
• LENGTH OF STAY IN US
• AGE

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ARE YOU CULTURALLY COMPETENT?

• ENVIRONMENT MORE WELCOMING AND ATTRACTIVE FOR
  PATIENTS
• AVOID STEROTYPING AND MISAPPLICATION OF KNOWLEDGE
• INCLUDE COMMUNITY INPUT
• USE EDUCATIONAL MATERIAL THAT CAPTURES ATTENTION
• FIND WAYS FOR COMMUNITY TO TAKE THE LEAD

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• BE AN ADVOCATE
• UNDERSTAND THERE IS NO 1 ANSWER
• HIRE STAFF THAT REFLECT THE COMMUNITY
• CULTURAL COMPETENCY IS CONTINUALLY EVOLVING
• BE CREATIVE

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CULTURAL DIFFERENCE

• FAMILY INVOLVEMENT
• THE BAD NEWS WHO WANTS TO K NOW?
• DISPLAYED EMOTIONS
• ANGER TOWARD HEALTHCARE PROVIDER
• RELIGIOUS BELIEFS
• GENDER PREFERENCE IN PROVIDER