Category Archives: Patient-Centeredness

The Promise of Quality and a Pathway to Equity

One of the six components of quality health care identified by the Institute of Medicine is patient-centeredness. While there has been significant attention on the components of safety, timeliness, effectiveness, efficiency, there has been less attention on the components of equity and patient-centeredness.

I have begun to use patient-centeredness as a key concept to drive change and improvement in our health care systems, as well as a pathway to health equity. To me, patient-centeredness means providing the best care to all patients at all times, based on their individual, contextualized needs and preferences. It means customizing and tailoring health care and services for diverse individuals while expecting and achieving the same (highest) quality outcomes for everyone. If we can really transform our current health care systems into more patient-centered ones where patients really are more engaged as partners in their own health care and their own health, we are likely to see quality improvement, reduction of health care disparities, more engaged clinicians and health care providers, and patients and health care consumers with greatly improved experiences of health care

National Institutes of Health: Patient-Reported Outcomes Measurement Information System

The National Institutes of Health (NIH) has developed the Patient-Reported Outcomes Measurement Information System (PROMIS) to collect and maintain reliable, precise measures of patient–reported health status for physical, mental, and social well–being.   PROMIS instruments measure concepts such as pain, fatigue, physical … Continue reading

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John Snow, Inc.: Opportunities for Whole-Person Care in California

This discussion paper prepared by John Snow, Inc., in collaboration with the California Association of Public Hospitals and California Health Care Safety Net Institute, defines whole-person care as the coordination of health, behavioral health, and social services in a patient-centered manner with the … Continue reading

Posted in Health Care Reform, Health Care Reform: Medical Homes, Health Status Disparities, Patient-Centeredness, Prevention, Social Determinants of Health | Leave a comment

John Snow Inc.: National Approaches to Whole-Person Care in the Safety Net

This discussion paper prepared by John Snow, Inc., in collaboration with the California Association of Public Hospitals and California Health Care Safety Net Institute, defines whole-person care as the coordination of health, behavioral health, and social services in a patient-centered manner with the … Continue reading

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Agency for Healthcare Research and Quality: Health Literacy Universal Precautions Toolkit

This is the updated second edition of the Agency for Healthcare Research and Quality’s Health Literacy Universal Precautions Toolkit. Health literacy universal precautions are the steps that health care providers take when they assume that all patients may have difficulty comprehending health … Continue reading

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Center for Medicare and Medicaid Services: Medicare Health Outcomes Survey

The Center for Medicare and Medicaid Services requires Medicare managed care plans (Medicare Advantage) to assess certain health outcomes of their member Medicare beneficiaries.  The Health Outcomes Survey (HOS) is used to survey a random sample of 1,200 Medicare beneficiaries … Continue reading

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Consumer-Purchaser Disclosure Project: Patient Charter for Physician Performance Measurement

This “patient charter” developed by the Consumer-Purchaser Disclosure Project (now the Consumer-Purchaser Alliance) describes a set of principles for measuring, reporting, and tiering physician quality performance from a patient/consumer perspective.  The charter has been endorsed by AARP, the National Partnership for … Continue reading

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National Partnership for Women and Families: How Consumers Value and Use Health IT

This policy brief from the National Partnership for Women & Families describes the results of a national survey about how consumers value and use health information technology.  A growing number of consumers are embracing electronic health records (EHRs), and the significant boost … Continue reading

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National Quality Forum: Endorsements of Additional Person- and Family-Centered Care Measures

The National Quality Forum (NQF) has announced its endorsement of additional person- and family-centered care measures through its national consensus endorsement process.  The measures include several of the commonly used Consumer Assessment of Healthcare Providers and Systems surveys (for various settings … Continue reading

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Gordon and Betty Moore Foundation: Roadmap for Patient and Family Engagement

The Gordon and Betty Moore Foundation has published this Roadmap for Patient and Family Engagement.  The American Institutes for Research facilitated a stakeholder process to develop the roadmap.  The roadmap includes eight strategies: Patient and Family Preparation Clinician and Leadership … Continue reading

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Patient-Centered Primary Care Collaborative: The Patient-Centered Medical Home’s Impact on Cost and Quality

The Patient-Centered Primary Care Collaborative (PCPPC) has published its 2015 edition of its annual review of the evidence for improving quality and reducing costs through patient-centered medical homes.  This report’s evidence comes from 14 peer-reviewed articles, 7 state program evaluations, … Continue reading

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