Pemahaman Tentang PCC
Pemahaman Tentang PCC
Pemahaman Tentang PCC
KARS
Nothing about me , without me
SEJARAH
PATIENT CENTERED CARE
PENGALAMAN MR PICKER
• Harvey Picker ( 1915 – 2008)
• He was the founder of the Boston-based Picker Institute,
whose goal is to promote patient-centered healthcare. Standar Akreditasi
• The term patient-centered care was coined by Harvey Picker,
1988
Fokus Pasien
• He believed that the American health care system was
technologically and scientifically outstanding, but overall
was not sensitive to patients' concerns and their comfort Quality & Safety
• In The Year 1986, they founded the Picker Institute, dedicated of Patient Care
to developing a patient-centered approach to healthcare
Patient
Centered Care
ISQua
KARS
Picker Institute : 1.Respect for patients‘ values, preferences and expressed
needs
2.Coordination and integration of care
3.Information communication and education
4.Physical comfort
5.Emotional support and alleviation of fear and anxiety
6.Involvement of family and friends
7.Continuity of care and smooth transition
8.Access to Care
1. Hormati nilai2, pilihan dan kebutuhan yg diutarakan oleh pasien
2. Koordinasi dan integrasi asuhan
3. Informasi, komunikasi dan edukasi
4. Kenyamanan fisik
5. Dukungan emosional dan penurunan rasa takut & kecemasan
6. Keterlibatan keluarga & teman2
7. Asuhan yg berkelanjutan dan transisi yg lancar
8. Akses thd pelayanan.
KARS
Six aims for improvement health care system
Institute of Medicine : Crossing the Quality Chasm: A New Health System for the 21st Century, 2001
Asuhan Pasien
Model
Patient Centered
Care
KARS
Model Tradisional Asuhan Pasien
DPJP
Perawat Apoteker
Clinical/Team Leader
• Koordinasi Fisio Ahli
• Kolaborasi terapis Pasien, Gizi
Keluarga
• Interpretasi
• Sintesis Radio
• Integrasi asuhan Analis
grafer
komprehensif
Lainnya
Yan Kes
/ RS Lain
MPP
Case
Yan Manager
Keuangan/
Billing Asuransi Dokter
Perusahaan/ Keluarga
KARS
Employer BPJS
KONSEP PELAYANAN PASIEN SESUAI STANDAR AKREDITASI RS.
Pelayanan
Manajemen
Fokus Pasien
Risiko RS
(Patient Centered
Risiko Klinis
Care)
“Safety is a
fundamental principle
Etik
of patient care and a
critical component of
• Mutu Quality Management.”
4 Fondasi Kebutuhan
• Patient
PPA Asuhan pasien Pasien
Safety (World Alliance for Patient
• Asuhan Medis
Safety, Forward Programme,
• Asuhan Keperawatan
EBM WHO, 2004)
• Asuhan Gizi/Nutrisi
• Asuhan Farmasi VBM • Evidence Based Medicine
• Value Based Medicine
KARS
(Nico A Lumenta & Adib A Yahya, 2012)
APA YANG BERBEDA
PADA ASUHAN PASIEN DI RS
What are the Core Concepts of Patient Centered Care?
1. Interdisciplinary Team
• Profesional Pemberi Asuhan diposisikan mengelilingi pasien
• Kompetensi yang memadai
• Berkontribusi setara dalam fungsi profesinya
• Tugas mandiri, kolaboratif, delegatif, bekerja sebagai satu kesatuan memberikan asuhan yang
terintegrasi
2. Interprofessionality
• Kolaborasi Interprofesional
• Edukasi Interprofesional
• Kompetensi praktik kolaborasi interprofesional
• Termasuk bermitra dengan pasien-keluarga
3. DPJP adalah Clinical Leader.
• DPJP melakukan koordinasi, kolaborasi, sintesis, interpretasi, review dan mengintegrasikan
asuhan pasien
4. Personalized Care & BPIS (Bila Pasien Itu Saya)
• Keputusan klinis selalu diproses berdasarkan juga nilai-nilai pasien
• Setiap PPA memperlakukan pasiennya sebagaimana ia sendiri ingin diperlakukan
(Sintesis berbagai refernsi, 2014)
BAGAIMANA
IMPLEMENTASI KONSEP PCC
IMPLEMENTASI Patient Centered Care
Lainnya
1. Pasien adalah pusat pelayanan, Pasien adalah bagian dari Tim
Interprofessional Education Collaborative Expert Panel.. Core competencies for interprofessional collaborative practice:
Report of an expert panel. Washington, D.C.: Interprofessional Education Collaborative, (2011)
(Framework for Action
KARS Dr.Nico Lumentaon Interprofessional Education & Collaborative Practice, WHO, 2010)
Kesimpulan : Kesimpulan
Patient- and family-centered care is a change
in thinking
• from serving patients and families
• to partnering with patients and
families.
• And that’s a very big difference !!
Senior Vice President, Patient and Family Centered Care,
MCG Health System
(Strategies for Leadership, Advancing The Practice of Patient- and Family-Centered Care, A
Resource Guide for Hospital Senior Leaders, Medical Staff and Governing Boards. American
Hospital Association and Institute for Family Centered Care, 2004)
KARS
KLINISI
PASIEN