Hebrew Rehabilitation Center Boston & Dedham Patient and Family Advisory Council 2015 Report. Total Responses

Transcription

1 Hebrew Rehabilitation Center Boston & Dedham Patient and Family Advisory Council 015 Report Last Modified: 10/08/ Hospital Name Answer Total Responses Hebrew Rehabilitation Center--Boston and Dedham 1. Year PFAC Established 1 Prior to % Staff PFAC Contact Name and Title Tammy Retalic, Chief Nursing Officer 4. Staff PFAC Contact and Phone tretalic@hsl.harvard.edu, Our PFAC has (click the best choice): 1 by-laws 1 100% agreed-upon policies and procedures 3 neither 6. Our PFAC manages itself through (describe in 1500 characters or fewer) :

2 7. Our PFAC recruits new using the following approaches (click all that apply): 1 Word of mouth 1 100% Promotional efforts within institution to patients 3 Promotional efforts within institution to providers or staff 1 100% 4 Through existing 1 100% 5 Facebook and Twitter 6 Recruitment brochures 7 Hospital publications 8 Hospital banners and posters 9 Through care coordinators 1 100% 10 Through patient satisfaction surveys 11 Through community-based organizations 1 Through houses of worship 13 At community events 14 Other 1 100% 15 None 8. Describe other recruitment method (in 1500 characters or fewer): Digital messaging board 9. Our PFAC chair or co-chair is a patient or family member 1 Yes 1 100% No 10. Our PFAC chair or co-chair is a hospital staff member 1 Yes 1 100% No

3 11. Chair/Co-Chair hospital position title: Director of Spiritual Care, Chief Nursing Officer, Executive Director 1. This person is the official PFAC staff liason 1 Yes 1 100% No 13. Total number of staff on the PFAC: Total number of current or former patients or family on the PFAC: The name of the hospital department supporting the PFAC is: HRC Administrative Leadership 16. If not mentioned above, the hospital position of the PFAC staff liason is: This question was not answered by the respondent. 17. The hospital reimburses PFAC for the following costs associated with attending or participating in meetings (click all that apply): 1 Provide free parking 1 100% Provide meals 1 100% 3 Provide translator or interpreter services 4 Provide assistive services for those with disabilities 5 Provide meeting conference call or webinar options 1 100%

4 6 Provide mileage or travel stipends 7 Provide financial support for child care or elder care 8 Provide stipends for participation 9 Provide on-site child or elder care Provide reimbursement for attendance at annual PFAC conference Provide reimbursement for attendance at other conferences or trainings 1 Provide gifts of appreciation to PFAC annually 13 Cover travel expenses to attend conferences 14 Provide other supports 15 None 18. Describe other supports provided (in 1500 characters or fewer): 19. Our catchment area is geographically defined as: the greater Boston region. NOTE: As a historically Jewish organization that is attuned to the cultural and religious needs of the Jewish community as well as the needs of the general population, a large proportion of our residents are Jewish, including one third who are Jews who emigrated from the Former Soviet Union. Our catchment area needs to be understood from a cultural/religious perspective as being the Jewish community of the Greater Boston region, as well as those who choose us locally in Roslindale and West Roxbury. 0. Race: American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White 0.5% 6% 8.1% N/A 83.% 1. Ethnicity: Hispanic or Latino Not Hispanic or Latino 10.5% 89.5%. Race: American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White 0.1% 0.5% 4% N/A 9% 3. Ethnicity:

5 Hispanic or Latino Not Hispanic or Latino % 98% 4. Race: American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White 0% 0% 0% 0% 100% 5. Ethnicity: Hispanic or Latino Not Hispanic or Latino 0% 100% 6. Our PFAC is undertaking the following activities to ensure appropriate representation of our hip in comparison to our patient or catchment area (describe in 3000 characters or fewer): We work with the floor teams to get 1 representative from each floor. We review the hip list frequently and recruit as necessary. 7. Our process for developing and distributing agendas for our PFAC meetings (click the best choice): The staff develops the agenda and sends it out prior to the meeting The staff develops the agenda and distributes it at the meeting PFAC develop the agenda and send it out prior to the meeting PFAC develop the agenda and distribute it at the meeting The PFAC has a collaborative process between staff and patients/family to develop and distribute the agenda 1 100% 6 Other process 7 None 8. Describe the process (in 1500 characters or fewer): There is a family co-chair with a staff member and there is a pre meeting set up to collaboratively create the agenda for the upcoming

6 meeting. We review previous meeting minutes to ensure that there is follow up for any outstanding action items. 9. Describe the process (in 1500 characters or fewer): 30. The PFAC goals set for FY 015 were (describe in 1500 characters or fewer): 1. To continue to support and alignment between families leadership community.. Communication and collaboration with culture change. 3. Ensure smooth transition with new and family leadership. 31. The FY 015 goals were (click the best choice): 1 Developed by staff and reviewed by PFAC Developed by PFAC and staff 1 100% 3 Neither 3. Our PFAC has the following subcommittees (click all that apply): 1 Government Relations Emergency Department 3 Education and Communication 4 Family Support 1 100% 5 Policies and Procedures 6 Palliative Care 7 Annual Report 8 Publications 9 Nominations 10 Marketing 11 Behavioral Health 1 Medication Safety 13 Hospital Safety 14 Other 15 None 33. Describe other subcommittee (in 1500 characters or fewer):

7 34. How does the PFAC interact with the Hospital Board of Directors? (click all that apply) 1 PFAC submits annual report to Board 1 100% PFAC submits meeting minutes to Board 3 PFAC member(s) attends Board meetings 4 Board member(s) attends PFAC meetings 5 PFAC member(s) are on board-level committee(s) 7 Other 35. Describe other interaction (in 1500 characters or fewer): 36. URL/link to the PFAC section of the hospital website: & Describe the PFAC's use of , listservs, or social media (in 3000 characters or fewer): We use to share meeting minutes, agendas, and to request and feedback on specific items. We also use it to send FAC newsletters. 38. Number of new PFAC this year: The orientation was provided by: Number of Staff Members Number of PFAC Members 40. The content included (click all that apply):

8 1 Meeting with hospital staff 1 100% A general hospital orientation 3 Information on concepts of patient- and family-centered care (PFCC) 1 100% 4 Information on patient engagement in research 5 PFAC policies, member roles and responsibilities 1 100% 6 Information on health care quality and safety 1 100% 7 History of the PFAC 8 A "buddy program" with old 9 How PFAC fits within the organization's structure 1 100% 10 Other 41. Describe other content (in 3000 characters or fewer): 4. PFAC are considered hospital volunteers and therefore (click all that apply): 1 Attend hospital volunteer trainings Require immunizations or TB checks 3 Require CORI checks 4 Other 1 100% 43. Describe other PFAC member requirement(s) (in 1500 characters or fewer): Volunteers are requested to commit more than 5 hours per year. Some are official volunteers and follow volunteer protocol, and others are exempt as family and only come to participate in the meeting. 44. Our PFAC provides education to our on the topic of patientcentered outcomes research 1 Yes 1 100% No 45. Accomplishment 1 (describe in 3000 characters or fewer):

9 Family Mentor Program: New family arriving at HRC will be given the name and contact information of the Family Council Member on their floor. The Council Member will be available by phone, or to plan to meet to help the newcomers with questions they might have, to support them in adjusting, to help them find their way, and to learn how to best support their elder at HRC and contribute to the floor community. 46. The idea for Accomplishment 1 came: 1 Directly from the PFAC 1 100% From a department, committee, or unit that requested PFAC input 47. Accomplishment (describe in 3000 characters or fewer): New hip/ renewal of hip leaders. This past year many of our dropped off the committee after the elder who they had in our care had died. We have replaced five as well as our family member co-chair and are entering the year with a lot of new energy, ideas, and enthusiasm. 48. The idea for Accomplishment came: 1 Directly from the PFAC 1 100% From a department, committee, or unit that requested PFAC input 49. Accomplishment 3 (describe in 3000 characters or fewer): Awareness and engagement in culture change We spent a good amount of time sharing with family the process of culture change that is happening throughout HRC. This resulted in family becoming more engaged themselves with our work, and becoming more active in their floors in resident community events. 50. The idea for Accomplishment 3 came: 1 Directly from the PFAC From a department, committee, or unit that requested PFAC input 1 100%

10 51. Accomplishment 1 (describe in 3000 characters or fewer): Family events. Based on discussions held at Family Council, partners of staff and family planned and held community gatherings on the floors. These were very well received by the residents, and also boosted our family engagement in resident life. 5. The idea for Accomplishment 1 came: 1 Directly from the PFAC From a department, committee, or unit that requested PFAC input 1 100% 53. Accomplishment (describe in 3000 characters or fewer): This past year we divided our Resident and Family Council into a Resident Council and a Family Council. This was prompted by a realization that the timing of the meeting (evening), as well as the quick and not always audible discourse was not allowing for full participation and engagement of residents. It was also clear that family at times were able to discuss things more in depth without residents present. As a result, we now have a very vital Resident Council that sends minutes and a report to the Family Council, and our Family Council meetings are also more dynamic. 54. The idea for Accomplishment came: 1 Directly from the PFAC 1 100% From a department, committee, or unit that requested PFAC input 55. Accomplishment 3 (describe in 3000 characters or fewer): We shared Family Satisfaction Survey results in our September FAC Meeting on both campuses. We discussed and agreed to bring the Roslindale and Dedham FAC Committee together with a goal to create an orientation process for new LTC resident and family admissions. 56. The idea for Accomplishment 3 came: 1 Directly from the PFAC From a department, committee, or unit that requested PFAC input 1 100%

11 57. Challenge 1 (describe in 3000 characters or fewer): Turnover in hip due to deaths or council family who were in HRC s care. results reported above. 58. Challenge (describe in 3000 characters or fewer): Challenge to discuss resident voice into committee content. Due to time of day and cognitive decline challenges. Division of group described above. 59. Challenge 3 (describe in 3000 characters or fewer): We trialed several options regarding the frequency of the meetings and the length of time for the meetings in order to have the best balance for the council and the staff. 60. Our PFAC provided advice or recommendations to the hospital on the following areas mentioned in the law (click all that apply): 1 Quality improvement initiatives 1 100% Patient education on safety and quality matters 3 Patient and provider relationships 1 100% 4 Institutional Review Boards 5 Other 6 None 61. Describe other advice/recommendations (in 1500 characters or fewer): 6. PFAC participated in the following activities mentioned in the law (click all that apply): 1 Served as of task forces Served as of awards committees 1 100% 3 Served as of advisory boards/groups or panels 4 Served on search committees and in the hiring of new staff

12 5 Served as co-trainers for clinical and nonclinical staff, inservice programs, and health professional trainees 6 Serve on selection of reward and recognition programs 7 Serve as of standing hospital committees that address quality 8 Other areas of service not listed above 9 None 63. More details about PFAC member activities: Number of serving on task forces Number of serving on awards committees Number of serving on advisory boards/groups or panels List names of above groups and number of serving on each Number of serving on search committees Number of serving as cotrainers Number of serving as of hospital quality committees List names of above groups and number of serving on each List names and number of participating in other areas of service 64. The hospital shared the following public hospital performance information with the PFAC (click all that apply): 1 Serious Reportable Events Healthcare-Associated Infections 3 Department of Public Health (DPH) information on complaints and investigations 4 Staff influenza immunization rate 5 Patient experience/satisfaction scores 1 100% 6 Patient complaints 1 100% 7 Patient Care Link 8 Joint Commission surveys 9 Hospital Compare 10 Family satisfaction surveys 1 100% 11 Quality of life data 1 100% 1 Rapid response data 13 Other 14 None 65. List other public hospital performance information shared (in 1500 characters or fewer):

13 66. Describe the process by which public hospital performance information was shared (describe in 1500 characters or fewer): We shared via PowerPoints, review of dashboards, and materials. 67. Our PFAC activities related to the following state or national quality of care initiatives (click all that apply): 1 Healthcare-Associated Infections Rapid response teams 3 Hand-washing initiatives 4 Checklists 5 Disclosure of harm and apology 1 100% 6 Fall prevention 1 100% 7 Informed decision making/informed consent 1 100% 8 Improving information for patients and families 9 Health care proxies/substituted decision making End-of-life planning (e.g. hospice, palliative, advanced directives) Care transitions (e.g. discharge planning, passports, care coordination, and follow-up between care settings) 1 100% 1 100% 1 Observation status for Medicare patients 13 Mental health care 14 Other program 15 None 68. Describe other program (in 1500 characters or fewer): 69. The hospital shares the PFAC annual reports with PFAC : 1 Yes 1 100% No 70. Massachusetts law requires that the PFAC report be available to the public. We (click the best choice):

14 1 Post the report online 1 100% Provide a phone number or to use for accessing the report 3 Other 71. Describe other method for making the report available to the public (in 1500 characters or fewer):