Caring Through Massage. 7. Healing Arts: Nutrition for th

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Welcome to Tom Peters
PowerPoint World! Beyond the set of slides
here, you will find at tompeters.com the last
eight years of presentations, a basketful of
Special Presentations, and, above all, Toms
constantly updated Master Presentationfrom which
most of the slides in this presentation are
drawn. There are about 3,500 slides in the 7-part
Master Presentation. The first five chapters
constitute the main argument Part I is context.
Part II is devoted entirely to innovationthe
sine qua non, as perhaps never before, of
survival. In earlier incarnations of the
master, innovation stuff was scattered
throughout the presentationnow it is front and
center and a stand-alone. Part III is a
variation on the innovation themebut it is
organized to examine the imperative (for most
everyone in the developed-emerging world) of an
ultra high value-added strategy. A value-added
ladder (the ladder configuration lifted with
gratitude from Joe Pine and Jim Gilmores
Experience Economy) lays out a specific logic for
necessarily leaving commodity-like goods and
services in the dust. Part IV argues that in
this age of micro-marketing there are two
macro-markets of astounding size that are
dramatically under-attended by all but a few
namely women and boomers-geezers. Part V
underpins the overall argument with the necessary
bedrockTalent, with brief consideration of
Education Healthcare. Part VI examines
Leadership for turbulent times from several
angles. Part VII is a collection of a dozen
Listssuch as Toms Irreducible 209, 209
things Ive learned along the way. Enjoy!
Download! Stealthats the whole point!
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NOTE To appreciate this presentation and
ensure that it is not a mess, you need Microsoft
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Tom Peters X25EXCELLENCE. ALWAYS.North
Mississippi Medical CenterTupelo/26 October
2007In Search of Excellence 1982-2007
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Excellence1982 The Bedrock Eight
Basics 1. A Bias for Action 2. Close to the
Customer 3. Autonomy and Entrepreneurship 4.
Productivity Through People 5. Hands On,
Value-Driven 6. Stick to the Knitting 7. Simple
Form, Lean Staff 8. Simultaneous Loose-Tight
Properties
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Breakthrough 82 People! Customers! Action!
Values! In Search of Excellence
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Excellence can be obtained if you ... care
more than others think is wise ... risk more
than others think is safe ... dream more than
others think is practical ... expect
more than others think is
possible. Source Anon. (Posted _at_ tompeters.com
by K.Sriram, November 27, 2006 117 AM)
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TP takes on Health/ Healthcare
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When I climb Mount Rainier I face less risk of
death than Ill face on the operating table.
Don Berwick
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Patient safety!IS/EMR/DSS/EBM!Prevention!Wellne
ss! Chronic care!Elder care!Convenient
care!Childhood obesity!Patient-centric!
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Sexy Cures vs Quality/Safety Surgeons vs
Family Practice Physicians/CIOsFixing vs
PreventingHealthcare vs HealthTom/53K vs
1,000 AfricansStanford? vs Griffin/Planetree
SF Internist vs Tom/Canyon Ranch
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TP Recommendation 1Dubai Healthcare City
to Dubai Health CityPresentation at First
Middle Eastern Healthcare Summit/01.2006
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Every 1 spent on its wellness program ended up
saving Citigroup 4.70, according to an
academic study. WSJ/0329.07
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Childhood Obesity gt Terrorism
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Bust fat docs!
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Sprint/Overland Park KS Slow elevators, distant
parking lots with infrequent buses, food court
as poorly placed as possible, etc.Source
New York Times
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Bump into factor Extra-size portions, eat
more. Higher shelf space snacks, more
obesity. More liquor stores, more crime. High
vs low fat Japanese who emigrate to U.S. suffer
3X increase in heart disease.Source Tom Farley
Deborah Cohen, Prescription for a Healthy Nation
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HealthWorks!NMMC! Mississippi!Global
Leadership!1 Problem of our time!
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The greatest dangerfor most of usis not that
our aim istoo highand we miss it,but that it
istoo lowand we reach it.Michelangelo
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One who does less than he can is a thief.
Gandhi
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Whats Really Propping Up the Economy
Healthcare has added 1.7 million jobs since 2001.
The rest of the private sector? None .Source
Title, cover story, BusinessWeek, 0925.2006
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PLANETREE/PLANETREE ALLIANCE A DIFFERENT MODEL
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The 9 Planetree
Practices1. The Importance of Human
Interaction2. Informing and Empowering Diverse
Populations Consumer Health Libraries and
Patient Information3. Healing Partnerships The
importance of Including Friends and Family4.
Nutrition The Nurturing Aspect of Food5.
Spirituality Inner Resources for Healing6.
Human Touch The Essentials of Communicating
Caring Through Massage7. Healing Arts Nutrition
for the Soul8. Integrating Complementary and
Alternative Practices into Conventional
Care9. Healing Environments Architecture and
Design Conducive to HealthSource Putting
Patients First, Susan Frampton, Laura Gilpin,
Patrick Charmel
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1. The Importance of Human Interaction
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Press Ganey Assoc 139,380 former patients from
225 hospitalsnone of THE top 15 factors
determining Patient Satisfaction referred to
patients health outcomePS directly related to
Staff InteractionPS directly correlated with
Employee Satisfaction Source Putting Patients
First, Susan Frampton, Laura Gilpin, Patrick
Charmel
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There is a misconception that supportive
interactions require more staff or more time and
are therefore more costly. Although labor costs
are a substantial part of any hospital budget,
the interactions themselves add nothing to the
budget. Kindness is free. Listening to patients
or answering their questions costs nothing. It
can be argued that negative interactionsalienatin
g patients, being non-responsive to their needs
or limiting their sense of controlcan be very
costly. Angry, frustrated or frightened
patients may be combative, withdrawn and less
cooperativerequiring far more time than it
would have taken to interact with them initially
in a positive way. Putting Patients First,
Susan Frampton, Laura Gilpin, Patrick Charmel
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2. Informing and Empowering Diverse Populations
Consumer Health Libraries and Patient
Information
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Planetree Health Resources Center/1981Planetree
Classification SystemConsumer Health
LibrariansVolunteersClasses, lecturesHealth
FairsGriffins Mobile Health Resource
CenterOpen Chart PolicyPatient Progress
NotesCare Coordination Conferences (Est goals,
timetable, etc.)Source Putting Patients First,
Susan Frampton, Laura Gilpin, Patrick Charmel
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3. Healing Partnerships The Importance of
Including Friends and Family
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Family members, close friends and significant
others can have a far greater impact on
patients experience of illness, and on their
long-term health and happiness, than any
healthcare professional. Through the
Patients Eyes
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Care Partner Programs (IDs, discount meals,
etc.)Unrestricted visits (Most Planetree
hospitals have eliminated visiting restrictions
altogether.) (ER at one hospital has a policy
of never separating the patient from the family,
and there is no limitation on how many family
members may be present.)Collaborative Care
ConferencesClinical Guidelines
DiscussionsFamily SpacesPet Visits (POP
Patients Own Pets)Source Putting Patients
First, Susan Frampton, Laura Gilpin, Patrick
Charmel
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4. Nutrition The Nurturing Aspect of Food
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KitchenBeautiful cutlery, plates, etcChef
reputation Source Putting Patients First,
Susan Frampton, Laura Gilpin, Patrick Charmel
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5. Spirituality Inner Resources for Healing
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Spirituality Meaning and Connectedness in
Life1. Connected to supportive and caring
group2. Sense of mastery and control3. Make
meaning out of disease/ find meaning in
sufferingSource Putting Patients First,
Susan Frampton, Laura Gilpin, Patrick Charmel
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Griffin redesign chapel (waterfall,
quiet music, open prayer book)Other music,
flowers, portable labyrinthSource
Putting Patients First, Susan Frampton, Laura
Gilpin, Patrick Charmel
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6. Human Touch The Essentials of Communicating
Caring Through Massage
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Massage is a powerful way to communicate
caring. Putting Patients First, Susan
Frampton, Laura Gilpin, Patrick Charmel
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Mid-Columbia Medical Center/Center for Mind and
BodyMassage for every patient scheduled for
ambulatory surgery (Go into surgery witha good
attitude) Infant massageStaff massage (caring
for the caregivers)Healing environments
chemo!Source Putting Patients First, Susan
Frampton, Laura Gilpin, Patrick Charmel
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7. Healing Arts Nutrition for the Soul
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Planetree Environment conducive to
healingColor!Light!Brilliance!Form!Art!Mu
sic!Source Putting Patients First, Susan
Frampton, Laura Gilpin, Patrick Charmel
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Griffin Music in the parking lot professional
musicians in the lobby (7/week, 3-4hrs/day) 5
pianos volunteers (120-140 hrs arts
entertainment per month). Source Putting
Patients First, Susan Frampton, Laura Gilpin,
Patrick Charmel
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8. Integrating Complementary and Alternative
Practices into Conventional Care
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Griffin IMC/Integrative Medicine
CenterMassageAcupunctureMeditationChiropracti
cNutritional supplementsAroma therapySource
Putting Patients First, Susan Frampton, Laura
Gilpin, Patrick Charmel
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CAM (Complementary Alternative Medicine) 83M
in US (42)CAM visits 243M, greater than to PCP
(Primary Care Physician) (With min insurance
coverage)W-Educated-Hi incDont tell PCP
(40)lt30 procedures used in conventional
medicine have undergone RCTs (randomized clinical
trials) Source Putting Patients First, Susan
Frampton, Laura Gilpin, Patrick Charmel
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9. Healing Environments Architecture and Design
Conduciveto Health
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Planetree LookWoods and natural
materialsIndirect lightingHomelike
settingsGoals Welcome patients, friends and
family Value humans over technology .. Enable
patients to participate in their care Provide
flexibility to personalize the care of each
patient Encourage caregivers to be responsive
to patients Foster a connection to nature and
beautySource Putting Patients First, Susan
Frampton, Laura Gilpin, Patrick Charmel
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SoundTextureLightingColorSmellTasteSacred
spaceSource Putting Patients First, Susan
Frampton, Laura Gilpin, Patrick Charmel
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Access to nurses stationHappen
tovsHappen withSource Putting Patients
First, Susan Frampton, Laura Gilpin, Patrick
Charmel
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The Eden AlternativeElderCare
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The Ten Principals of the Eden
Alternative1. The three plagues of loneliness,
helplessness, and boredom account for the bulk of
suffering among Elders.2. Life in an
Elder-centered community revolves around close
and continuing contact with children, plants, and
animals. These ancient relationships provide
young and old alike with a pathway to a life
worth living.3. Companionship is the antidote to
loneliness. In an Elder-centered community we
must provide easy access to human and animal
companionship.4. A healthy Elder-centered
community seeks to balance the care that is being
given with the care that is being received.
Elders need opportunities to give care and
caregivers need opportunities to receive
care.Source Putting Patients First, Susan
Frampton, Laura Gilpin, Patrick Charmel
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The Ten Principals of the Eden
Alternative5. Variety and Spontaneity are the
antidotes to boredom. The Elder-centered
community is rich in opportunities to sample
these ancient pleasures.6. An Elder-centered
community understands that passive entertainment
cannot fill a human life.7. The Elder-centered
community takes medical treatment down from its
pedestal and and places it into the service of
genuine human caring.Source Putting Patients
First, Susan Frampton, Laura Gilpin, Patrick
Charmel
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The Ten Principals of the Eden
Alternative8. In an Elder-centered community,
decisions should be made by the Elders or those
as close to the Elders as possible.9. An
Elder-centered community understands human growth
cannot be separated from human life.10. Wise
leadership is the lifeblood of any struggle
against the Three Plagues. For it, there can be
no substitute.Source Putting Patients First,
Susan Frampton, Laura Gilpin, Patrick Charmel
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The most basic question we need to pose in
caring for others is this Is this a loving act?
Leland Kaiser, Holistic HospitalsSource
Putting Patients First, Susan Frampton, Laura
Gilpin, Patrick Charmel
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Conclusion Caring/Growth Experience
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Care!/Love!/Spirit!Self-Control!Connect!/learn
!/involve!/Engage!Understanding!/Growth!
De-stress!/heal! Whole patient family
friends! be well!/stay well!
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F.Y.I.
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Griffin Hospital/Derby CT (Planetree Alliance
HQ) Results Financially successful.
Expanding programs-physically. Growing market
share. Only hospital in 100 Best Cos to Work
for7 consecutive years, currently 6.
Five-Star Hospitals, Joe Flower,
strategybusiness (42)
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"All sane persons agree that 'healthcare needs an
overhaul.' And that's where the agreement stops.
Healthcare issues are thorny, and system panaceas
are about as likely as the sun rising in the
West. But there is good news here and thereand
great news courtesy the Planetree Model.   "In
the midst of ceaseless gnashing of teeth over
'healthcare issues,' the patient and frontline
staff often get lost in the shuffle. Enter
Planetree. While oceanic systemic solutions
remain out of reach, Planetree provides a
remarkable demonstration of what healthcarewith
the patient at the centercan be all about and
is all about among Planetree Alliance
members.   "I know this may sound ridiculous, but
everything about the 'model' works. It is great
for patients and their familiesand is truly
about humanity and healing and health and
long-term wellness, not just a 'fix' for today's
problem. It is great for staffPlanetree-Griffin
is rightly near the top of the 'best places to
work in America' list, year in and year out. And
Planetree also works as a 'business model'any
effectiveness measure you can name is in the
Green Zone at Griffith.   "For 25 years my 'gig'
has been 'excellence.' Put simply, there is no
better exemplar of customer-centered,
employee-friendly excellence, in any
industry, than Griffin-Planetree. The Planetree
model worksand in my extensive work in the
health sector, I 'sell' it shamelessly, and pray
that my clients are taking it all in."   tom
peters/response to request for comment on
Planetree