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Spiritual Care and Cultural Competencies Session 1 Joint Commission and Cultural Competencies: A Roadmap

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Title: Spiritual Care and Cultural Competencies Session 1 Joint Commission and Cultural Competencies: A Roadmap


1
Spiritual Care and Cultural CompetenciesSession
1Joint Commission and Cultural Competencies A
Roadmap
  • Spiritual Care Champions 2012-2014
  • Catholic Health East
  • October 10, 2012

2
  • Beth Lenegan PhD
  • Director, Pastoral Care Department
  • Roswell Park Cancer Institute
  • Buffalo, New York

3
  • The first task in approaching
  • Another people
  • Another culture
  • Is to take off our shoes
  • For the place we are approaching
  • Is holy ground.
  • Else we may find ourselves
  • Treading on anothers dream.
  • More serious still, we may forget
  • That God was there upon our arrival
  • -Author Unknown

4
Goal
  • To provide an environment where patients,
    families and staff are treated with courtesy and
    respect regardless of personal characteristics
    including but not limited to race, age, sex,
    gender, religion, nationality or disability.
  • This environment will enable the community of the
    health care institution to live out their
    religious and cultural beliefs, practices and
    values.

5
Objectives For Three Month Sessions
  • Become familiar with the document Advancing
    Effective Communication, Cultural Competence, and
    Patient- and Family-Centered Care A Roadmap for
    Hospitals.
  • Understand what diversity means and the
    dimensions of it.
  • To define culture, religion and spirituality and
    to recognize how these affect healthcare
  • To define Culturally Competent
  • To recognize the make-up of the population that
    your Institution serves.
  • To understand that the diversity of your
    Institution is reflected among those who work
    there and those from whom we care
  • To introduce two projects to enhance diversity in
    your Institution

6
FoundationThe Joint Commission for the
Accreditation of Healthcare Organizations (JACHO)
  • Holds hospitals accountable for addressing and
    maintaining patient rights. These rights
    include respecting and acknowledging ones
    psychosocial, spiritual and cultural values and
    how they impact a patients response to their
    care.
  • Patients have a fundamental right to
    considerate care that safeguards their personal
    dignity and respects their cultural, psychosocial
    and spiritual values. (1998)

7
FoundationAdvancing Effective Communication,
Cultural Competence, and Patient-and
Family-Centered CareA Roadmap for
HospitalsJACHO (2011)
  • Hospitals are to integrate concepts from the
    fields of communication, cultural competence and
    patient and family centered care into their
    organizations.
  • A hospital must embed effective communication,
    cultural competence and patient and family
    centered practices into the core activities of
    its system of care delivery not considering
    them stand alone initiatives to truly meet the
    needs of the patients, families and communities
    served.
  • The Joint Commission views effective
    communication, cultural competence and
    patient-and family-centered care as an important
    components of safe, quality care.

8
FoundationA Roadmap for Hospitals
  • In January 2010 The Joint Commission released a
    set of new and revised standards for
    patient-centered communication as part of its
    project to advance effective communication,
    cultural competence, and patient- and family
    centered care. The standards will be published
    in the 2011 Comprehensive Accreditation Manual
    for Hospitals (CAMH) The Official Handbook.
  • The roadmap provides methods for hospitals to
    begin or improve upon their efforts to ensure
    that all patients receive the same high quality
    care.
  • The Roadmap for Hospitals provides
    recommendations to help hospitals address unique
    patient needs, meet the new Patient-Centered
    Communication standards, and to comply with
    existing Joint Commission requirements.

9
FoundationA Roadmap for HospitalsChapters
  • Admission
  • Assessment
  • Treatment
  • End of Life Care
  • Discharge and Transfer
  • Organization Readiness

10
A Roadmap to HospitalsChapters
  • Checklist of Recommended Issues to Address
    (Appendix A)
  • Helpful Tips
  • Joint Commission Requirements (Appendices B C)
  • Laws and Regulations (Appendix D)
  • Resource Guide (Appendix E)
  • Glossary

11
A Roadmap for Hospitals Ways to Implement
  • To Improve Performance
  • To Train Staff
  • To Help Inform Policy
  • To Evaluate Compliance with Relevant Laws,
    Regulations and Standards

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16
Admission Issues
  • Inform Patients of their Rights
  • Preferred Language
  • Sensory or Communication Need
  • Collect patient race and ethnicity data
  • Assistive Devices
  • Any Other Pertinent information
  • Communicate Information about Unique Patient
    Needs to the Care Team

17
Assessment Issues
  • Identify and Address Patient Mobility Needs
    During Assessment
  • Support patients ability to understand and act on
    Health Information
  • Identify Patient Cultural, Religious or Spiritual
    Beliefs or Practices that Influence Care
  • Dietary Needs, Support Person
  • Communicate Information to Health Care Team

18
Treatment Issues
  • Address Patient Communication Needs
  • Monitor Changes in the Patients Communication
    Status
  • Involve Patients and Families in the Care Process
  • Accommodate Patient Cultural, Religious or
    Spiritual Beliefs and Practices
  • Monitor Dietary Changes/Mobility Needs
  • Communicate Issues to Health Care Team

19
End of Life Care Issues
  • Patient Communication Needs
  • Monitor Changes in Communication Status
  • Involve the Patients Surrogate Decision-Maker
    and Family
  • Identify Patient Cultural, Religious, or
    Spiritual Beliefs and Practices at the End of
    Life
  • Communicate to the Health Care Team

20
Discharge and Transfer Issues
  • Communication Needs
  • Educate Patient and Family on Discharge and
    Transfer
  • Discharge Instruction
  • Follow-up Providers That Can Meet Unique Patient
    Needs

21
Organization ReadinessDecember
22
A Roadmap for HospitalsProvision of Care,
Treatment, and Services
  • Create an Environment that is Inclusive of all
    Patients
  • Develop a System to Provide Language Services
  • Assess the Communication Needs of the Patients
  • Integrate Health Literacy Strategies into Patient
    Discussions and Materials
  • Incorporate Cultural Competence and Patient and
    family Centered Care Concepts into Care Delivery

23
Next Month
  • What Does it Mean to be Culturally Competent?
  • Definitions
  • Skills Needed to be Culturally Competent
  • Resources Available
  • Other?
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