Patient and Family-Centered Collaborative Care: An Orthopaedic Model

Abstract:

 Despite both longstanding and recent interest in patient-centered care, there are few models or methodologies for defining and implementing patient-centered care in the office and hospital setting thru a full cycle of care from the patient's perspective. We describe patient and family-centered collaborative care (PFCCC) as a low-technology, systems-based solution to many of the problems and challenges in today's healthcare arena and how to implement it in the hospital setting to provide safe, effective, timely and efficient health care. We hypothesized a patient and family-centered collaborative care model would provide a high quality of health care delivered, as well as a unique patient and family experience, within an orthopaedic setting. Prospective data was collected on six hundred eighteen consecutive patients undergoing total hip arthroplasty or total knee arthroplasty within a dedicated PFCCC orthopaedic program. Quality outcome measures showed a high level of patient satisfaction with overall satisfaction score of 91.4 using the national Press Ganey Survey. Infection and mortality rates were 0.3% and 0.1%, respectively. Average length of stay was 2.8 days for TKA and 2.7 days for THA with 91% of all patients (TKA and THA) being discharged directly home and 93% walking without handheld assistance at time of discharge. The PFCCC model is not just another clinical pathway, but a comprehensive systems-based approach that focuses on the full cycle of care while placing patients and their families as the top priority in order to provide a high quality of health care.

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Putting Patients First:
Patient and Family Centered Care



Anthony M. DiGioia III, MD
tony@pfcusa.org

Kevin J. Stanley, MD
kevin@pfcusa.org


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