For example, medical records were once sealed from patients like secret CIA documents. Even now, patients admitted to hospitals see their possessions put in little bags, and removed, "like you are in jail," Frampton says.
At the same time "we are looking at patients and families and challenging them to be better partners in their care," Frampton says. It's not going to be easy, she concedes.
To help ease transitions of care, Planetree initiated Patient-Centered Lean, a spin-off of the Lean production process for improved efficiencies that health systems have used, modeled after the Toyota system. The patient centered approach aims to involve patients and their families throughout the process of their care, from meetings with physicians and staff to evaluating care post-hospitalization, Frampton says.
The idea, as Planetree notes in planning documents, is about "improving "patient satisfaction, quality and experiences of care, and improving the caregiver workplace satisfaction and engagement."
While hospitals focus on improving patient involvement in their care, so are physicians. Ultimately, patients must become partners with their physicians and lay out a care framework.
Too many primary care physicians don't press patients to take care of themselves, says William H. Bestermann Jr., MD, medical director for medical home quality at the Holston Medical Group in Kingston, TN. Generally, "primary care physicians mean well and don't do well," Bestermann says. "If you talk to doctors and ask why they don't achieve these things they'll say, "My patients aren't compliant enough and they don't do anything I tell them."