Patient-centered care at Planetree: It sounds like the ocean

This is Part 2 of Debi Janway’s story about her mother’s care at Planetree. You can read Part 1 here.

It was a home-like feeling. I was here late in the evening, and my family would come. The waiting room in MedSurg is home-like, with round tables to eat at and relax with nice chairs, on the same floor as my Mom. So you know if the doctor or nurse wants to see you, you’re right there. You can heat up your own food in the kitchen that’s right there. If your family member is allowed to eat the same food while she’s in the hospital that she eats at home, you can cook that food for them.

They did aromatherapy. Mom absolutely loved the lavender they’d put in her room, it was so soothing. It was very quiet. You could hear a pin drop. No one just entered the room; they always knocked first, and asked, Would it be all right to come in? The lab techs would ask, Is this a good time to come in? It wasn’t intrusive. They’d ask, Is there anything else I can do for you? My Mom might say, Yeah, I’d like some more ice water. The lab tech or whoever would get her what she needed. As a Care Partner, we could do that too.

I feel very blessed. Mom is back at home now.

Hospital CEO Susan Stone adds:

We have a program, Lights Out Lavender. We’ll do a back massage for the patient, and ask if they’re ready for bed. Our staff round every hour.

We worked hard to make it quiet at night. For example, we have reminders to make sure the environment is quiet. We did an assessment and realized that the Housekeeping carts were too squeaky. The doors for the patient laundry used to click shut really loudly, so we’ve changed those. Also, we use soothing sound machines if patients like them, to create white noise, which can sound like rain, or the ocean.

Ken’s comment: The healing environment creates tangible results. Patients have high satisfaction, as do physicians and other staff. The environment seems to quicken healing, as patients’ length of stay is significantly shorter than in a comparison unit, according to “A Retrospective Evaluation of the Impact of the Planetree Patient-Centered Model of Care on Inpatient Quality Outcomes," abstracted here. Even so, the hospital has been profitable since 2010, perhaps because so many have heard about the spa-like hospital.

Thanks to Dr. Susan Stone and Debi Janway for sharing their story.

Patient-centered care at Planetree: Mom’s first smile

Debi Janway’s story, Part 1:

My mother is very active, 89 years old.  She comes over four days a week in her Thunderbird convertible. 

Recently she had pain in her lower left side, at an 8 or 9 on the ten-point scale.  I’d brought her to the E.R. of our local hospital, but because the pain was so severe, I got her transferred to Planetree’s medical center in Coronado [near San Diego], where I’m an employee.

They put my mother in a private room, and she sighed with relief.  It gave me peace, too.  I was right there with her during the evaluation, included in the conversations, since they knew I was her care advocate.  As a Care Partner, they offered me a tour, showing me where the healing garden was, where the kitchen was, where to get meals, etc.  It was amazing!  That’s routinely available to the Care Partners.  I put my name on the board, giving the information to the nurse about how to reach me and discuss the plan of care.  I had told the nurses I’d like to be in attendance when the physicians were rounding, because my Mom is hard of hearing.  They’d move in closer so she could hear.  The doctors were wonderful in taking care of her.  Even on the weekend when I wasn’t working in the hospital, they called me.

We weren’t even there an hour before the Environmental Services technician came in and offered a warm moist washcloth all rolled up.  Mom asked what she was doing. The answer, “to help you relax, and wash,” with an explanation about Planetree’s way of helping patients heal, brought the first smile I’d seen on my Mom in 15-20 hours!  She said it felt so good, it was amazing!

Susan Stone, RN, PhD, the CEO of Sharp Coronado Hospital, elaborated:

Handing washcloths to patients with aromatherapy twice a day was part of a program developed by Housekeeping to be a partner in the patient’s care.  This has been a cornerstone program for them in helping them change from a hierarchy to a team.  We’d made a commitment back in 2001 to spread the patient-centered model house-wide.  We created a hospital-wide work team to create a Designation Process.  We’ve identified 11 areas of expertise, including a Healing Environment, use of Alternative Therapies, etc.  These are the criteria used for awarding unit-specific Planetree Designations in addition to two Designation with Distinction honors.

As another example, if a patient’s pain is out of control, the patient might ask a housekeeper, Will you pray with me?  They might not ask that of a nurse, but they’d ask it of Housekeeping.  That can be really important for their healing.  Also, they can brush the patient’s hair.  It changes the whole dynamic; the patient understands the housekeeper isn’t just there to clean the room.

Ken’s comment:  The hospital’s patient satisfaction scores on the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) were in the top 5% among U.S. hospitals.  Employee satisfaction rated in the top 2%, earning a Morehead Workplace Award, according to a presentation by the Chief Nursing Officer of Sharp Coronado Hospital. 

Thanks to Susan Stone and Debi Janway for sharing their story.  Look for Part 2 soon.