1. Compassionate Care Robb Johnson, MPH, MPA Director of Programs The Schwartz Center for Compassionate Care

2. 3. Does Compassion Matter? 4. Major Poll Results

84% of patientsand81% of doctorsbelieve compassionate care makes a difference in how well patients recover from illness

81% of patientsand71% of doctorsbelieve compassionate care can make a difference inwhether a patient lives or dies

Only53% of patientsand58% of doctorsbelieve the US healthcare system is a compassionate one

20-point gapbetween the compassionate care patients wanted and what they actually experienced

67% of patientsand55% of doctorsare concerned that current changes in the US healthcare system will make it more difficult for caregivers to provide compassionate care

5. Yes, but how can we keep it up? 6. Schwartz Center Rounds 7. Piloted at Massachusetts General Hospital in 1997

• Now in 240 sites in 34 states, plus UK,reaching 70,000 caregivers per year

8. Topics

Noncompliant patient

Caring for a colleague

Team conflict around treatment plans

Does stopping treatment mean giving up?

Pain management in the addicted patient

Cultural and religious barriers

9. Evaluation of Rounds Impact

87% of respondents reported gaining new ideas/strategies for challenging patient situations

87% reported more compassion for patients and families

Lown BA, et al.Acad Med.2010. 10.

93% reported greater appreciation for the roles/contributions of colleagues from other disciplines

88% reported a greater sense of belonging to a caregiving team

76% reported feeling less alone in work with patients

Lown BA, et al.Acad Med . 2010. 11.

Caregivers reported feeling less stressed and better able to cope with the emotional demands of clinical work

Approximately 50% reported changes in practices or policies within the department or hospital at large.

12. Other Benefits

CME for physicians, CEUs for nurses, social workers, and chaplains

Helps satisfy ACGME communications requirements for residents and fellows

Rounds included in Joint Commission toolkit for meeting patient safety goals

13. In participants own words

Rounds are a place where people who don't usually talk about the heart of the work are willing to sharetheir vulnerability, to question themselves. Rounds are an opportunity for dialogue that doesnt happen anywhere else in the hospital.

14.

There is more heart in what we do with patientsthe connections are deeper, we are less afraid of difficult topics. Since we know there is support for us in the institution, were willing to take more risks.

15.

We initiated Schwartz Center Rounds in 2002 and they are still going strong, with an average of over 100 attendees each month. The format allows for a free exchange of ideas, feelings, and reactions, reinforcing the common humanity of caregivers, patients, and families. They are clearly now part of the fabric of our institution.

Raymond J. Mayewski, MD

Vice President and Chief Medical Officer

University of Rochester Medical Center

16.

For information on our other programs, including Schwartz Center Grants

to support innovative programs across the country, please visit our website.

www.theschwartzcenter.org

17.

Thank you for life

And death

And life again

For the seed of hope

Born of each sad end

- Nila Webster, from

The Gift of You, the Gift of Me

18. www.theschwartzcenter.org