Transcript Patient is the Key Person! - Catering Management Association Ireland

Catering Management Association
of Ireland
“Patients Perspectives”
Davenport Hotel
June 23rd 2011
Stephen A. McMahon
Chairman Irish Patients Association Dublin
3 April 2016
Irish Patients Association
Stephen McMahon
3 April 2016
Irish Patients Association
Stephen McMahon
Our Aims
• World class, patient centred healthcare
system that is built on Patients Rights,
Responsibilities and Trust.
• Ensure that the patient remains at the very
centre of healthcare.
• Key to that goal is Patient Safety
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Irish Patients Association
Stephen McMahon
• Association
About Us
-
1995
Limited by Guarantee 1999
Advocacy Body - Not Lobby Group
Listen and Learn from Patients Experiences
Work in partnership
Education/Research/Policy
- Main Funding HSE Service Contract ’11 +
some pharma
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Irish Patients Association
Stephen McMahon
What we Do
• Listen to Patients and or their families
• Provide them with information of how to have
their grievances heard
• Provide them with Moral and Physical Support • Advocate for them individually / collectively
• Attend meetings with them or on their behalf
• Arrange for counselling
• Prepare cases for Reviews. Regulatory Bodies and
or hospitals
ALWAYS AT THE PATIENTS OR FAMILYS PACE
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Irish Patients Association
Stephen McMahon
Involvement
Medical Education
Regulatory Bodies
Advisory Groups
HSE
DOH
Advice when invited
Work with Media
Engage other groups with
system
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Irish Patients Association
Stephen McMahon
Disempowered
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Irish Patients Association
Stephen McMahon
Our Agenda begins and ends with the
concept
Patient is the Key Person!
3 April 2016
Irish Patients Association
Stephen McMahon
3 April 2016
Irish Patients Association
Stephen McMahon
Patients Needs
• Be treated with dignity
• Have equitable access to services
and medications and innovation
• Have quality and safety
proactive management Programs
• Have access to meaningful
information
• Informed Consent
• Have Robust grievance procedures
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Irish Patients Association S McMahon
Irish Patients Association
Stephen McMahon
Present and Future
Patients Need
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Irish Patients Association
Stephen McMahon
Irish Patients Association S McMahon
Impact on Brands think Reputation !
•
•
•
1. BP: The brand went from 1st to 7th (of 7) on our Loyalty Index when the well
exploded. UK’s YouGov’s polls indicated no negative affects to the brand. The
financials suggest the brand has lost all of its value in one year.
2. Toyota: The recalls – and attendant negative PR re: allegations that top execs
knew, but failed to do anything – and liability suits resulted in a loss of nearly a
quarter of the brand’s value.
3. Johnson & Johnson: Recalls can kill a brand, especially when you’re talking
about medicine for infants and children, having to shut down plants, and stop
distribution of your biggest names. Harder to swallow is a brand hit of nearly 30%.
•
4. Blackberry: Once the darling of businesspeople and Wall Street, the brand has
lost out to the iPhone, Android-based phones, and Samsung’s and LG’s (very)
smart phones. Bottom line: brand value down nearly a third.
•
http://www.b2cmarketinginsider.com/branding/brand-disasters-of-2010-05408
accessed 22/01/2011 16:00
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Health Care is Also a Brand
HSE – Hospital – DOH&C – Minister
• Breast cancer misdiagnoses, unopened GP
referral letters, unreported x-rays, ED crises,
unacceptable waiting times for diagnostic
procedures leading to delayed diagnoses,
Nursing Home Scandals – these are just some
of the issues that have raised very real and
serious concerns in relation to patient safety
in our health service over the last five years.
3 April 2016
3 April 2016
Irish Patients Association
Stephen McMahon
3 April 2016
Irish Patients Association
Stephen McMahon
Patient Centered Health Service
Health System
power
Society
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Inter woven relationships
Irish Patients Association
Stephen McMahon
Principles of patient centered
care
•Access to health care services warranted by their condition
•Information that is appropriate, relevant and timely
•Involvement of patients and patient representatives in all
decision making processes which will have an impact on
patients’ lives
• Empowerment / motivation of patients to take responsibility
for their health care and be independent as possible and for
patients organization to be recognized involved and
encouraged to take a leadership role
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Irish Patients Association
Stephen McMahon
Domains of Risk
Clinical
Medication
Management
Inequality of
Access
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Irish Patients Association S McMahon
Irish Patients Association
Stephen McMahon
The Industry
• “The food and drink sector
is Ireland’s most important
indigenous industry.
230,000 jobs are linked to it
through direct and indirect
employment. Produces
€20bn It exports over €7bn
of produce and it accounts
for almost 50% of the goods
and services sourced in
Ireland by the
manufacturing sector. The
full extent of the supply
chain, from farm to fork, is
located here in Ireland.
Nutrition Issues !
• Nil By Mouth had to check with nurse.
• Solid foods instead of mixed.
• Taking Away food before its begun/finished.
• Problems with diabetes needing fed certain times.
• Hygiene drinking water touching all glasses.
• Gloves Hands from bed pan to butter bread.
(This was a few years ago !)
• Dietary requirements not being adhered to. Depend on patient to advise
what's right etc,
Meals in A&E
• Facilities can be limited when overcrowding.
The situation can be better for trolleys on
wards. However , in all cases, it is difficult for
patients to safely eat there meals and there
are, for example , no bed trays available. Nor
could bed trays be safely used as their use
and storage would represent an unacceptable
trip and fall risk, Infirm patients are at risk of
scalds etc when trying to eat and drink in
these difficult circumstances.
• NIL BY MOUTH PATIENT
DIES AFTER BEING FED
PUDDING”
• Wed February 2,2011
• “A HOSPITAL trust has
apologized after a “nil by
mouth” patient died when
nurses gave him a sponge
pudding and custard”
Family Impact Statement
• “ She had a quiet life and she adored her
nephews' and nieces and dearly loved by us
all. Our sister went into hospital for new
medication as her old one was discontinued
by the company – Not once but twice she had
adverse reactions and no one listened. Now
she is dead!”
•
99 % hiqa redc poll 2010 )wanted to be informed if something went wrong in treatment
and said that providers should take steps to prevent mistakes and ensure learning takes
place across the system to improve healthcare quality.
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Irish Patients Association
Stephen McMahon
Mullingar Case
Address by Ombudsman
• Emily O'Reilly at
The Adelaide & Meath &
National Children's Hospital
Annual Nursing Conference
Oct 2010
• “The journey from
complaint to enhanced
patient care”
•
• Mullingar Case
Ombudsman Findings
• Failure by M.O. to sign referral to S.L.T. on Morning of
admission despite urgent need for swallow assessment
• SLT failed to pick up referral from ward as she promised to do.
• CNM failed to contact the SLT when she did not return to pick
up referral.
• Nursing staff failed to provide adequate nutrition, fluid or
medication
• While objected to syringe feeding would not allow other
daughter to do so.
• Nursing documentation of nutrition, fluid and medication
were not an accurate account of what had actually been
provided.
• Could any of this happen on your watch ?
Take Away !
• Is the patient as the centre
of all your decision making ?
• Are you just happy to meet
regulatory requirements or
exceed them?
• Do you create opportunities
to listen to your patients /
staff.
• What programs do you
have in place to record and
learn from error?
Where Patients concerned we are all interdependent – There
are no second class health professionals !
3 April 2016
© Stephen MCMAHON Irish Patients’ Association
Irish Patients Association
Stephen McMahon
Thank You !
For Information Purposes only no part
hereof intended as advice.
© Stephen McMahon June 22nd 2011
3 April 2016
Irish Patients Association
Stephen McMahon