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Person-partnered care (PPC) framework

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Introduction

The Canadian Forces Health Services (CFHS) Person-Partnered Care (PPC) Framework is designed to integrate person-partnered care principles into all aspects of healthcare delivery. This model emphasizes collaboration between three major stakeholders: service members (person/patient) and their families/designated care partners, healthcare professionals (provider), and the unit (Chain of Command). Each stakeholder is committed to supporting the others to ensure the success of this framework. The PPC Framework aims to enhance operational readiness and improve clinical outcomes by addressing the health needs of all stakeholders.

Family: Two or more persons who are related in any way (biologically, legally, emotionally) including immediate relatives and other individuals involved in the person’s support network or circle of support. Family includes an individual’s extended relatives, their partners, friends, advocates, guardians, and other representatives. For our patient population, this also includes the patient’s chain of command, colleague, or peer. The patient defines the makeup of their family and has the right to include or not include family members in their care and has the right to redefine the makeup of their family over time.

Guiding Principles

The foundation of the revised CFHS PPC Framework consists of six guiding principles:

  1. Accountability:
    • Every individual, regardless of rank or role, is accountable to others, fostering strong working relationships.
  2. Responsiveness:
    • Proactively identifying, acknowledging, and responding to needs, trends, and system changes.
  3. Respect and Dignity:
    • Ensuring every interaction is grounded in mutual respect and dignity to support engagement.
  4. Belonging:
    • Creating a culture of inclusion for all members and their families.
  5. Participation and Collaboration:
    • Supporting unified and collective goals to achieve successful outcomes through shared spaces.
  6. Openness and Information Sharing:
    • Transparent sharing of information connected to decision-making processes.

Roles and Responsibilities

The PPC Framework outlines the specific responsibilities of each stakeholder to ensure effective collaboration and support:

Person-Partnered Care Principles

1. Accountability in the Person-Partnered Care Framework

In the CF H Svcs Gp Person-Partnered Care (PPC) Framework, accountability is a cornerstone principle that ensures the success of the model by fostering a culture of mutual responsibility and trust among all stakeholders. This principle emphasizes that every individual, irrespective of their rank or role, is accountable to one another, promoting a collaborative and respectful working environment.

Mutual Responsibility: Each stakeholder, including service members, healthcare professionals, and the unit (Chain of Command), commits to supporting and holding each other accountable. This mutual responsibility helps maintain high standards of care and operational efficiency.

Professional Integrity: Accountability in the PPC Framework is rooted in professionalism and integrity. Every action and decision made by individuals must reflect ethical standards, fostering trust and reliability within the healthcare system.

Transparent Processes: Clear and transparent processes are essential for accountability. This includes well-defined roles, open communication channels, and regular feedback mechanisms, ensuring everyone understands their duties and can be held accountable for their actions.

Continuous Improvement: Emphasizing continuous improvement, stakeholders are encouraged to regularly assess their performance, identify areas for enhancement, and implement necessary changes. This proactive approach ensures adaptability and improvement in care quality.

Empowerment and Support: Accountability empowers stakeholders to take ownership of their roles and responsibilities, supported by the necessary resources, training, and guidance to excel in their functions.

2. Responsiveness in the Person-Partnered Care Framework

The principle of Responsiveness in the CF H Svcs Gp Person-Partnered Care (PPC) Framework emphasizes the importance of being proactive and adaptive in addressing the needs and changes within the healthcare environment. This principle is crucial for ensuring that care delivery remains effective and aligned with the evolving requirements of patients, healthcare professionals, and the organizational structure.

Identifying Needs: Responsiveness involves actively identifying the needs of all stakeholders, including patients, families, healthcare providers, and the unit (Chain of Command). This requires ongoing assessment and feedback mechanisms to understand the current demands and expectations.

Acknowledging Trends: It is essential to recognize and acknowledge emerging trends in healthcare. This includes staying informed about the latest medical advancements, policy changes, and patient care practices that can impact the delivery of services.

Responding to Changes: Responsiveness is about timely and effective action. Once needs and trends are identified, stakeholders must swiftly adapt their strategies and operations to address these changes. This could involve updating care protocols, reallocating resources, or implementing new technologies.

Flexibility and Adaptability: The principle underscores the need for flexibility and adaptability in the face of new challenges and opportunities. Stakeholders must be willing to adjust their approaches and continuously improve their practices to ensure optimal outcomes.

Continuous Improvement: Responsiveness is linked to the concept of continuous improvement. By regularly reviewing and refining care practices based on feedback and data analysis, the healthcare system can better meet the needs of its users.

3. Respect and Dignity in the Person-Partnered Care Framework

The principle of Respect and Dignity is fundamental to the Person-Partnered Care (PPC) Framework within the CF H Svcs Gp. This principle ensures that every interaction among stakeholders—whether between CF H Svcs Gp personnel and their families, healthcare professionals, or the Chain of Command—is grounded in mutual respect and dignity.

Mutual Respect: Every individual, regardless of their role or rank, is treated with respect. This mutual respect fosters a positive and supportive environment where everyone feels valued.

Dignified Interactions: All interactions are conducted in a manner that preserves the dignity of all parties involved. This includes clear, compassionate communication and an understanding of each person’s unique needs and perspectives.

Engagement and Support: Respect and dignity underpin the engagement strategies used within the PPC framework. By respecting and dignifying everyone’s contributions and experiences, the framework supports active and meaningful participation in care processes.

Inclusive Culture: Creating a culture of inclusion where all voices are heard and respected is crucial. This culture encourages diversity and ensures that all stakeholders feel a sense of belonging.

Trust and Empathy: Respect and dignity help build trust and empathy among stakeholders. When individuals feel respected, they are more likely to trust the system and engage openly, leading to better health outcomes and operational readiness.

4. Belonging in the Person-Partnered Care Framework

The principle of Belonging in the CF H Svcs Gp Person-Partnered Care (PPC) Framework is essential for fostering an inclusive and supportive environment where every individual feels valued and connected. This principle is centered on creating a culture of inclusion and ensuring that all stakeholders— CF H Svcs Gp personnel, their families, healthcare professionals, and the unit (Chain of Command)—experience a sense of belonging.

Inclusive Culture: Belonging promotes an inclusive culture where diversity is embraced, and all individual's unique contributions are recognized and appreciated. This inclusive environment encourages participation and collaboration among all stakeholders.

Sense of Community: The framework aims to build a strong sense of community by ensuring that all members feel connected to the organization and each other. This sense of community is vital for enhancing morale and engagement.

Supportive Environment: A supportive environment is fostered where individuals can express their needs, concerns, and ideas without fear of judgment. This openness enhances trust and cooperation, leading to better health outcomes and operational effectiveness.

Engagement and Participation: Belonging encourages active engagement and participation from all stakeholders. When individuals feel that they belong, they are more likely to contribute positively and take ownership of their roles and responsibilities.

Commitment to Inclusion: The principle of Belonging underscores a commitment to inclusion, where efforts are made to ensure that everyone has access to opportunities and resources necessary for their success.

5. Participation and Collaboration in the Person-Partnered Care Framework

The principle of Participation and Collaboration within the CF H Svcs Gp Person-Partnered Care (PPC) Framework is essential for achieving unified and successful outcomes. This principle emphasizes the importance of creating environments and processes that foster collective engagement and teamwork among all stakeholders.

Unified Goals: Participation and collaboration ensure that all stakeholders—CF H Svcs Gp personnel, their families, healthcare professionals, and the unit (Chain of Command)—work towards shared objectives. This alignment of goals promotes a cohesive approach to healthcare delivery.

Engagement: Active participation from all stakeholders is crucial. This involves engaging with patients, families, and healthcare teams in decision-making processes, ensuring that their voices are heard and valued.

Teamwork: Collaboration is about working together effectively. It involves breaking down silos and fostering a culture where information and responsibilities are shared. This teamwork enhances the quality of care and operational efficiency.

Shared Spaces: Creating physical and metaphorical spaces where stakeholders can collaborate is vital. These spaces encourage open communication, mutual support, and the exchange of ideas, leading to innovative solutions and improved outcomes.

Collective Success: By emphasizing participation and collaboration, the PPC Framework ensures that the success of healthcare initiatives is a collective achievement. This shared success strengthens the commitment of all stakeholders to the framework’s principles and goals.

6. Openness and Information Sharing in the Person-Partnered Care Framework

The principle of Openness and Information Sharing in the CF H Svcs Gp Person-Partnered Care (PPC) Framework is crucial for fostering transparency and trust among all stakeholders, including CF H Svcs Gp personnel, their families, healthcare professionals, and the Chain of Command. This principle emphasizes the need for clear and open communication channels to ensure that all relevant information is accessible and shared appropriately, facilitating informed decision-making and collaborative care.

Transparent Communication: Ensuring that information related to care processes, policies, and decisions is openly communicated to all stakeholders. This transparency helps build trust and reduces misunderstandings.

Informed Decision-Making: By sharing comprehensive and accurate information, stakeholders can make well-informed decisions that reflect the best interests of patients and the organization. This involves disseminating data on health outcomes, care practices, and organizational changes.

Collaboration: Openness in sharing information promotes collaboration among healthcare providers, patients, and the Chain of Command. It allows for the pooling of knowledge and resources, leading to more effective and efficient care delivery.

Accessibility: Information must be easily accessible to all relevant parties. This includes maintaining up-to-date records, reports, and communication channels that can be readily accessed when needed.

Feedback Mechanisms: Establishing channels for feedback where stakeholders can share their insights and experiences. This feedback loop is essential for continuous improvement and adaptation of care practices.

Conclusion

The CF H Svcs Gp PPC Framework is a dynamic and comprehensive model designed to enhance healthcare delivery through collaboration, accountability, and respect. By adhering to the guiding principles and clearly defined roles and responsibilities, the CF H Svcs Gp aims to improve operational readiness and clinical outcomes, ensuring that the health needs of all stakeholders are met effectively and efficiently.

This framework provides a consistent definition and approach to PPC to be used across CF H Svcs Gp. All partners, including our patients, families, and the chain of command, have the responsibility to embrace a patient-partnered approach to care and engage in initiatives to achieve this pursuit. By implementing this framework in all that we do, CF H Svcs Gp will advance our culture to support our patients and families through mutually beneficial partnerships.

Resources

The following are resources that can provide more information about initiatives and strategies to engage patients and families in health care. These resources were used in the development of the CF H Svcs Gp PPC framework.

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