Patient-Centeredness & the Persistent Fax Machine

Patient-centered care is one of the six factors of quality in healthcare. Yet, there are many opportunities for improved patient-centered care.

To anyone that has had to fill out a form or receive a form from a healthcare provider or practice, there is a great likelihood of being told to ‘fax it back’.

Yet, how many have access to a fax machine at home?

Next, you are working to find a way to get the information back to or from the healthcare facility or organization that is not through a fax machine.

Knowing most do not have a fax machine, and encountering this issue, this is one example of an opportunity to improve patient-centered care.

In the bigger picture, healthcare has opportunities to explore the healthcare experience through the eyes of patients and unveil the blind spots to truly address patient-centeredness.

This is just one example but there are many others.

The article here provides several factors that contribute to the persistent challenge however, at some point, we will not be using fax machines….

In the meantime, one area of impact is on quality through that patient experience.


~ Dr. Kelley

The Science of Nursing

This picture made my day yesterday. Members of my team sent this to me and thought I would like it. They were right. Science is real and so is the Science of Nursing.


Read more

Caring for the Individual Patient and the Patient Population:   The need for both structured and unstructured data



Earlier this week, I was a patient in need of my annual physical exam. Every time I visit a health care facility as a patient, I gain new perspectives on what I saw, how it made me feel, and identify the broader healthcare implications. I can say that the overall experience was quite positive (despite some administrative frustrations to obtain a referral). My Primary Care Physician, PCP, treated me like a person, not box to check. Yet, I am also just one of many patients seen out of a large population.

Read more

The Heart of Nursing

The practice of nursing is both an art and a science. Yet, the individual nurse providing care is also acting from the heart.


The Heart of Nursing manifests itself in a variety of ways. As nurses, we develop relationships with patients and their families. We learn about our patients’ own interests and preferences. We develop relationships with our coworkers and fellow nursing colleagues. We step in to help our friends and families when they don’t know how to navigate the health care system. We also pour our energy into creating solutions to problems that are not receiving the appropriate attention. These are just a few of the many examples that occur each day.

Read more

The Nursing Care Economy

“All I want is a blanket.” This was what I thought to myself while lying on a stretcher in pain at 3 am in an Emergency Room (ER) last year. I looked around at the nurses, doctors, and technicians with hopes one would make eye contact with me and say, “Do you need something?” After about an hour with no success, finally one nurse said to me, “Would you like a warm blanket?” My response, “Yes, please.” That small nursing intervention made a big difference in my patient experience.  

Read more

Nurses are Intangible Gifts

Happy Holidays! We are in the heart of the holiday season. I thoroughly enjoy this time of year! I enjoy the act of gift giving to others. I know many of you who are reading this do as well. We tend to think of gifts as tangible. Tangible gifts are things that can be wrapped such as toys, clothes and coveted wish list items. Yet, gifts can also be intangible.  Intangible gifts are things that cannot be purchased. Intangible gifts are often invaluable to their receivers.

So, what is an example of an intangible gift? I’ve heard parents often describe the birth of their children as gifts. I’ve also had moments where I received some help that was unexpected but very necessary at the point in time. That help from someone else was a gift to me. I’m sure many of us have had moments like that in our lives and/or stepped in for others in those moments. While there are many intangible gifts around us, I’d like to describe my belief that nurses are intangible gifts.

intangible gift

Read more