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Centering. A Model for Group Healthcare. Sharon S Rising, MSN, CNM CEO/President Centering Healthcare Institute. Healthcare Today is … Complicated Rushed Expensive Confusing Frustrating. Imagine instead … Patient-centered Lots of time Evidence-based Makes sense Satisfying
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Centering A Model for Group Healthcare Sharon S Rising, MSN, CNM CEO/President Centering Healthcare Institute
Healthcare Today is … • Complicated • Rushed • Expensive • Confusing • Frustrating Imagine instead … • Patient-centered • Lots of time • Evidence-based • Makes sense • Satisfying • Cost effective • Fun
Better Outcomes - Big Savings • Reduction in preterm birth: 33% overall; 41% for African American women • Increased breastfeeding • Reduction in STI’s • Decreased rapid repeat pregnancy $1786 saved per woman in Centering
Challenges • Total paradigm shift • Imagining the change…step out of the box • Trusting the process • Sustaining the change
Policy Implications • Investment in prevention • Support for evidence-based care • Professional health education
Lessons Learned • Readiness assessment • System redesign • Site Approval process • On-going support/training