Transcript Tom Peters’ State of Health“care” 10.23.2005 TP’s Healing & Wellness Manifesto2005 (1) Acute-care facilities are “killing fields.” (WE KNOW WHAT TO DO.) (2) Shift the “community”

Tom Peters’
State of
Health“care”
10.23.2005
TP’s Healing & Wellness Manifesto2005
(1) Acute-care facilities are “killing fields.”
(WE KNOW WHAT TO DO.)
(2) Shift the “community” focus 90 degrees
(not 180, but not 25) from “fix it” to
“prevent it.” (WE KNOW WHAT TO DO.)
(3) There are two primary aims for “all this”:
Wellness-Healing. (WE KNOW WHAT
TO DO.)
(4) I’m mad as hell and I’m not going to take
it anymore. (I KNOW WHAT TO DO.)
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m
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Tom’s
HealthCare
2
Healthcare’s 1-2 Punch
1. Hospital “quality control,” at least in the U.S.A., is a bad, bad joke:
Depending on whose stats you believe, hospitals kill 100,000 or so of us a
year—and wound many times that number. Finally, “they” are “getting around to”
dealing with the issue. Well, thanks. And what is it we’ve been buying for our Trillion or so
bucks a year? The fix is eminently do-able … which makes the condition even more
intolerable. (“Disgrace” is far too kind a label for the “condition.” Who’s to blame? Just about
everybody, starting with the docs who consider oversight from anyone other than fellow clan
members to be unacceptable.)
2.
The “system”—training, docs, insurance incentives, “culture,” “patients”
themselves—is hopelessly-mindlessly-INSANELY (as I see it) skewed
toward fixing things (e.g. Me) that are broken—not preventing the problem
in the first place and providing the Maintenance Tools necessary for a
healthy lifestyle. Sure, bio-medicine will soon allow us to understand and deal with
individual genetic pre-dispositions. (And hooray!) But take it from this 61-year old, decades of
physical and psychological self-abuse can literally be reversed in relatively short order by an
encompassing approach to life that can only be described as a “Passion for Wellness (and
Well-being).” Patients—like me—are catching on in record numbers; but “the system” is
highly resistant. (Again, the doctors are among the biggest sinners—no surprise, following
years of acculturation as the “man-with-the-white-coat-who-will-now-miraculously-dispensefix it-pills-for-you-the-unwashed.” (Come to think of it, maybe I’ll start wearing a White Coat to
my doctor’s office—after all, I am the Professional-in-Charge when it comes to my Body &
Soul. Right?)
Excerpt from Tom Peters’ Presentation to Healthcare CIOs:
COULD IT
TRULY BE THIS
AWFUL?
“Quality”:
CDC 1998: 90,000 killed
and 2,000,000 injured
from nosocomial
[hospital-caused] drug
errors & infections
HealthGrades/Denver:
195,000
hospital deaths per year in the U.S., 2000-2002 =
390 full jumbos/747s in the drink per year.
Comments: “This should give you pause when
you go to the hospital.” —Dr. Kenneth Kizer, National Quality
. “There
is little evidence that
patient safety has improved in the
last five years.” —Dr. Samantha Collier
Forum
Source: Boston Globe/07.27.04
“This should give you
pause when you go to
the hospital.”
“There is little evidence
that patient safety
has improved in the
last five years.”
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1,000,000
“serious
medication errors per year” …
“illegible handwriting, misplaced
decimal points, and missed drug
interactions and allergies.”
Source: Wall Street Journal / Institute of Medicine
As many as 98,000 Americans die
each year because of medical
errors despite an unprecedented
focus on patient safety over the
last five years, according to a study
released today [Journal of the
American Medical Association]. …
Nationwide the pace of change is
painstakingly slow. …” —USA Today/05.18.2005
“Hospital infections kill an estimated 103,000
people in the United States a year, as many as
AIDS, breast cancer and auto accidents
combined. … Today, experts estimate that more than 60
percent of staph infections are M.R.S.A. [up from 2 percent in
1974]. Hospitals in Denmark, Finland and the Netherlands once
faced similar rates, but brought them down to below 1 percent.
How? Through the rigorous enforcement of rules on hand
washing, the meticulous cleaning of equipment and hospital
rooms, the use of gowns and disposable aprons to prevent
doctors and nurses from spreading germs on clothing and the
testing of incoming patients to identify and isolate those carrying
the germ. … Many hospital administrators say they can’t afford
to take the necessary precautions.”
—Betsy McCaughey, founder of the Committee to Reduce Infection Deaths (New York Times/06.06.2005)
Various studies: 1 in 3,
1 in 5, 1 in 7, 1 in 20
patients “harmed by
treatment”
Demanding Medical Excellence: Doctors and Accountability
in the Information Age, Michael Millenson
“As unsettling as the prevalence of inappropriate care
is the enormous amount of what can only be called
A surprising 85% of
everyday medical treatments
have never been scientifically
validated. … For instance, when family
ignorant care.
practitioners in Washington were queried about
treating a simple urinary tract infection, 82 physicians
came up with an extraordinary 137 strategies.”
Demanding Medical Excellence: Doctors and Accountability
in the Information Age, Michael Millenson
YE GADS!
New England Journal of Medicine/
Harvard Medical Practice Study: 4% error rate (1 of 4
negligence). “Subsequent investigations around the
country have confirmed the ubiquity of error.” “In one
small study of how clinicians perform when patients
have a sudden cardiac arrest, 27 of 30 clinicians made
an error in using the defibrillator.” Mistakes in
administering drugs (1995 study) “average once every
hospital admission.” “Lucian Leape, medicine’s
leading expert on error, points out that many other
industries—whether the task is manufacturing
semiconductors or serving customers at the Ritz
Carlton—simply wouldn’t countenance error rates like
those in hospitals.”—Complications, Atul Gawande
“In a disturbing 1991 study, 110
nurses of varying experience levels
took a written test of their ability to
calculate medication doses. Eight out
of 10 made calculation mistakes at
least 10% of the time, while four out
of 10 made mistakes 30 % of
the time.”
Demanding Medical Excellence: Doctors and Accountability
in the Information Age, Michael Millenson
Hospitals Pay Appropriate
Attention To Medical Errors
Yes ………………………………. 1%
Aware And Trying Hard ……... 8%
Aware But Tepid Response … 22%
No ……………………………….. 25%
An Inexcusable Tragedy …….. 44%
Source: 12.2004 Poll/tompeters.com
Welcome to the Homer Simpson Hospital
a/k/a
The Killing Fields
Tom’s Cold Fury at Healthcare “Professionals,” Especially Acute Care Operatives
1. You are killers: “Quality” remains a bad joke.
2. Pick off bunches of Low-hanging Fruit. (E.g., Tom’s 1st Executive order as Your Next
President: Providing a Handwritten Prescription is punishable by not less than 60 days of Hard Time.)
3. The “science” in “medicine” is often fanciful: Most “scientific” “treatments” are
unverified. (So quit the knee-jerk denigration of alternative therapies—trust me, Breathing Meditation
beats Univasc; Good Nutrition beats Lipitor; Regular Exercise beats bypass surgery.)
4. You continue to obsess only on after-the-act “fixes,” the automatic resort to
Chemicals and Knives, rather than P-W-H-C … Prevention-WellnessHealing-Care.
5. Your Mindful Lifelong (mine) Failure to focus on P-W-H-C will probably cost me a
decade of longevity, Canyon Ranch/Lenox not withstanding. THAT PISSES ME OFF.
(For one thing, I need those 10 years to spread the P-W-H-C Credo to “health‘care’” “professionals.”)
6. You are hereby ordered to stop using the term “healthcare”: You haven’t earned the
right to utter the word “care”!
7. $$$$$ Are Not the Issue/Excuse I: Quality Is free!!! (There are MANY who are … Getting This
Right … without Buckets of $$$$$.)
8. $$$$$ Are Not the Issue/Excuse II: Planetree Alliance/Griffin Hospital “Models The
Way” … on P-W-H-C … Every Day. IT CAN BE DONE!
9. ALL THESE PROBLEMS CAN BE FIXED! WE KNOW HOW! THERE ARE NO
EXCUSES … EXCEPT LACK OF GUTS & WILL! “It’s Attitude, Baby!”
10. All “members of staff”—regardless of “professional discipline”—are Healing Arts
Practitioners. OR TURN IN YOUR EMPLOYEE BADGE. NOW.
10.27.2004/La Jolla
TP’s Healing & Wellness Manifesto2005
(1) Acute-care facilities are “killing fields.”
(WE KNOW WHAT TO DO.)
(2) Shift the “community” focus 90 degrees
(not 180, but not 25) from “fix it” to
“prevent it.” (WE KNOW WHAT TO DO.)
(3) There are two primary aims for “all this”:
Wellness-Healing. (WE KNOW WHAT
TO DO.)
(4) I’m mad as hell and I’m not going to take
it anymore. (I KNOW WHAT TO DO.)
Tom’s
HealthCare
2.5
We all live in
Dell-Wal*MarteBay-Google
World!
We [almost] all
live in
Dell-Wal*MarteBay-Google
World!
“Some grocery stores
have better
technology than our
hospitals and
clinics.” —Tommy Thompson, HHS
Secretary
Source: Special Report on technology in healthcare, U.S. News & World Report (07.04)
“We’re in the Internet
age, and the average
patient can’t email
their doctor.”
Donald Berwick, Harvard Med School
“Our entire facility is digital. No paper, no film, no
medical records. Nothing. And it’s all integrated—from the lab to
X-ray to records to physician order entry. Patients don’t have to
wait for anything. The information from the physician’s office is
in registration and vice versa. The referring physician is
immediately sent an email telling him his patient has shown up.
… It’s wireless in-house. We have 800 notebook computers that
are wireless. Physicians can walk around with a computer that’s
pre-programmed. If the physician wants, we’ll go out and wire
their house so they can sit on the couch and connect to the
network. They can review a chart from 100 miles away.” —David
Veillette, CEO, Indiana Heart Hospital (HealthLeaders/12.2002)
Tom’s
HealthCare
3.0
H5N1
Tom Peters/23October2005
“We may not be
interested in chaos
but chaos is
interested
in us.”
—Robert Cooper, The Breaking of Nations:
Order and Chaos in the Twenty-first Century
3D/350M
Grim tail of the distribution of
outcomes: 3 days to circle the globe;
up to 350,000,000 deaths
Kroll/SARS: “don’t
over-react”
Kroll/H5N1:
Source: Newsweek/10.24.05
“devastating”
Sample Actions
Brief self (CEO)
Project Manager as “Asst to CEO”/Attends all
Exec Team meetings
Plan ASAP
Risk Management job elevated (min: RM consultant)
Discuss with Board (on every agenda?);
non-Exec Board designee?
Medical Officer on Exec Team?
Info Dissemination strategy explicit, reviewed
regularly (update 100% of employees regularly)
Engage Clients/Vendors
Review “JIT” issues/impact
Discuss with Banker/s
“Key person”/“first responder” plan
Community involvement
The
(Obvious)
Fix(es) …
TP’s Healing & Wellness Manifesto2005
(1) Acute-care facilities are “killing fields.”
(WE KNOW WHAT TO DO.)
(2) Shift the “community” focus 90 degrees
(not 180, but not 25) from “fix it” to
“prevent it.” (WE KNOW WHAT TO DO.)
(3) There are two primary aims for “all this”:
Wellness-Healing. (WE KNOW WHAT
TO DO.)
(4) I’m mad as hell and I’m not going to take
it anymore. (I KNOW WHAT TO DO.)
About Time!
100,000 Lives
Campaign*
*Don Berwick/Institute for Healthcare Improvement
The Benefits of …
FOCUSED EXCELLENCE
Shouldice/Hernia Repair:
30-45 min, 1% recurrence.
Avg: 90 min, 10%-15%
recurrence.
Source: Complications, Atul Gawande
“Our entire facility is digital. No paper, no film, no
medical records. Nothing. And it’s all integrated—from the lab to
X-ray to records to physician order entry. Patients don’t have to
wait for anything. The information from the physician’s office is
in registration and vice versa. The referring physician is
immediately sent an email telling him his patient has shown up.
… It’s wireless in-house. We have 800 notebook computers that
are wireless. Physicians can walk around with a computer that’s
pre-programmed. If the physician wants, we’ll go out and wire
their house so they can sit on the couch and connect to the
network. They can review a chart from 100 miles away.” —David
Veillette, CEO, Indiana Heart Hospital (HealthLeaders/12.2002)
“The nearly 1 billion people online
worldwide—along with their shared
knowledge, social contacts, online
reputations, computing power, and
more—are rapidly becoming a
collective force of unprecedented
power. For the first time in human
history, mass cooperation across
time and space is suddenly
economical.” —BW/06.20.05
Power Tools
for Power
Solutions/
Strategies!
—TP
Oh Canada!
“Ontario To Split Health
Ministry” —Headline/Globe And Mail/06.05
(New ministry will focus on Prevention/Wellness/Eldercare)
“Companies Step Up
Wellness Efforts: Rising
health costs provide
incentive to promote
healthier employee
lifestyles” —headline/USA Today/08.05
“Prevention Program
At Dow Chemical
Aims To Save
Money”
—IBD/08.05
TP’s Healing & Wellness Manifesto2005
(1) Acute-care facilities are “killing fields.”
(WE KNOW WHAT TO DO.)
(2) Shift the “community” focus 90 degrees
(not 180, but not 25) from “fix it” to
“prevent it.” (WE KNOW WHAT TO DO.)
(3) There are two primary aims for “all this”:
Wellness-Healing. (WE KNOW WHAT
TO DO.)
(4) I’m mad as hell and I’m not going to take
it anymore. (I KNOW WHAT TO DO.)
TP/BW:
Hard is soft.
Soft is hard.
“Hard
Science/Technology
abetted by the
Human/Healing
Touch”?
“Hard Science/Technology abetted by the
Human/Healing Touch”? Or:
“The Human/Healing
Touch abetted by
Hard Science/
Technology”?
In Search
of Excellence all
What is
about?
What is In Search of Excellence all about:
People.
Emotion.
Engagement.
Empowerment.
Caring.
In Search of
Excellence in
Healthcare all about?
What is
What is In Search of Excellence in
Healthcare all about:
People.
Emotion.
Engagement.
Empowerment.
Caring.
TP’s Healing & Wellness Manifesto2005
(1) Acute-care facilities are “killing fields.”
(WE KNOW WHAT TO DO.)
(2) Shift the “community” focus 90 degrees
(not 180, but not 25) from “fix it” to
“prevent it.” (WE KNOW WHAT TO DO.)
(3) There are two primary aims for “all this”:
Wellness-Healing. (WE KNOW WHAT
TO DO.)
(4) I’m mad as hell and I’m not going to take
it anymore. (I KNOW WHAT TO DO.)
Planetree:
A Radical Model for New
Healthcare/Healing/
Wellness Excellence
10.23.2005
“It was the goal of the
Planetree Unit to help
patients not only get
well faster but also to
stay well longer.”
—Putting Patients First, Susan Frampton, Laura Gilpin, Patrick Charmel
“Much of our current
healthcare is about curing.
Curing is good. But healing
is spiritual, and healing is
better, because we can heal
many people we cannot
cure.” —Leland Kaiser, “Holistic Hospitals”
Source: Putting Patients First, Susan Frampton, Laura Gilpin, Patrick Charmel
Determinants of Health
Access to care: 10%
Genetics: 20%
Environment: 20%
Health Behaviors: 50%
Source: Institute for the Future
The 9 Planetree Practices
1. The Importance of Human Interaction
2. Informing and Empowering Diverse Populations: Consumer
Health Libraries and Patient Information
3. Healing Partnerships: The importance of Including Friends
and Family
4. Nutrition: The Nurturing Aspect of Food
5. Spirituality: Inner Resources for Healing
6. Human Touch: The Essentials of Communicating
Caring Through Massage
7. Healing Arts: Nutrition for the Soul
8. Integrating Complementary and Alternative Practices
into Conventional Care
9. Healing Environments: Architecture and Design Conducive
to Health
Source: Putting Patients First, Susan Frampton, Laura Gilpin, Patrick Charmel
1. The Importance of
Human Interaction
“There is a misconception that supportive interactions require
more staff or more time and are therefore more costly. Although
labor costs are a substantial part of any hospital budget, the
interactions themselves add nothing to the budget.
Kindness is free.
Listening to
patients or answering their questions costs nothing. It can be
argued that negative interactions—alienating patients, being
non-responsive to their needs or limiting their sense of
control—can be very costly. … Angry, frustrated or frightened
patients may be combative, withdrawn and less cooperative—
requiring far more time than it would have taken to interact with
them initially in a positive way.” —Putting Patients First, Susan
Frampton, Laura Gilpin, Patrick Charmel
Press Ganey Assoc/1999: 139,380 former patients
from 225 hospitals
0 of top 15 factors determining Patient Satisfaction
referred to patient’s health outcome
PS directly related to Staff Interaction
PS directly correlated with ES (Employee Satisfaction)
Source: Putting Patients First, Susan Frampton, Laura Gilpin, Patrick Charmel
“Perhaps the simplest and most profound
of all human interactions is KINDNESS. …
But if it is so simple, it is surprising how
frequently it is absent from our healthcare
environments. … Many staff members
report verbal
‘abuse’ by physicians,
managers and coworkers.” —Putting Patients First, Susan
Frampton, Laura Gilpin, Patrick Charmel
“Planetree is about
human beings
caring for other
human beings.” —Putting
Patients First, Susan Frampton, Laura Gilpin, Patrick
Charmel (“Ladies and gentlemen serving ladies and
gentlemen”—4S credo)
2. Informing and
Empowering Diverse
Populations: Consumer
Health Libraries and
Patient Information
Planetree Health Resources Center/1981
Planetree Classification System
Consumer Health Librarians
Volunteers
Classes, lectures
Health Fairs
Griffin’s Mobile Health Resource Center
Open Chart Policy
Patient Progress Notes
Care Coordination Conferences (Est goals, timetable,
etc.)
Source: Putting Patients First, Susan Frampton, Laura Gilpin, Patrick Charmel
3. Healing
Partnerships: The
Importance of
Including
Friends and Family
“When hospital staff members are
asked to list the attributes of the
‘perfect patient and family,’ their
response is usually a passive patient
with no family.”
—Putting Patients First, Susan Frampton, Laura
Gilpin, Patrick Charmel
The Patient-Family Experience
“Patients are stripped of control, their clothes are
taken away, they have little say over their schedule,
and they are deliberately separated from their family
and friends. Healthcare professionals control all of the
information about their patients’ bodies and access to
the people who can answer questions and connect them
with helpful resources. Families are treated more as
intruders than loved ones.”
—Putting Patients First, Susan Frampton, Laura Gilpin, Patrick Charmel
“Family members, close friends
and ‘significant others’ can
have a far greater impact on
patients’ experience of illness,
and on their long-term health
and happiness, than any
healthcare professional.” —Through
the Patient’s Eyes
Source: Putting Patients First, Susan Frampton, Laura Gilpin, Patrick Charmel
“A 7-year follow-up of women
diagnosed with breast cancer
showed that those who confided
in at least one person in the 3
months after surgery had a 7-year
survival rate of 72.4%, as
compared to 56.3% for those who
didn’t have a confidant.”
Institute for the Future
Institute of Medicine/ “Crossing the Quality Chasm”
Respect for preferences
Involvement in Decision Making
Access to care
Coordination of care
Information and education
Physical comfort
Emotional support
Involvement of Friends and Family
Continuity of care
Source: Putting Patients First, Susan Frampton, Laura Gilpin, Patrick Charmel
Care Partner Programs (IDs, discount meals, etc.)
Unrestricted visits (“Most Planetree hospitals have eliminated
visiting restrictions altogether.”) (ER at one hospital “has a policy of never
separating the patient from the family, and there is no limitation on how many
family members may be present.”)
Collaborative Care Conferences
Clinical Guidelines Discussions
Family Spaces
Pet Visits (POP: Patients’ Own Pets)
Source: Putting Patients First, Susan Frampton, Laura Gilpin, Patrick Charmel
4. Nutrition: The
Nurturing Aspect
of Food
Meals are central events
vs
“There, you’re fed.” *
*Irony: Focus on “nutrition” has reduced focus on “food” and “service”
Source: Putting Patients First, Susan Frampton, Laura Gilpin, Patrick Charmel
Kitchen
Beautiful cutlery, plates, etc
Chef rep
Source: Putting Patients First, Susan Frampton, Laura Gilpin, Patrick Charmel
Aroma therapy (e.g. “smell
of baking cookies”)
Source: Putting Patients First, Susan Frampton, Laura Gilpin, Patrick Charmel
5. Spirituality: Inner
Resources for Healing
Spirituality: Meaning and Connectedness in Life
1. Connected to supportive and caring group
2. Sense of mastery and control
3. Make meaning out of disease/find meaning in
suffering
Source: Putting Patients First, Susan Frampton, Laura Gilpin, Patrick Charmel
Griffin: redesign chapel (waterfall, quiet
music, open prayer book)
Other: music, flowers, portable labyrinth
Source: Putting Patients First, Susan Frampton, Laura Gilpin, Patrick Charmel
6. Human Touch:
The Essentials of
Communicating
Caring Through
Massage
“Massage is a
powerful way to
communicate
caring.”
—Putting Patients First, Susan Frampton,
Laura Gilpin, Patrick Charmel
Mid-Columbia Medical Center/Center for Mind and Body
Massage for every patient scheduled for ambulatory
surgery (“Go into surgery with a good attitude”)
Infant massage
Staff massage (“caring for the caregivers”)
Healing environments: chemo!
Source: Putting Patients First, Susan Frampton, Laura Gilpin, Patrick Charmel
7. Healing Arts:
Nutrition for the Soul
Planetree: “Environment conducive to healing”
Color!
Light!
Brilliance!
Form!
Art!
Music!
Source: Putting Patients First, Susan Frampton, Laura Gilpin, Patrick Charmel
Florence Nightingale/Notes on
Nursing/patient’s need for beauty,
windows, flowers: “People say the
effect is only on the mind.
It is no such thing. The
effect is on the body, too”
Source: Putting Patients First, Susan Frampton, Laura Gilpin, Patrick Charmel
Griffin: Music in the parking lot;
professional musicians in the lobby
(7/week, 3-4hrs/day) ; 5 pianos;
volunteers (120-140 hrs arts & entertainment
per month).
Source: Putting Patients First, Susan Frampton, Laura Gilpin, Patrick Charmel
8. Integrating
Complementary and
Alternative Practices
into Conventional Care
CAM (Complementary & Alternative Medicine):
83M in US (42%)
CAM visits 243M, greater than to PCP (Primary Care
Physician) (With min insurance coverage)
W-Educated-Hi inc
Don’t tell PCP (40%)
OTA: <30% procedures used in conventional medicine
have undergone RCTs (randomized clinical trials)
Source: Putting Patients First, Susan Frampton, Laura Gilpin, Patrick Charmel
Griffin IMC/Integrative Medicine Center
Massage
Acupuncture
Meditation
Chiropractic
Nutritional supplements
Aroma therapy
Source: Putting Patients First, Susan Frampton, Laura Gilpin, Patrick Charmel
9. Healing Environments:
Architecture and
Design Conducive
to Health
“Planetree Look”
Woods and natural materials
Indirect lighting
Homelike settings
Goals: Welcome patients, friends and family … Value
humans over technology .. Enable patients to
participate in their care … Provide flexibility to
personalize the care of each patient … Encourage
caregivers to be responsive to patients … Foster a
connection to nature and beauty
Source: Putting Patients First, Susan Frampton, Laura Gilpin, Patrick Charmel
Sound
Texture
Lighting
Color
Smell
Taste
Sacred space
Source: Putting Patients First, Susan Frampton, Laura Gilpin, Patrick Charmel
Access to nurses station:
“Happen to”
vs
“Happen with”
Source: Putting Patients First, Susan Frampton, Laura Gilpin, Patrick Charmel
The Eden
Alternative*
*ElderCare
The Ten Principals of the Eden Alternative
1. The three plagues of loneliness, helplessness, and boredom
account for the bulk of suffering among Elders.
2. Life in an Elder-centered community revolves around close
and continuing contact with children, plants, and animals.
These ancient relationships provide young and old alike with a
pathway to a life worth living.
3. Companionship is the antidote to loneliness. In an Eldercentered community we must provide easy access to human
and animal companionship.
4. A healthy Elder-centered community seeks to balance the
care that is being given with the care that is being received.
Elders need opportunities to give care and caregivers need
opportunities to receive care.
Source: Putting Patients First, Susan Frampton, Laura Gilpin, Patrick Charmel
“The Eden paradigm allows
elders to care for animals,
birds, and children as well
as each other.” —Susan Eaton, Harvard/JFK school
Source: Putting Patients First, Susan Frampton, Laura Gilpin, Patrick Charmel
The Ten Principals of the Eden Alternative
5. Variety and Spontaneity are the antidotes to
boredom. The Elder-centered community is rich in
opportunities to sample these ancient pleasures.
6. An Elder-centered community understands that
passive entertainment cannot fill a human life.
7. The Elder-centered community takes medical
treatment down from its pedestal and and places it into
the service of genuine human caring.
Source: Putting Patients First, Susan Frampton, Laura Gilpin, Patrick Charmel
The Ten Principals of the Eden Alternative
8. In an Elder-centered community, decisions should
be made by the Elders or those as close to the Elders
as possible.
9. An Elder-centered community understands human
growth cannot be separated from human life.
10. Wise leadership is the lifeblood of any struggle
against the Three Plagues. For it, there can be no
substitute.
Source: Putting Patients First, Susan Frampton, Laura Gilpin, Patrick Charmel
“The most basic
question we need to
pose in caring for
others is this: Is this a
loving act?”
—Leland Kaiser, “Holistic Hospitals”
Source: Putting Patients First, Susan Frampton, Laura Gilpin, Patrick Charmel
Conclusion:
Caring/Growth
“Experience”
Care!
Control!
Connect!
Engage!
Grow!
De-stress!
Learn more about Planetree/
The Planetree Alliance:
www.planetree.org
TP’s Healing & Wellness Manifesto2005
(1) Acute-care facilities are “killing fields.”
(WE KNOW WHAT TO DO.)
(2) Shift the “community” focus 90 degrees
(not 180, but not 25) from “fix it” to
“prevent it.” (WE KNOW WHAT TO DO.)
(3) There are two primary aims for “all this”:
Wellness-Healing. (WE KNOW WHAT
TO DO.)
(4) I’m mad as hell and I’m not going to take
it anymore. (I KNOW WHAT TO DO.)