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CULTURE CHANGE IN LTC: Yes we can

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CULTURE CHANGE IN LTC: Yes we can

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    1. CULTURE CHANGE IN LTC: Yes we can! ED LATHAM, RN, FNGNA St. Mary’s d’Youville Pavilion E-MAIL elatham@stmarysmaine.com

    2. Objectives Define Culture and Culture Change Recognize the benefits of embracing the culture change movement Relate learning to their own work environments

    3. TIM PORTER O’GRADY

    4. OBRA 1987

    5. Culture Culture: the customs and common ways of living by a group of individuals, passed down from one generation to the next.

    6. What is Culture? Add sourceAdd source

    7. Culture?

    8. WHAT IS CULTURE CHANGE? Transforming long-term care facilities through sourcesource

    9. WHAT IS CULTURE CHANGE? Care/resident related activities are directed by the resident. Environment designed to be home rather than an institution. Close relationships existing between residents, family members, staff and community. Work organized to support and empower all staff to respond to residents’ needs and desires. Management enabling collaborative and decentralized decision-making. Systematic processes that are comprehensive and measurement-based, and that are utilized for continuous quality improvement. From Commonwealth Fund and CMS Expert panel, January 2006

    10. Inter-related Areas of Activity resulting in Culture Change

    11. Pillars of Resident/Patient Centered Care Dignity and Respect Information Sharing Participation Collaboration

    12. Reference Resouces handoutReference Resouces handout

    13. CMS Artifacts of Culture Change A scorecard intended to help providers measure their success in implementing culture change in six broad catagories. Could also be used to conduct a gap analysis http://siq.air.org/PDF/artifacts-cc.pdf

    14. CMS Artifacts of Culture Change

    16. Nurse Competencies for Nursing Home Culture Change CGNO w/Pioneer Network – Supported by the Commonwealth Fund Hartford Institute for Geriatric Nursing AAN NGNA NADONA AALTCN, AANAC, GAPNA, AALNA

    17. Models, teaches and utilizes effective communication skills such as active listening, giving meaningful feedback, communicating ideas clearly, addressing emotional behaviors, resolving conflict and understanding the role of diversity in communication 2. Creates systems and adapts daily routines and "person-directed" care practices to accommodate resident preferences

    18. 3. Views self as part of team, not always as the leader 4. Evaluates the degree to which person-directed care practices exist in the care team and identify and addresses barriers to person directed care 5. Views the care setting as the residents' home and works to create attributes of home

    19. 6. Creates a system to maintain consistency of caregivers for residents 7. Exhibits leadership characteristics/ abilities to promote person-directed care 8. Role models person-directed care 9. Problem solves complex medical/psychosocial situations related to resident choice and risk 10. Facilitates team members including residents and families, in shared problem-solving, decision-making, and planning

    24. Improved Staff Satisfaction: Felt more empowered to help Elders. Greater job satisfaction. More likely to remain. Knew elders better. Based on research conducted by Rosalie Kane University of Minnesota. Reported in The Journal of the American Geriatric Society, 2007.

    25. THE GREEN HOUSE® Project  at Tabitha, Lincoln, Nebraska Joyce Ebmeier VP of Strategic Planning

    26. Floor Plan

    27. THE GREEN HOUSE® Project at Chelsea Jewish Nursing Home Barry Berman Executive Director

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