Coming to a Cross Roads: Census and Person Centered Care

1. Coming to a Cross Roads: Census and Person Centered Care April 22, 2011

2. Objectives • 1. To discuss “person centered care” definitions • 2. To identify key components of “person centered care” • 3. To view “person centered care” success stories • 4. To discuss how “person centered care” affects census, quality of care/services,

3. Objectives cont’d customer satisfaction and employee satisfaction • 5. To provide resources for you

4. Terminology Changes • “Resident” – Individual/person • “Nursing Home/Care Center” – home • “Incontinent brief” – (under) clothing • “Bibs/clothing protectors” – use napkins

5. Terminology cont’d • “Feeder” – person who needs assistance with dining • “Unit 1, Medicare Unit, etc.” – neighborhood names • “Diabetic, demented, Parkinson’s resident, tube feeder,” – Individual/person – do NOT focus on diagnoses and/or conditions • “Alzheimer’s/dementia Unit” – use community name, i.e. Orchards, Bayfront

6. Terminology cont’d • ALWAYS think back to community “standards” (what’s acceptable) and what you would like to be called --- we don’t have a name tag with our names and conditions, i.e. “Judy – hypothyroidism and hyperlipidemia”

7. PCC………… Person Centered Care Individualized Care Culture Change Resident Centered Care Relationship Centered Care Etc., Etc…….

8. “Person Centered Care”….. • How do YOU define it?

9. “Person Centered Care”….. • How many of you are using it? • How is it working? • What areas are you having difficulties with?

10. Components of PCC (not all inclusive) • Chat Circles • I Care Plans – My Best Day • Neighborhoods with “community spaces” • Staggered wake times • Open Breakfast • Individualized bathing schedules • Snacks available 24/7

11. Components cont’d • Activities based on individualized needs • Others:

12. Chat Circles • Chat Circles are used in “person centered care” models to assist in making “team decisions” • “Team” members include residents, staff and families • Chat Circle details are included in “Resources”

13. I Care Plans – My Best Day • You have all ready heard about “I Care Plans” • “My Best Day” forms are used to provide staff, volunteers and visitors with information provided by either the resident and/or family members (Sample Provided)

14. Neighborhoods • What “home or care center” do you live in? • We live in neighborhoods of communities…why shouldn’t our residents do the same? • Make the process fun….have a contest…involve residents/staff/families • The residents of the future neighborhood CHOOSE the names

15. Wake Times • Please ask the person to the left and right of you what time they prefer to wake up? Do we all prefer the same time of day? • “Staggered wake times” are according to resident preferences….staff schedules work “around” those times….including nursing, environmental services, nutrition services, etc.

16. Open Breakfast • Again, ask the person next to you if they like to eat breakfast right when they get up, later or not at all. Do we all want breakfast (and at the same time)? Open Breakfast correlates with staggered wake times and includes a plan to coordinate staff schedules with Open Breakfast.

17. Bathing Schedules • Shower or Bath? • Morning, Afternoon or Evening? • Comfortable, spa-like surroundings?

18. Snacks • I don’t know about you……I prefer to have snacks that I like at the time I would like them…that includes all snacks (treats, cold items, hot items, etc.) • A variety of snacks (residents’ choice) available 24/7

19. Activities • Person Centered Care activities are provided according to the needs/preferences of the residents. This could be Chat Circle decision-making. The tendency is to go from large group to smaller group and individualized activities.

20. Success Stories • Video 1: http://www.youtube.com/watch?v=YXjlKjjIMmE • Video 2: http://www.youtube.com/watch?v=EsmFRB1HBVg

21. Positive “Outcomes” of PCC • Increased census • Improved quality of life for Residents • Increased Resident/family satisfaction • Increased employee satisfaction • Regulatory survey success/improvement

22. Resources: • http://www.pioneernetwork.net • http://phinational.org/archives/cms-guidelines-call-for-homelike-environments-in-nursing-homes/ • http://www.mcknights.com/person-centered-program-encourages-nursing-home-to-community-transition/article/190065/#

23. Resources cont’d • http://centeredcare.org/pages/resources/1whatisculturechange/10buildingthecase.ppt#427,7,Myths High Turnover • http://rtc.umn.edu/docs/pcpmanual1.pdf • http://www.actionpact.com/weblog/2006/03/learning-circle.html • http://www.stltoday.com/lifestyles/health-med-fit/fitness/article_9b4924bd-b843-5a72-b734-8ecdfdcc1d4d.html

24. Resources cont’d • http://www.stratishealth.org/providers/orgchange/person.html • www.qualishealth.org • http://www.allhealth.org/publications/Long-term_care/Changing_the_Nursing_Home_Culture_79.pdf • http://www.nhqualitycampaign.org/files/Implementation_Manual_Part_1_FINAL.pdf

25. Questions?????

26. THANK YOU! • “I long, as does every human being, to be at home where I find myself.” Maya Angelou