CULTURE CHANGE AND

PERSON-CENTERED CARE

CULTURE CHANGE

Background

Benefits

TxCCC

Resources

CULTURE CHANGE

National movement aimed at improving long term care services for elders and individuals

with disabilities.

THE THREE COMPONENTS OF CULTURE CHANGE

Personal Organizational Physical

THE INSTITUTIONALIZED MODEL

Medical Model

System-Centered

Custodial Care

Conformity

Task-Oriented

CORE PRINCIPLES OF CULTURE CHANGE

Self Determination

Purposeful Living

Belonging

Choice

Support

Dignity

Sense of Community

Contributing

PERSON-CENTERED CARE

Know the Person

Individuality and Uniqueness of Every Person

Empowerment

Responsive, Permeable Environment

Person Has Input About Wants

A NEED FOR CHANGE

Leading Organizations in Culture Change

THE EDEN ALTERNATIVE

Founded by Dr. Bill Thomas

End the Three Plagues Found in Nursing Homes:

HelplessnessLonelinessBoredom

ANTIDOTES

Helplessness LonelinessBoredom

PurposeCompanionshipVariety

EDEN LIFELONG LIVING

Applies the Eden Principles to individuals with disabilities.

SAME PRINCIPLES, DIFFERENT NEEDS

Life InterruptedResidential HomeNon-EldersLonger Term

Full LifeNursing HomeEldersShorter Term

HOW DO WE GET THERE?

Empower

Residents and Staff

Get others

on Board

Incorporate Artifacts of

Change

Improve Quality of Care

Improve Quality of Life

Feedback

Create Urgency

Education

ARTIFACTS OF CHANGE

Self managed work teams

Elimination of call systems,

nursing station

Staff and residents are at the center of the change process!

New Paint

Children

Animals

Plants

WHAT IS THE KEY?

Complete Support From Leadership!

Culture Change is NOT a:• quick fix• marketing ploy• new program

It is a process that creates a better place to live and work.

CULTURE CHANGE SUCCESS

Research shows that Culture

Change implementation increases quality

of life and decreases staff

turnover.

CULTURE CHANGE SUCCESS

E. Elliot, "Occupancy and Revenue Gains from Culture Change in Nursing Homes: A Win-Win Innovation for a New Age of Long-Term Care," Seniors Housing & Care Journal, 2010

Nursing homes engaging in culture change can not only

improve their residents' quality of life, but can

also achieve better financial returns.

CULTURE CHANGE AND SATISFACTION

Studies have shown that culture change adoption increases family, resident, and staff satisfaction. This leads to decreased turnover and increased

occupancy rates.

(Seavey, 2004 and Grant, 2005)

WHERE ARE WE HEADED?

In 2011, the first Baby Boomers reached age 65.

By 2030, 72 million people will be aged 65 or over.

CULTURE CHANGE AND CONSUMERS

Pioneer Network Study on Consumer Awareness

• 97% of consumers strongly agreed or agreed that they would rather live in a culture change community than one that practices a traditional model of nursing care.

• 79% of participants indicated the desire to become advocates for culture change.

http://www.pioneernetwork.net/Providers/AdvocatingForChange/

AWARENESS IS GROWING

Pioneer Network Reports 39 State Coalitions Today

• History

• Our Principles

• Our Objectives

• Elders and Individuals with Disabilities

• Annual Symposium

WHAT WE’VE ACCOMPLISHED

• First Annual Symposium

• Dr. Thomas Visit

• Pioneer Network Partnership

• Educational Offerings

SECOND ANNUAL SYMPOSIUM

September 28, 2012Texas State University, San Marcos

Keynote Speakers:Karen Shoeneman of CMSRichard Taylor, PhD.

Topics: • The Dining Experience• Person-Centered Care Planning• Non-Verbal Communication Skills• Dance Therapy

WHERE DO WE BEGIN?

• Education – Gain Knowledge

• Sense of Urgency

• Get Inspired

• Get the Tools

• Get Others on Board

RESOURCES

• Picker Institute’s Long Term Care

Improvement Guide

• CMS “Artifacts of Culture

Change” Tool

• Action Pact’s “Culture Change in

Practice” Weblog

• Pioneer Network Webinars

• Eden Alternative Webinars

PICKER INSTITUTE’S LONG TERM CARE IMPROVEMENT GUIDE

• Culture Change Background

• Assessments

• Tools

• Practical Applications

• Online

• Free

http://www.residentcenteredcare.org/

ARTIFACTS OF CULTURE CHANGE ASSESSMENT

• Developed by CMS

• Gives practical focus and tips

• From Snacks to Self-Scheduling

• Online

• Free

http://www.artifactsofculturechange.org

OTHER RESOURCES TO EXPLORE

Old Age in a New Age: The Promise of Transformative Nursing Homes by Beth Baker

What are Old People For? How Elders Will Save the World by William H. Thomas, M.D.

The Journey of a Lifetime: Leadership Pathways to Culture Change in Long Term Care by Nancy Fox

Life Worth Living: How Someone You Love Can Still Enjoy Life in a Nursing Home by William H. Thomas, M.D.

The Silverado Story: A Memory-Care Culture Where Love is Greater than Fear by Loren Shook & Stephen Winner

A BETTER PLACE TO WORK…

A BETTER PLACE TO LIVE.

TAKE CULTURE CHANGE WITH YOU!

Small Steps Can Have a HUGE Impact!

DINING WITH DIGNITY

From Linda Bump, MPH, RD, LD

Action Pact

Listen to some descriptions and

examples of the dining experience…What

aspects do you see in your own community?

SOME FOOD FOR THOUGHT…

When I think of the dining experience of our residents:

I am most proud of...

I would most like to change...

In a perfect world of unlimited budgets and staff, my dream vision of dining in our home would be…

When I’m old, I want my meals to include…

Adapted from Action Pact’s workbook, Life Happens in the Kitchen by Linda Bump

THANK YOU!

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