culture change and person-centered care
DESCRIPTION
This presentation was developed by the Texas Culture Change Coalition to serve as a tool to inform others about the background and principles of culture change in long term care. Please feel free to use it as a whole or in part to inform others about the benefits of culture change.TRANSCRIPT
![Page 1: Culture Change and Person-Centered Care](https://reader035.vdocument.in/reader035/viewer/2022070302/548266aeb07959520c8b47ab/html5/thumbnails/1.jpg)
Culture Change and
Person-Centered Care
![Page 2: Culture Change and Person-Centered Care](https://reader035.vdocument.in/reader035/viewer/2022070302/548266aeb07959520c8b47ab/html5/thumbnails/2.jpg)
Culture Change
Background
Examples
Benefits
![Page 3: Culture Change and Person-Centered Care](https://reader035.vdocument.in/reader035/viewer/2022070302/548266aeb07959520c8b47ab/html5/thumbnails/3.jpg)
Culture Change: What is It?
National movement aimed at improving long term care services for elders and individuals
with disabilities.
![Page 4: Culture Change and Person-Centered Care](https://reader035.vdocument.in/reader035/viewer/2022070302/548266aeb07959520c8b47ab/html5/thumbnails/4.jpg)
The Three Components of Culture Change
Staff
OrganizationResidents
![Page 5: Culture Change and Person-Centered Care](https://reader035.vdocument.in/reader035/viewer/2022070302/548266aeb07959520c8b47ab/html5/thumbnails/5.jpg)
Core Principles of Culture Change
Self Determination
Purposeful Living
Belonging Choice
Support
Dignity
Sense of Community
Contributing
![Page 6: Culture Change and Person-Centered Care](https://reader035.vdocument.in/reader035/viewer/2022070302/548266aeb07959520c8b47ab/html5/thumbnails/6.jpg)
Where Did We Begin?The Institutionalized Model
Medical Model
System-Centered
Custodial Care Conformity
Task-Oriented
![Page 7: Culture Change and Person-Centered Care](https://reader035.vdocument.in/reader035/viewer/2022070302/548266aeb07959520c8b47ab/html5/thumbnails/7.jpg)
What Comes to Mind When You Think of a Nursing Home?
Fluorescent Lights
Sterile
Hospital BedsIntercom System
Nurses’ Station
Medicine Carts
![Page 8: Culture Change and Person-Centered Care](https://reader035.vdocument.in/reader035/viewer/2022070302/548266aeb07959520c8b47ab/html5/thumbnails/8.jpg)
Where Are We Headed?
In 2011, the first Baby Boomers reached age 65.
By 2030, 72 million people will be aged 65 or over.
![Page 9: Culture Change and Person-Centered Care](https://reader035.vdocument.in/reader035/viewer/2022070302/548266aeb07959520c8b47ab/html5/thumbnails/9.jpg)
A Need For ChangeLeading Organizations in Culture Change:
![Page 10: Culture Change and Person-Centered Care](https://reader035.vdocument.in/reader035/viewer/2022070302/548266aeb07959520c8b47ab/html5/thumbnails/10.jpg)
The Eden Alternative
Founded by Dr. Bill Thomas
End the Three Plagues Found in Nursing Homes:
HelplessnessLonelinessBoredom
![Page 11: Culture Change and Person-Centered Care](https://reader035.vdocument.in/reader035/viewer/2022070302/548266aeb07959520c8b47ab/html5/thumbnails/11.jpg)
Eden LifeLong Living
Applies the Eden Principles to individuals with disabilities.
![Page 12: Culture Change and Person-Centered Care](https://reader035.vdocument.in/reader035/viewer/2022070302/548266aeb07959520c8b47ab/html5/thumbnails/12.jpg)
Same Principles, Different Needs
Eden Alternative
Eden LifeLong Living
Nursing Home Residential Home
Elders Non-Elders
CNAs DSPs
Shorter Term Longer Term
Full Life Life Interrupted
Person-Directed Person-Centered
![Page 13: Culture Change and Person-Centered Care](https://reader035.vdocument.in/reader035/viewer/2022070302/548266aeb07959520c8b47ab/html5/thumbnails/13.jpg)
![Page 14: Culture Change and Person-Centered Care](https://reader035.vdocument.in/reader035/viewer/2022070302/548266aeb07959520c8b47ab/html5/thumbnails/14.jpg)
Person Directed
Person Centered
Staff Centered
Provider Directed
Person-Centeredness Continuum
Low HighPioneer Network
Listen to these dining examples. Where would they fit on the continuum?
![Page 15: Culture Change and Person-Centered Care](https://reader035.vdocument.in/reader035/viewer/2022070302/548266aeb07959520c8b47ab/html5/thumbnails/15.jpg)
What is the Goal?
Institutionalized Care
Individualized Care
![Page 16: Culture Change and Person-Centered Care](https://reader035.vdocument.in/reader035/viewer/2022070302/548266aeb07959520c8b47ab/html5/thumbnails/16.jpg)
Person-Centered Care
Know the Person
Individuality and Uniqueness of
Every Person
Empowerment
Responsive, Permeable Environment
Person Has Input About Wants
![Page 17: Culture Change and Person-Centered Care](https://reader035.vdocument.in/reader035/viewer/2022070302/548266aeb07959520c8b47ab/html5/thumbnails/17.jpg)
Daily Pleasures
![Page 18: Culture Change and Person-Centered Care](https://reader035.vdocument.in/reader035/viewer/2022070302/548266aeb07959520c8b47ab/html5/thumbnails/18.jpg)
Artifacts of Change
Staff recognition
Elimination of call systems
Resident Recognition
Staff and residents are at the center of the change process!
New Paint
Children
Animals
Plants
![Page 19: Culture Change and Person-Centered Care](https://reader035.vdocument.in/reader035/viewer/2022070302/548266aeb07959520c8b47ab/html5/thumbnails/19.jpg)
How Do We Get There?Empower Residents and Staff
Improve Quality of
Life
Feedback
Create Urgency
Have Knowledg
e Incorporate Artifacts of
Change
Improve Care
![Page 20: Culture Change and Person-Centered Care](https://reader035.vdocument.in/reader035/viewer/2022070302/548266aeb07959520c8b47ab/html5/thumbnails/20.jpg)
Does Culture Change Work?
YES!Research shows that
Culture Change implementation
increases quality of life and decreases
staff turnover.
![Page 21: Culture Change and Person-Centered Care](https://reader035.vdocument.in/reader035/viewer/2022070302/548266aeb07959520c8b47ab/html5/thumbnails/21.jpg)
The High Cost of Turnover
The direct cost of losing one direct care employee is $2,500.
![Page 22: Culture Change and Person-Centered Care](https://reader035.vdocument.in/reader035/viewer/2022070302/548266aeb07959520c8b47ab/html5/thumbnails/22.jpg)
One Study Proves….
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 18(1):61–76.
Nursing homes engaging in culture change can not only
improve their residents' quality of life, but can also
achieve better financial returns.
![Page 23: Culture Change and Person-Centered Care](https://reader035.vdocument.in/reader035/viewer/2022070302/548266aeb07959520c8b47ab/html5/thumbnails/23.jpg)
2004 200884%
86%
88%
90%
ControlCulture Change
Occupancy Rates
![Page 24: Culture Change and Person-Centered Care](https://reader035.vdocument.in/reader035/viewer/2022070302/548266aeb07959520c8b47ab/html5/thumbnails/24.jpg)
Culture Change adopters could expect to see an additional
$584,073 in revenue per year.
![Page 25: Culture Change and Person-Centered Care](https://reader035.vdocument.in/reader035/viewer/2022070302/548266aeb07959520c8b47ab/html5/thumbnails/25.jpg)
The Bottom Line
Better Trained and
Empowered Staff
Less Turnover
Better Care
Increased Resident and
Family Satisfaction
More Referrals
Doing What’s Right is Good Business.
![Page 26: Culture Change and Person-Centered Care](https://reader035.vdocument.in/reader035/viewer/2022070302/548266aeb07959520c8b47ab/html5/thumbnails/26.jpg)
A Better Place to Work…
![Page 27: Culture Change and Person-Centered Care](https://reader035.vdocument.in/reader035/viewer/2022070302/548266aeb07959520c8b47ab/html5/thumbnails/27.jpg)
A Better Place to Live.
![Page 28: Culture Change and Person-Centered Care](https://reader035.vdocument.in/reader035/viewer/2022070302/548266aeb07959520c8b47ab/html5/thumbnails/28.jpg)
Culture Change is NOT a quick fix or a marketing ploy.
It is the systematic change of an organization in order to
provide a better place to live and work.
![Page 29: Culture Change and Person-Centered Care](https://reader035.vdocument.in/reader035/viewer/2022070302/548266aeb07959520c8b47ab/html5/thumbnails/29.jpg)
What is the Key?
Complete Support From Leadership!
![Page 30: Culture Change and Person-Centered Care](https://reader035.vdocument.in/reader035/viewer/2022070302/548266aeb07959520c8b47ab/html5/thumbnails/30.jpg)
Take Culture Change With You!
Small Steps Can Have a HUGE Impact!
![Page 31: Culture Change and Person-Centered Care](https://reader035.vdocument.in/reader035/viewer/2022070302/548266aeb07959520c8b47ab/html5/thumbnails/31.jpg)
Great Culture Change Literature
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
![Page 32: Culture Change and Person-Centered Care](https://reader035.vdocument.in/reader035/viewer/2022070302/548266aeb07959520c8b47ab/html5/thumbnails/32.jpg)
Keep Up with Culture Change Happenings!
Changing Aging Blogstream:http://www.changingaging.org
Pioneer Network:http://www.pioneernetwork.net
Eden Alternative:http://www.edenalt.org
Eden LifeLong Living:http://edenlifelonglinving.org
Texas Culture Change Coalition:http://www.txccc.net/
The Picker Institute, Long-Term Care Improvement Guide:
http://pickerinstitute.org/wpcontent/uploads/2010/10/LTC_Improvement_Guide.pdf
Visit these websites for more information on culture change in long term care, where it is headed, and how you can be an agent of change!