Download - Culture Change and Person-Centered Care
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CULTURE CHANGE AND
PERSON-CENTERED CARE
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CULTURE CHANGE
Background
Benefits
TxCCC
Resources
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CULTURE CHANGE
National movement aimed at improving long term care services for elders and individuals
with disabilities.
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THE THREE COMPONENTS OF CULTURE CHANGE
Personal Organizational Physical
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THE INSTITUTIONALIZED MODEL
Medical Model
System-Centered
Custodial Care
Conformity
Task-Oriented
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CORE PRINCIPLES OF CULTURE CHANGE
Self Determination
Purposeful Living
Belonging
Choice
Support
Dignity
Sense of Community
Contributing
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PERSON-CENTERED CARE
Know the Person
Individuality and Uniqueness of Every Person
Empowerment
Responsive, Permeable Environment
Person Has Input About Wants
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A NEED FOR CHANGE
Leading Organizations in Culture Change
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THE EDEN ALTERNATIVE
Founded by Dr. Bill Thomas
End the Three Plagues Found in Nursing Homes:
HelplessnessLonelinessBoredom
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ANTIDOTES
Helplessness LonelinessBoredom
PurposeCompanionshipVariety
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EDEN LIFELONG LIVING
Applies the Eden Principles to individuals with disabilities.
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SAME PRINCIPLES, DIFFERENT NEEDS
Life InterruptedResidential HomeNon-EldersLonger Term
Full LifeNursing HomeEldersShorter Term
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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
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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
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WHAT IS THE KEY?
Complete Support From Leadership!
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Culture Change is NOT a:• quick fix• marketing ploy• new program
It is a process that creates a better place to live and work.
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CULTURE CHANGE SUCCESS
Research shows that Culture
Change implementation increases quality
of life and decreases staff
turnover.
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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.
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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)
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WHERE ARE WE HEADED?
In 2011, the first Baby Boomers reached age 65.
By 2030, 72 million people will be aged 65 or over.
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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/
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AWARENESS IS GROWING
Pioneer Network Reports 39 State Coalitions Today
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• History
• Our Principles
• Our Objectives
• Elders and Individuals with Disabilities
• Annual Symposium
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WHAT WE’VE ACCOMPLISHED
• First Annual Symposium
• Dr. Thomas Visit
• Pioneer Network Partnership
• Educational Offerings
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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
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WHERE DO WE BEGIN?
• Education – Gain Knowledge
• Sense of Urgency
• Get Inspired
• Get the Tools
• Get Others on Board
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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
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PICKER INSTITUTE’S LONG TERM CARE IMPROVEMENT GUIDE
• Culture Change Background
• Assessments
• Tools
• Practical Applications
• Online
• Free
http://www.residentcenteredcare.org/
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ARTIFACTS OF CULTURE CHANGE ASSESSMENT
• Developed by CMS
• Gives practical focus and tips
• From Snacks to Self-Scheduling
• Online
• Free
http://www.artifactsofculturechange.org
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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
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A BETTER PLACE TO WORK…
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A BETTER PLACE TO LIVE.
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TAKE CULTURE CHANGE WITH YOU!
Small Steps Can Have a HUGE Impact!
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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?
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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
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THANK YOU!
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