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Small House Models: Texas SVH Culture Change

Small House Models: Texas SVH Culture Change. Britta Strickland, R.N., L.N.F.A . Senior Vice President, Small House Development and Operations Touchstone Communities bstrickland@touchstone-communities.com www.touchstone-communities.com 210.287.1262. What ….

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Small House Models: Texas SVH Culture Change

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  1. Small House Models: Texas SVH Culture Change Britta Strickland, R.N., L.N.F.A. Senior Vice President, Small House Development and Operations Touchstone Communities bstrickland@touchstone-communities.com www.touchstone-communities.com 210.287.1262

  2. What… … is our current state of delivering care to veterans? So What…. … are we learning? Now what…. … can we do?

  3. What? = Situational Analysis What is our current state of delivering care to veterans? • Institutional (hospital model) care • Better satisfaction than non SVH, but… …is it TRULY person centered care? • Institutional (hospital model) care • Veterans may be more accepting of institutional care - ranks and authority - basic training - barracks - “sir, yes sir!”

  4. So What? = Lessons Learned So what are we learning? • Long standing traditions • Fear of change • Fear of the implications of change, usually financial in nature • No clear roadmap for the future

  5. Now What? = Action Steps Now what can we do? • If you can’t build or rebuild - Remove “brain barriers” and fear of change - Stop institutional practices • Care plans at bedside • When making decisions ask, “ is what we are about to decide resident centered of staff centered?” • Begin implementing “Neighborhood” or household practices • No staff rotations – it’s about relationships. • ALL staff members are assigned to a neighborhood - it’s about relationships, and not only with nursing personnel.

  6. Small House Care Whatit isn’t: • Independent Living Cottages • Just for domiciliary or AL residents • It’s NOT about the house

  7. Small House Care What it is: • Designed for frail or seemingly “healthy” skilled care residents • Residents involved in decision making • About elevating the bedside caregiver to a status that nears that of the residents’ status • Trust and confidence in the Super-trained, empowered CNAs • Leaders letting go – that’s a tough one!! • Private room dignity • Smells of home (bread baking, pot roast cooking, etc.) • A wonderful model for State Veterans Homes, and so much more for residents!

  8. Site Rendering

  9. Site Plan – Tyler Texas

  10. Small House Floor Plan

  11. Typical Resident Room

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