an overview of culture change l.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
AN OVERVIEW OF CULTURE CHANGE PowerPoint Presentation
Download Presentation
AN OVERVIEW OF CULTURE CHANGE

Loading in 2 Seconds...

play fullscreen
1 / 17

AN OVERVIEW OF CULTURE CHANGE - PowerPoint PPT Presentation


  • 345 Views
  • Uploaded on

AN OVERVIEW OF CULTURE CHANGE Presented by The Tennessee Department of Health Carol Mace, BS July, 2008 Carol.Mace@state.tn.us Definitions of Culture: “Culture is a shared system of values, beliefs, symbols, and practices.”

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'AN OVERVIEW OF CULTURE CHANGE' - andrew


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
an overview of culture change
AN OVERVIEW OF CULTURE CHANGE

Presented by

The Tennessee Department of Health

Carol Mace, BS

July, 2008

Carol.Mace@state.tn.us

definitions of culture
Definitions of Culture:
  • “Culture is a shared system of values, beliefs, symbols, and practices.”
  • “Culture is the predominating attitudes, beliefs, values and underlying assumptions that characterize an organization.”
    • Eden Alternative Training Manual
culture change advocates
CULTURE CHANGE ADVOCATES
  • Advocates
    • Eden Alternative
    • Pioneer Network
    • Wellspring
    • TDH, BLHCF, HCF & CMS(!)
  • Models
    • Green House
    • Household
culture change
CULTURE CHANGE
  • Brings the spirit of OBRA '87 fully to life
  • Involves the old “keep them safe and healthy” but adds “happy”
  • Emphasizes the resident by:
    • Not making the resident adapt to the institution, but rather
    • The institution adapts to the resident
  • This is the basis of Resident-Centered Care
culture change5
CULTURE CHANGE

De-emphasizes the medical institutional model that is:

  • Based on hospital care
  • Takes over for a totally incapacitated patient
  • Takes full responsibility for patient's health

Emphasizes the Social Model which assumes:

  • Residents are not patients but individuals
  • Residents are not totally incapacitated
  • Resident can make decisions & choices
elements of culture change
Elements of Culture Change
  • Resident-Centered care
  • Empowerment of residents and staff
  • Consistent assignment

Encourages Growth for

    • Staff
    • Residents
  • Allows/encourages Choices and Risks

(to a reasonable degree)

  • Universal Workers
emerging culture change trends
Emerging Culture Change Trends
  • Private resident rooms and bathrooms
  • Flexible dining hours and menu selections
  • Pets welcomed and encouraged
  • Bathing done in private, warm rooms, or in resident’s room
  • Management that encourages resident & staff input
  • Resident & staff empowerment
resident choice
RESIDENT CHOICE
  • Not defined, but encouraged, in the federal regulations
  • Also not defined, but encouraged, in the state regulations
cc focuses on
CC FOCUSES ON
  • Consistent assignments
  • Leadership training for direct care workers
  • Includes direct care workers on management team
  • Self-managed work teams‏
  • Staff Self-Scheduling‏
  • Enhanced dining experience
  • Breaking down large units into small
cc limitation
CC LIMITATION...
  • Culture change can only succeed if the culture surrounding places of LTC also changes. This requires engaging:
    • Management & Direct Care Staff
    • Families
    • Medical Professionals
    • Elders
cc trickle down theory
CC TRICKLE DOWN THEORY
  • As administration treats management staff, so shall management staff treat frontline staff
  • As management staff treats frontline staff, so shall frontline staff treat residents
benefits of culture change
BENEFITS OF CULTURE CHANGE
  • Reduced Staff Turnover
  • Reduced Use of Psychotropic Meds.
  • Reduced Use of Restraints
  • Reduced Training Costs
  • Reduction in Resident Behaviors
  • Increased Census
  • Increased Resident & Family Satisfaction
national cc initiatives
NATIONAL CC INITIATIVES
  • CMS Liaison in each CMS Regional Office
  • Advancing Excellence in NH Campaign
    • QIO’s, AHCA, AHSA, SSA
  • CMS-Pioneer Network Conferences
    • AIA Guidelines Re-write
    • NFPA Codes Re-write
    • Requested list of changes to CMS LTC rules
  • RWJ Grant to NCB Capital for Green House Replication Initiative Project
tenn cc initiatives
TENN. CC INITIATIVES
  • LTC Community Choices Act of 2008, PC1190
  • Advancing Excellence in NH State Campaign
    • THCA, TNAHSA, THA, TDH, COAD, TNCARE, NH, Consumers
  • BLHCF Grants first AIA waivers 7/9/08 for home-like duplexes replacement NH
  • TN Eden Alternative Coalition
    • Sponsors CEA & Other Trainings, Research
    • Quarterly Meetings
    • Culture Change Lending Library, free Eden Handbooks
  • 2 Green House Replication Initiative Projects
    • Ave Maria, Memphis
    • Jefferson Co. NH, Jefferson City
implementing cc
IMPLEMENTING CC

Don’t be afraid to implement changes to enhance resident’s lives! Just remember to:

  • Communicate, communicate, communicate with:
    • SSA RO on planned changes
    • SSA FS & plans review staff on renovations
    • Families, residents & staff
  • Document, document, document in:
    • Resident’s record (choices, personalized activities, etc.)
    • Facility policies & procedures (dining, activities, menus, pets, etc.)
  • And help them dance!
slide16

CULTURE CHANGE WEBSITES

TN DOH Eden Alternative Grant Assistance Program:

http://health.state.tn.us/HCF/eden.htm

Eden Green House Replication Initiative Project: 

http://www.ncbcapitalimpact.org/default.aspx?id=146

Eden Alternative Home Office:

http://www.edenalt.org/

TN Eden Alternative Coalition:

http://www.tneden.org/

Pioneer Network:

http://www.pioneernetwork.net/

Advancing Excellence in NH Campaign:

http://www.nhqualitycampaign.org/

CMS Survey & Certification Online Courses:

http://cms.internetstreaming.com/nologin/

the end
THE END!
  • QUESTIONS?
  • COMMENTS?
  • CC ACTIVITIES TO SHARE?