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chayton-pereyra

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  1. Image Slide 1 On each slide of this presentation in the background says ”Telling the Story- Dare to be different.” Different is then crossed out and the word “Extraordinary” is put in it’s place.Picture of a young boy

  2. Image Slide 2Picture of a baby sleeping

  3. Looking Beyond the Routinetoward theRemarkable! Kenny Owings, Regional Vice-President On the bottom of each slide says ”Dare to be extraordinary”

  4. Beyond theRoutinetoward the Remarkable! Jump Start Your Culture Change

  5. The Routine • Rigid Routines where residents are expected to fit into facility schedule • Restricted Individuality • Restricted Options

  6. The Remarkable! Basic Values of Person Centered Care • Know Each Person • Put the Person before the Task

  7. Telling The Story Person Centered care means choices: • Fine dining • Spa bathing • Quality of Life • Neighborhoods

  8. Telling The Story Fine Dining • Menu choices • Dessert cart • Salad Bar

  9. Telling The Story Fine dining • Fine china • Linen table cloths and napkins

  10. Telling The StoryImages: Chef setting up the salad bar & Chef setting up the dessert cart

  11. Telling The StoryFigure is a table setting with a menu on the table and candles

  12. Telling The StoryFigure is a 4 place table setting with fine china and napkins.

  13. Telling The StoryFigure is a elderly woman eating dinner.

  14. What this Means to Our Residents is Dining with Dignity Elegance Independence Variety / Choices

  15. Image slide 3Figure is a graph of P&M Healthcare Early Adopters Family satisfaction - fine dining. In year 2006 53.5 % were satisfied with Quality of dining experience. Year 2007 56% were satisfied with quality of dining and Texas was 55% satisfied with dining experience.

  16. Enhanced Bathing • Plush bath robes • Scented lotions • Relaxing massage • Soothing music

  17. Telling The StoryFigure is a picture of a locker room. Picture is of a basketball goal.

  18. Telling The StoryPicture is of a bathroom. Picture is of a shower room.

  19. Image slide 4Picture of a woman in her bath robe in the bathroom.

  20. Telling The Story Beauty salon

  21. Telling The Story Beauty Salonvarious pictures of women in a beauty salon.

  22. What this Means to Our Residents is ContinuityinServices, Improved Self Image Which leads to Improved Quality of Life

  23. Telling The StoryPicture of people smiling. Quality of Life • Personal Quality of Life Specialist • Individual Attention • Frequent Family Communication • Consistent Service Delivery

  24. Telling The Story Quality of Life “The one thing I wanted for my 108th birthday was to ride in an airplane again. My friends here at Henderson Health & Rehab made my birthday wish come true” Cliff Hughes Picture of Cliff Hughes

  25. Telling The Story Quality of Life The bond that links your true family is not one of blood, but of respect and joy in each other’s life. Richard Bach. Pictures of elderly people enjoying themselves.

  26. Telling The Story Quality of Life “Ninety-Six years ago I learned to play piano by ear. In October I’ll be 101 and I play piano every afternoon!” Linnie Newsom Picture of Linnie Newsom playing the piano

  27. Telling The Story Quality of Life “Growing up I had 4 brothers, with my husband I had 3 sons and 4 grandsons. Here at Henderson Health & Rehab I feel like I have a house full of sisters to enjoy for the first time! Demetra Doss Picture of Demetra Doss

  28. Telling The Story Quality of Life Sarah Honneycutt Sulphur Springs Health and Rehabilitation Beauty Pagent Winner 2007 – 2008 Picture of Sarah Honneycutt

  29. Telling The Story Quality of Life Of all the music that reached farthest into heaven, it is the beating of a loving heart. Henry Ward Picture of a elderly man

  30. What this Means to Our Residents is Individual Attention Family Involvement Consistency in Service Delivery

  31. Image Slide 5P&M Healthcare Early Adopters Family Satisfaction - Quality of Life. Graph shows 7 different Quality of life standards and shows the differences between 2006, 2007, and Texas: First is "Respectfulness of staff", year 2006 68%, year 2007 73% and Texas 74% satisfied. Second "Care (Concern) of staff" year 2006 65%, year 2007 68% and Texas 67% satisfied. Third is "Resident- to- Staff Friendships, year 2006 68%, year 2007 75% and Texas 70% Satisfied. Fourth is "Resident to Resident Friendships" year 2006 69%, year 2007 70% and Texas 70% Satisfied. Fifth is "Choice/Preferences year 2006 61%, year 2007 63% and Texas 65% satisfied. Sixth is "Respect for Privacy" year 2006 63%, year 2007 68% and Texas 68% satisfied. Last is "Responsiveness of Management, year 2006 61%, year 2007 67% and Texas 62% satisfied.

  32. Clinical Practice Guidelines Quality of Life Date: Review Date: Revision Date: Policy It is the policy of this facility to conduct Quality of Life Rounds and Interviews of both resident and family to promote the highest mental, physical and psychosocial well being of the persons living with us. Fundamental Information Procedure • Department Heads will be assigned rooms. This Department Head will become the Quality of Life Specialist for these assigned rooms. • Rounds will be preformed each morning prior to the Stand-Up meeting. • Resident Interview Form and Quality of Life Rounds form will be completed during the morning rounds. • Quality of Life Specialists will report to the attendees the results of their rounds. • Any areas of concern will be addressed at the meeting and plans will be made to correct if not already corrected during the rounds. • Appropriate Department Head will take notes and make a plan to correct/prevent future occurrences. • Appropriate Department Head will take notes and make a plan to correct/prevent future occurrences. • The forms will be completed and turned in to the Administrator at the end of the week. • Administrator will maintain a notebook for these Quality of Life Rounds and interview forms. • The Family Interviews will be conducted monthly and as needed. • Results of these rounds and interviews will be reported to the QA QI Committee. Documentation Quality of life Rounds form Resident Interview Form Family Interview Form

  33. Quality of Life – Resident Assessment 1. How do you enjoy spending your time? ___________________________________ _______________________________________________________________________ 2. Would you like to continue to pursue those interests? ______________________ a. in a group setting or individually? __________________________________ b. (ask general questions r/t the answer they give). ______________________ _______________________________________________________________________ _______________________________________________________________________ 3. What type of work did you do? __________________________________________ 4. Would you like to continue doing those type of things? _____________________ _______________________________________________________________________ 5. What do you consider to be the 3 most significant accomplishments of your life? ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ 6. If you could do anything here, what would it be? ___________________________ _______________________________________________________________________ 7. We offer the following activities (hand them a calendar)…Would you enjoy participating in any of these group activities?________________________________ Quality of Life – Resident Assessment • How do you enjoy spending your time? • Would you like to continue to pursue those interests? a. in a group setting or individually b. (ask general questions r/t the answer they give). 3. What type of work did you do? 4. Would you like to continue doing those type of things? 5. What do you consider to be the 3 most significant accomplishments of your life? 6. If you could do anything here, what would it be? 7. We offer the following activities (hand them a calendar)…Would you enjoy participating in any of these group activities?

  34. Family Contact Form Name of Resident: ___________________ Name of Family Member:____________ Your Name: _______________________ Date: ____________ Questions Response Action Taken & Date 1. Do you have any concerns about ________________________ ____________________________________ the quality of care for your Loved _________________________ ____________________________________ one? 2. Is there anything I can do to make _______________________ ____________________________________ your Loved One feel more “at Home”? ______________________ ____________________________________ 3. (Ask at least one NEW personal question about their Loved One… such as: favorite color, food, hobby, animal, music, flower, movie, sport, drink, holiday, scent, time of day, etc.) ______________________ ____________________________________ 4. Is there anything that you would like to ask me? ______________________ ____________________________________ Name of Resident: Name of Family Member: Your Name: Date: Questions Response Action Taken & Date 1. Do you have any concerns about the quality of care for your Loved one? 2. Is there anything I can do to make your Loved One feel more “at Home”? 3. (Ask at least one NEW personal questionabout their Loved One… such as: favoritecolor, food, hobby, animal, music, flower, movie, sport, drink, holiday, scent, time of day, etc.) 4. Is there anything that you would like to ask me?

  35. Quality of Life RoundsFigure is a quality of life rounds worksheet. This worksheet would be something that the staff would fill out to verify that.

  36. Telling The StoryFigure is a slide that says titled Neighborhoods. Magnolia Lane, Weeping Willow Drive, Redbud BLVD. Live Oak Street. At the bottom of the slide it says: Companionship and Comaraderie.

  37. Telling The StorySlide is several pictures of the inside of facility. There are couches and tables in a nice sitting area.

  38. Telling The Story Quality of life Decorated with our Resident’s Interests in mind. Figure shows a room decorated with Elvis pictures and records hung on the walls.

  39. Telling The StoryFigure is two pictures showing computers and a game room for residents.

  40. Telling The StoryFigure is of a picture of a living room setting.

  41. Telling The StoryFigure is a picture of a sitting room with couches, coffee tables, end tables, lamps and nice plants.

  42. Telling The Storyfigure is of a elderly woman and a younger woman looking at a picture.

  43. What this Means to Our Residents… This feels like HOME!

  44. Image Slide 6Figure is of P&M Healthcare Early Adopters Family Satisfaction graph. The graph shows the difference between 2006, 2007, and the texas average. In year 2006 59.5%, year 2007 65% and Texas 64% satisfied.

  45. What this Means to Our Residents is Safety & Independence with Professional Services And Measured Outcomes

  46. Image Slide 7P & M Healthcare First Adopters Average Monthly CNA Turnover Graph; The graph shows the differences between 2005 and 2007. January 2005 9%, January 2007 10%; February 2005 7%, February 2007 8%; March 2005 18% March 2007 7%; April 2005 11%, April 2007 11%; May 2005 13%, May 2007 14%; June 2005 9%, June 2007 13%; July 2005 13%, July 2007 11%; August 2005 14%, August 2007 11%; September 2005 13%, September 2007 7%; October 2005 15%; November 2005 10%; December 2005 7%.

  47. Image Slide 8Employee Satisfaction Graph; Respectfulness of staff Texas 65% P & M Healthcare 82%; Overall Satisfaction Texas 55%, P & M Healthcare 70%; Recommendation for job Texas 55%, P & M Healthcare 70%; Recommendation for Job Texas 60%, P & M Healthcare 75%; and Adequacy of equipment/supplies Texas 55%, P & M Healthcare 58%.

  48. Image Slide 9Employee Satisfaction graph. Fairness of evaluations Texas 58%, P & M Healthcare 70%; Safety of workplace Texas 62%, P & M Healthcare 70%; Appreciation of supervisor Texas 55%, P & M Healthcare 70%; Care (concern) of Supervisor Texas 60%, P & M Healthcare 75%; Sense of accomplishment Texas 70%, P & M Healthcare 80%.

  49. Image Slide 10Employee Satisfaction Graph; Quality of Family-related training Texas 50%, P & M Healthcare 58%; Quality of resident-related training Texas 55%, P & M Healthcare 58%; Quality of Orientation Texas 58%, P & M Healthcare 60%; Quality of teamwork Texas 54%, P & M Healthcare 62%; Quality of in-sevice education Texas 62%, P & M Healthcare 65%; Communication by supervisor Texas 59%, P & M Healthcare 65%.

  50. Image Slide 11Employee Satisfaction Graph; Average Texas 55%, P & M Healthcare 65%; Assistance with job stress Texas 42%, P & M Healthcare 48%; Comparison of pay Texas 38%, P & M Healthcare 50%; Attentiveness of management Texas 45%, P & M Healthcare 52%; Staff-to staff communication Texas 48%, P & M Healthcare 52%; Care (Concern) of management Texas 48%, P & M Healthcare 55%.