culture change and person-centered care

Culture Change and

Person-Centered Care

Culture Change

Background

Examples

Benefits

Culture Change: What is It?

National movement aimed at improving long term care services for elders and individuals

with disabilities.

The Three Components of Culture Change

Staff

OrganizationResidents

Core Principles of Culture Change

Self Determination

Purposeful Living

Belonging Choice

Support

Dignity

Sense of Community

Contributing

Where Did We Begin?The Institutionalized Model

Medical Model

System-Centered

Custodial Care Conformity

Task-Oriented

What Comes to Mind When You Think of a Nursing Home?

Fluorescent Lights

Sterile

Hospital BedsIntercom System

Nurses’ Station

Medicine Carts

Where Are We Headed?

In 2011, the first Baby Boomers reached age 65.

By 2030, 72 million people will be aged 65 or over.

A Need For ChangeLeading Organizations in Culture Change:

The Eden Alternative

Founded by Dr. Bill Thomas

End the Three Plagues Found in Nursing Homes:

HelplessnessLonelinessBoredom

Eden LifeLong Living

Applies the Eden Principles to individuals with disabilities.

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

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?

What is the Goal?

Institutionalized Care

Individualized Care

Person-Centered Care

Know the Person

Individuality and Uniqueness of

Every Person

Empowerment

Responsive, Permeable Environment

Person Has Input About Wants

Daily Pleasures

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

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

Does Culture Change Work?

YES!Research shows that

Culture Change implementation

increases quality of life and decreases

staff turnover.

The High Cost of Turnover

The direct cost of losing one direct care employee is $2,500.

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.

2004 200884%

86%

88%

90%

ControlCulture Change

Occupancy Rates

Culture Change adopters could expect to see an additional

$584,073 in revenue per year.

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.

A Better Place to Work…

A Better Place to Live.

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.

What is the Key?

Complete Support From Leadership!

Take Culture Change With You!

Small Steps Can Have a HUGE Impact!

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

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!