The culture of long-term care is undergoing profound change. Philosopher Eric Hoffer once said, “In times of profound change, the learners inherit the earth, while the learned find themselves beautifully equipped to deal with a world that no longer exists.” I hope you will find something here that inspires you to either take your first step on the culture change journey, or your next one. Please contact me if you are interested in sharing your culture change experience.
Sam Plaster, State Culture Change Coordinator
Artifacts of Culture Change Tool
There is a tool available to help you assess your home’s progress on the culture change journey. With the assistance of providers, researchers, and contractor Carmen Bowman of Edu-Catering, the Centers for Medicare & Medicaid Services (CMS) developed the Artifacts of Culture Change assessment tool. Through funding from the Commonwealth Fund, the Pioneer Network developed an interactive web-based version of the Artifacts of Culture Change for providers to input and score their data online. Use of the tool is FREE. All identifying characteristics of your home are coded and only you can monitor your home’s progress. However, you can check out the trends in homes across the country. Look at homes like yours: Under 50 residents, 50 to 100 residents, more than 100 residents, in big cities, small towns, urban or rural, profit, not-for-profit, or government ownership, Medicare-Medicaid certified and a combination of characteristics of homes just like yours. For more information please visit http://www.artifactsofculturechange.org/ACCTool/
The Missouri Coalition Celebrating Care Continuum Change (MC5)
by Sam Plaster, State Culture Change Coordinator
The Patient Protection and Affordable Care Act passed by Congress in 2010 requires that all nursing homes develop Quality Assurance and Performance Improvement (QAPI) programs, ensuring that homes continuously identify and correct quality deficiencies as well as sustain performance improvement. While the Center for Medicare & Medicaid Services (CMS) has yet to promulgate the specific regulatory requirements, many homes are already initiating or improving their QAPI processes… to read more and view photos click here: MC5
Culture Change Linked to Reduced Survey Deficiencies in Nursing Homes
Nursing homes that have embraced culture change demonstrated a significant reduction in health-related survey deficiencies, a study shows. Deficiency citations fell by 14.6 percent between 2004 and 2009 in homes that have implemented culture change relative to a control group of non-culture change nursing homes. This study was published in a special supplement “Transforming Nursing Home Culture: Evidence for Practice and Policy” to the February 2014 issue of The Gerontologist. The abstract is available by visiting http://gerontologist.oxfordjournals.org/content/54/Suppl_1/S35.abstract.
MC5 Regional Meetings
Visit the Missouri Coalition Celebrating Care Continuum Change (MC5) website at www.momc5.com.
- March 11, 2014: West Central
Caring for Individuals with Alzheimer’s Disease in a Culture Change World
Presented by Alzheimer’s Association Heart of America Chapter, Education Director Michelle Niedens.
Location: Methodist Church, The Celebration Center, 1701 W. 32nd, Sedalia.
RSVP to Kathy Ray-Smith at firstname.lastname@example.org, 800-748-7826, or 660-747-3107.
- March 12, 2014: Northwest
Enhancing Communication: Dealing with challenging “behaviors” and the principles of person-centered care
Presented by Alzheimer’s Association Northwest Region Dementia Care Specialist Brenda Gregg.
Location: East Hills Library, 502 North Woodbine Rd., St. Joseph.
- March 12, 2014: Southwest
Webinar #2: Seeing & Relating to the Whole Person
Would you like to provide your staff with high quality training from world-renowned experts, but just can’t afford it? Now you can! MC5 and Primaris have teamed up to bring you the six part webinar series developed by Dr. Al Power and The Eden Alternative. Each meeting will include one of the hour-long webinars, followed by a learning session led by Primaris Program Manager Judy Halley, RN-BC, LNHA.
Location: Council of Churches, 627 North Glenstone Ave., Springfield.
RSVP to email@example.com.
- March 13, 2014: North Central
Music & Memory
Sunnyview Nursing Home and Apartments Assistant Administrator Matt Arthaud will present video clips that demonstrate the benefits of personalized music for individuals with dementia. The soon to be public documentary Alive Inside and the Music & Memory program will also be discussed. The presentation will be followed by a brief Learning Circle training and discussion.
Location: BTC Bank, 400 West Business 36, Chillicothe
RSVP to Judy Bagley at firstname.lastname@example.org, or call 660-748-4407.
Please view the flyer here: MC5 North Central 03-13-14
- March 14, 2014: East
Words Hurt: How Using Culture Change Language Improves Care
Presented by Lutheran Senior Services Director of Performance Improvement Joan Devine.
Location: Brentwood Community Center, Rm. 104, 2502 S. Brentwood Blvd., Brentwood.
Please RSVP by calling 314-432-3422.
- March 18, 2014: East Central
Using MDS 3.0 as an Engine for High Quality Individualized Care
MC5 East Central and Primaris Learning Collaborative
Please view the flyer here: MC5 East Central 03-18-14
Primaris Program Manager Nursing Home Services Alexis Roam, MSN, RN, will facilitate monthly meetings.
Location: The Centre, 1200 Holloway St., Rolla.
- April 1, 2014: Central
Overcoming Resistance to Change
Presented by University of Missouri Sinclair School of Nursing, Nursing Home Leadership Coach Dave Walker.
Location: N.H. Scheppers Distributing Co., The Clydesdale Room, 2300 St. Mary’s Blvd., Jefferson City.
- April 23, 2014: West
The Artifacts of Culture Change
Presented by University of Missouri Sinclair School of Nursing, Nursing Home Leadership Coach Dave Walker.
The Artifacts of Culture Change is an indispensable tool to assess a long-term care community’s progress towards providing person-centered care. The Artifacts provides concrete benchmarks for analyzing a home’s culture change journey. This presentation will explain the Artifacts of Culture Change and how to use it, as well as how to turn knowledge received through the Artifacts assessment into improved person-centered long-term care. The use of the Artifacts will assist long-term care communities in achieving better outcomes for residents in their care.
Location: Centerpoint Medical Center, East Auditorium, 19600 East 39th St., Independence.
RSVP to Kathy Vogt or Leslie Carter at 816-228-5655.
For more information about these regional meetings, please visit the Missouri Coalition Celebrating Care Continuum Change (MC5) website at www.momc5.com/regional-meetings.html.
One-Day Workshop: Honoring Personhood
March 13, 2014: Kansas City, Ks.
Study with experienced facilitator Megan Hannan to gain knowledge and learn ways of behaving that reinforce each individual’s sense of self. This workshop is approved for 6 hours of CEUs for administrators. Please view the flyer here: Action Pact’s Honoring Personhood March 13, 2014 or visit http://actionpact.com/calendar/event_details/honoring_personhood.
March 21, 2014: Conversations with Carmen
Guest: Dan Cohen, MSW, Founder and Executive Director of Music & Memory
Rooted in neuroscience research, the results are described as “nothing short of miraculous” and certainly contribute to efforts to reduce anti-psychotics. To learn more and register for this web-based talk show, please visit www.actionpact.com/calendar/event_details/conversations_with_carmen_webinar or click here to register.
From Inside Out: Gardens Meet Unmet Needs – Free Webinar
March 25, 2014: Focusing on specific case studies, Jack Carman of Design for Generations will discuss how communities have worked together to create exciting outdoor gardens that involve both a person-directed process and excellent outcomes. Please visit The Eden Alternative website at www.edenalt.org/component/option,com_registrationpro/Itemid,25/view,events/, or click here to register.
Strategies for Implementing a Fall Prevention Program that Works
April 10, 2014: Pioneer Network Webinar
In 2008, Empira, a Minnesota consortium of skilled nursing homes, implemented a program to prevent and reduce resident falls in fifteen of their homes. Register for this webinar and learn about the process and outcomes of Empira’s fall prevention program including how those homes became alarm-free, restraint-free, with corrected bed heights (no low beds), no floor mats, and the cautionary use of gripper socks.
Read more about this webinar and register by visiting www.pioneernetwork.net/Events/Webinars/HotTopics/.
Person-Directed Clinical Practices – A QAPI Strategy
A 3-part webinar series to strengthen and support person-directed care
This 3-part webinar series will highlight how implementing person-directed care actually strengthens and supports efforts to improve aspects of clinical care, and in turn, alignment with QAPI guidelines. Participants will learn how to work smarter, not harder, by creating a fully integrated quality improvement strategy that honors quality of life and overall well-being for all involved in the care relationship. To learn more, please visit http://www.pioneernetwork.net/Events/Upcoming/.
- April 14, 2014: Minimizing Preventable Illnesses
- May 14, 2014: Promoting Mouth Care for Health & Well-Being
- June 11, 2014: Reframing Rehabilitation & Therapeutic Support
One-Day Workshop: Food for Thought – The Deep Seated Issue of Choice
April 23, 2014: Kansas City, Ks.
This workshop focuses on resident-directed dining, bringing the principles and practices of the New Dining Best Practice Standards to your organization in an experiential and practical manner. If you are in households or neighborhoods, it will spark new energy in your teams and generate an excitement about resident-directed life. If you are committed to resident-directed life but still operate in a traditional organization, this workshop help you identify first steps and serve as a guide for your journey. Please visit http://actionpact.com/calendar/event_details/food_for_thought.
To learn more about Action Pact, click on the links below:
Pioneer Network’s 14th Annual Conference – Kansas City, Missouri
August 4 – 7, 2014: Journey to the Heartland
Pioneer Network’s 14th Annual Culture Change Conference, “Journey to the Heartland,” will be held at the Sheraton Kansas City-Crown Center in Kansas City, Mo. Visit www.pioneernetwork.net to learn more.
On the Road…to Culture Change
Good Shepherd Nursing Home
In February 2014, I visited Good Shepherd Nursing Home and Residential Care in Lockwood. Good Shepherd includes a 69-resident Medicare/Medicaid Certified skilled nursing home and 20-resident residential care home, operated by a not-for-profit nursing home district… to read more and view photos, click here: Good Shepherd Nursing Home.
In February 2014, I visited Chateau Girardeau in Cape Girardeau. Chateau Girardeau is a not-for-profit Continuing Care Retirement Community that was founded by the Presbyterian Church. The 40-acre campus includes 37 individual Independent Living homes, 99 Independent Living apartments, a 55-resident Assisted Living Home, and a 75-resident Skilled Nursing Home. The skilled nursing home includes a 16-resident short term rehabilitation neighborhood and 20-resident dementia neighborhood… to read more and view photos, click here: Chateau Girardeau
Rockhill Manor Assisted Living
In November 2013, I visited Rockhill Manor Assisted Living located in the historic Southmoreland District of Kansas City. Rockhill is a 190-resident home that serves individuals with chronic mental illness, including a 10-resident respite unit that provides a 30-day program under contract with Truman Medical Center Behavioral Health. They are licensed by both the Missouri Department of Health and Senior Services and the Missouri Department of Mental Health… to read more and view photos click here: Rockhill Manor Assisted Living.
Ravenwood – Assisted Living by Americare
In November 2013, I visited Ravenwood – Assisted Living by Americare. Ravenwood is a 55-resident home in Springfield, which includes The Arbors, a 15-resident special care home that serves individuals with dementia. They also provide adult daycare and respite care to support caregivers in the community… to read more and view photos click here: Ravenwood – Assisted Living by Americare
Lake Stockton Healthcare Facility
In October 2013, I visited Lake Stockton Healthcare Facility in Stockton. Lake Stockton is a 75-resident skilled nursing home and 37-resident assisted living home. The skilled home includes an 11-resident special care unit that serves individuals with dementia… to read more and view photos click here: Lake Stockton Healthcare Facility.