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
Person-Directed Webinar Series
September 21, 2015: Opening Our Eyes to a Person-Directed Culture
October 1, 2015: Communicating in a Person-Directed Culture
October 27, 2015: Rolling Out the Person-Centered Care Tool with Advancing Excellence
November 5, 2015: Learning from the Experts: Using Data to Improve Care with Abramson Center
November 19, 2015: Engaging Lives – It’s So Much More than Bingo!
MOLANE (Missouri Local Area Network for Excellence) is part of the Advancing Excellence in America’s Nursing Home Campaign. MOLANE and MC5 are sponsoring this five part webinar series on the topic of person-directed culture. And it’s FREE!
Advancing Excellence in Long-Term Care Collaborative Presents Disrupt Infections
October 9, 2015: Disrupt Infections: Creating a Community of Prevention
Location: Meramec Bluffs, Ballwin, MO
This workshop explores how creating commUNITY immUNITY in the care setting can help break the web of infection in simple, practical ways. It also describes a continuum of organizational infection prevention, raising awareness of how acceptance of some current practices inhibits additional practical actions that would better disrupt infections. Attendees will have an opportunity to start developing an organizational plan for infection prevention with elevated steps to apply to their usual infection care routines. Lynda Crandall (CEO of Pioneer Network), Carol Scott (Executive Director of Advancing Excellence), and Dr. Bill Thomas (founder of the Eden Alternative and Green Houses) will be presenting the 2-hour production.
Please see the brochure here or the link on Advancing Excellence’s website here, or the Dr. Bill Thomas’ Disrupt Infections web page here. You may also click here to go directly to the registration page.
Age of Disruption Tour
October 9, 2015: Aging: Life’s Most Dangerous Game
Location: Kranzberg Arts Center-Black Box Theater, St. Louis, MO
Join Dr. Bill Thomas and musical guest Nate Silas Richardson for an entertaining and highly disruptive evening exploration of aging as part of his national Age of Disruption Tour. His message is invigoratingly simple – the transition into our elder years should not be spent in frenzied disharmony. In order to play “life’s most dangerous game” successfully we need to re-imagine and create clear and satisfying purpose to how we spend the rest of our lives.
Care Planning for Resident Choice
The assessment of risk in long-term care is often an unbalanced exercise. In order to optimize opportunities for resident choice; to attain each resident’s highest practicable level of well-being; and to mitigate risk, the Rothschild Foundation has created a task force. This group is charged with developing a care planning process to plan for each resident’s choice when that choice carries potential risk.
For more information, including the pilot summary and process, please visit the MC5 resource page here.
MC5 Regional Meetings
Central (Jefferson City/Columbia)
East Central (Rolla)
North Central (Chillicothe)
Northwest (St. Joseph)
Route 71 (Nevada)
Southeast (Cape Girardeau)
West Central (Sedalia)
Person Centered Care Tips
Tip # 1: Where’s the Focus?
Just as a “selfie” is all about YOUR SELF, Person-Centered Care is all about the PERSON! So why are we looking at Person-Centered Care? Please see the flyer here for more information.
Tip # 2: My Life! My Choice!!
As we take a “selfie” and examine ourselves, we see the things that are important and unique to us. We have a favorite color, a hairstyle we prefer, and favorite foods we love to eat. We make many choices each day that make us satisfied or happy. Please see the flyer here for more information.
Tip # 3: Care Conferences: Developing a portrait of the person
Care Conferences are the ultimate “selfie!” The conference is an opportunity to really examine the person and their preferences and needs. Please see the flyer here for more information.
Tip # 4: Consistent Staffing
Think of yourself in a new and unfamiliar situation, surrounded by unfamiliar faces. Imagine this happens almost every day. It feels like starting out in a new high school over and over again. Who are all these other people? How will I remember their names? There are so many strangers-what do they really know about me? Now, imagine you also have dementia. Please see the flyer here for more information.
Tip # 5: The Power of Huddles: Making sure we all see the same picture
As in football, a caregiver huddle gathers to briefly exchange information, share observations and develop strategy. Use huddles to pass insights about what really helps each resident feel comfortable and understood, so that all caregivers are equipped to provide the best person centered care. Please see the flyer here for more information.
Tip # 6: Me in My New Home
Just as a “selfie” is about YOU, Person-Centered Care is all about the PERSON! Think of yourself in an unfamiliar situation. Finding the bathrooms and where to get a cup of coffee or a bite to eat is likely a top priority. And by the way… who are all these people and how will I remember their names? Please see the flyer here for more information.
Tip # 7: Don’t Call Me “Honey!”
Have you listened to yourself and the words you use? Not only the words, but also the way you say them may be condescending to people. Using person-centered language is one of the essentials in changing our culture. Please see the flyer here for more information.
Tip # 8: Please Pass the Hot Sauce
Food preferences along with the way meals favored (and sometimes flavored) depend on the individual. Dining should be about more than nutrition. Please see the flyer here for more information.
Tip # 9: The Power of Meaningful Activities
We all need to have a purpose: to be needed, to make a difference, to be a part of something. It is no different for those living in long-term care. Helping residents find meaning and purpose in their daily life is not just the Activity Director’s job. Find out what makes an activity meaningful, according to what each resident values. Please see the flyer here for more information.
Tip # 10: Simple Pleasures: Preferences and Choices
Learn how to honor each person’s “Simple Pleasures.” Personal preference is essential in almost every piece of our lives. Honoring a resident’s choice and discovering their likings can make a big difference in their lives. Please see the flyer here for more information.
New Dining Standards Toolkit Available Now from Pioneer Network
Medical evidence from recent research studies has demonstrated that restrictive diets for elder individuals in long-term care are of little benefit, and in fact can be detrimental. Please visit www.pioneernetwork.net/Store.
Alive Inside Movie is Now Available to Purchase
Alive Inside: A Story of Music & Memory is now available on Netflix, DVD and Blu-ray! Click here for more information.
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 www.artifactsofculturechange.org/ACCTool/
On the Road…to Culture Change
Dolan Memory Care Homes (Update)
The Neighborhood at Les Maisons consists of four assisted living homes located on a private cul-de-sac in St. Louis. They are owned and operated by Dolan Memory Care Homes. The homes are named after French cities, Calais Manor, Clermont Manor, Lourdes Manor, and Lyon Manor. Each home has…to read more and view photos, click here: Dolan Memory Care Homes
In April 2014, University of Missouri Nursing Home Leadership Coach Dave Walker and I led a staff, resident, and family team in completing the Artifacts of Culture Change assessment at Parc Provence. Parc is a 140-resident skilled nursing home that specializes… to read more and view photos, click here: Parc Provence.
Lincoln Community Care Center (Update)
In 2011, I visited Lincoln Community Care Center (LCCC), a 66-resident skilled nursing and 14-resident assisted living home located in Lincoln. Recently, Administrator Donna Bowers invited me back to share the changes that have taken place since. I visited again in March 2015. One of the first things I noticed was… to read more and view photos, click here: Lincoln Community Care Center Update.
Marshfield Care Center
In February 2015, Section for Long-Term Care Regulation Communications Representative Leslie Sebastian and I visited Marshfield Care Center and Marshfield Place. Marshfield Care Center is a 77-resident skilled nursing home and Marshfield place, next door, is… to read more and view photos, click here: Marshfield Care Center.
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 … to read more and view photos, click here: Chateau Girardeau.