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Creating Home: The New Quality of Life Revisions to LTC Surveyor Guidance
Follow Up to the Webinar Series for Providers
Presented by Pioneer Network, American Association of Homes and Services for the Aging (AAHSA) and American Health Care Association (AHCA)
June 10 & 11 and June 17 & 18, 2009
Resource SectionOrganizations That Can Assist You
WEBINAR SPONSORS
Pioneer Network
Web site: www.pioneernetwork.net
Phone: 585-271-7570
Email: christie.dobson@pioneernetwork.net
Pioneer Network is the leading advocacy organization of the culture change movement. We work to create culture change in all settings where aging and supportive services are delivered. To advance these goals, Pioneer Network: supports public policy changes; supports research; collects and shares adaptable practices and procedures that put the person before the task; creates communication, networking and learning opportunities; coordinates with state coalitions; and hosts a national conference.
A 501c (3) not-for-profit organization based in Chicago, Illinois,we are dedicated to making fundamental changes in values and practices to create a culture of aging that is life-affirming, satisfying, humane and meaningful.
American Association of Homes and Services for the Aging (AAHSA)
Website: www.aahsa.org
Phone:(202) 783-2242
Email: info@aahsa.org
The members of the American Association of Homes and Services for the Aging (AAHSA) help millions of individuals and their families every day through mission-driven, not-for-profit organizations dedicated to providing the services that people need, when they need them, in the place they call home. Our 5,700 member organizations, many of which have served their communities for generations, offer the continuum of aging services: adult day services, home health, community services, senior housing, assisted living residences, continuing care retirement communities and nursing homes. AAHSA's commitment is to create the future of aging services through quality people can trust.
American Health Care Association (AHCA)
Web site: www.ahcancal.org
Phone: 202-842-4444
Email: info@achancal.org
The American Health Care Association (AHCA) is a non-profit federation of affiliated state health organizations, together representing more than 10,000 non-profit and for-profit assisted living, nursing facility, developmentally-disabled, and subacute care providers that care for more than 1.5 million elderly and disabled individuals nationally.
WEBINAR PRESENTERS' ORGANIZATIONS
Action Pact, Inc.
Web site: www.culturechangenow.com
Phone: 414-258-3649
E-mail: lavrene@actionpact.com (LaVrene Norton)
Specializing in the area of organizational design and leadership development in long-term care culture change, Action Pact promotes the philosophy of creating a learning organization in which residents, families and staff can learn and grow together-- something we call High Involvement. A learning organization is vital to accomplishing culture change, person-centered care, resident-directed care, neighborhoods — in other words — a good daily life for the residents who live where you work.
Action Pact is the foremost leader in the Household Model, having assisted most of the early adopters in their transformations -- and works directly with organizations committed to this profound change, often beginning work with them at the visioning stage and aiding them throughout the difficult work of environmental and organizational design, change of culture, operational changes of systems processes, and development of new skills – including technical, self-led team, people and process skills.
B & F Consulting, Inc.
Web site: www.BandFConsultinginc.com
Phone: 401-245-0965 (Barbara Frank) or 860-546-6181 (Cathie Brady)
E-mail: Bfrank1020@aol.com or Cbrady01@snet.net
B & F Consulting helps providers with the "how" of change by walking people through how to bring staff together, examine daily operations, and systematically reframe and re-organize the day-to-day of nursing home life. B & F supports providers to take on small and large changes in a "learn by doing" way — where providers learn a process for change, and staff members develop skills for change, that can then be applied to future efforts. B & F customizes services to meet provider needs, whether it be stabilizing staffing, initiating or re-energizing culture change, or building systems to support quality improvement. B & F helps providers build skills and systems to support inclusive leadership, supportive workplace practices and resident-centered caregiving.
B & F provides consultation, facilitation, education, and strategic planning services to individual care providers, state associations, culture change coalitions, state survey agencies, quality improvement organizations, ombudsman and other advocacy organizations, and workforce intermediaries. B & F works with regional, company-wide, and statewide collaboratives toward common goals for improvement related to workforce retention, culture change, or clinical outcomes. In these learning collaboratives where providers come together periodically, B & F provides expert content while facilitating individual and group learning.
PHI (formerly Paraprofessional Health Care Institute)
Web site: phinational.org/training
Phone: 718-928-2077
E-mail: todservices@PHInational.org
Caring is by its very nature something that happens within a relationship — that's why PHI refers to its work as "building skills for relationship-centered care." We help direct-care and professional staff build quality caregiving relationships that are the heart of quality care.
PHI provides a full range of consulting and training services to help you assess your existing culture, plan for change, and implement new organizational structures, leadership and staff roles, and individualized caregiving practices. Our strength is in building leadership, communication, and problem-solving skills that support person-directed models of caregiving.
Design Concepts Unlimited
Website: www.betsybrawley.com
Phone: (415) 332-8382
Email: Betsybrawley@att.net
As an author and internationally recognized expert and industry leader in environmental design for aging, Elizabeth C. Brawley, AAHID, IIDA, CID, is available for speaking presentations and workshops on how well designed healthcare environments do make a difference. She also conducts environmental assessments to help clients identify assets and problems, and prioritize problems for more effective design planning. Betsy is also available to help clients and staff develop detailed information about the size and use of spaces, how many people will use the space, and how these spaces relate to each other. She will help you with critical and often overlooked detailed evaluations of activities and activity programs to insure activity spaces are effectively designed and detailed to maximize participation.
Betsy uses good design, space planning, knowledge of special products and finishes and the skill to turn your vision into a reality that supports healthy aging. She is also available to review and critique your plan which is an opportunity to pick up missing details and improve on design solutions you have already planned, and ultimately determine if the design will function the way it should. In terms of outdoor spaces, Betsy helps you with therapeutic garden planning as almost any outdoor space can be designed or modified for an inviting, friendly, successful garden - especially for persons with dementia. Good design, activity programs, and getting program staff engaged in beneficial outdoor activities that work increase opportunities for fresh air, sunshine, and exercise that improve health and quality of life.
To find a lighting designer, Betsy recommends contacting The Center of Design for an Aging Society at 503-292-2912.
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Pioneer Network
offers additional
resources that you
may find helpful.
Getting Started:
A Pioneering Approach
to Culture Change in Long-term Care Organizations
Household Matters:
A Good Life 'Round the Clock: A Compendium for the New Horizon of Long-term Care
A Tale of
Transformation:
DVD and Workbook
CMS DVD
Integrating
Individualized Care
and Quality
Improvement:
A Four Part Series
For a
complete selection
of products,
go to the
Pioneer Network
Store
Additional
Resources
on this web site:
For Providers
Resources & Links
State Coalitions
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ADDITIONAL NATIONAL RESOURCES
EDU-CATERING: Catering Education for Compliance and Culture Change
Website: www.edu-catering.com
Phone: 303-833-1492 or 303-981-7228 (Carmen Bowman)
E-mail: Carmen@edu-catering.com
Edu-Catering is a consulting, public speaking and training company. With former surveyor as well as CMS surveyor-trainer experience and national culture change expertise, all consulting and training blends regulatory compliance with innovative and person first practices. Consultation and training is offered regarding the work of all departments and disciplines and all aspects of survey and regulatory requirements for nursing homes, assisted living and adult day programs. In other words, direct surveyor training is brought directly to staff empowering them with the knowledge of what regulations actually require and what they do not. As an author on the following subjects, training is available on: Quality of Life: The Differences Between Deficient, Common and Culture Change Practices; Regulatory Compliance and Culture Change; Living Life to the Fullest: A Match made in OBRA 87; Changing the Culture of Care Planning: a person-directed approach; Creating Home (environment culture change features), Softening the Assessment Process; and You Hold the Key to a Vibrant Daily Life.
With certifications in Validation Therapy, consultation in dementia care and Validation technique training is also provided. With experience as an activity professional, consultant and course instructor, consultation is available regarding providing meaningful engagement rather than "activity programs", assessing and care planning activity interests instead of "problems," and identifying a person's highest practicable level of well-being as required by Tag F279. As a co-developer of the Artifacts of Culture Change tool, training on its items and use is available.
I.D.E.A.S., Inc.
Website: www.ideasconsultinginc.com
Phone: 440-256-1880
E-mail: MCalkins@IDEASconsultinginc.com (Maggie Calkins)
I.D.E.A.S., Inc., is committed to assisting organizations in the creation of more supportive settings for older people, particularly those with Alzheimer's disease and other dementias. We firmly believe that successful care settings are grounded in a clear philosophy which directly impacts all aspects of the setting, from specific care practices, to operational systems such as meals and laundry, to staff training, to the design of the physical environment—inside and outside. I.D.E.A.S., Inc. is a multi-disciplinary firm, with expertise in architecture, sociology and aging, occupational therapy, speech and language pathology and health care administration. Our dedicated team of professionals is specially trained to assist facilities in articulating their philosophy and model of care, which can then be refined into a set of prioritized therapeutic goals. These goals then serve as the basis for making decisions at all levels of care planning and implementation, including design decisions.
I.D.E.A.S., Inc. is also committed to the value of systematic research as a foundation for our consulting activities. Over two-thirds of our annual budget comes from research grants, primarily from the National Institute on Aging and the National Institute of Mental Health. Recent grant activities include creating a low-cost alternative to traditional environmental consultation services for settings for people with dementia and the development of training videos for caregivers of people with HIV-associated dementia. Current research projects include an exploration of the impact of different models of care on special care units, the role of therapeutic kitchens, and a two year evaluation of a newly constructed, innovative nursing home. I.D.E.A.S., Inc. also maintains a comprehensive library on environmental issues related to elders, along with a product resource library of products available for both the home and alternate care settings.
Institute for Caregiver Education
Website: www.caregivereducation.org
Phone: 717-263-7766
E-mail: skump@caregivereducation.org
The Institute for Caregiver Education is a non-profit organization dedicated to transforming eldercare from a clinical model to a social model of care, known as "Person-Centered Care." The Institute's team works with eldercare organizations across the country to guide them through Culture Change transformation. Whether you are an Administrator looking for information about how to bring Culture Change to your residents, a staff development director who needs Culture Change focused in-service products, or, would like specific education in one area, we are here to help. Our team has successfully guided many organizations into and through the Culture Change journey.
Piñon Management
Website: www.pinonmgt.com
Phone: 303-937-3088
E-mail: nschwalm@pinonmgt.com (Nancy Schwalm)
Piñon Management offers culture change consultation with the individual elder as well as the business model in mind. We believe merging person-directed care with successful operations is achievable and necessary. Piñon's nationally-recognized team of interdisciplinary consultants offer proven quality service and care models, strategies on incorporating culture change throughout the entire corporate organization and innovations in care delivery that reach today's consumer. Piñon offers onsite education and individualized consultation focused on the unique needs of each care community we serve. Piñon offers Eden education and mentoring services, in conjunction with the Eden Alternative, Inc. Piñon's "Rhythms"™ educational program offers a dynamic culture change framework for the younger individual and those with mental illness being served in long term care communities.
Planetree Continuing Care
Website: www.planetree.org
Phone: 203-732-1365
E-mail: hgil@planetree.org (Heidi Gil)
Planetree is a non-profit organization that provides education and information in a collaborative community of health care organizations. Planetree's comprehensive quality improvement process is a vehicle to support compliance with the new CMS interpretive guidelines. The process engages residents/patients, staff, families, board members, volunteers, and physicians in navigating the opportunities for improvement and provides a structure for systemic change. Through a variety of mechanisms, including organizational assessments, leadership training, and staff and resident retreats, all stakeholders are actively involved in creating the community's strategic vision. Nursing homes along with retirement living and assisted living communities that join Planetree Continuing Care have the opportunity to be recognized for achieving sustainable change through our designation program.
The Eden Alternative®
Website: www.edenalt.org
E-mail: registry@edenalt.org
The Eden Alternative® is a not-for-profit organization dedicated to transforming care environments around the world to habitats for human beings that promote well being rather than facilities for the frail and elderly. It is a powerful tool for improving the quality of life for Elders and for recapturing a meaningful work life for those that serve them. The vision of The Eden Alternative® is to eliminate loneliness, helplessness and boredom. Our mission is improving the lives of the Elder and their Care partners by transforming the communities in which they live and work.
The Eden Alternative® principle-based philosophy enables the transformation from the institutional approach of care to creating a community where life is with worth living. Led by our internationally-recognized founder, Dr. William Thomas, we use our 15 years of experience to help guide organizations through the culture change journey. The initial step to any culture change journey is to prepare the leaders for their new role in the implementation process. Steps are laid out for leaders on how to begin to spread the Eden Alternative philosophy throughout the home, preparing the staff to take a more active role in moving forward through empowerment, moving decisions to the elders and growth for all. By using the most innovative practices being seen in homes right now we help organizations prepare for the personal, organization and physical transformation.
THE GREEN HOUSE® Project
Website: www.ncbcapitalimpact.org/default.aspx?id=146
Phone: 703-647-2313
E-mail: aortigara@ncbcapitalimpact.org (Anna Ortigara)
The Green House® Project works with organizations to create Green House® homes which are small intentional communities for a group of elders and staff intended to support the most positive elderhood possible. Life is centered in a small house that is warm and green. Power moves to the elder with life revolving around the daily rhythms of the day. Workforce redesign empowers the Shahbazim (direct care staff) to work in self-mananged work teams while entering into powerful relationships with elders. Quality of care is advanced by involvement of nurses and the Clinical Support Team in partnership with elders, families and Shahbazim. These homes support a skilled nursing and assisted living level of care.
Wellspring
Website: www.WellspringProgram.org
Phone: 410-381-1176, ext. 220 (Charlotte Eliopoulos)
E-mail: charlotte@HealthEd.net
Wellspring is an evidence-based model of culture change that was launched in 1994. Since that time, nursing homes with diverse profiles have used Wellspring to implement lasting changes in clinical and managerial practices that have enhanced the quality of life for nursing home residents and the quality of work for frontline staff. Recognizing that many nursing homes are unable to presently make significant changes to their physical plant, Wellspring provides guidance to assist nursing homes in achieving crucial elements of culture change within current physical structures. The focus is on organizational change that requires a substantial facility commitment. Frontline staff receives quality education and are coached on how to collect relevant data, critically evaluate information and finally, implement processes that improve care. Nurse consultants serve as clinical experts to oversee the program and provide implementation guidance and support. Networking among participating nursing homes provides a dynamic experience of sharing and encouragement.
Wellspring offers a Culture Change Launch Program consisting of onsite educational programs, nurse consultation via e-mail for one year and the monthly Wellspring e-letter; Individual Wellspring Workshop and Consultation Services based on an individual home's needs and desires; and opportunities for nursing homes to be part of a 10-member Alliance that includes a number of programs and services. |
OTHER WAYS PIONEER NETWORK CAN HELP:
Speaker's Bureau
Pioneer Network staff, Board members and other culture change experts are available to speak to your organization about culture change, person centered care and all of the topics covered by the new interpretive guidelines: Call or e-mail Christie Dobson at 585-271-7570 or christie.dobson@pioneernetwork.net
Needs Assessment
Not sure what you need, call Cathy Lieblich at 407-514-1815 or email cathy.lieblich@pioneernetwork.net and we will help you determine what you need and help you access it.
State Culture Change Coalitions
For individuals and organizations located in your state that can provide information and assistance, contact your state culture change coalition. Click here to find out if your state has such a coalition. If you are interested in starting a coalition in your state, contact cathy.lieblich@pioneernetwork.net
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