The Cost and Quality of Culture Change

CLICK ON EACH SEGMENT ABOVE FOR MORE DETAIL.

For most stakeholders, it's intuitive to view person-directed practice as beneficial to the quality of care and quality of life of older adults. However, resulting positive organizational outcomes are often less obvious and more difficult to quantify. The above model represents early work in identifying investment areas in culture change and correlating investment to impact for both the elder and the provider of long-term care. The model begins with leadership commitment and is followed by highlighting areas of investment. The model then isolates variables associated with returns for the organization, staff and older adult. Working with this model, future analysis will further quantify these correlations to allow for more predictive modeling, estimates and benchmarking of culture change investments. Findings from case studies further describe each of the zones of the model. Click on the following headings to see examples and learn more about: LEADERSHIP, INVESTMENT, IMPACT and RETURN ON INVESTMENT.

Other Suggested Resources:
Case Studies
Cost and Quality Investigation
National Data Comparisons
AHRQ Innovations Exchange: Profile of Providence Mount St. Vincent
CMS Symposium Papers and Presentations on Environmental Transformations
Investing in Culture Change - Provider Cover Story 2008
Quality Partners of Rhode Island Staff Stability Toolkit
Steve Shield's Technical Brief on The Household Model Business Case