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Pilot Project Kick-Off

“The How of Change”

Thursday, September 23, 2010

8:30 a.m. – 3:30 p.m.

Croasdaile Village, Durham, NC

Overview:

Change is easier to accomplish when people can share ideas and experiences with peers. “The How of Change” is a collaborative learning session where long-term care providers will gather to work in small groups to explore ways to improve care and services to their residents.

Objectives:

1. Teach a change process that can be applied to any change toward individualized care
2. Explore how to help new residents feel at home in their first few hours and days
3. Use culture change to improve services and outcomes, and succeed at MDS 3.0 and QIS
4. Apply quality improvement processes to enhancing food service

Contents:

1. The How of Change – This practical approach to Culture Change is the framework to move facilities/organizations from their desires and ideas for change to putting these ideas into action. The core lesson of the How of Change is that it’s not just what you do, but how you do it. Once participating organizations learn an effective change process, this can be applied to any change efforts. Participants will get practical ideas they can put right to use.
2. Individualized Care: The Pathway to Clinical Improvement – When we individualize services to accommodate residents’ normal ways of life, residents do better than when they have to follow daily routines based on a facility schedule. Sometimes trying to keep up with the institutional schedule actually contributes to residents’ decline. This session will use a case study to explore how that can happen and what can be done about it.
3. The First 24 Hours – Working well with residents and their families in the first days of their move into a long term care facility will pay off throughout their stay. This topic will help organizations look at their current practices from the perspective of the resident and identify ways to help the first days and nights go well. The session will show the link to MDS 3.0 and how good practices from the start lead to good clinical outcomes throughout the stay.
4. Expanding Food Services – Adequate nutrition is the linchpin to both quality of care and quality of life. Expanding food services includes expanding the timing of meals, making food available throughout the day, liberalizing diets, and individualizing food choices. It guides homes to support people to have more of what they normally eat, at times they are accustomed to. Participants will learn how to use Quality Improvement practices to improve meal service, workflow, presentation of food, timing and the social environment.
5. Advancing Excellence – This topic connects the work of the collaborative with a national initiative to improve quality of resident care. The national initiative takes an integrated approach, focusing first on workforce stability and individualized care as a means of improving clinical outcomes. It guides participants to choose areas to work on, measure their current outcomes and set targets.

Faculty: Cathie Brady, MA and Barbara Frank, MPA, B&F Consulting

Please note that registration for this session is now closed.  However, we wanted to share the learning collaborative overview, so you can learn more about our culture change project and its impact locally.