Concurrent Session A

Tuesday, August 7, 11:00am – 12:30pm

Measuring Person-Centered Care: Initial Findings from Quality Profile Pilot Testing Across a Spectrum of Long-Term Care Settings

This session presents formative information on the Quality Profile instrument, a quantitative measure of person-centered care, including findings from pilot testing. Session participants will learn how the Quality Profile was developed. Additionally, the streamlined protocol for collecting and reporting Quality Profile data will be described, with an exhibition of the online data reporting mechanism developed by My Innerview. Furthermore, initial results will be reported, including changes in Quality Profile scores over time. Finally, strategies for utilizing Quality Profile results, in coordination with satisfaction survey data and findings from focus groups, will be described, with illustrative examples from pilot sites.

Guide: Heidi Gil, Planetree

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Sustaining Culture Change: Keeping Your Eyes on the Future in a Look-Back World

A look at attitudes, ways of thinking, and concrete strategies for maintaining forward momentum and staying out in front with your care practices when the regulatory focus of traditional nursing home culture constantly tries to pull you back. Emphasis will be on promoting excellence in nursing care within the context of a person-directed culture.

Guide: Kathryn Anderson, Providence Mount St. Vincent

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More than a Meal: Blending Service and Hospitality in a Culture Change Environment

Research continues to uncover the centrality of dining to building community. Still, many organizations struggle to create dining experiences that elders crave. Servers have a direct effect on resident's emotional well-being, quality of life, and company's bottom line. When a server is educated on how to communicate properly at mealtimes, genuine connections are made and residents gain a feeling of respect, appreciation, and a sense of belonging. As a bonus -- so do servers. Wherever your community resides on the culture change journey you will benefit from hearing of Villa Crest's secrets to dining success.

Guides: Cindy Heilman, Higher Standards, LLC
Sarah McVoy, Villa Crest Nursing and Retirement Center

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Energize Your Interior Design for Powerful Person-Centered Outcomes

This presentation advances the interior design initiatives including and beyond "Artifacts of Culture Change" to engage specific user groups, including program participants, residents and their families, those more and less independent and cogent or experienced fragmented attentiveness. Areas and features emphasized are consistent with the values of personalization, freedom of movement, choice and sensory richness. Interior design is extended to staff and family participants as a means of cuing participation, way finding and making more of person-to-person time. Examples are derived from original research prepared for this session.

Guides: Lorraine G. Hiatt, Planning, Research and Design for Aging

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Embracing Resident Centered Care: Beyond the Nuts and Bolts

Have you ever heard someone speak of something as "second nature" – something they know so well that it's almost a part of them? How wonderful it would be if the values of Culture Change were "first nature" in each of us! This session invites participants to evaluate their progress on the journey and to experience learning tools and resources to help them deepen their walk in Culture Change.

Guide: Beth Gerlach, Garden Spot Village

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Team-based Approaches to Improve Work Organization and Care: Applying Lessons from the Rutgers Learning Collaborative

"Learning organizations" engage employees in team-based problem solving and encourage free communication of ideas among employees and between employees and managers. Participants in the Rutgers collaborative experience interacting as part of a "learning organization": direct care staff, nurses and managers have worked together to identify barriers to employee satisfaction and have completed projects resulting in improved communication and more person-centered care. In this interactive session, participants will experience learner-centered training, analyze key components of their own work organization and consider the benefits and challenges of integrating strategies that can help LTC settings become "Learning Organizations."

Guides: Michele Ochsner, Rutgers University, Occupational Training & Educations Consortium (OTEC)
Lisa Slater, Francis E. Parker Home, Inc.,

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Repositioning for the Future

We must reposition ourselves for the future in order to survive and flourish. Those who do not are putting themselves in peril. The presenters will challenge us to think about the new models of service in relation to the communities we serve. They will share ideas on how to research the future that will be demanded by the next generation of residents, and detail the steps of gathering data and interpreting the market. They will suggest methods of assembling and managing an integrated planning team to work within a powerful planning process and share real world situations.

Guides: Martin Dickmann, Action Pact Development
Steve Shields, Action Pact Development

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Clinical Leadership in Culture Change: Maximizing the Potential

This session will discuss the importance and value of creating a strong clinical leadership presence and how this promotes the journey of culture change. The audience will gain insight into one process of creating and retaining clinical leadership. Also, they will learn about the challenges and successes experienced at Meadowlark Hills in creating a Clinical Council. Through this session, the audience will be able to compare this to their own experiences and possibly apply the overall philosophy to their own organization.

Guides: Michelle Gambrel, Meadowlark Hills
Robert Dickson, Meadowlark Hills

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Culture Change Collage: A Laboratory of Love, Learning, and Laughter in the Long-Term Care Setting

This session introduces the concept of integrated and simultaneous activities, which respect personal preferences and go beyond the bounds of the traditional hour-long large group one-size-fits-all activities. We will demonstrate ways to make traditional large group activities more engaging and person-centered. Participants will take on the role of the resident as they try on creative hands-on activities and experience the excitement of "dancing" with the natural disruptions of the long-term care experience.

Guides: Jytte Lokvig, Ph.D., Alzheimer's Café
Kareen King, The Golden Experience™

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Navigating Through the Pot Holes on the Bridge: What to Do When It's Not Always a Smooth Ride!

On the journey to person centered care, everything doesn't always go right. Over the past 5 years, the communities at Lutheran Senior Services have encountered many obstacles while on the road to culture change. We have taken the wrong road, made some wrong turns and sometimes ended up in places we never expected or wanted to be. In this session, we will share stories of our experiences and how we learned the value of assuring that there is process behind our passion. We will share stories of how we have gotten back on track – how to deal with mishaps and find our way back on track.

Guides: Sherry King, Heisinger and St. Joseph's Bluffs /Lutheran Senior Services
Jill Layne, Lenoir Woods / Lutheran Senior Services
Joan Devine, Lutheran Senior Services
Paula Lee, St. Joseph Bluffs

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A Little Less Talk & A Lot More Action: CARE WI Members, Milwaukee's Culture Change Coalition Present Their Person-Centered Care Projects

In September 2011, CARE WI Members took different approach to their Culture Change meetings… the hands-on kind! Members devised person-centered care projects that they would lead in their own organization. CARE WI meetings provided ongoing support to those in the midst of a project, those just starting one, as well as those looking for ideas and gathering more information. Each member submitted a project description that demonstrated organizational support. The Person-Centered Projects included "A Plant for Every Person," Resident-Centered Med Pass, Engaging Elders in Research Agendas, Evaluating Lighting, and Intro to Nursing Homes 101.

Guides: Addie Abushousheh, CARE WI / Association of Households International
Nancy Tischer, CARE WI / Saint John's on the Lake

Panel: Teresa Wendelberger, Mitchell Manor Adult Day Services
Eileen Messnick, Alliance Pharmacy
Rosina Bloomingdale, Pillar Design Group
Genevieve Liesemeyer, Pillar Design Group
Brian Nelson, New York Life

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Beyond the Front Door: An Evaluation of the Household Model

In this session, two providers and an architect have performed Post-Occupancy Evaluations on several communities that have integrated Culture Change. The presenters will re-assess the effectiveness of this operational model. They will give an overview on how the household concept differs from traditional nursing homes and explain how to find the "best fit" to facilitate change. The architect and provider will highlight specific design features about households, and provide an assessment of what works, what doesn't, and improvements that could be made.

Guides: Vernon Feather, SFCS Inc.
Dr. Ron Sawatsky, Rockhill Mennonite Community
Aundrea Leonard, Rockhill Mennonite Community

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Redefining Employee Roles in a Culture Change Framework

During this session, attendees will explore the role of traditional job descriptions and performance evaluations. Are they helping organizations create deep and lasting culture change? How can the language and ideas of culture change be woven into these documents to guide employees to a new way of thinking and acting? New options and ideas will be shared to inspire attendees to drive culture change language into their human resource systems.

Guides: Carol Ende, The Eden Alternative
Denise Hyde, The Eden Alternative

How the New 2012 Advancing Excellence in America's Nursing Home Campaign Goals Can Help With Your Culture Change Journey

Join us for an informative session that will provide a comprehensive overview of the Advancing Excellence Campaign. Already into its 5th year, this innovative national quality improvement campaign has over 50% of America's nursing homes registered. You will be guided through how to take full advantage of the treasure trove of FREE resources and tools, learn about the exciting new 2012 Campaign goals, and identify ways you and your staff can prepare for the new Quality Assurance/Performance Improvement program soon to be mandated by CMS. Attendees will find resources to help their nursing home on their Culture Change

Guide: Carol Benner, Advancing Excellence In America's Nursing Home Campaign

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Workforce: Creating Real Teams for Real Transformation 

In THE GREEN HOUSE® model power moves to the elders and those closest to them, the Shahbazim. This session will explore the development of self-managed teams of the Shahbazim (direct care staff), building reciprocal relationships with nurses, and being supported by coaching leaders to achieving elder-centered homes. This session will explore with a panel of staff from Jefferson County Green House homes their journey in building and implementing this team-based model. Current clinical, financial and research outcomes will be woven into the presentation. 

Guides: Anna Ortigara, NCB Capital Impact
Susan Frazier, The Green House Project/ NCB Capital Impact

Panel: Samantha Warren and other team members from Jefferson County Health Care