In this section… Strategies for Growth in Nursing Home Culture Change Ideas Worksheet Phases of Culture Change Change Ideas for Bathing Considerations for Flexible Dining Services So you Have Decided to Implement a Buffet... Now What? Flexible Dining Services: Sample Policy Change Ideas for Death and Dying Change Ideas for Sleeping and Waking Morning Routine Group Exercise Change Ideas for Staff Consistent Assignments Change Ideas for Staff Orientation Change Ideas for Nursing Assistant Recruitment and Screening How to Implement a Peer Mentorship Program Change Ideas for On-the-Job Support for New Workers “I” Care Plans “I” Care Plan Template What would you like to do next? Use quality and process improvement tools to form a team Are you ready to create change? Return to the home page. Download Adobe Acrobat Reader to read PDF documents.	Change ideas Access an archive of change strategies for person-centered care in areas such as bathing, dining, death and dying, and sleeping/waking. Download ideas for recruiting and orienting employees, as well as how to provide employees with consistent assignments. Strategies for Growth in nursing home culture Learn more about culture change and person-centered care, and the support needed to facilitate growth in the organizational culture. PDF (72 KB) Microsoft Word (294 KB) Change ideas worksheet Use this worksheet to document successful changes and share them with the national nursing home community. Instructions for using this worksheet and how to share your strategies is included on page one of this document. PDF (35 KB) Microsoft Word (126 KB) Phases of Culture Change There is no cookie-cutter model for culture change. “What works best” is different in every nursing home’s unique environment. But there is a replicable process of establishing a shared vision and moving forward as an organization to create a home for elders. Use this resource to develop a process for implementing culture change ideas. From ActionPact. Internet Link Bathing change ideas Use the ideas in this document to create a positive individualized bathing experience, shifting from facility-directed to person-directed bathing. These changes may also reduce injuries to residents and staff caused by the current facility-centered bathing routines. From Primaris. PDF (54 KB) Microsoft Word (142 KB) Considerations for flexible dining services Use these questions to gather information and identify needs or areas of improvement for dining services. PDF (39 KB) Microsoft Word (128 KB) < So you Have Decided to Implement a Buffet... Now What? Have you taken all points into consideration before implementing a new meal-delivery strategy? Use this document as a guide for implementing buffet-style dining. PDF (67 KB) Microsoft Word (142 KB) < Flexible Dining Services: Sample Policy Flexible dining services allow residents to make more choices, typically increasing the level of satisfaction and intake of meals. This document contains a sample policy for flexible dining. PDF (32 KB) Microsoft Word (125 KB) Change ideas for death and dying Dying in a nursing home can be a cold, isolated event not in any way reflective of a celebration of one’s life. Use the ideas in this document to support people in dying with dignity/caring, and to acknowledge/console people in the nursing home community in their losses. From Primaris. PDF (59 KB) Microsoft Word (137 KB) Change ideas for sleeping and waking Residents are often awakened and put to bed according to the facility’s schedule, causing sleep deprivation and related symptoms in many cases. Use the ideas in this document to support residents’ health and well-being by helping them have deep sleep through the night by shifting from institutionally-driven routines to routines that follow people’s natural rhythms of sleeping and waking. From Primaris. PDF (63 KB) Microsoft Word (140 KB) < Morning routine group exercise Use the group exercise outlined in this document to help participants think about the importance of their own morning routines and how they would be affected if those routines were interfered with, as is typical for people living in nursing homes. PDF (38 KB) Microsoft Word (126 KB) Change ideas for consistent staff assignment When employees are not given a consistent assignment, they do not build relationships with their co-workers or with residents. Use the ideas in this document to strengthen and honor care-giving relationships. These strategies may also help stabilize staffing and establish strong relationships between residents and staff and among co-workers to provide continuity, consistency, and familiarity in care giving. From Primaris. PDF (65 KB) Microsoft Word (140 KB) Change ideas for staff orientation Many times, new nursing assistants pick up undesirable work habits from their peers rather than following facility protocol. Use the ideas in this document to modify your staff orientation process. From the Paraprofessional Healthcare Institute. PDF (56 KB) Microsoft Word (142 KB) Change ideas for nursing assistant recruitment and screening Many nursing homes experience high turnover rates among nursing assistants, especially during the first six months on the job, which can damage morale and resident/caregiver relationships within the organization. Use the ideas in this document to slow down the revolving door and build a stable, qualified nursing assistant workforce. From the Paraprofessional Healthcare Institute. PDF (55 KB) Microsoft Word (147 KB) how to implement a peer mentorship program Peer mentoring programs have long been used as a mechanism to transition new employees from novices to successful, knowledgeable employees. Use this “how to” document as a guide to developing and implementing a mentoring program. PDF (54 KB) Microsoft Word (138 KB) Change ideas for on-the-job support for new workers Use the ideas in this document to give new workers the support and training they need to become confident when doing the job, and help them become attached to the organization and to the people they are caring for and working with. From the Paraprofessional Healthcare Institute. PDF (56 KB) Microsoft Word (151 KB) “I” Care Plans This presentation explains the benefits of changing the culture of care planning – from one that follows the medical model to one that follows a new community model. PDF (65 KB) Microsoft PowerPoint (158 KB) < “I” Care Plan template Written in simple, non-medical language in the first person, “I” care plans are designed for use by all staff at the nursing home to provide personalized care to each resident. Use this document as a template for writing “I” care plans. PDF (35 KB) Microsoft Word (132 KB)
To Contact Us E-Mail: ltc@ohqio.sdps.org Provider QIC Line: 1.800.385.5080 Rock Run Center, Suite 100 · 5700 Lombardo Center Drive · Seven Hills, OH 44131 · www.ohiokepro.com Ohio KePRO, the Medicare Quality Improvement Organization (QIO) for Ohio, is working with committed hospitals, nursing homes, home health agencies, and physicians throughout the state who are dedicated to the common goal of Continuous Quality Improvement for Medicare beneficiaries. Publication No. 8001-OH-057-3/2006. This resource was prepared by Ohio KePRO, the Medicare Quality Improvement Organization for Ohio, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy.