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The Commonwealth Fund 2007 National Survey of Nursing Homes Implications for Practice Bonnie S. Kantor, Sc.D Executive Director, Pioneer Network May 19, 2008
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Where Are We Now? From debate to conversation; Critical mass of adopters and strivers; Credible results confirming “it” works; But the barriers remain persistent.
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From Findings To Implementation What will it take to make resident-centered care the norm?
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Seven Opportunities We Are Ready To Address Further defining quality; Changing the national conversation; Helping leaders become change agents; Engaging, and empowering staff early and systematically.
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Seven Opportunities We Are Ready To Address (continued) Involving consumers; Adapting the physical environment; Creating a unified will.
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Opportunity #1: Further defining quality The values and principles underlying culture change: Know each person; Each person can and does make a difference; Relationship is the fundamental building block of a transformed culture; Respond to spirit, as well as mind and body;
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Opportunity #1: Further defining quality Continued Risk taking is a normal part of life; Put person before task; All elders are entitled to self-determination wherever they live; Community is the antidote to institutionalization; Do unto others as you would have them do unto you;
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Opportunity #1: Further defining quality Continued Promote the growth and development of all Shape and use the potential of the environment in all its aspects: physical, organizational, psycho/social/spiritual; Practice self-examination, searching for new creativity and opportunities for doing better; Recognize that culture change and transformation are not destinations but a journey, always a work in progress.
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Opportunity #2: Change the National Conversation… From what is wrong with nursing homes to thinking about long term care in terms of values.
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Linking Quality and Outcomes Resident-centered Adaptations Improved quality of care and measurable Financial success Opportunity for practice, research and policy to view quality and efficiency as interconnected outcomes.
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Opportunity #3: Address Identified Leadership Needs The importance of leaders as change agents in nursing homes that are both adopters and strivers.
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Opportunity #4: Engage Staff At All Levels Earlier and Systematically Expand the role of universities and colleges; Integrate culture change into education and training programs; Case Study: Nursing Home Administrators.
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Opportunity #5: Engaging Consumers Promising trends identified; Actively create advocates for change.
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Opportunity #6: Making the Nursing Home Feel Like Home Update on the Creating Home Symposium; Importance of activity on the state level; The role of the Culture Change Coalitions and LANES.
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Opportunity #7 Create a Unified Will to Proceed
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