1. Resident Directed Living Choice Dining Development STRATEGIC OBJECTIVES – TACTICAL IMPLEMENTATION Resident Directed Living © Choice Dining Development STRATEGIC OBJECTIVES – TACTICAL IMPLEMENTATION Accelerating RDL Using Dining as Transformation Catalyst Teaching - Aligning Experiences - Expectations – Resources – Outcomes Spring Conference Helena, MT March 17, 2011

2. Agenda Process applied to define program Program evolutions Contribution & collaboration with evolving community services Planning to learn as we move 3/17/20112

3. Planning The only way to avoid mistakes is to gain experience. The only way to gain experience is to make mistakes. 3/17/20113

4. 4 Design Impact of Choice Aligning Current Culture with New Expectations – Look for Operational Solutions 1 st – Understand Nuances of Current & Evolving Cultures – Identify Conflict Points and Educate to Alleviate – Create Environment for “All Boats Rise” Experience – Leadership for Culture Transformation

5. 5 Service Impact of Choice Open Service and Schedule – Food Integrity & Safety – Service Flexibility – Decentralized Tasks to Allow for Staff Presence – Resident Centered Schedule – Seamless Environment Through Continuum – Transparent Use by Constituencies

6. Planning Discovery Recommend Execute Evaluate Words to initiatives Consciously apply protocols Honest 3/17/20116

7. Slide 7 MHA Spring Conference

8. Discovery Program Vision Team Functionality F-tag Analysis Operational Gap Analysis Community Visitation Comprehensive Capacity Review 3/17/20118

9. THE FIVE DYSFUNCTIONS OF A TEAM

10. Recommendation Report Defined Program Requirements Transition Planning Timeline for transition Initiatives for execution Operational Requirements Document 3/17/201110

11. Assessment Points for RDL Implementation Stages are defined against the requirements of: Administration: fiscal, management and leadership considerations Regulatory: compliance criteria (grouped by clinical and operational considerations) Systems: software programs, forms, policy & procedures, protocols Personnel: staffing requirements, training, HR. The impact on each care disciplines is identified by department PP&E: Property, Plant & Equipment necessary to perform the tasks and functions Community: Communications, Resident & Family education; community collaboration 3/17/201111

12. Program Grid Strategic Objectives Community of Distinction Financial Enhancement Quality of Living Quality of Work Operational Effectiveness Step #1 Strategic Objective Benefit Step #2 Benefit Measure Measurement Tool Step #3AdministrationRegulatoryOperationsPersonnelPP&ECommunity Operational Resource Requirements Budget Impact $/FTE’s Slide 12 MHA Spring Conference

13. Program Grid Strategic Objectives Community of Distinction Financial Enhancement Quality of Living Quality of Work Operational Effectiveness Step #4 Collaborating Departments Nursing Resident Services TherapiesPastoralHousekeepingMaintenanceActivities Task Step #5 Task Implementation Nursing Resident Services TherapiesPastoralHousekeepingMaintenanceActivities Procedure Policy Resource Requirement Inform/Train Measure Slide 13 MHA Spring Conference

14. 3/17/2011 Slide 14 MHA Spring Conference

15. 3/17/2011 Slide 15 MHA Spring Conference

16. Alignment The appropriate positioning of systems and resources to attain a defined goal, mission, outcome or culture 3/17/201116

17. 3/17/2011 Slide 17 MHA Spring Conference