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Small House Models: Texas SVH Culture Change Britta Strickland, R.N., L.N.F.A. Senior Vice President, Small House Development and Operations Touchstone.

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Presentation on theme: "Small House Models: Texas SVH Culture Change Britta Strickland, R.N., L.N.F.A. Senior Vice President, Small House Development and Operations Touchstone."— Presentation transcript:

1 Small House Models: Texas SVH Culture Change Britta Strickland, R.N., L.N.F.A. Senior Vice President, Small House Development and Operations Touchstone Communities bstrickland@touchstone-communities.com www.touchstone-communities.com 210.287.1262

2 What… … is our current state of delivering care to veterans? … are we learning? So What…. Now what …. … can we do?

3 What? = Situational Analysis What is our current state of delivering care to veterans? Institutional (hospital model) care Better satisfaction than non SVH, but… Institutional (hospital model) care …is it TRULY person centered care? Veterans may be more accepting of institutional care - ranks and authority - basic training - barracks - “sir, yes sir!”

4 So What? = Lessons Learned So what are we learning? Long standing traditions Fear of change No clear roadmap for the future Fear of the implications of change, usually financial in nature

5 Now What? = Action Steps Now what can we do? If you can’t build or rebuild - Remove “brain barriers” and fear of change - Stop institutional practices  Care plans at bedside  When making decisions ask, “ is what we are about to decide resident centered of staff centered?” Begin implementing “Neighborhood” or household practices  No staff rotations – it’s about relationships.  ALL staff members are assigned to a neighborhood - it’s about relationships, and not only with nursing personnel.

6 Small House Care What it isn’t: Independent Living Cottages Just for domiciliary or AL residents It’s NOT about the house

7 Small House Care What it is: Designed for frail or seemingly “healthy” skilled care residents Residents involved in decision making About elevating the bedside caregiver to a status that nears that of the residents’ status Trust and confidence in the Super-trained, empowered CNAs Leaders letting go – that’s a tough one!! Private room dignity Smells of home (bread baking, pot roast cooking, etc.) A wonderful model for State Veterans Homes, and so much more for residents!

8 Site Rendering

9 Site Plan – Tyler Texas

10 Small House Floor Plan

11 Typical Resident Room

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