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Karen Schoeneman, CMS Bonnie Kantor, Pioneer Network Gaius Nelson,  Nelson-Tremain Partnership Culture Change and the Physical Environment
What Culture Change Is About: ,[object Object],[object Object],[object Object],[object Object],[object Object]
Creating Responsive Systems includes. . . ,[object Object],[object Object]
In Practical Terms, Culture Change and Resident-Centered Care Result In… ,[object Object],[object Object],[object Object],[object Object]
Culture Change vs. Resident-Directed Care ,[object Object],[object Object]
Creating Responsive Systems includes. . . ,[object Object],[object Object]
Continuum of Person-Directedness Low High Developed by Mary Tess Crotty, Genesis HealthCare Corp, based on the model by  Susan Misiorski and Joanne Rader, distributed at the Pioneer Institutes, 2005. Provider  Directed Staff  Centered Person Centered Person Directed Mgmt.   makes most of the decisions with little conscious consideration of the impact on residents. S taff consult residents or put themselves in residents’ place while making the decisions . R esident preferences or past patterns form basis of decision making about some routines . R esidents make decisions every day about their individual routines. When not capable of articulating needs, staff honor observed preferences and lifelong habits. R esidents accommodate staff preferences; are expected to follow existing routines. R esidents accommodate staff much of the time—but have some choices within existing routines and options. S taff begin to organize routines in order to accommodate resident preferences—articulated or observed. S taff organize their hours, patterns and assignments to meet resident preferences.
Creating Responsive Systems includes. . . ,[object Object],[object Object]
 
National Long Term Care Life Safety Task Force
CMS Revisions to the Guidance to Surveyors:  (Interpretive Guidelines) ,[object Object],[object Object]
CMS and Culture Change ,[object Object],[object Object],[object Object],[object Object]
Moving away from tray service
Toward New Dining Styles ,[object Object],[object Object]
Tasty meatballs
Using the stove
Normal kitchen life
Even washing dishes
Isn’t this like home?
Moving away from rooms like this
To rooms like this, homey with personal decorations
wow
Moving from hallways like this
To a variety of homier spaces
 
Cat is nice, but this long hallway would be better with some chairs
CMS is getting the word out to surveyors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Regulations and Codes Grow and Change with Time and Innovation ,[object Object],[object Object],[object Object]
More CMS CC Efforts ,[object Object],[object Object],[object Object],[object Object]

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Cultural change in the physical environment

  • 1. Karen Schoeneman, CMS Bonnie Kantor, Pioneer Network Gaius Nelson, Nelson-Tremain Partnership Culture Change and the Physical Environment
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  • 7. Continuum of Person-Directedness Low High Developed by Mary Tess Crotty, Genesis HealthCare Corp, based on the model by Susan Misiorski and Joanne Rader, distributed at the Pioneer Institutes, 2005. Provider Directed Staff Centered Person Centered Person Directed Mgmt. makes most of the decisions with little conscious consideration of the impact on residents. S taff consult residents or put themselves in residents’ place while making the decisions . R esident preferences or past patterns form basis of decision making about some routines . R esidents make decisions every day about their individual routines. When not capable of articulating needs, staff honor observed preferences and lifelong habits. R esidents accommodate staff preferences; are expected to follow existing routines. R esidents accommodate staff much of the time—but have some choices within existing routines and options. S taff begin to organize routines in order to accommodate resident preferences—articulated or observed. S taff organize their hours, patterns and assignments to meet resident preferences.
  • 8.
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  • 10. National Long Term Care Life Safety Task Force
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  • 13. Moving away from tray service
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  • 20. Moving away from rooms like this
  • 21. To rooms like this, homey with personal decorations
  • 22. wow
  • 23. Moving from hallways like this
  • 24. To a variety of homier spaces
  • 25.  
  • 26. Cat is nice, but this long hallway would be better with some chairs
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  • 29.