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STANDARDS & CHECKLISTS
       MERRY GLEN: 2012
THERE’S A LOT GOING ON!!!

•   17 Residents
•   33 Staff
•   Dozens of Members
•   Hundreds of vendors/service people/STA drivers/Case
    Managers/etc/etc/etc

Every day the people who make up Merry Glen have
thousands of interactions with others.
EVERY TRANSACTION




Requires attention.
SO, HOW DO WE MAKE FEWER MISTAKES?

1. Have a clear set of
   expectations to be met.



1. Check outcomes against
   expectations.



1. Modify as necessary.
SO, HOW DO WE MAKE FEWER MISTAKES?

1. Have a clear set of
   expectations to be met.

1. Check outcomes against
   expectations.

1. Modify as necessary.
SO, HOW DO WE MAKE FEWER MISTAKES?

1. Have a clear set of       • Standards
   expectations to be met.

1. Check outcomes against    • Checklists
   expectations.

1. Modify as necessary.      • Coaching
STANDARDS
 EXPECTATIONS
STANDARDS

“A level of Quality or Attainment ” --Wikipedia

• Focused on outcomes that can be “measured”.

• Standards allow teams to excel and high performers to
  be recognized

• Without Standards, there are no “Rules”

• High Performing Teams DEMAND High Standards
WITHOUT STANDARDS

• People make things up as they go along

• Management looks ineffective as it doesn’t take
  consistent action

• Poor performers are rewarded same as strong ones

• People stop caring
YOU SET THE STANDARD

• Developing standards for various activities, times of day, job
 functions—Everything we do. (In Binder outside Doug’s
 office)

• Standards are set by the people who make them happen—
 YOU!

• Focused on team behavior…not an attempt to single out

• Always in draft form—make any comments on draft
 documents; ongoing review
IMPLEMENTING STANDARDS

• Following through on Standards requires ongoing
  evaluation

• Objective review of how Standards are implemented
  protect teams from accusations of poor performance

• Continuous review of Standards and how they are met
  are “how we get better”

• LOTS of Standards being compiled
CHECKLISTS
CONNECTING STANDARDS TO PERFORMANCE
WHAT’S IN A CHECKLIST

• A Sub-Grouping of Standards

• It is only a tool, not a solution in and of itself

• Standards are previously agreed upon

• Checklists are Objective—the Standard must be
  measurable and observable; anyone would find the same
  result
WHO COMPLETES A CHECKLIST?

Anyone at any time COULD complete a Checklist,
including a member of the Team who is
concerned/dissatisfied with Team performance.

Checklists are discussed and input recorded with
Team/Leads

Also implementing Coaches concept to allow for frequent
review of Standards
COACHING
REVIEWING & MODIFYING STANDARDS
COACHES

• Beginning with Four
    • Krystal, Ellen, Amanda, Doug


• Will be doing Checklists at various times throughout the
  day/throughout the week

• Information returned to Quality Assurance (QA) meeting
  to improve Standards/Policies/Processes

• Could be many more Coaches—Everyone a Coach!
COACHING AND ON-CALL

                  House On-Call                                      Medical On-Call

•   Routine staff scheduling assistance             •   Medical issues requiring consultation by
•   Emergency staffing as needed                        licensed personnel
•   Responding to logistical/support issues (i.e.   •   Emergency medical situations
    plumbing emergencies)
•   Coaching Duties




Ellen, Krystal, Amanda, Doug                        Karen, Empowering People (Nurse Delegators)
HOW DO WE DEAL WITH UNDERPERFORMERS?


                Positive Action Plans

Standards with Positive Action Plans make Teams
responsible for their own Performance

and

provides a method to improve
POSITIVE ACTION PLAN

• Like Standards, agreed to by Team Members

• Idea is to lift people up, not terminate them

• When the problem IS the Team member, it offers a way
  to correct or terminate worker
IMPLEMENTING
             POSITIVE ACTION PLANS
• Positive Action Plans are focused on Individual
  performance

• A step by step workplan to learn proper procedures,
  review them, and implement them

• If still no improvement…termination

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Standards and Checklists for Merry Glen

  • 1. STANDARDS & CHECKLISTS MERRY GLEN: 2012
  • 2. THERE’S A LOT GOING ON!!! • 17 Residents • 33 Staff • Dozens of Members • Hundreds of vendors/service people/STA drivers/Case Managers/etc/etc/etc Every day the people who make up Merry Glen have thousands of interactions with others.
  • 4. SO, HOW DO WE MAKE FEWER MISTAKES? 1. Have a clear set of expectations to be met. 1. Check outcomes against expectations. 1. Modify as necessary.
  • 5. SO, HOW DO WE MAKE FEWER MISTAKES? 1. Have a clear set of expectations to be met. 1. Check outcomes against expectations. 1. Modify as necessary.
  • 6. SO, HOW DO WE MAKE FEWER MISTAKES? 1. Have a clear set of • Standards expectations to be met. 1. Check outcomes against • Checklists expectations. 1. Modify as necessary. • Coaching
  • 8. STANDARDS “A level of Quality or Attainment ” --Wikipedia • Focused on outcomes that can be “measured”. • Standards allow teams to excel and high performers to be recognized • Without Standards, there are no “Rules” • High Performing Teams DEMAND High Standards
  • 9. WITHOUT STANDARDS • People make things up as they go along • Management looks ineffective as it doesn’t take consistent action • Poor performers are rewarded same as strong ones • People stop caring
  • 10. YOU SET THE STANDARD • Developing standards for various activities, times of day, job functions—Everything we do. (In Binder outside Doug’s office) • Standards are set by the people who make them happen— YOU! • Focused on team behavior…not an attempt to single out • Always in draft form—make any comments on draft documents; ongoing review
  • 11. IMPLEMENTING STANDARDS • Following through on Standards requires ongoing evaluation • Objective review of how Standards are implemented protect teams from accusations of poor performance • Continuous review of Standards and how they are met are “how we get better” • LOTS of Standards being compiled
  • 13. WHAT’S IN A CHECKLIST • A Sub-Grouping of Standards • It is only a tool, not a solution in and of itself • Standards are previously agreed upon • Checklists are Objective—the Standard must be measurable and observable; anyone would find the same result
  • 14. WHO COMPLETES A CHECKLIST? Anyone at any time COULD complete a Checklist, including a member of the Team who is concerned/dissatisfied with Team performance. Checklists are discussed and input recorded with Team/Leads Also implementing Coaches concept to allow for frequent review of Standards
  • 16. COACHES • Beginning with Four • Krystal, Ellen, Amanda, Doug • Will be doing Checklists at various times throughout the day/throughout the week • Information returned to Quality Assurance (QA) meeting to improve Standards/Policies/Processes • Could be many more Coaches—Everyone a Coach!
  • 17. COACHING AND ON-CALL House On-Call Medical On-Call • Routine staff scheduling assistance • Medical issues requiring consultation by • Emergency staffing as needed licensed personnel • Responding to logistical/support issues (i.e. • Emergency medical situations plumbing emergencies) • Coaching Duties Ellen, Krystal, Amanda, Doug Karen, Empowering People (Nurse Delegators)
  • 18. HOW DO WE DEAL WITH UNDERPERFORMERS? Positive Action Plans Standards with Positive Action Plans make Teams responsible for their own Performance and provides a method to improve
  • 19. POSITIVE ACTION PLAN • Like Standards, agreed to by Team Members • Idea is to lift people up, not terminate them • When the problem IS the Team member, it offers a way to correct or terminate worker
  • 20. IMPLEMENTING POSITIVE ACTION PLANS • Positive Action Plans are focused on Individual performance • A step by step workplan to learn proper procedures, review them, and implement them • If still no improvement…termination