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Part VI- Sustaining Culture Change

Part VI- Sustaining Culture Change. “ One isn’t necessarily born with courage, but one is born with potential.” “Without courage, we cannot practice any other virtue with consistency. We can’t be kind, true, merciful, generous or honest.” Maya Angelou. Leadership.

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Part VI- Sustaining Culture Change

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  1. Part VI- Sustaining Culture Change

  2. “One isn’t necessarily born with courage, but one is born with potential.” “Without courage, we cannot practice any other virtue with consistency. We can’t be kind, true, merciful, generous or honest.” Maya Angelou

  3. Leadership The ultimate goal of leadership and staff empowerment: • Help your resident to be successful throughout their day • Norton Shields Change Matrix: “Build commitment, develop skills, empower workforce”

  4. Leadership • According to Steve Shields and LaVrene Norton, the Household Model only works if decision-making and all care-related systems are decentralized and brought close to the elders. • Caregivers report to self led work teams • “Versatile workers”

  5. Leadership Norton Shields Change Matrix-Categories of Change • Personal • Leadership • Organizational • Physical or Environmental

  6. Leadership Norton Shields Change Matrix-Stages of Change • Pre-contemplation • Contemplation • Preparation • Action • Sustainability

  7. Leadership • Review and revise: • Decision making processes • Lines of authority • Accountability • Communication systems and expectations • Education • Staffing

  8. Leadership • Personal Transformation “Put the right person on the right seat on the right bus” • Develop leadership team • Review all job descriptions • Eden Philosophy-Care Partners • Career ladders • Educate all staff regarding philosophy of culture change • Provide education and resources- policies, best practices, books, websites • Team building activities –Learning Circles • Ensure that you reach all staff ( night shift, part time, etc) • With empowerment comes accountability

  9. Leadership • Organizational and Leadership Transformation • Review and revise Mission Statement • Review all policies/practices/routines • Revise or eliminate if not supportive of the organization’s philosophy and commitment to culture change

  10. Leadership • Organizational and Leadership Transformation • Recognize strengths and opportunities for improvement • “Top down” hierarchy is not compatible with culture change

  11. Leadership • Leadership roles and responsibilities within the household or unit • Accountability • Consistent staffing • Elder involvement in staffing assignments • Self scheduling

  12. Sustainability • Artifacts of Culture Change tool • Various resources/policies • Long term care improvement guide • Developed by the Picker Institute and Planetree • Has checklist for evaluating organization’s current status in focused areas • Life Enhancement Coach job description

  13. Sustainability How will you help your organization to embody culture change- how will you help your organization to sustain and go further? • Opportunities for meaningful engagement daily • Create community with staff and residents • Elders decide on activities and pursuits

  14. QUESTIONS ???

  15. Works Cited Action Pact, LLC. Action Pact. N.p., n.d. Web. September 2011. <http://www.actionpact.com> AHHI. N.p., n.d. Web. September 2011. <http://www.ahhi.org> CNA HealthPro. Continental Casualty Company, 2004. Web. September 2011. <http://www.cna.com/healthpro> Dalai Lama and Howard C. Cutler. The Art of Happiness. Print Eden Alternative. N.p., n.d. Web. September 2011. <http://www.edenalt.org> Eden LifeLong Living. N.p., n.d. Web. September 2011. <http://www.edenlifelongliving.org> Ibasho. N.p., n.d. Web. September 2011. <http://www.ibasho.org> “Long Term Care Improvement Guide”. Picker Institute and Planetree, n.d. Web. September 2011. <http://www.planetree.org> Picker Institute. N.p., n.d. Web. September 2011. <http://pickerinstitute.org> Pioneer Network. N.p., n.d. Web. September 2011. <http://www.pioneernetwork.net> Planetree. N.p., n.d.. Web. September 2011. <http://www.planetree.org> Shields, Steve and LaVrene Norton. In Pursuit of the Sunbeam. Print. The Commonwealth Fund. N.p., 2004-2011. Web. September 2011. <http://www.commonwealthfund.org> Thomas, Bill. What are Old People for? Print. <http://www.culturechangenow.com>

  16. Thank You Amy Ruedinger, RN, RAC-CT Pinnacle Innovative Healthcare Solutions, LLC (920) 609-7997 E-mail: pinnaclemds@yahoo.com E-mail: amy@pinnacleinnovativesolutions.com ~Facilitating Peak Performance in Senior Health and Housing ~

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