The Culture Change Journey

1. Person Directed Cu l ture Change Person Ce n tered Care The Culture Change Journey

2. What is Culture?

3. The Culture Change Journey • Institutional Care • Task oriented • Schedule driven • Medical model driven • Resident • Centered Care • Resident choice in planning care • Shows movement in culture change journey • Resident • Directed Care • Resident choice directs lifestyle, care, systems, daily routine. • Staff choice influences the way the home is run JOURNEY

4. Three domains of Person-Directed Care • Care practices • Workplace practices • Environment

5. What is Person Directed Care? • It’s a philosophy that says the person is more important than the system and • the system should serve the needs of those within it.

6. Create systems within which individual choice is honored Promote a climate where all thrive, flourish, and grow Promote the abilities and optimal level of function for all people Support the integration of quality of life and quality of care by focusing on the Holistic Model. Promote quality improvement as a responsibility of all staff. Care Practices

7. Make the creation of meaningful and lasting relationships a priority (staff, residents, family) Provide opportunities for individuals to make empowered decisions and take greater responsibility Develop teams that will guide the organization to continuous improvement. Resolve to be a learning, sharing community Workplace Practices

8. Environment • Commit to improve surroundings to promote a sense of home and community. • The environment must support the the relationships between the domains. • A beautiful environment does not equal quality of care or quality of life.

10. The PDSA Cycle for Learning and Improvement

11. Person Directed Care is… • Asking • Listening • Honoring individual preferences • Promoting independence • Respecting others • Encouraging growth • Empowering and accepting responsibility • Modeling these behaviors