FIIC Part One

From Institutional to Individualized Care

Part One

From Institutional to Individualized Care

Part One:

Integrating Individualized Care and Quality Improvement

Centers for Medicare and Medicaid Services (CMS)

Originally Satellite Broadcast and Webcast on

Friday, November 3, 2006

Part One includes information about making the physical environment more home to people, individualizing the morning routine, and eliminating use of alarms. This broadcast provides a framework and practical examples to help LTC surveyors, providers, and consumers understand and support individualized care.

It features discussion of:

The Deep Meaning of Home
Implementing Individualized Morning Routine
One Home’s Journey to Better Clinical Outcomes by Eliminating Alarms

Goals

The goal of this broadcast is to provide a framework and practical examples to help LTC surveyors, providers, and consumers understand and support individualized care.

Objectives

After viewing this program, participants will be able to:

•Identify the roots and key features of individualized care;

•Describe how individualized care is integrated into overall facility operations;

•Describe the continuum of homelessness to home as a roadmap to individualized care;

•Identify various adaptations in care practices where quality of care plus quality of life leads to better clinical outcomes; and

•Describe quality improvement principles and practices that support a holistic approach to transformational change.

Target Audience

This program is targeted to Regional Office and State Survey agency LTC Surveyors, LTC providers, QIOs and Consumers.

Faculty:

Cathie Brady, Co-founder, B&F Consulting, Canterbury, CT

Brenda Davison, Director of Nursing, Jewish Rehabilitation Center of the North Shore, Swampscott, MA.

Barbara Frank, Co-founder, B&F Consulting, Warren, RI

Sandy Godfrey, Director of Nursing, St. Camillus Health Center, Whitinsville, MA

Marguerite McLaughlin, Manager of Educational Development,

Quality Partners of Rhode Island, Providence, RI

Supplementary Materials:

CMSTrainingGuide_FIIC.Part One.pdf
Dottie Salmon transcript FIIC Part One.doc
Slide handout_FIIC Part One.ppt
Culture Change in Long-Term Care: A Case Study, created by the American Health Quality Foundation. Copies can be purchased by calling Imageworks at telephone number: 619-239-6161.

Four Part Series:

From Institutional to Individualized Care

This four-part webinar series was produced by B&F Consulting under contract with Quality Partners of Rhode Island for CMS to provide a framework and practical examples to help LTC surveyors, providers, and consumers understand and support individualized care.

The series was produced in collaboration with Karen Schoeneman, Deputy Director of the Division of Nursing Homes at CMS. The series provides guidance to surveyors and practitioners on individualizing the physical environment so residents feel at home, individualizing the morning routine, eliminating alarm use, decentralizing food services, helping residents to a good night’s sleep, individualizing the med pass, implementing consistent assignment, using individualized care to achieve clinical improvements in pressure ulcers, falls, and depression, and stabilizing staffing.

Part 1, broadcast Nov. 3, 2006, entitled “Integrating Individualized Care and Quality Improvement” - includes information about making the physical environment more home to people, individualizing the morning routine, and eliminating use of alarms.

Part 2, broadcast May 4, 2007, entitled “Transforming Systems to Achieve Better Clinical Outcomes” - includes information about individualizing the night routines, decentralizing dining services, instituting consistent assignment, and the link between individualized care and reducing pressure ulcers and depression.

Part 3, broadcast May 18, 2007, entitled “Clinical Case Studies in Culture Change” - includes one home’s story of individualizing their dining services and another home’s story about reducing their medication pass.

Part 4, broadcast Sept. 14, 2007, entitled “The How of Change: What a difference management makes!” - discusses the basics of an effective change process, the importance of inclusive leadership, workplace practices to achieve staff stability, and why of individualized care is better care. One home tells its story of stabilizing staffing to be able to take on change. Several leaders describe the how and why of instituting consistent assignment.

Please note that the quality of this web-based broadcast varies,

due to the mechanics of embedding it this website.

Videotapes can be purchased from

www.pioneernetwork.net

and from

National Technical Information Services

5285 Port Royal Road, Rm. 1008, Sills Bldg.

Springfield VA 22161

Phone: (703) 605-6186

Note: Entire film is 1:40:14. It can be purchased from:

www.Pioneernetwork.net

The following excerpts can be viewed here: