Posts Tagged "quality improvement"

United Airlines Debacle: Anything Sound Familiar?

United Airlines Debacle: Anything Sound Familiar?

You’ve probably heard about the big story involving the mistreatment of a passenger who was forcibly removed from a United Airlines flight last week. The incident has created quite a buzz. Well, there’s a very interesting angle to this story

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New Research Reveals Positive Impact of Person-Directed Care

New Research Reveals Positive Impact of Person-Directed Care

A Signature Research Institute study highlights the impact of the Eden Alternative Ten Principles Authors Angie McAllister and Jeff Beaty have detailed the results of a recent study completed by Signature HealthCare regarding the impact of person-directed care practices on

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McKnights Features Bill Thomas and the Impact of Loneliness

McKnights Features Bill Thomas and the Impact of Loneliness

As change agents, remember when we had to fight to be heard about the impact of loneliness on the human spirit?  In the nearly 14 years I’ve been doing this work, I recall a lot of strained conversations about well-being

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End of Life Lessons from Dad: Lesson #5

End of Life Lessons from Dad: Lesson #5

Dad’s lesson #5 is that specialists aren’t always special. Nancy Fox would tell you that as human beings, we are all about creating constituencies. It is amazing how fast a group of complete strangers can bond and begin to demonstrate

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Change Agents as Wayfinders

Change Agents as Wayfinders

Life coach Martha Beck’s book, Finding Your Way in a Wild New World, captures the key qualities of what she calls a “Wayfinder.”  (No, Martha is not my kin, by the way.) Wayfinders, by her definition, look a lot like culture

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Signature HealthCARE Rocks Elder Vacations... Again

Signature HealthCARE Rocks Elder Vacations… Again

I am always so inspired by this organization’s commitment to living the ten principles of The Eden Alternative in big ways.  Undaunted, they have changed lives by arranging multiple Elder vacations for the people who live in their communities.  There was

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End of Life Lessons from Dad:  Lesson #2

End of Life Lessons from Dad: Lesson #2

Lesson #2 from my Dad’s end-of-life journey is to watch out for Kahlid the Kind. Eden Alternative Principle Seven says, “Medical treatment should be the servant of genuine human caring, never its master.” Dr. Bill Thomas has written a story

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The Hidden Restraint, Part 2

The Hidden Restraint, Part 2

This post by Dr. Al Power was published on ChangingAging.org on August 10, 2016. Recently, I posted a provocative argument for considering locked doors as physical restraints.  I have received many comments about the post; and as promised, I am

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2016 Conference... Hit Rewind, View Highlights

2016 Conference… Hit Rewind, View Highlights

Something happens for me at the end of every Eden Alternative International Conference.  Within moments of the conference closing, I feel it… a sense of let-down or perhaps it’s “good vibes” grief.  After two years of planning and nearly a

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The Leadership Transition Myth

The Leadership Transition Myth

You’ve all heard people say that a “little turnover is expected as leaders change.” I’ve heard it too. The other thing I’ve heard is “turnover is a good thing during a transition. It is a chance to get the right

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Support is a Wimpy Word...

Support is a Wimpy Word…

… Especially when it comes to changing the culture of care in an organization. My boss was the first to use it in the journey we were on. He would say, “I’m here for you; I support what you are

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Consumer Education Changes the Game Where Care is Concerned

Consumer Education Changes the Game Where Care is Concerned

Yesterday, the Washington Post published an article entitled “Promise You’ll Never Put Me in a Nursing Home.” I agree with Dr. Bill’s Thomas’ assertion in this piece that having the right language for what we’re asking for is really the

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Coach Each Other, Grow Together, Change Lives

Coach Each Other, Grow Together, Change Lives

Last summer, we had the pleasure of working with 20 nursing homes from California and Colorado for a grant project of ours. One of the grant activities involved connecting project participants with culture change leaders who had an exceptional track

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Colorado Grant Project Says Optimizing Medication Usage Packs a Punch

The conversation about rethinking medication use is getting more interesting. While important strides are being made to reduce antipsychotic use, the issue is actually only one piece in a puzzle that has even larger impact.

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Sustaining Quality Improvement Gains:  Start with Your Culture

Sustaining Quality Improvement Gains: Start with Your Culture

A group of Elders at Denali Center recently started a Recognition Task Team to celebrate and thank specific staff for the work that they do. One elder shared with a staff member who was having a rough day that she needs to receive, as well as give, and find balance.

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Culture Means Everything

Culture Means Everything

Anyone who deals intimately with culture change knows the phenomenon of frost all too well. Ultimately, to sustain any kind of gains takes great leadership and a culture of continuous improvement.

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Pushing Past the Goal Line:  Change the Game with Continuous Quality Improvement

Pushing Past the Goal Line: Change the Game with Continuous Quality Improvement

We’ve all heard the saying that you should never rest on your laurels. In the culture change world, change, focusing on driving additional change, and finding ways to build on those changes is a way of life.

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High Engagement = Powerful Improvement Outcomes

High Engagement = Powerful Improvement Outcomes

A couple of weeks ago, you had the chance to take in the power of high engagement in “Community Meetings Deepen Connectedness and Stimulate Growth.”

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Reimagining Five Stars

Reimagining Five Stars

How would you change the nursing home five-star rating system? Last week you may have heard of the new Medicare revisions; The New York Times provided some great coverage.

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Why?

Why?

Some of you may know by this point that I love to share TED talks from time to time and today I’m sharing another one to kick off the week. Anyone who knows The Eden Alternative is most likely acquainted with

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Community Meetings Deepen Connectedness and Stimulate Growth

Community Meetings Deepen Connectedness and Stimulate Growth

Park Place Elder Living in Mt. Pleasant, IA has been holding community meetings with all care partners (Elders, employees, and family members) for six years now. For them, it has remained a vibrant and important gathering time for the community which helps them to grow closer and improve life throughout the home.

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Mississippi Fights the Good Fight

Mississippi Fights the Good Fight

A year ago, I posted a blog about the efforts of the State of Kentucky to help decrease antipsychotic use.  Like the State of Tennessee before them, Kentucky change agents had chosen education as a key feature of their reduction

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Person-Directed Mouth Care – A QAPI Strategy

Person-Directed Mouth Care – A QAPI Strategy

As conversations about QAPI heat up, it becomes exceedingly clear that person-directed practices are a powerful complement to performance improvement.  Person-directed care actually strengthens efforts to improve clinical practice, aligning further with QAPI guidelines.  Take mouth care, for example.  When

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Feeling Boxed In?

Why is it that we are constantly trying to put our lives, and all the tasks within it, into separate boxes? I find it interesting to see how I compartmentalize paperwork and tasks in my job. I can even remember

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Exploring Tribal Leadership: Stage One

Several weeks back I posted a blog featuring an interview with John King, author of the best-selling book Tribal Leadership:  Leveraging Natural Groups to Build a Thriving Organization and a keynote speaker at the 2014 Eden Alternative International Conference. During

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It Begins with the Conversation …

Advance care planning involves communicating about anticipated medical choices throughout the adult lifespan (including Elderhood), focused on the individual’s goals and values. Have you had this conversation yet? If not, you are not alone. Studies show that less than 50%

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Effective Decision-Making in Moments of Crisis Requires Support

When is it right for an Elder to go to the Hospital? In a person-directed care organization, deciding if an Elder should go to the hospital is driven by the individual’s life goals and preferences first, and treatment second. Eden

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Communicating During Transitions; Strangers or Friends?

Communicating with Elders during transitions in care is crucial. Strangers cannot communicate well with strangers, or about strangers. If the use of healthcare resources, especially hospital care, is to be optimized to the individual, then relationships have to be built

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Call for Presentations Open – 2014 Eden Alternative International Conference

Today, the Call for Presentations opens for the 2014 Eden Alternative International Conference. Strike a Chord, Resonate Well-Being. Scheduled from April 30 to May 2, 2014 in  Nashville, Tennessee, the conference’s theme highlights the power of the Eden Alternative Domains of

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Eye-Opening and Inspiring!

“This experience has been eye-opening and inspiring!”, a quote from one of the participants at the Neighborhood Guide Training in Conneautville, PA. The training was generously hosted by Rolling Fields, an Eden Registry Member. Twenty-four leaders, committed to growing empowered

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Measuring Customer Satisfaction as a Culture Change Tool

Ever wonder if gauging customer satisfaction is really worth the time and effort? Jill Vitale-Aussem, Executive Director of Clermont Park in Denver, Colorado, had become accustomed to the same experience of satisfaction surveys in every organization she had worked for

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Connecting Person-Directed Care to the Baldrige Healthcare Criteria

Culture change with The Eden Alternative strengthens quality across the organization. The Eden Alternative is about so much more than bringing in cats, dogs and birds to a nursing home. There are tools, resources, education, experts, consultants, guides, and much

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Meeting Advancing Excellence Goals with The Eden Alternative®

Goal #2: Increase Person-Centered Care Planning and Decision-Making Description & rationale: Person-centered care means that each resident of a nursing home has a choice about his or her daily routine, activities and healthcare. Staff places value on listening, learning, and

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Promoting Engaged Teams

The Canterbury at Cedar Grove Care & Rehabilitation Center in Cedar Grove, NJ has started Pop Up Groups as a way of promoting engaged teams. To create each Pop Up Group, they took the employee list and every team got

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QAPI and The Eden Alternative®: What Are the Connections?

A recent article in McKnight’s Long-Term Care News entitled “Ready, Set: QAPI!” got me thinking about what long-term care communities are going to need to feel prepared to deal with upcoming regulations coming out of the new Quality Assurance and

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