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INHC - PDC: Project Expectations


Colorado Foundation for Medical Care will: The Nursing Facility will:
Explain the objectives and organization of the PDC pilot to the nursing home administrator. Other staff would be most welcome to attend. Other staff might include: owners, regional directors, medical directors, nursing home staff, residents, and family members. Meet with the CFMC staff member to discuss the PDC project. Review all the materials presented. If the nursing facility is interested in participating, complete and sign the participant agreement form and email it to Ann Romaglia at aromaglia@coqio.sdps.org or fax at 303.669.2689.
  Identify a culture change core group of individuals from the nursing home to participate in the PDC pilot. This core group could consist of nursing home staff, owners, regional directors, medical directors, residents, and family members. Provide CFMC with the names and titles of the core group by September 24, 2004.
Provide a start-up packet of activities that the nursing home could use to begin or continue on their culture change journey. Complete one or two activities from the start-up activity packet prior to the first Learning Session on October 22, 2004.
Provide an activity guide to assist the nursing homes in identifying their values, mission and vision statements. Begin to identify the nursing homes values, mission and vision for culture change. Share these with CFMC.
Provide four, one or two-day learning sessions. National and regional experts will present topics pertinent to nursing home cultural transformation. All learning sessions will take place in the Denver metropolitan area and there will be no charge to the nursing home. Assure staff attendance at all four learning sessions. At a minimum, the administrator and director of nurses would be expected to attend all sessions, but all core culture change group members would be encouraged to attend.
Provide the nursing homes with a change package with suggested areas for culture change. Provide on-site support to the nursing home as it moves toward initiation of culture change. Identify several areas in which the nursing home would like to initiate culture change prior to the first learning session on October 22, 2004. These would not be clinical practice areas but changes in workplace practice such as: development of leadership skills necessary to support culture change; changes in care practice such as bathing or dining; or changes to the environment such as redesign or modification of an area of the nursing home to reflect a more homelike atmosphere.
Assist the nursing homes to identify data that can be collected pertinent to the culture change areas identified by the nursing facility. Throughout the project collect data that is related to the specific change area(s) that the individual nursing home has chosen to work on. Share this data with CFMC. Identify areas where pertinent data are already being collected to minimize the burden of data collection. Baseline data should be collected at the beginning of the project in October 2004, and again in February 2005, and July 2005.
Attend monthly conferences in person or via telephone to permit sharing of ideas and successes with other nursing homes. Assure staff attendance at monthly conferences. Please be prepared to share successes or lessons learned with the other nursing homes in the collaborative.
Provide ongoing support from October 2004 to July 2005. Support may consist of printed materials, videotapes, activities, and nursing home visits by CFMC staff. Be an active participant in the pilot project from October 2004 to July 2005 through your participation in learning sessions, monthly conferences, and the implementation of culture change activities.

The Colorado Foundation for Medical Care (CFMC), the Medicare quality improvement organization for Colorado, prepared this material under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents do not necessarily reflect CMS Policy.