| 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.