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Mary Ann Johnson, MA, Program DirectorThe Alzheimers Association Greater Richmond Chapter

Bonnie M. Cauthorn, IIDADesign Source

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OROR10102

CULTURE CHANGE:THE ART OF ACCEPTING THAT 1 + 1 DOES NOT ALWAYS EQUAL 2!

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Goals and Objectives

List steps to begin to make the effective changeList steps to begin to make the effective change

State the reality and debunk the mythsState the reality and debunk the myths

Define culture changeDefine culture change

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Why Culture Change?

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Three million of todays babyboomers will reach age 100.

50

72

90

0

10

2030

40

50

60

70

80

90

100

2020 2030 2045

Number of Americans 65 or older (in millions)

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65y

ears

9 out of 10 will deal withat least one chronic health condition

46% 32% 26% 49%114%

389%

..0-4 ..5-19 ..20-44 ..45-64 ..65-84 ..85+

Projected Population Change in the US(by age): 2000-2050

percentage

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CALLCALL

TOTOACTIONACTION

10 million baby10 million baby

boomers will developboomers will developADAD

Every 70 secondsEvery 70 secondssomeone developssomeone develops

ADAD

By 2050, someoneBy 2050, someone

will develop AD everywill develop AD every33 seconds.33 seconds.By 2010, there will beBy 2010, there will be

almost a half millionalmost a half millionNEW cases of AD aNEW cases of AD ayear, and by 2050,year, and by 2050,

there will be almost athere will be almost amillion cases eachmillion cases each

year.year.

The number ofThe number of

persons with Youngpersons with Youngonset AD (under 65)onset AD (under 65)is growingis growing

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What is culture?

collective beliefs that, in turn, shapebehavior.

based in part on experiences of the

geographic location and culture that aperson lives in and the social encountersthat a person has with others.

based on a foundation of historicalcontinuity.

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What is CULTURE CHANGE?

The new buzz word in aging services

A common name for the transformation of services,based on person-directed and person-centeredvalues and practices.

Focuses on the social and cultural decision factorsand the way in which these interrelate with

elements such as access to and availability ofinformation or financial options or incentives facingindividuals to drive behavior.

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Culture change is..

the way inwhich services

are providedthat arecentered in

persondirected care.

the mannerin which

services areoffereddetermined byresidents, staff

and families.

the focus onrespecting thedifferences ineach person

and provides aculturallysensitive

environment ofcare for both

employeesand theresidents.

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The 8 Myths of Culture Change Culture change = change in program for providing quality care to

residents in communities.MYTH 1:MYTH 1:

The goal of culture change is to move from the current medical model tothe social model.

MYTH 2:MYTH 2:

Culture change and patient centered care is too costly.MYTH 3:MYTH 3:

Culture change applies only to long term care skilled nursingcommunities.MYTH 4:MYTH 4:

Patient centered care is the job of nurses.MYTH 5:MYTH 5:

The administrator or executive director need to be on board beforethese principles are initiated.

MYTH 6:MYTH 6:

It takes several years before the value of culture change can be seen andevaluated.

MYTH 7:MYTH 7:

One specific model of culture change fits all.MYTH 8:MYTH 8:

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Myth #1

MYTH:Culture change is a change inprogram for providing qualitycare to residents incommunities.

REALITY: Culture change is a process by which

change occurs in the way care isprovided.

Culture change focuses on respect forstaff, residents, and their families.

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Myth #2

MYTH:The goal of culture change is tomove fully from the currentmedical model to the socialmodel.

REALITY:

Culture change promotes the person centeredcare model and is more holistic in nature.

The goal is quality medical care and quality of life.-- David Farrell, MSW, LNHA, Director, Care Contium

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Myth #3

MYTH:

Culture change and patient centeredcare is too costly.

REALITY: Culture change is about attitude, kindness, respect, compassion

and empathy, all of which are free. Providing this type of care does not require hiring more staff but

rather optimizing the interactions between residents, families andstaff on all levels.

Research shows that involving the staff, residents and familiesin the care actually takes less time and provides better qualitycare. (Cornelia Beck) --2008 by Planetree and Picker Institute.

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Myth #4

MYTH:Culture change applies only tolong term care skilled nursingcommunities.

REALITY:

Culture change can occur wherever there is acommunity of people.

Culture change is needed in all aspects of care, forboth long term and short term care residents, in bothskilled nursing and health care communities as wellas assisted living communities.

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Myth #5

MYTH:

Patient centered care is the job of nurses.

REALITY:

Patient centered care is the job ofall staff and involves all levels ofstaff, including administration.

Families and the resident shouldalso be a part of this process.

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Myth #6

MYTH:

One specific model ofculture change fits all.

REALITY:

Just as everyone who has a dementia disease is an

individual, so are the residential communities. There are many different culture change models.: LEAP,

Eden Alternative, HATCH. All have good points andsimilar principles.

Organizational change should consider the principles ofeach model and design it to fit the individual community.

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Myth #7

MYTH:

It takes several years before the value ofculture change can be seen and evaluated.

REALITY:

Positive results are seen within thefirst 6 months.

The longer the principles are inplace and used by the community,the greater the value will be.

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Myth #8

MYTH:The administrator or executive directorneed to be on board before theseprinciples are initiated.

REALITY:

Change can be difficult for all staff members but it

only takes a few leaders on staff as role models,showing courtesy, respect and developing careplans to fit individual needs to spark a change,

Often it takes time for administrators to see the shiftin care. --David Farrell, MSW, LNHA, Director, CareContinuum

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Change does not necessarilybring improvement. But there

can be no improvementwithout change.

The 21st Century Hospital Innovative Care for Older People Conference 20-21,2/03, A Consumer Perspective- Nancy Pierce

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2020

800-272-3900

Questions? Call

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Resources

Patient Centered Care, Improvement Guide, 2008, Planetree and PickerInstitute, www.pickerinstitute.org

Myths and Misconceptions of Culture Change, David Farrell, MSW, LNHA,Director, Care Continuum, www.ccerap.org

Pioneer Network web site, www.pioneernetwork.net

www.culturechangega.org

This program was compiled by Mary Ann Johnson, MA.Program Director, Alzheimers Association Greater

Richmond Chapter. Program may be used only withpermission from the Alzheimers Association, GreaterRichmond.