Engaging Staff in Individualizing Care Five Part Webinar Series


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These webinars are products from Pioneer Network’s National Learning Collaborative on Using the MDS as an Engine for High Quality Individualized Care, made possible with the support of The Retirement Research Foundation. The Collaborative incubated B&F Consulting’s method for improving outcomes by engaging staff in individualizing care. The method first puts in place four foundational practices – consistent assignment, huddles, involving CNAs in care planning, and Quality Improvement (QI) closest to the resident – and then uses the practices to individualize care for improvements in high priority clinical areas. Forty-nine nursing homes incubated these practices through fifteen month learning collaboratives led by five Culture Change Coalitions and four corporations, achieving accelerated improvements in clinical, quality of life, human resource, and organizational outcomes. Teams from incubator homes watched 12 webinars covering the foundational practices, clinical applications, customary routines, reducing use of antipsychotic medications, and by improving teamwork. The webinars provide the building blocks for transformation of organizational and care practices.

Complete Packaged Set of all 12 Webinars on DVD 
Series One: Organizational Practices 
Presenters describe how they use key organizational practices – consistent assignment, CNA participation in care planning, daily huddles, and”ground-up quality improvement” – to know their residents, communicate with each other, and problem-solve to catch problems early, maximize opportunities, and perform at their best. These organizational practices, the foundation for high performance, are described in depth in the Pioneer Network’s first webinar series on OrganizationalPractice. It has three parts: Part One: Aligning Daily Documentation and Communication

  • Simplify Documentation to avoid inconsistencies and gaps
  • Catch problemsearly; Intervene effectively

Part Two: Organizational Systems

  • Consistent/dedicated assignment
  • Communication within and across shifts
  • CNAsactively involved in care planning

Part Three: QI and MDS

  • Focus groups
  • Unit-based QI
  • Rounds for just-in-time QI and staff development
Series Two: Clinical Applications 
Presenters describe how they use key organizational practices (consistent assignment, huddles, CNA involvement in care planning, and QI among staff closest to the residents) to make clinical improvements that promote mobility, individualize dining, and make for a good welcome for new residents.Part Four: Promoting Mobility, Reducing Falls, and Eliminating Alarms Through Individualized CarePart Five: Individualized Dining: New Practice Standards

Part Six: Smooth Transitions in Care:Getting New Residents Off to a Good Start
Series Three: Individualized Care: Using Performance Improvement Processes to Reduce Use of Anti-psychotic Medications through Individualized Care
The third series lays the foundation for reducing anti-psychotic medications by describing how to use quality assurance/performance improvement processes to implement residents’ customary routines.Part Seven: MDS and Quality of Life: Operationalizing Customary RoutinesPart Eight: MDS and QAPI: How to Improve Outcomes through Just-in-Time Assessment, Care Planning and Quality Improvement by Staff Closest to the Residents
Series Four: Reducing Anti-Psychotics Through Individualized Care – Medical Perspective and Case Studies
This series focuses on how honoring residents’ customary routines and meeting their psycho-social needs reduces their distress, and the ways,behaviorally they express that distress.Part Nine: Individualizing Care and Environments: Non-pharmacologic Interventions Instead of Anti-Psychotic MedicationsPart Ten: Promoting Mental Health Through Team-based IndividualizedAssessment and Care Planning
Series Five: Working Together for BetterOutcomes – Relational Coordination for Quality Improvement
In Webinar Series Five of our National Learning Collaborative, teams of practitioners share how they have achieved better outcomes through key systems for relational coordination.Webinar Eleven: It Takes A Team to Treat Pressure UlcersWebinar Twelve: It Takes A Team to Provide High Quality Individualized Care


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