Advancing Excellence Initiative with the Illinois LANE Preserving Critical Access Nursing Homes

1
Advancing Excellence Initiativewith the Illinois
LANE Preserving Critical Access Nursing Homes

• Telling Our StoryFrom Nursing Home in Need to
  Nursing Home in the Lead
• Mayfield

2
Key Areas of Action

• Staff Attitude
• Staff Tardiness/Absenteeism
• Staff Education
• Resident Emotional Comfort

3
Staff Attitude

• Problem
• Lack of Cooperation
• Lack of Team Spirit
• Changes Made
• More accountability, especially RN/LPN
• Evaluated all workers
• More support from leaders
• Caught You Caring

4
Staff Attitude

• Barriers /Strategies
• Old regimen did not want change
• Staff convinced nothing would change
• Intimidation of leadership making change
• Result
• Happier Staff
• Happier residents
• True team spirit developed

5
Absenteeism/Tardiness

• Problem
• Came in late all the time
• Called off whenever wanted
• Changes Made
• Found out why calling off or coming late
• Followed write up policy very deligently
• Completed survey If this perfect World
• Started flex schedule

6
Absenteeism/Tardiness

• Barriers /Strategies
• No one was tracking before
• Working with staff to do write ups and serve
  suspension days
• Result
• Absenteeism down
• Went from widespread to predictable
• Staff can now depend on each other

7
Staff Education

• Problem
• Inservice program lacking under prior leadership
• No competencies under prior leadership
• Changes Made
• Purchased computer based inservice program
• Presented in person supplemental inservices
• Started scheduled competencies
• Mailbox with educational infomation

8
Staff Education

• Barriers /Strategies
• Was not priority with staff
• Lot of catching Up to do
• Result
• 100 improvement
• Raised level of expectation
• Staff now requesting additional inservice
• Greater hands on competency

9
Resident Trust in Staff

• Problem
• Residents did not feel their concerns were
  addressed with prior leadership
• Changes Made
• Department Heads Guardian angel program
• Concerns addressed twice daily
• Caught You Caring

10
Resident Trust in Staff

• Barriers /Strategies
• c/o before and nothing happened
• Needed to build up resident trust that things
  were different
• Result
• Resident freely reporting problems to guardians
• Problems handled with resulting happier staff and
  residents
• Positive comments from residents, families,
  hospitals, physicians and others

11
Overall Results

• The following overall results have been
  achieved due to the changes made over the last
  months
• Pressure Ulcer rates down
• Staff satisfaction way up
• Residents happier
• Hospital readmissions down
• MDs more confident with staff
• Hospitals have seen improvement in care

12
Importance of Corporate Support

• Corporate support has been wonderful throughout
  the entire project. Consultants have been
  available and check in weekly to help with
  projects and praise success. The leadership
  changes have really helped to make this a huge
  success. Lessons learn continue to be
  implemented as we go forward.

13
The Future

• The momentum continues to build. Staff
  realize that they are an integral and important
  part of the facility. They realize they are
  valued as the residents are. Together we are all
  working to make Mayfield Care the best place to
  live and work.

14
For More Information

• Advancing Excellence www.nhqualitycampaign.org
• LANE  LBridwell_at_ilqio.sdps.org
• Mayfield Brenda Dunlop
• [phone]
• www.mayfieldcarecentre.com