TheQualityEfficiencyConnection：质量和效益的联系

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1、CommercialMarketPlaceandNursingHomeTransformation:FollowingConsumerDemandBonnieS.Kantor,Sc.DExecutiveDirector,PioneerNetworkOpportunitiesforNursingHomeTransformationResident-centeredAdaptationsImprovedqualityofcareandmeasurableFinancialsuccessOpportunityforpractice,researchandpolicytovie

2、wqualityandefficiencyasinterconnectedoutcomes.2Whohereisaging?Whendidyoustartaging?Andwherehaveyoualwayslived?3HomeIdentityConnectednessLivedSpacePrivacyPower/AutonomySafetyPredictabilityJourneyingHomelessnessNon-PersonhoodDisconnectednessMeaninglessSpaceWithoutboundariesPowerless/Depend

3、enceInsecurity/UncertaintyPlacelessnessCarboni(1990)Homevs.Homelessness4CultureChangeRenewalofPersonalTransformationRe-organizingtheworkRenovatingthePhysicalEnvironmenttoCreateHome5PioneerNetworkFoundingPrinciplesKnoweachpersonCommunityistheantidotetoinstitutionalizationPracticeself-exam

4、ination,searchingfornewcreativityandopportunitiesfordoingbetterRelationshipisthefundamentalbuildingblockofatransformedculture6PioneerNetworkFoundingPrinciplesRiskTakingisanormalpartoflifePutpersonbeforetaskAlleldersareentitledtoself-determinationwherevertheyliveRecognizethatculturechange

5、andtransformationarenotdestinationsbutajourney,alwaysaworkinprogress7OurVision…Acultureofagingthatislife-affirming,satisfying,humaneandmeaningful.8Aclearunderstandingoftheelder:Whereareyoufrom?Whatisyourpersonalhistory?Whatisyourpreferredtypicalday?Whodoyouwanttobeinthefuture?9“Qualityis

6、notaprogram;itisanoutcomethatevolvesfromorganizationalculturefocusedonthecustomerandorganizationalexcellence”AAHSA200510PersonDirectedPractices(BeginssomewherebetweenConsiderationofthePersonandPerson’sChoice)DegreeofPerson-DirectednessStaffDirected(agencyscheduledroutines/staffingdictate

7、careprovision)ConsiderationofIndividual(Seekperson’sinputandtailorsomeaspects)IndividualChoice(Offerschoicesoffood,waking,bathingetc.)IndividualControl(haverightofrefusalandrighttotakerisks)PersonDirected(Individualhasprimacy--determinesownschedules,activities,meals,andc