Resources

IPDCC Leadership Survey
Although Person Directed Care is a familiar term to nursing home staff and many believe they are offering Person Directed Care what it means can be difficult to define. It is often difficult for leadership and direct care workers to explain how they are accomplishing Person Directed Care. In May 2009 the Iowa Person Directed Care Coalition (IPDCC) distributed leadership surveys to Iowa nursing homes. The 106 surveys returned provided insight on the progress of implementing Person Directed Care in the state.

In the fall of 2009 the coalition expanded the survey distribution to include direct care workers. The 42 direct care workers that completed the survey allow for comparison with leadership results and provide additional insight to the understanding of Person Directed Care concepts.

The survey was developed to assess the status of implementation of 16 concepts associated with Person Directed Care. Participants were asked to rank their progress on each area as either: fully implemented, used a great deal, sometimes used, have thought about or not even considered. Responses were reviewed by the IPDCC Steering Committee. Some findings include low scores in areas such as self scheduling, education of staff on Person Directed Care, the use of culture change committees that include staff family members and residents. Having shower rooms that are personal, pleasing and private also scored low by both leadership and direct care workers completing the survey.

When the results were compared some questions revealed discrepancies in scores between direct care workers and the administrators. While 50% of the administrators rated their facility as fully implemented with consideration of staff recommendations for improving the home, only 12% of the direct care workers reported this as fully implemented. Other questions with the greatest degree of separation in responses included direct care workers in care plan meetings, having snacks available 24/7 at no cost, and allowing residents to provide input on bathing and showering schedules.

The Iowa Person Directed Care Coalition steering committee will continue to analyze and use the results of this survey to work with supporting organizations distributing educational information on Person Directed Care. Additional information on Person Directed Care can be found at: http://www.iowapersondirectedcare.org

2009 Leadership Survey
In May 2009, the Coalition surveyed Iowa nursing facilities to answer the question: What is the rate of adoption of person directed care practices in Iowa’s nursing homes? One hundred and six (106) leadership responses to the 16-item survey tool were received (approximately 25% response rate) and are displayed graphically in the report, “Iowa Person Directed Care Coalition Leadership Survey 2009.”

Nursing Home Culture Change Regulatory Compliance
This Survey and Certification Letter (S&C-07-07) from the Centers for Medicare & Medicaid Services (CMS) summarizes regulatory questions that have been sent from cultural change organizations from 2004 to date, along with CMS’ responses.

Summary of Person Directed Care Environment Rules
On November 15, 2006, the Department adopted amendments to Iowa Administrative Code chapter 481—58, “Nursing Facilities,” which permitted long–term care facilities to establish person directed care environments by inserting resident choice in various provisions, including those dealing with resident clothing, bathing, living arrangements, care and treatment plans, medication administration, and meal planning.

Patient-Centered Care: What Does It Take?
While patients often give high ratings to their health care providers, they also report problems getting critical health information and receiving responsive, compassionate service. A new Commonwealth Fund report discusses how health care organizations can meet patients' expectations for quality care, and presents two case studies of innovative providers.

Case Study: Achieving a Culture of Patient- and Family-Centered Care at Bronson Methodist Hospital
This case study highlights a community hospital's experience in putting patients and their families at the center of its strategy for improving clinical outcomes, patient experience, and corporate performance.

Centered Care Practices by Physicians
A new Commonwealth Fund study in the Archives of Internal Medicine finds that America's doctors still have a way to go in adopting information technology, practicing team-based care, and collecting feedback from their patients.

The Alliance for Healthcare Reform had a briefing on LTC a few weeks ago. The site they put together around that briefing has some good LTC culture change references and lends insight into the national discussion
on LTC.

Falls Tools and Resources

Falls Risk Assessment Form

Restraint Reduction
Assessment and Alternatives Help Guide

Falls Management Program
MedQIC - The Falls Management Program

Restraint Toolkit—includes Fall Management Guidelines from Health Care Association of New Jersey Best Practice Committee
MedQIC - Restraint Toolkit

Prevent Adult Falls-CDC
Falls Among Older Adults: An Overview, Facts - NCIPC

HATCh Model - Individualized Care
Through our collaboration with our partners, Quality Partners of Rhode Island (Quality Partners) developed the Holistic Approach to Transformational Change (HATCh) model as a guiding philosophy to assist with a nursing home's culture change journey. This organizational culture change model includes six inter-related topic areas (domains) that lead to individual, organizational, community and systems changes.

Websites

The following websites may contain additional information of interest to providers. The Iowa Person Directed Care Coalition does not endorse or recommend any of the information provided by the sponsors of these websites. The information is provided for educational value only.

Almost Home
Eden Alternative
Greenhouse Project
Mather LifeWays Institution on Aging
MedQIC
Pioneer Network
Team Dignity

Speaker’s Bureau

Kathy Strang Continuum Health Care Services P.O. Box 108 Knoxville, IA 50138 319-231-2772 Kst3501@aol.com	Janice McCoy ABCM Corporation 2324 Estella St Perry, IA 50220 515-360-2638 jmccoy@abcmcorp.com
Carole Chapman Manilla Manor 146 North 5th St Manilla, Iowa 51454 712-654-6812 chaplingle@fmctc.com	Shirley Sorenson Des Moines Area Community College Aging Services Management Program 2006 S. Ankeny Blvd. Ankeny, IA 50023 515-964-6814 sksorenson@dmacc.edu
Deb Schaefer Oelwein Health Care Center 600 Seventh St S.E. Oelwein, IA 50662 319-283-2794 ohccadmin@mchsi.com	Jane Askeland ABCM Corporation 285 Lakeview Dr Mason City, IA 50401 641-425-5198 jaskeland@abcmcorp.com
Janette Simon Guttenberg Care Center 1315 Acre St Guttenberg, IA 52052 563-252-2281 gttbcare@alpinecom.net	Maradith Janssen The New Homestead 2306 State St. Guthrie Center, Iowa 50115 641-332-2204 admin_tnh@netins.net
Peggy Grothe Morning Sun Care Center 200 Washington Morning Sun, Iowa 52640 319-868-7751 mscc@louisacomm.net	Geri Sandvig Park View Care Center 601 Park Ave Sac City, IA 50583 712-662-3818 parkoff@frontiernet.net
Julie Pollock Iowa Department on Aging Jessie M. Parker Building 5510 E 12th St. Des Moines, IA 50319 515-725-3333 julie.pollock@iowa.gov	Carol Ruggles HCHC-Park Place 401 S Van Buren Mt. Pleasant, Iowa 52641 319-385-6196 rugglesc@hchc.org
Julie Winterboer West Ridge Care Center 3131 F Ave. NW Cedar Rapids, IA 52405 319-390-3367 julie@westridgecarecenter.com