QCC XI Conference

Annual Citywide QCCXI Conference
January 12, 2011
Count Me In: Campaigning for the Future of Long Term Care

The Current State of Long Term Care – A. Webb

“The show must go on!” Despite forecasts of a foot of snow and possible school closings, that was the spirit that over 200 nursing home staff expressed on Wednesday, January 12 at the 11th QCC (Quality Care Community) conference. QCC is a collaborative effort of the union’s Nursing Home Division and the employers committed to improve care for residents and staff of the homes. Staff, families and even two nursing home residents traveled from every borough and upstate NY to participate in the conference in Manhattan.

“Count Me In: Campaigning for the Future of Long-Term Care” was the theme this year. Participants were challenged by Arthur Webb, former CEO of Village Care, to embrace the changes facing long-term care. An expert panel of union and management leaders offered their perspectives on the economic and political realities impacting long-term care.  1199SEIU Vice President Pearl Granat argued that “It’s never too late to change,” and that both labor and management need to look to new models and ways of caring for the frail and disabled.

Following a round of informative and creative workshops, the participants undertook activities that demonstrated the importance of compassion, team work, sharing information and timely communication. The activities focused on the new MDS 3.0 form which identifies the specific care that nursing home residents require and impacts directly on reimbursement. Facilities that utilize recommended workforce practices will provide higher quality care and realize increased income.

The conference ended with an address by Dr. Bertice Berry who used humor and personal narrative to encourage the attendees to continue to care and grow. “When you walk with purpose you collide with destiny,” she counseled.

Workshop Materials

Workshop 1
Recreation as a Residents’ Right
Allyson Skikas Johnson

This workshop will introduce participants to a grant-funded guide for expanding therapeutic recreation options through the guidance and oversight of a labor-management committee.  New survey processes along with the concept of therapeutic recreation as a resident right will be explored; specifically focusing on purpose and the dignity obtained through having meaning in one’s life.  The workshop is intended for all disciplines.

Workshop 2
Coaching Communication Skills to Promote Culture Change
Karen Blick & Danita Yizer – Schnurmacher Center for Rehabilitation & Nursing

Presenters will demonstrate how they use the core skills of coaching communication to promote successful and positive interaction with staff, colleagues, residents and family members.  These skills can be integrated into your facility’s customer service training.   This material is based on a curriculum developed by PHI (Paraprofessional Healthcare Institute), a national non-profit organization promoting the link between quality jobs and quality care.

Workshop 3
Case Mix Index: CMI Charting Project
Morningside House: Sally Martin, Evelyn Martinez, Sharon Lloyd & Aimee Grant

The workshop will provide best practices to implement a Case Mix Index project.  Morningside House piloted the process improvement project to improve efficient documentation that drives reimbursements to the facility.  The project incorporated interdisciplinary teams to provide a comprehensive approach to care delivery for residents.  The outcome of the project resulted in significant revenues to the facility and labor management cohesiveness.

Workshop 4
Person Centered Performance Improvement
Ann Wyatt, Staff from Cobble Hill Health Center & Isabella Geriatric Center

“Getting Better All the Time” is a user-friendly performance improvement manual based on the experiences of Cobble Hill Health Center and the Isabella Geriatric Center. The manual’s steps in the PDSA problem-solving process (Plan, Do, Study, Act) will be explored, with specific examples from 2 facilities.  This approach emphasizes the inclusion of all stakeholder perspectives, including direct care staff, managers, residents & families.

Workshop 5
Heroic Conversations: A Key to Organizational Success
Adam Vane, Paragon Global Consulting, LLC

Heroic Conversations Handouts QCC 2011
Heroic Conversations Summary

In this highly interactive session, participants will be introduced to the Heroic Conversations® technique, a proven method for negotiating “difficult conversations” more quickly and effectively. As part of the seminar, participants will be invited to investigate and share where their typical negotiation strategies are falling short. They will then be guided through an innovative technique for dissolving communication barriers and transforming negotiations from frustration and impasse to clearer understanding and agreement.

Workshop 6
Beyond Diversity to Cultural Competence
Rodney Brown & Regina Censullo, Labor Management Project

What Have You Learned

This workshop will explore Cultural Issues in Healthcare.  This workshop is designed to increase sensitivity and awareness to a diverse client base and a diverse workforce.

Workshop 7
Essential Elements of the Small House Approach to Person-Directed Care
Jay Sackman

OBRA ’87 Summary
Green House Project Guidebook

Households, small houses, greenhouses . . .You have heard the separate terms but what do they all have in common? During this workshop we will identify and discuss the essential elements of the small house approach to delivering person-directed care. Focus will be on the organizational, physical and operational assumptions they share, while differences between the approaches also will be explored. The impact on staff, residents and families will be core throughout the discussion.

Workshop 8
INTERACT NY – Caring Together to Thirve In and Out of Facilities
Dr. Joseph Ouslander; Roxanne Tena-Nelson & Kathryn Santos, CCLC

Interact NY Application QCC 2011
Interact NY Caring Together_Timeline QCC 2011

Learn how your skills will help you thrive in tomorrow’s integrated health care system.  Join national expert, Joseph Ouslander, MD, and CCLC leadership in an interactive workshop on Caring Together: INTERACT NY – Interventions to Reduce Preventable Acute Care Transfers.  INTERACT NY is a quality improvement initiative designed for all members of the interdisciplinary team.  This workshop will introduce evidence-based tools used at different stages of care to aid in the early identification, assessment, documentation, and communication of significant changes in a resident’s status.

Workshop 9
Pain management – Complementary Approaches
Colette Forde, RNTJSF, Barbara Goldschmidt & Tom Campo

Tom Campo’s Yoga Write-Up

This workshop will provide an overview of the issues of identifying and managing pain that long-term residents and subacute patients experience.  Participants will also experience two complementary approaches to traditional therapies: massage and yoga.

Workshop 10
Team Work
Susan Wasstrom & Clyde Riggins, Labor Management Project

As organizations adapt to new fiscal and regulatory challenges, knowing how to create and grow successful interdisciplinary teams will be essential.  This workshop will engage participants in learning the key components of effective team development.

Workshop 11
Progressive Leadership
Samantha Morales & Joyce Coles, Labor Management Project

Progressive Leadership – Leadership that Gets Results – QCC 2011
Progressive Leadership Mgt Union Both Do’s
Progressive Leadership Circle of Concern Influence Worksheet QCC 2011
Progressive Leadership Circle of Influence Tools QCC 2011
Progressive Leadership Emoional Intelligence Handout QCC 2011
Progressive Leadership Emotional Intelligence Worksheet QCC 2011
Progressive Leadership IARP Mutual Interest Handout QCC 2011

This workshop is designed for participants to:

  • Define the changing role of Manager/Leader in joint collaborative work settings;
  • Explore the critical roles of a “progressive leader” versus the “traditional” role, and what it takes to carry them out.
  • Understand the practices and skills for successful progressive leadership, and assess their own capabilities against those standards.
  • Identify the behaviors and practices they need for engaging and supporting others in the workplace.

Workshop 12
Service Excellence
Carlos Martinez, Village Care & Lisa Mitchelson-Parker, Labor Management Project

Slide Show 1
Drawing Slides

The Service Excellence workshop is a template for transitioning staff from a long term care service delivery model to short-term rehab at their new facility.  Village Care implemented this approach to enable staff to understand the business case for change to a boutique style, 5-star hotel.  The workshop is experiential and engaging; it provides participants with the tools and resources to adapt to a new client base, automation of equipment and a team approach to care practices.