Happy Mother's Day to all my Blog readers who are mothers.
Here in Rochester, we use this special day when we honor our mothers, to also remember and support our most senior and often frail mothers and grand-mothers who reside in senior care homes. Mother's Day is designated "Homes Offering Day", where our local Presbyterian church congregations take up a special offering to help support Kirkhaven's mission.
You know, whenever I tell people what I do for a living, I often still get the response, "Jim,I'm sure you run a nice facility, but if I ever get to the point where I need a nursing home, just shoot me!"
Yes, it is pretty obvious that despite our best intentions to provide quality care for seniors, something is still wrong. As I have Blogged about before, with its typical hospital furniture, sterile rooms and endless routines day after day, there is nothing even remotely like home about the traditional nursing home.
But thankfully, things have begun to change and Kirkhaven is leading the way here in Rochester. As I have shared with you before, the keystone of this culture change is person-centered care, where seniors are empowered to direct the decisions that affect their daily life.
By providing them with the opportunities to live their lives in a similar manner to how they always did, pursuing the same type of activities, routines and rhythms of daily life, that is what culture change is all about.
On Mother's Day, I spoke at my own church, Summerville Presbyterian, and shared this true story which I think helps define culture change to a tee.
This past Friday, I volunteered as a celebrity bartender at Kirkhaven's weekly Friday afternoon resident Happy Hour. We were about 15 minutes into the Happy Hour and I had set everyone up with their first round of drinks and bar snacks, when a young man, probably around 35-40 years old, walked into the lounge wearing jeans, a Buffalo Bills jacket and a ball cap. He looked around the room for his mother and then saw her sitting at a table with some friends, a beer and a bag of chips in front of her. He strolled on over to her and pulled up a chair as the waitress came over and asked him if he would like a drink. He looked around with this look on his face that said, "Where am I? Am I in the right place?", and then gladly ordered up a beer. I popped a top and poured him a tall , cold beer and set it down next to him. "What's the matter buddy," I said to him. "Aren't you used to coming in to the nursing home for a frosty beer and some fun." He just looked at me and said, "I love this place! I'm just going to sit here, relax and share a beer and some conversation with my mom."
Now that's the response I'm looking for!
It's not just about Friday afternoon Happy Hours, but it's about nursing homes looking and feeling like home, where residents can pursue their life-long interests and routines. It' s about person-centered care.
Kirkhaven is on the Pathway to this remarkable evolution and you can help. The Mother's Day Homes Offering is an opportunity for anyone to make a donation towards supporting this journey. I invite my Blog readers to click on the Kirkhaven website link to the right of my Blog and then click on the Seniorsfirst Foundation button at the top of the web page. You can make an on-line donation (or mail in a donation) to the Directors' Discretionary Fund in honor or in memory of your own mother to help make a difference in the lives of our seniors.
On behalf of the current and future residents of Kirkhaven, I thank you for your support!
Sunday, May 9, 2010
Saturday, May 8, 2010
Evaluating Your Supervisor
Most organizations conduct an annual routine whereby supervisors conduct a performance evaluation of each of their staff, but only a few have the courtesy and courage, like Seniorsfirst, to give staff an opportunity to evaluate their supervisor.
I have always been a big supporter of this program and lead the way by encouraging my own direct report staff to participate and provide confidential feedback on my leadership and supervision performance. I use the feedback to monitor my strengths and potential for improvement. I always report back to them the collective results and any action plans I develop to follow-up on their feedback.
Seniorsfirst has been conducting this program for years, but not without some controversy. Some managers argue that at times you have to be stern disciplinarians or conduct employee counselings that obviously leave their staff resentful or angry. "How can I do my job as a supervisor and still expect my staff to like me?" they might ask.
I'm a stern believer that in most cases you can and that is what all great leaders should strive for.
We use the results from our "Evaluate your Supervisor" program to identify both individual and organizational leadership training and support needs. Our objective is to help ensure the proper development of our leadership so that our staff feel properly supported.
I am delighted with the collective results and scores of our leadership team. At Kirkhaven the average leadership performance rating, based on 10 specific leadership skill questions and a scale of 1 to 5 (5 being highest), was 4.1 and at Valley Manor was 4.4.
These scores represent a slight increase in our previously consistent and high supervision and leadership skills. Supporting our staff and ensuring their satisfaction leads to a direct correlation of their quality service and resident/client satisfaction.
Here are some photos of a recent resident art show at Kirkhaven:
Here is a nice photo of our honorary nurses at a recent Nurses Recognition Luncheon:
Thanks for visiting my Blog. See you next week.
I have always been a big supporter of this program and lead the way by encouraging my own direct report staff to participate and provide confidential feedback on my leadership and supervision performance. I use the feedback to monitor my strengths and potential for improvement. I always report back to them the collective results and any action plans I develop to follow-up on their feedback.
Seniorsfirst has been conducting this program for years, but not without some controversy. Some managers argue that at times you have to be stern disciplinarians or conduct employee counselings that obviously leave their staff resentful or angry. "How can I do my job as a supervisor and still expect my staff to like me?" they might ask.
I'm a stern believer that in most cases you can and that is what all great leaders should strive for.
We use the results from our "Evaluate your Supervisor" program to identify both individual and organizational leadership training and support needs. Our objective is to help ensure the proper development of our leadership so that our staff feel properly supported.
I am delighted with the collective results and scores of our leadership team. At Kirkhaven the average leadership performance rating, based on 10 specific leadership skill questions and a scale of 1 to 5 (5 being highest), was 4.1 and at Valley Manor was 4.4.
These scores represent a slight increase in our previously consistent and high supervision and leadership skills. Supporting our staff and ensuring their satisfaction leads to a direct correlation of their quality service and resident/client satisfaction.
Here are some photos of a recent resident art show at Kirkhaven:
Here is a nice photo of our honorary nurses at a recent Nurses Recognition Luncheon:
Here are some fun photos of my grandson Logan playing basketball with our dog Jessi:
Thanks for visiting my Blog. See you next week.
Tuesday, April 27, 2010
The CEO takes a Vacation!
Everyone needs a break from the day to day work routine including the CEO, so my wife and I rented a beautiful lake house for a week on Lake Anna located in central Virginia. "Welcome to the Good Life", boy they weren't kidding.
We left on Saturday at 6:30 in the morning and drove 7 hours where my wife dropped me off at a sport's bar so I could watch my beloved Buffalo Sabres play a hockey game while she continued on to the lake house to check in and unpack. Fortunately, she willingly drove back the 45 minutes to pick me up after the game to bring me back to this fabulous home.
The back of the house had great views of the lake from every room and the wrap-around deck. There was even a Wegmans not too far away where she picked up groceries and we were relaxing and enjoying the good life within a short time after our arrival.
The lake and dock were just a few steps down the waterfront where every evening the sun set slowly in the sky over the Lake Anna State Park located directly across from our home for the week. The weather was clear, sunny and warm every day. I even jumped in the lake for a swim on more than one occasion and enjoyed my early morning kayak trips exploring the vast lake and coves.
In addition to enjoying our time relaxing by the lake, we also drove the short distances to both Richmond and Fredericksburg to take in the historical tourist attractions, shop and dine. We thoroughly enjoyed the Virginia area.
One of the reasons we chose the Lake Anna region for our vacation destination was because we are interested in possibly retiring someday to the area. We figured we needed to visit and check it out if we were really serious about it. We looked at several lakefront homes for sale to begin to evaluate future opportunities. We found our dream home, but the sale price may keep it just a dream. Oh well, even dreams are fun and you never know?
By the end of the week, we were sort of ready to come home. I knew I would have a slew of e-mail, voice-mail and snail-mail waiting for me back in the office as a welcome home. I'll get to it eventually and should be caught up by the end of the week, but you'll have to excuse me if I seem a little more relaxed than usual. You see, I'm still basking in the after-glow of the "good life".
To check out more on Lake Anna click on: http://www.lakeannaonline.com/
We left on Saturday at 6:30 in the morning and drove 7 hours where my wife dropped me off at a sport's bar so I could watch my beloved Buffalo Sabres play a hockey game while she continued on to the lake house to check in and unpack. Fortunately, she willingly drove back the 45 minutes to pick me up after the game to bring me back to this fabulous home.
The back of the house had great views of the lake from every room and the wrap-around deck. There was even a Wegmans not too far away where she picked up groceries and we were relaxing and enjoying the good life within a short time after our arrival.
The lake and dock were just a few steps down the waterfront where every evening the sun set slowly in the sky over the Lake Anna State Park located directly across from our home for the week. The weather was clear, sunny and warm every day. I even jumped in the lake for a swim on more than one occasion and enjoyed my early morning kayak trips exploring the vast lake and coves.
In addition to enjoying our time relaxing by the lake, we also drove the short distances to both Richmond and Fredericksburg to take in the historical tourist attractions, shop and dine. We thoroughly enjoyed the Virginia area.One of the reasons we chose the Lake Anna region for our vacation destination was because we are interested in possibly retiring someday to the area. We figured we needed to visit and check it out if we were really serious about it. We looked at several lakefront homes for sale to begin to evaluate future opportunities. We found our dream home, but the sale price may keep it just a dream. Oh well, even dreams are fun and you never know?
By the end of the week, we were sort of ready to come home. I knew I would have a slew of e-mail, voice-mail and snail-mail waiting for me back in the office as a welcome home. I'll get to it eventually and should be caught up by the end of the week, but you'll have to excuse me if I seem a little more relaxed than usual. You see, I'm still basking in the after-glow of the "good life".
To check out more on Lake Anna click on: http://www.lakeannaonline.com/
Monday, April 12, 2010
We Give You Bob (and more)!
Many of you have probably seen our most recent Valley Manor television ads that have been running over the past few months. Our most recent ad featured "Bob" as just one of the many helpful staff that go out of their way to make Valley Manor Rochester's premier senior living retirement community.
Our next ad will expand on this feature and include a glimpse at the nearly 100 dedicated employees of Valley Manor, all of whom work tirelessly to ensure our residents experience the positive customer service we are renowned for.
Here are some still shots taken while the marketing production crew were at Valley Manor shooting the video for our next advertising campaign.
There are many senior retirement community options available to people and thus it is important to pay attention to what differentiates us from the competition and defines our unique brand and culture. When we researched this and asked our customers, this is what they told us:
Our next ad will expand on this feature and include a glimpse at the nearly 100 dedicated employees of Valley Manor, all of whom work tirelessly to ensure our residents experience the positive customer service we are renowned for.
Here are some still shots taken while the marketing production crew were at Valley Manor shooting the video for our next advertising campaign.
There are many senior retirement community options available to people and thus it is important to pay attention to what differentiates us from the competition and defines our unique brand and culture. When we researched this and asked our customers, this is what they told us:
- Location- Valley Manor is located in the heart of Rochester's Arts & Cultural District in a real neighborhood, just a short walk to shops, restaurants and many of the city's finest attractions.
- High-Rise Convenience- Valley Manor's high-rise convenience with one-foot thick concrete walls provides unparalleled easy access to amenities, privacy, security and safety.
- Custom Apartment Homes- Valley Manor apartment homes are as individual as our residents! In addition to 10 primary layouts, Valley Manor allows you to fully customize your home. Not just paint and carpet, but complete floor plan reconfigurations.
- Arts, Culture and Lifelong Learning- Valley Manor offers a full calendar with special interest groups, wellness programs, social events and day trips in collaboration with leading arts and cultural venues.
Hey, there is a reason we have been Rochester's premier senior living retirement community for nearly 40 years. Experience has taught us what our residents want and nobody does it any better than Valley Manor.
Take a look for yourself by clicking on the link below to view our most recent marketing materials and Valley Manor website. Experience the Valley Manor lifestyle!
http://www.seniorsfirstonline.com/valleymanor/video_tour.htm
Wednesday, April 7, 2010
Meet "Imajean Resident"
Once a year, Kirkhaven is required by regulations to provide staff sensitivity training on resident rights. It is always a challenge to come up with yet another innovative and interesting way to present this important material, but our social work department seems to be up to the task every time.
This year, Paula Henry (Director of Social Work) introduced us all to Imajean Resident (but everyone calls her Ima). Ima Resident spoke directly to the staff and shared her unique perspective on being a resident at Kirkhaven. Her message was a great reminder to us all about how important it is to be respectful of every resident's rights, dignity and individuality.
To follow is some of the message that Ima shared:
Hi Folks..........my name is Imajean Resident, but everyone calls me Ima for short, Ima Resident. I have been living here at Kirkhaven for about 5 years now. I moved here from Pennsylvania to be closer to my family. I didn't want to move, but it turned out okay and I have met some great people and have made some good friends. Maybe you know some of my friends. Do you know Alice, who lives on the 2nd floor? Alice is a wonderful woman and I just love her room. Speaking of rooms, I do wish mine was larger and more private. Don't get me wrong, the staff is very good at knocking before they enter and pulling what they call the privacy curtain, and I do like my roommate. It's just her TV volume that gets to me. Sometimes staff has to remind her to wear her head phones, it's a constant battle and yet we manage. Still a private room would be nice.
Do any of you know Lula who lives on the 5th floor. She moved here from Florida and did you know she was the first woman cab driver in the state of Florida. One of my best friends from the 4th floor is Lillian. Lillian is on Hospice and failing, but you know, she still has a great attitude and whenever I see her she is as friendly as ever. Lillian's friendliness smiles through her eyes. Then of course there is Bill on the 5th floor, the former Mayor of Avon who also spent over 50 years volunteering for the ambulance and fire departments in Avon. It makes a huge difference when people take the time to know how you lived your life before moving to Kirkhaven so we can continue to pursue our life-long interests. One of the staff the other day asked me what my favorite book was because she knew I loved to read. We had a great conversation.
Ok, enough about me and my friends. I want to take a few minutes to talk to you about this Pathway you all are on. There seems to be a lot of good things happening here to move away from an institutional feel to more of a feeling of home. Of course, going "bibless" was fun and we elders gave our input. I was one of the elders who voiced a concern that even though I liked the linen napkins, I missed the good old-fashioned paper napkins. The linen napkins do look nicer than the old "bibs", but thank you for listening to us and also giving us back our paper napkins to wipe our mouths on. Those linen ones were just too slippery. I also know that I can refuse a linen napkin if I want, just as I can refuse other things if I want. Did you know I refused to give up the shoes I am wearing. Some staff thought I would be safer in flat heeled shoes. I said Baloney! This is what I have always worn and will continue to wear and I am willing to risk a fall. They listened and you can see I am still wearing my favorite heels. Occasionally, I will still meet someone who thinks they know better than I do about what is best for me and they want to treat me like a child. They act like they are the boss over me, but I must say this seems to be happening less and less, and that's a good thing. I don't need "bosses" and I am certainly not a child, so I don't need anyone to act like my parent.
This year, Paula Henry (Director of Social Work) introduced us all to Imajean Resident (but everyone calls her Ima). Ima Resident spoke directly to the staff and shared her unique perspective on being a resident at Kirkhaven. Her message was a great reminder to us all about how important it is to be respectful of every resident's rights, dignity and individuality.
To follow is some of the message that Ima shared:
Hi Folks..........my name is Imajean Resident, but everyone calls me Ima for short, Ima Resident. I have been living here at Kirkhaven for about 5 years now. I moved here from Pennsylvania to be closer to my family. I didn't want to move, but it turned out okay and I have met some great people and have made some good friends. Maybe you know some of my friends. Do you know Alice, who lives on the 2nd floor? Alice is a wonderful woman and I just love her room. Speaking of rooms, I do wish mine was larger and more private. Don't get me wrong, the staff is very good at knocking before they enter and pulling what they call the privacy curtain, and I do like my roommate. It's just her TV volume that gets to me. Sometimes staff has to remind her to wear her head phones, it's a constant battle and yet we manage. Still a private room would be nice.
Do any of you know Lula who lives on the 5th floor. She moved here from Florida and did you know she was the first woman cab driver in the state of Florida. One of my best friends from the 4th floor is Lillian. Lillian is on Hospice and failing, but you know, she still has a great attitude and whenever I see her she is as friendly as ever. Lillian's friendliness smiles through her eyes. Then of course there is Bill on the 5th floor, the former Mayor of Avon who also spent over 50 years volunteering for the ambulance and fire departments in Avon. It makes a huge difference when people take the time to know how you lived your life before moving to Kirkhaven so we can continue to pursue our life-long interests. One of the staff the other day asked me what my favorite book was because she knew I loved to read. We had a great conversation.
Ok, enough about me and my friends. I want to take a few minutes to talk to you about this Pathway you all are on. There seems to be a lot of good things happening here to move away from an institutional feel to more of a feeling of home. Of course, going "bibless" was fun and we elders gave our input. I was one of the elders who voiced a concern that even though I liked the linen napkins, I missed the good old-fashioned paper napkins. The linen napkins do look nicer than the old "bibs", but thank you for listening to us and also giving us back our paper napkins to wipe our mouths on. Those linen ones were just too slippery. I also know that I can refuse a linen napkin if I want, just as I can refuse other things if I want. Did you know I refused to give up the shoes I am wearing. Some staff thought I would be safer in flat heeled shoes. I said Baloney! This is what I have always worn and will continue to wear and I am willing to risk a fall. They listened and you can see I am still wearing my favorite heels. Occasionally, I will still meet someone who thinks they know better than I do about what is best for me and they want to treat me like a child. They act like they are the boss over me, but I must say this seems to be happening less and less, and that's a good thing. I don't need "bosses" and I am certainly not a child, so I don't need anyone to act like my parent.
The best part of this changing the institutional culture is that I understand it really put us elders in the center of thinking and more importantly, includes us in the thinking. Nursing homes have always historically kind of done things to and for elders, so seeking more and more input from us and asking us what is best for us only makes sense. When I was in my own home, I made decisions every day and no one told me where to go, or when to sit down, or when to go to bed, or when to get up, or what to eat, or what activity to attend.
You know, there are a lot of fun activities here and it is nice to see more people helping us get to things. I am lucky I can still walk and get there myself, but I fear one day this may change, so I especially like that more and more people seem to be getting involved to help. I didn't get to attend any of the Celebrity Chef programs on the 5th floor, but I heard it was a lot of fun and I love the people volunteering to be Celebrity Bartenders for Happy Hour every Friday afternoon.
Lastly, I just want to say that I know that many of you have been working to change the language around here and I like this. I used to hear words like feeder more than I do now. I never want to be known as a "feeder". I just want to be known as Ima, the nice woman who had a wonderful family, was a great teacher and likes to watch Wheel of Fortune and Jeopardy every evening. I also used to hear the phrase, "that's not my resident", but I don't hear that so much anymore. That speaks to great teamwork and resident-centered care. Also, I like the word community. I much prefer living in a community and being part of a neighborhood, instead of living in a "facility".
Change is rarely easy, and I know that things will never be perfect. Perfection does not exist. However, the Kirkhaven way has always been great and it keeps on getting better and better. So, stay on the Pathway, continue to work together to build relationships with us elders and with each other. Celebrate the Kirkhaven Way and please know that we residents so appreciate all that you do to ensure our wellness, dignity, individuality and rights.
God bless you all.....................Ima Resident.
Sunday, March 14, 2010
A Real Great Leader Is Gone
On March 6, 2010, Philip B. Price, President/CEO of Kirkhaven from its inception until his retirement in 1999, passed away following a series of illnesses and a final battle with cancer. He was 76.
I had the good fortune to be hired by Phil Price 27 years ago as a member of his initial leadership team called to help open and operate Kirkhaven. I was 27 at the time and it was my first real leadership position. Phil would later share with me that when the Chairman of the Board first met me, he said to Phil, "Are you sure about this guy, he’s awfully young?" Phil’s response was simply, "Don’t worry, I’m sure."
You see, Phil appreciated the value of a PhD, Masters or experienced-filled resume, but he also valued the potential he saw in one’s character. And he was masterful in mentoring and fostering one’s character development.
Lately, it seems, we are bombarded by accounts of leaders in government, business, sports and entertainment who fell from grace because of immoral, unethical or dishonest behavior. It leaves us wondering sometimes if there IS such a thing as a "real good leader".
Well, anyone who had the pleasure of working with Phil, knows that he was a great leader. Phil was the most kind-hearted, genuine, caring, servant of God’s good works, that I have ever known. He was my mentor and taught me through his own behavior and actions, lessons in character that you simply can’t learn from any text book or manual. There was no room for power politics, hidden agendas or lack of teamwork on Phil’s team, and he always, always led by example. Phil created a rich culture at Kirkhaven. A culture that will forever be a reflection and tribute to his amazing character and servant leadership.
I remember the evening he and I appeared before the Session of the Downtown United Presbyterian Church to formally request and address questions concerning a substantial bank loan guarantee to help bridge our current expense needs in the early months of our start-up. Our initial Medicare and Medicaid billings were being delayed, as they processed our start-up paperwork, and we were quickly running out of money to cover our payroll obligations. The Session peppered us with questions, but since we were only months into our operation, our only answers were often: "I'm not sure" or "We'll have to get back to you on that".
When we finally finished, I said to Phil in the parking lot: "There's no way they're going to approve that loan guarantee." Phil's response was, "It's in the hands of the lord now and we just have to have faith". It was close to midnight that same day when Phil called me knowing that I wouldn't be sleeping and would want to hear the final outcome. "They approved our request," Phil said and I believe my response was something like, "Holy sh....t, what the h...ll happened?" That was my first lesson from Phil on faith leadership and many more would follow.
I remember the annual budget meetings Phil and I would have in his office. He would sit patiently for over an hour as I shared with him my analytical calculations and strategies. I’m pretty sure he hated those meetings, but he never let on. In the early days, I would conclude my presentations by asking him, "So what do you think we should do?" But Phil would always answer my questions with questions of his own.
"What do you think we should do? Why do you feel that way? Are you comfortable with that decision?" By the time we were done, I had answered all my own questions, felt confident in my decisions and was ready to conquer the world. Now that’s leadership! The man was a gentle giant of a leader who always took great satisfaction in orchestrating the diverse talents of others to create harmonious results.
With his passing, sadly one of the real great leaders is gone, but he has left in all of us a piece of himself that lives on. If it is true that the measure of one’s worth over a lifetime is measured not by what you take with you, but by what you leave behind, then Phil enters heaven’s gate a very rich man.
Thank you for your gifts Phil and God bless you.
I had the good fortune to be hired by Phil Price 27 years ago as a member of his initial leadership team called to help open and operate Kirkhaven. I was 27 at the time and it was my first real leadership position. Phil would later share with me that when the Chairman of the Board first met me, he said to Phil, "Are you sure about this guy, he’s awfully young?" Phil’s response was simply, "Don’t worry, I’m sure."
You see, Phil appreciated the value of a PhD, Masters or experienced-filled resume, but he also valued the potential he saw in one’s character. And he was masterful in mentoring and fostering one’s character development.
Lately, it seems, we are bombarded by accounts of leaders in government, business, sports and entertainment who fell from grace because of immoral, unethical or dishonest behavior. It leaves us wondering sometimes if there IS such a thing as a "real good leader".
Well, anyone who had the pleasure of working with Phil, knows that he was a great leader. Phil was the most kind-hearted, genuine, caring, servant of God’s good works, that I have ever known. He was my mentor and taught me through his own behavior and actions, lessons in character that you simply can’t learn from any text book or manual. There was no room for power politics, hidden agendas or lack of teamwork on Phil’s team, and he always, always led by example. Phil created a rich culture at Kirkhaven. A culture that will forever be a reflection and tribute to his amazing character and servant leadership.
I remember the evening he and I appeared before the Session of the Downtown United Presbyterian Church to formally request and address questions concerning a substantial bank loan guarantee to help bridge our current expense needs in the early months of our start-up. Our initial Medicare and Medicaid billings were being delayed, as they processed our start-up paperwork, and we were quickly running out of money to cover our payroll obligations. The Session peppered us with questions, but since we were only months into our operation, our only answers were often: "I'm not sure" or "We'll have to get back to you on that".
When we finally finished, I said to Phil in the parking lot: "There's no way they're going to approve that loan guarantee." Phil's response was, "It's in the hands of the lord now and we just have to have faith". It was close to midnight that same day when Phil called me knowing that I wouldn't be sleeping and would want to hear the final outcome. "They approved our request," Phil said and I believe my response was something like, "Holy sh....t, what the h...ll happened?" That was my first lesson from Phil on faith leadership and many more would follow.
I remember the annual budget meetings Phil and I would have in his office. He would sit patiently for over an hour as I shared with him my analytical calculations and strategies. I’m pretty sure he hated those meetings, but he never let on. In the early days, I would conclude my presentations by asking him, "So what do you think we should do?" But Phil would always answer my questions with questions of his own.
"What do you think we should do? Why do you feel that way? Are you comfortable with that decision?" By the time we were done, I had answered all my own questions, felt confident in my decisions and was ready to conquer the world. Now that’s leadership! The man was a gentle giant of a leader who always took great satisfaction in orchestrating the diverse talents of others to create harmonious results.
With his passing, sadly one of the real great leaders is gone, but he has left in all of us a piece of himself that lives on. If it is true that the measure of one’s worth over a lifetime is measured not by what you take with you, but by what you leave behind, then Phil enters heaven’s gate a very rich man.
Thank you for your gifts Phil and God bless you.
Saturday, March 6, 2010
Are We There Yet?
For any parent embarking on a journey, the most familiar 4 word question often raised from the backseat is- "Are we there yet?"
We get the same question at Seniorsfirst in response to the "Pathways Journey" that we are on at Kirkhaven. So today I'm dedicating my Blog posting to revisiting this journey and providing an update on where we are along our pathway. To follow is a recent magazine article (authored by Amanda Brown, Executive Director and Administrator of Kirkhaven), which revisits the reason and passion for our journey.....................
When I hear someone say, “I hope I never get to the point where I need a nursing home”, it’s pretty obvious that despite our best intentions to provide quality care for seniors, something has gone terribly wrong. In fact, the nursing home industry’s attempts to care for our elders, to provide safety, security and good medical care, have actually eroded their quality of life in many ways. Even with the most caring staff, nursing homes have not been nurturing environments. With its hospital furniture, sterile rooms and endless routines day after day, there is nothing even remotely like “home” about the traditional nursing home.
How did this happen? In the 1960s, Congress passed Medicare/Medicaid legislation to fund the growing need for senior care. Overnight, tens of thousands of seniors became eligible for nursing home assistance. To meet this influx, health care providers turned to what they knew best and built very efficient, cost-effective little hospitals. And we were excellent at providing food and housing and skilled nursing to large numbers of seniors. But five decades later, we can now see the unintended consequences of institutionalizing our seniors. Nursing home life has become associated with boredom, isolation, loneliness, depression and deteriorating health.
Quality of life depends on physical and emotional well being. Replacing the daily rhythms and spontaneity of life with routines and isolating seniors from the mainstream of the community limits the opportunity for meaningful interactions and relationships that are so critical to their well being. And when the caregivers rather than the seniors themselves make life’s daily decisions, we rob our elders of their individuality, their independence and their basic humanity. The traditional nursing home may have succeeded as a business model, but it has failed miserably as a human model.
Thankfully things have begun to change. A grassroots revolution (which began here in Rochester in 1991 as the Pioneer Movement) is quickly gaining ground. Known variously as the Eden Alternative, Green Houses or simply “culture change”, nursing homes across the nation and around the world are embracing the challenge of transferring their medical model facilities into social model homes. At Kirkhaven, we have coined this journey as “Pathways to Meaningful Living”.
The keystone of this culture change in nursing homes is person-centered care. In its effort to maximize efficiency and consistency of care delivery, traditional nursing homes sacrificed individual choice for routines and regimens. Culture change is about breaking down those barriers and empowering the seniors themselves to direct the decisions that affect their daily life.
Our next step in the process at Kirkhaven is to replace our current building with one based on multiple “households” of 12 resident rooms surrounding a common living room, kitchen and dining area. With the assistance of specially trained homemakers, each household will plan their day, eat when and what they choose, share chores and interact throughout the day as housemates. Like any home, these households will reflect the individuality of its residents with distinctive furnishings, pets and their favorite hobbies and activities.
At Kirkhaven, we are daily challenging the mindset of what a nursing home should be. We have taken great strides in shifting from management-centered to person-centered care. Going forward, we will measure our success as care providers by the quality of the life of our residents.
Over the past seven years, we have been on this “Pathways” journey. We are probably further along than many think. In terms of progress, I would bullet our journey as follows:
· Assessment and planning (market analysis, facility appraisal and strategic planning)
· Education and awareness (Eden training, seminars, data research and field trips)
· Evaluation and goal setting (committee/board meetings and project team work)
· Soil warming and training (staff training and education, book club and steering committee)
· Implementation of initial initiatives (tray-less dining, remodeling, household teams and learning circles)
· Preliminary household design
· Site search
· Preliminary project cost analysis
Where do we go from here, I would bullet as follows:
· Locate our site
· Finalize our project design
· Analyze the project costs and sustainability
· Develop the project funding plan
· Implement the construction phase
· Continue the organizational change implementation
This is an exciting and crucial time for long-term care providers. Through one lens, we see a challenging economy and failing health care system that is quickly becoming unsustainable and has a questionable future. Through another lens, we see a next generation of elders who will demand and need something much different and better than the nursing homes of today. Our challenge is to design the next generation of nursing home that is sustainable under both lenses.
The Pathways model is our blend of many innovative and current thinking models pioneering this culture change movement. The beauty is that there is no one perfect scenario or solution, but this is the decade for change. If we wait any longer, we not only let our parents and the next generation of elders down, but we sentence ourselves to the institutional nursing home as well.
They deserve better than they are getting, and it’s time to step forward and get moving before time runs out. At Kirkhaven, we are well along our journey but still have a long way to go. Funding support is a key element in this journey and we are currently working towards securing major grant support. We are also continuing our dialog and planning with potential new sites on which to build upon.
Like Israel's deliverance from Egypt in the book of Exodus from the Bible, we too are on a long journey which we believe is our calling. It won't be a short trip and it won't always be easy. But we will follow our conscience and passion along the pathway that God always provides.
Are we there yet? No, but sit back and enjoy the amazing and enjoyable ride!
We get the same question at Seniorsfirst in response to the "Pathways Journey" that we are on at Kirkhaven. So today I'm dedicating my Blog posting to revisiting this journey and providing an update on where we are along our pathway. To follow is a recent magazine article (authored by Amanda Brown, Executive Director and Administrator of Kirkhaven), which revisits the reason and passion for our journey.....................
When I hear someone say, “I hope I never get to the point where I need a nursing home”, it’s pretty obvious that despite our best intentions to provide quality care for seniors, something has gone terribly wrong. In fact, the nursing home industry’s attempts to care for our elders, to provide safety, security and good medical care, have actually eroded their quality of life in many ways. Even with the most caring staff, nursing homes have not been nurturing environments. With its hospital furniture, sterile rooms and endless routines day after day, there is nothing even remotely like “home” about the traditional nursing home.
How did this happen? In the 1960s, Congress passed Medicare/Medicaid legislation to fund the growing need for senior care. Overnight, tens of thousands of seniors became eligible for nursing home assistance. To meet this influx, health care providers turned to what they knew best and built very efficient, cost-effective little hospitals. And we were excellent at providing food and housing and skilled nursing to large numbers of seniors. But five decades later, we can now see the unintended consequences of institutionalizing our seniors. Nursing home life has become associated with boredom, isolation, loneliness, depression and deteriorating health.
Quality of life depends on physical and emotional well being. Replacing the daily rhythms and spontaneity of life with routines and isolating seniors from the mainstream of the community limits the opportunity for meaningful interactions and relationships that are so critical to their well being. And when the caregivers rather than the seniors themselves make life’s daily decisions, we rob our elders of their individuality, their independence and their basic humanity. The traditional nursing home may have succeeded as a business model, but it has failed miserably as a human model.
Thankfully things have begun to change. A grassroots revolution (which began here in Rochester in 1991 as the Pioneer Movement) is quickly gaining ground. Known variously as the Eden Alternative, Green Houses or simply “culture change”, nursing homes across the nation and around the world are embracing the challenge of transferring their medical model facilities into social model homes. At Kirkhaven, we have coined this journey as “Pathways to Meaningful Living”.
The keystone of this culture change in nursing homes is person-centered care. In its effort to maximize efficiency and consistency of care delivery, traditional nursing homes sacrificed individual choice for routines and regimens. Culture change is about breaking down those barriers and empowering the seniors themselves to direct the decisions that affect their daily life.
Our next step in the process at Kirkhaven is to replace our current building with one based on multiple “households” of 12 resident rooms surrounding a common living room, kitchen and dining area. With the assistance of specially trained homemakers, each household will plan their day, eat when and what they choose, share chores and interact throughout the day as housemates. Like any home, these households will reflect the individuality of its residents with distinctive furnishings, pets and their favorite hobbies and activities.
At Kirkhaven, we are daily challenging the mindset of what a nursing home should be. We have taken great strides in shifting from management-centered to person-centered care. Going forward, we will measure our success as care providers by the quality of the life of our residents.
Over the past seven years, we have been on this “Pathways” journey. We are probably further along than many think. In terms of progress, I would bullet our journey as follows:
· Assessment and planning (market analysis, facility appraisal and strategic planning)
· Education and awareness (Eden training, seminars, data research and field trips)
· Evaluation and goal setting (committee/board meetings and project team work)
· Soil warming and training (staff training and education, book club and steering committee)
· Implementation of initial initiatives (tray-less dining, remodeling, household teams and learning circles)
· Preliminary household design
· Site search
· Preliminary project cost analysis
Where do we go from here, I would bullet as follows:
· Locate our site
· Finalize our project design
· Analyze the project costs and sustainability
· Develop the project funding plan
· Implement the construction phase
· Continue the organizational change implementation
This is an exciting and crucial time for long-term care providers. Through one lens, we see a challenging economy and failing health care system that is quickly becoming unsustainable and has a questionable future. Through another lens, we see a next generation of elders who will demand and need something much different and better than the nursing homes of today. Our challenge is to design the next generation of nursing home that is sustainable under both lenses.
The Pathways model is our blend of many innovative and current thinking models pioneering this culture change movement. The beauty is that there is no one perfect scenario or solution, but this is the decade for change. If we wait any longer, we not only let our parents and the next generation of elders down, but we sentence ourselves to the institutional nursing home as well.
They deserve better than they are getting, and it’s time to step forward and get moving before time runs out. At Kirkhaven, we are well along our journey but still have a long way to go. Funding support is a key element in this journey and we are currently working towards securing major grant support. We are also continuing our dialog and planning with potential new sites on which to build upon.
Like Israel's deliverance from Egypt in the book of Exodus from the Bible, we too are on a long journey which we believe is our calling. It won't be a short trip and it won't always be easy. But we will follow our conscience and passion along the pathway that God always provides.
Are we there yet? No, but sit back and enjoy the amazing and enjoyable ride!
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