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Small House Models: Texas SVH Culture Change
Britta Strickland, R.N., L.N.F.A.
Senior Vice President, Small House Development and OperationsTouchstone Communities
bstrickland@touchstone-communities.comwww.touchstone-communities.com
210.287.1262
What…… is our current state of delivering care to veterans?
… are we learning?
So What….
Now what….
… can we do?
What? = Situational Analysis
What is our current state of delivering care to veterans?
• Institutional (hospital model) care
• Better satisfaction than non SVH, but…
• Institutional (hospital model) care
…is it TRULY person centered care?
• Veterans may be more accepting of institutional care
- ranks and authority - basic training
- barracks - “sir, yes sir!”
So What? = Lessons Learned
So what are we learning?
• Long standing traditions
• Fear of change
• No clear roadmap for the future
• Fear of the implications of change, usually financial in nature
Now What? = Action Steps
Now what can we do?
• If you can’t build or rebuild
- Remove “brain barriers” and fear of change
- Stop institutional practices
Care plans at bedside
When making decisions ask, “ is what we are about to decide resident centered of staff centered?”
• Begin implementing “Neighborhood” or household practices
No staff rotations – it’s about relationships.
ALL staff members are assigned to a neighborhood - it’s about relationships, and not only with nursing personnel.
Small House Care
What it isn’t:
• Independent Living Cottages
• Just for domiciliary or AL residents
• It’s NOT about the house
Small House Care
What it is:
• Designed for frail or seemingly “healthy” skilled care residents
• Residents involved in decision making
• About elevating the bedside caregiver to a status that nears that of the residents’ status
• Trust and confidence in the Super-trained, empowered CNAs
• Leaders letting go – that’s a tough one!!
• Private room dignity
• Smells of home (bread baking, pot roast cooking, etc.)
• A wonderful model for State Veterans Homes, and so much more for residents!
Site Rendering
Site Plan – Tyler Texas
Small House Floor Plan
Typical Resident Room
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