The New Laguna Honda Final Transition Report presentation to the - PowerPoint PPT Presentation

The New Laguna Honda Final Transition Report presentation to the San Francisco Health Commission June 7, 2010

Becoming a Center of Excellence The Strategic Objectives for the New Laguna Honda  Resident Success  Community Partnerships  Innovative Excellence  Healing Environment

Checking in After the Move  Feedback From Residents • Post-move check-ins at 10, 30 and 90 days • Neighborhood meetings, monthly  Feedback From the Family Council  Feedback From the Resident Care Teams

Resident Face-to-Face Interviews  10-days 476 residents participated 60% were fully satisfied  30-days 413 residents participated 76% were fully satisfied  90-days 506 residents participated 75% were fully satisfied

Residents say the most satisfying things about the new Laguna Honda are:  Privacy and tranquility in the new environment  Comfort and safety in their living quarters  Personal comforts provided in the environment (e.g., TV, comfortable bed, clean bathroom, nurse call system)  Beauty and scenic views of the new hospital  Quality of care provided by the staff

Major items that required follow-up:  Temperatures in bedrooms Vendor is replacing dampers and actuators  Food choices and temperature New heat-retention service trays on order; Meal options expanded in April  Bedside lamps Vendor is replacing faulty lamps with switches that are easier to use for people with limited grasping ability  Television channels and locations All over-the-air channels are now available in resident rooms; adjustable TV stands are on order  Warmer smoking area Outdoor bus shelter-style enclosures now installed

Our Approach to Making Corrections: All Hands on Deck  Activity Therapy  Administration  Clinical Nutrition  Environmental Services  Facilities  Finance  Food Services  Human Resources  Medicine  Nursing  Rehabilitation Therapy  Resident Care Teams  Security  Social Services  Telecommunications  Many other departments

Resident Success: The Neighborhood Meetings A chance for residents and staff to discuss what works and what needs to be changed in the neighborhood. What issues have come up?  I’d like more meal selections.  Please post the list of residents’ rights.  I can’t reach all the shelves in the library.  When will the pool be open?  Why can’t I play my DVD’s in the Great Room?  We need more Mah Jong!

Community Partnerships: The Family Council We encourage family members to be involved members of the care team. What issues have come up?  Therapeutic activities include art, animal visits, swimming, poetry group, tai chi, music, field trips and social events on each neighborhood.  Voice mail on every neighborhood  Reserved visitor parking in front of the Pavilion

Innovative Excellence: Clinicians Working as an Integrated Care Team Care Team Business Meetings: What issues have come up?  Galley Dining Re-instituted tray service; no change to social dining  Room Temperature Vendor is replacing dampers and actuators  Workflow Adjustments We’re learning to be attentive to resident conditions without the open dormitories we’re used to.  Laundry A second washer and dryer now installed in each neighborhood

What Worked for Laguna Honda: Our recommendations to SFGH  Include stakeholders at each sign-off, communicate decisions made, keep documentation.  Bring in transition positions early in the process.  Use the “last responsible minute” concept for the implementation and installation of technologies and equipment.  Build in ongoing support, maintenance and service hours (in addition to installation) for technology and equipment contracts.  Conduct Day in the Life training sessions in various patient care rooms before the move.  Communicate early and often with patients, families, leadership, and line staff.

A Healing Environment: Laguna Honda Today Residents:  Are informed of their rights  Are free from restraints and abuse  Are able to make choices  Receive appropriate treatment and services  Receive rehabilitation or restorative care to improve or maintain activities of daily living (ADLs)  Are routinely assessed by Resident Care Team  Live in a safe and sanitary environment  Are provided with sufficient nursing staff  Are seen by a physician monthly