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

• rder
• 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