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134 In Pursuit of the Sunbeam: A Practical Guide to Transformation from Institution to Household
ORGANIZATIONAL
Provoke the System
Embrace Chaos
We Develop
We Implement Change Org. Becomes Ever Learning
from one household to another.
Form Action Teams to begin focusing on the options (and opportunities) for your organizational transformation in:
Structure and Accountabilities – address the overall structure of the organization.
Human Resources – address job descriptions and blended roles
Nursing Services – address liberalizing of diets and meds (hopefully much of it has already been accomplished in early culture change efforts); med pass, staffing
and scheduling.
Dining Services – address the options for making the kitchen the heart of your households - hopefully to deepen the change that has already been made in your earlier work to change the culture of dining in your organization. (See the Action Pact workbook, Making the Kitchen the Heart of the Home for ideas on the transformation of dining at every stage
along your journey to households.)
WE EMBRACE EMERGING CHAOS
As you begin to tear down and rebuild, things may seem a little chaotic, in fact, sometimes more than a little. You may have the urge to “put things back.” Those staff members who are less certain and lack vision will surely have that urge. Instead, think again of the vision – bringing authority and decisions as close to the elders as possible. Bring some order to the chaos by focusing energy on designing for decentralization.
Introducing Self-led Teams
Begin to plan for decentralization of authority by developing the self-led teams that will make up the organization. During this period of transition, most leadership staff (and hopefully most other staff due to your commitment to high involvement) will be working simultaneously in the present and the future, maintaining the current traditional operational systems to assure the delivery of quality care and regulatory compliance while designing the new systems that will support the vision of deep
“Begin to plan for decentralization of authority by developing the self-
led teams that will make
up the organization.”