Page 36 - Tale of Transformation

Artifacts of Culture Change Development
Artifacts of Culture Change Tool Development
This tool was first conceived in 2001 by Karen Schoeneman and Mary Pratt of CMS, who were co-project officers of the CMS Quality of Life study, “Measures, Indicators, and Improvement of Quality of Life in Nursing Homes” led by Dr. Rosalie Kane of the University of Minnesota. The tool was conceived as an additional proxy for quality of life, which had no set of “indicators.” Schoeneman and Pratt completed an initial draft of the tool and tested it in a volunteer facility in Pennsylvania. Following this test, the tool was edited by co-developers Karen Schoeneman and Carmen Bowman while Ms. Bowman was working at CMS in 2001. These items were refined through collaboration with Dr. Rosalie A. Kane of the University of Minnesota, who conducted a larger test of many of the items for collection feasibility and clarity, as part of the the Quality of Life study (Chapter 9). Results of Dr. Kane’s work were studied, and development continued through the award of a contract by CMS to Carmen S. Bowman of Edu-Catering in 2005. Karen Schoeneman and Carmen Bowman then co-developed and completed the Artifacts of Culture Change tool. All items represent actual changes observed, read or heard of by the developers and highlighted by those who implemented them as important changes and effective components of a changed culture.
Four focus facilities were recruited to complete the tool and provide feedback as to the collectability and instructions for each item, and the items in general. Since we had a need to select homes that had many of the tool items, we selected three nationally prominent culture change leading homes that the authors had personally visited and verified the concrete results of their culture change efforts, and the fourth as an Eden facility and on a culture change journey but small, independently owned.
The focus facilities and administrators/CEOs who worked with the tool were: • Ken Arneson, NHA Evergreen Retirement Community Oshkosh, WI
• Sister Pauline Brecanier Teresian House, Abany NY
• Garth Brokaw, CEO Fairport Baptist Home Fairport, NY
• Donna Zunker, NHA GranCare Nursing Center, Green Bay, WI
A-7