title: A Nursing Home Administrator's Perspective on Culture Change: Tockwotton's Commitment to Resident-Centered Care.
abstract: Tockwotton Home, a 150+-year-old long-term care organization reinvented itself by adopting the household model of management ("culture change") to enable residents to play an integral role in self-directing their care. Staff was cross-trained and cross- certified to be nimble in meeting resident needs. In addition to philosophical changes, the organization made a $53.2M investment in a new building with architectural features that reflected the new focus. The process of change, the resources facilitating this change and our responses to challenges are described. Early indicators (and long-term studies at other institutions) have suggested that the new model of care is leading to fewer medications, falls and pressure ulcers and higher resident satisfaction.
authors.affiliation: Executive Director of Tockwotton on the Waterfront, a CareLink partner.
authors.forename: Kevin
authors.initials: K
authors.lastname: McKay
mesh_terms: D000368:Aged; D006270:Health Facility Administrators; D006707:Homes for the Aged / Q000458:organization & administration; D006801:Humans; D008134:Long-Term Care; D009735:Nursing Homes / Q000458:organization & administration*; D015279:Organizational Culture; D018802:Patient-Centered Care / Q000458:organization & administration*; D011787:Quality of Health Care / Q000592:standards
keywords: Nursing home administration; culture change; resident-centered care; self-organized workplace