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Q A IDEAS


MARY ELLEN

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My DON and I are currently doing a study on multidiciplinary documentation of activity interventions. The first part of the process involved development and refinement of a multidiciplinary form, for the staff to use. The second step involved my DON inservicing the staff on use of the form. My staff collects the forms daily and the DON and I will crunch numbers each month before our QA meeting. It is facinating to see the things that our staff do with the residents. It is not unusual as I walk down the hall to hear an LVN singing along with a resident, a CNA reading an article from a magazine to a resident, another CNA doing nails and reminiscing with a resident, putting their books on tape in, music, taking them out to movies or dinner, however; they just don't want to document it. Addressing that will be our next step I am sure.

 

Good resources for QA study ideas can come from Resident and Family Council concerns. Staff concerns. Shortages and the problems created by those shortages.

 

Rather than an "Activity Department" study, you might consider working on QA studies in which you are a team member. A study can have multiple benefits if it is done by more than one department.

 

I am looking forward to learning about other QA studies and ideas that are being done, in this thread.

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This is not really related to the original post but I just wanted to know what everyones role as an AD is in the QA meetings. We have our QA meeting once a month. All department heads attend and our medical director attends also. Most of us call it our eatin' meetin' because all we do is eat and sit and talk a while except for the DON, administrator, and MD. They take care of going over how many infections and so on we had since the last meeting. I don't really have any input into anything unless they have someone they are wanting to admit from the hospital, but certainly not about activities. In my MEPAP class, there is a question about the role of the activity department in the QA meeting. Was wondering if anyone else has any input at QA.

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This is not really related to the original post but I just wanted to know what everyones role as an AD is in the QA meetings. We have our QA meeting once a month. All department heads attend and our medical director attends also. Most of us call it our eatin' meetin' because all we do is eat and sit and talk a while except for the DON, administrator, and MD. They take care of going over how many infections and so on we had since the last meeting. I don't really have any input into anything unless they have someone they are wanting to admit from the hospital, but certainly not about activities. In my MEPAP class, there is a question about the role of the activity department in the QA meeting. Was wondering if anyone else has any input at QA.

 

I don't really have any input at QA, and I've questioned my need to be there (and at every other meeting - I am on EVERY committee -no joke) but I was told it's so I can be aware of issues in the facility. I rarely have any QA issues. The only ones I can remember is noting that we needed an automatic door going into Clinical (you had to open the door with your back and pull the wheelchair in sideways.) That was six months ago, and it took the five months of me mentioning it was still a problem every month for them to "fix" it - they propped the door open. The other issue was our newest resident's daughter was very vocal about the calendar not reflecting her mother's interests (it was made before she arrived.) She was a retired painter and needed more art activities than what we were providing. I acknowledged it, and the next month's calendar had more painting and crafts.

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I need some help with something to do my presentation on. Any suggestions would be helpful.

I am currently working on my QA for this quarter. I am doing a complete review of the resident functional levels. I am going to check my results against my calender to see if I need to add any different levels of programming due to changes in the residents and census changes. For my last QA I reviewed all residents who were on 1:1 visits and was surprised to find that many were able to come off the visits due to increased participation. I hope this helps.

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This is not really related to the original post but I just wanted to know what everyones role as an AD is in the QA meetings. We have our QA meeting once a month. All department heads attend and our medical director attends also. Most of us call it our eatin' meetin' because all we do is eat and sit and talk a while except for the DON, administrator, and MD. They take care of going over how many infections and so on we had since the last meeting. I don't really have any input into anything unless they have someone they are wanting to admit from the hospital, but certainly not about activities. In my MEPAP class, there is a question about the role of the activity department in the QA meeting. Was wondering if anyone else has any input at QA.
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I'd like toadd to the topic of the role of the AD in the QA process. I am now taking on the role of AD in our Alzheimer's Comunity as wellas being the Socail worker and the Program Director wooh! I se th AD of the other 2 units very limited on what thye have to input. they report on resident council and that is usually not very involved. whi ch I have a problem with but.. Withus trying to lean on the person centered drive.. it is hard to get staff to buy into it. Thjeir goal is to keeep the residents sfa and clean and fed... i have great staff but change is a reality. Any ideas to get them more involved would being made more aware of QA abd what it means would that help? Im open to nay ideas...

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Regarding QA. At our facility we are very into to QA. As the Activity Director I am in charge of developing and overseeing the "Welcome Process". From the first day what do we do to educate and make or residents feel comfortable. I have created a sign off card that is put by every new resident. Each department (preferrably the head of the department) is asked to go in and introduce themselves and explain their role in the facility. They must then print, sign and date the time of their intro. After about a week I pick up the cards and come up with a percentage. Our goal is to have 80% introduce themselves within 48 hours and 100% withing 5 days. This was never done before and is taking time to catch on. The purpose here is to keep the new resident busy for the first 48 hours and make them as informed and "in control" as they are able.

 

I hope this helps. Linda Hyde

MEPAP1 110607

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