[Music] [Applause]
[Applause]
[Applause] for a thousand years alleges the legends
for a thousand years alleges the legends
for a thousand years alleges the legends have habit that this could not be broken
have habit that this could not be broken
have habit that this could not be broken experts said it is not possible doctors
experts said it is not possible doctors
experts said it is not possible doctors and physicians said it is humanly
and physicians said it is humanly
and physicians said it is humanly insurmountable someone would die if they
insurmountable someone would die if they
insurmountable someone would die if they broke this yeah in 1954 Roger Bannister
broke this yeah in 1954 Roger Bannister
broke this yeah in 1954 Roger Bannister broke the record for the mile and ran it
broke the record for the mile and ran it
broke the record for the mile and ran it in under four minutes something thought
in under four minutes something thought
in under four minutes something thought two believed to be impossible the funny
two believed to be impossible the funny
two believed to be impossible the funny thing is after he broke this many people
thing is after he broke this many people
thing is after he broke this many people broke this after hundreds and hundreds
broke this after hundreds and hundreds
broke this after hundreds and hundreds of people in fact today it’s kind of a
of people in fact today it’s kind of a
of people in fact today it’s kind of a routine thing for some people not for me
routine thing for some people not for me
routine thing for some people not for me but for some people to run a mile in
but for some people to run a mile in
but for some people to run a mile in under four minutes Roger ran to escape a
under four minutes Roger ran to escape a
under four minutes Roger ran to escape a life of poverty and violence it was his
life of poverty and violence it was his
life of poverty and violence it was his purpose it was his passion and I love
purpose it was his passion and I love
purpose it was his passion and I love this story because I think we can learn
this story because I think we can learn
this story because I think we can learn lots from it but especially two things
lots from it but especially two things
lots from it but especially two things one sometimes people need someone to
one sometimes people need someone to
one sometimes people need someone to show them that’s something that’s
show them that’s something that’s
show them that’s something that’s impossible really isn’t impossible and
impossible really isn’t impossible and
impossible really isn’t impossible and sometimes people need a purpose or a
sometimes people need a purpose or a
sometimes people need a purpose or a passion that drives them to look those
passion that drives them to look those
passion that drives them to look those naysayers in the face and say there is
naysayers in the face and say there is
naysayers in the face and say there is no such thing as can’t many of you
no such thing as can’t many of you
no such thing as can’t many of you encountered something like that in your
encountered something like that in your
encountered something like that in your life where someone said it can’t be done
life where someone said it can’t be done
life where someone said it can’t be done it’s not possible hold on to that
it’s not possible hold on to that
it’s not possible hold on to that because it may just be the planting of
because it may just be the planting of
because it may just be the planting of your purpose in the 1970s when my
your purpose in the 1970s when my
your purpose in the 1970s when my amazing sister was brought into the
amazing sister was brought into the
amazing sister was brought into the world to my wonderful parents the
world to my wonderful parents the
world to my wonderful parents the physician said to them your daughter has
physician said to them your daughter has
physician said to them your daughter has severe intellectual and developmental
severe intellectual and developmental
severe intellectual and developmental disabilities he recommended
disabilities he recommended
disabilities he recommended institutional care and that my parents
institutional care and that my parents
institutional care and that my parents move forward with their lives you cannot
move forward with their lives you cannot
move forward with their lives you cannot raise a child with this level of need in
raise a child with this level of need in
raise a child with this level of need in a community he said my parents said yes
a community he said my parents said yes
a community he said my parents said yes we can there is no such thing as can’t
we can there is no such thing as can’t
we can there is no such thing as can’t in Rochester New York
in Rochester New York
in Rochester New York across the lake from where we were
across the lake from where we were
across the lake from where we were living at the time
living at the time
living at the time there was a group of parents facing the
there was a group of parents facing the
there was a group of parents facing the very same challenges with their with
very same challenges with their with
very same challenges with their with their loved ones see they rejected the
their loved ones see they rejected the
their loved ones see they rejected the idea that institutional care was okay
idea that institutional care was okay
idea that institutional care was okay this was the reality that they were
this was the reality that they were
this was the reality that they were saying no to it’s not acceptable
saying no to it’s not acceptable
saying no to it’s not acceptable and instead of just saying no it’s not
and instead of just saying no it’s not
and instead of just saying no it’s not acceptable but letting it be they
acceptable but letting it be they
acceptable but letting it be they started to digging and figure out how
started to digging and figure out how
started to digging and figure out how did institutional care come to be they
did institutional care come to be they
did institutional care come to be they looked at the regulations the Quality
looked at the regulations the Quality
looked at the regulations the Quality Assurance structure the reimbursement
Assurance structure the reimbursement
Assurance structure the reimbursement structure and what they started to do as
structure and what they started to do as
structure and what they started to do as parents who loved their children and
parents who loved their children and
parents who loved their children and wanted something different was reimagine
wanted something different was reimagine
wanted something different was reimagine how they could operationalize something
how they could operationalize something
how they could operationalize something for the people who they loved 40 years
for the people who they loved 40 years
for the people who they loved 40 years later the organization they founded
later the organization they founded
later the organization they founded heritage Christian services serves my
heritage Christian services serves my
heritage Christian services serves my sister in a community she may just be
sister in a community she may just be
sister in a community she may just be your neighbor
your neighbor
your neighbor she lives in Webster New York the place
she lives in Webster New York the place
she lives in Webster New York the place where life is worth living any of you
where life is worth living any of you
where life is worth living any of you certainly worth living for her she has a
certainly worth living for her she has a
certainly worth living for her she has a more active social life than I suspect
more active social life than I suspect
more active social life than I suspect most of us in this room so they have
most of us in this room so they have
most of us in this room so they have proved there is nothing but instead is
proved there is nothing but instead is
proved there is nothing but instead is insurmountable growing up with this you
insurmountable growing up with this you
insurmountable growing up with this you can imagine it was quite an incredible
can imagine it was quite an incredible
can imagine it was quite an incredible experience for me I really learned that
experience for me I really learned that
experience for me I really learned that there’s nothing that people can’t do
there’s nothing that people can’t do
there’s nothing that people can’t do when they come together in that feed of
when they come together in that feed of
when they come together in that feed of there’s no such thing as can’t
there’s no such thing as can’t
there’s no such thing as can’t Rebecca was planted in me this would
Rebecca was planted in me this would
Rebecca was planted in me this would take shape years later in my work in
take shape years later in my work in
take shape years later in my work in nursing homes I work in the nursing home
nursing homes I work in the nursing home
nursing homes I work in the nursing home usually when I tell people that they
usually when I tell people that they
usually when I tell people that they kind of go oh I don’t know how you do
kind of go oh I don’t know how you do
kind of go oh I don’t know how you do that well I know how I do it but here’s
that well I know how I do it but here’s
that well I know how I do it but here’s what the truth is it makes me a little
what the truth is it makes me a little
what the truth is it makes me a little bit uncomfortable to want to know why
bit uncomfortable to want to know why
bit uncomfortable to want to know why because institutional care still lives
because institutional care still lives
because institutional care still lives today even in the last 40 years
today even in the last 40 years
today even in the last 40 years long-term care hasn’t come near far
long-term care hasn’t come near far
long-term care hasn’t come near far enough to get rid of those medicalised
enough to get rid of those medicalised
enough to get rid of those medicalised principles that institutions exonerate
principles that institutions exonerate
principles that institutions exonerate to people so here’s what institutions do
to people so here’s what institutions do
to people so here’s what institutions do right they take people with the highest
right they take people with the highest
right they take people with the highest level of need they put them all together
level of need they put them all together
level of need they put them all together cohorted and then they strip them from
cohorted and then they strip them from
cohorted and then they strip them from their natural connections their family
their natural connections their family
their natural connections their family their friends their informal community
their friends their informal community
their friends their informal community support their faith support they
support their faith support they
support their faith support they separate them and then they understaffed
separate them and then they understaffed
separate them and then they understaffed so that it’s barely able to execute the
so that it’s barely able to execute the
so that it’s barely able to execute the basic care needs of human beings never
basic care needs of human beings never
basic care needs of human beings never less the social or spiritual needs of
less the social or spiritual needs of
less the social or spiritual needs of these people I remember starting in my
these people I remember starting in my
these people I remember starting in my first job in
first job in
first job in in need or 2001 it was a nursing home
in need or 2001 it was a nursing home
in need or 2001 it was a nursing home and I met someone named Anthony I was a
and I met someone named Anthony I was a
and I met someone named Anthony I was a social worker at the time and if you can
social worker at the time and if you can
social worker at the time and if you can believe it
believe it
believe it a social worker supporting 75 elders in
a social worker supporting 75 elders in
a social worker supporting 75 elders in this home was a great home with great
this home was a great home with great
this home was a great home with great people who worked there please be
people who worked there please be
people who worked there please be assured but I want to tell you that when
assured but I want to tell you that when
assured but I want to tell you that when I met Anthony he had just had a stroke
I met Anthony he had just had a stroke
I met Anthony he had just had a stroke and he couldn’t feed himself he was too
and he couldn’t feed himself he was too
and he couldn’t feed himself he was too embarrassed to come out of his room and
embarrassed to come out of his room and
embarrassed to come out of his room and have meals with other people and I was
have meals with other people and I was
have meals with other people and I was the social worker trying to figure out
the social worker trying to figure out
the social worker trying to figure out how can I help this man get a little bit
how can I help this man get a little bit
how can I help this man get a little bit more acclimated to his community his new
more acclimated to his community his new
more acclimated to his community his new community after several failed attempts
community after several failed attempts
community after several failed attempts I said you know what Rebecca just go in
I said you know what Rebecca just go in
I said you know what Rebecca just go in and have breakfast with him so I took my
and have breakfast with him so I took my
and have breakfast with him so I took my oatmeal and my tea I brought his food in
oatmeal and my tea I brought his food in
oatmeal and my tea I brought his food in and I sat down and I said Anthony can we
and I sat down and I said Anthony can we
and I sat down and I said Anthony can we eat breakfast together as I helped him
eat breakfast together as I helped him
eat breakfast together as I helped him eat and I ate myself we talked about
eat and I ate myself we talked about
eat and I ate myself we talked about life I was expecting my first baby at
life I was expecting my first baby at
life I was expecting my first baby at the time and I shared with him how my
the time and I shared with him how my
the time and I shared with him how my husband my patient husband was
husband my patient husband was
husband my patient husband was procrastinating painting the nursery
procrastinating painting the nursery
procrastinating painting the nursery something I’m sure nobody can relate to
something I’m sure nobody can relate to
something I’m sure nobody can relate to he laughed and one up to me he said when
he laughed and one up to me he said when
he laughed and one up to me he said when I found out we were pregnant from my
I found out we were pregnant from my
I found out we were pregnant from my wife not only did she ask me to paint a
wife not only did she ask me to paint a
wife not only did she ask me to paint a nursery for her Rebecca but she asked me
nursery for her Rebecca but she asked me
nursery for her Rebecca but she asked me to construct her an entirely new home
to construct her an entirely new home
to construct her an entirely new home she wanted it done in four weeks time we
she wanted it done in four weeks time we
she wanted it done in four weeks time we lamented the journey of marriage and
lamented the journey of marriage and
lamented the journey of marriage and expecting babies and it was just the
expecting babies and it was just the
expecting babies and it was just the normal talk while we had breakfast
normal talk while we had breakfast
normal talk while we had breakfast together and at the end he looked at me
together and at the end he looked at me
together and at the end he looked at me and he said thank you and I kind of said
and he said thank you and I kind of said
and he said thank you and I kind of said okay for what for makes me feel like a
okay for what for makes me feel like a
okay for what for makes me feel like a human again he said oh here I am a
human again he said oh here I am a
human again he said oh here I am a social worker supporting 75 people and I
social worker supporting 75 people and I
social worker supporting 75 people and I made him feel human again by having
made him feel human again by having
made him feel human again by having breakfast with him but here’s the thing
breakfast with him but here’s the thing
breakfast with him but here’s the thing the direct care staff incredible direct
the direct care staff incredible direct
the direct care staff incredible direct care staff CNAs and nurses they were
care staff CNAs and nurses they were
care staff CNAs and nurses they were taking care of eight to ten people
taking care of eight to ten people
taking care of eight to ten people sometimes often more I had 75 people on
sometimes often more I had 75 people on
sometimes often more I had 75 people on my caseload breakfast like that was a
my caseload breakfast like that was a
my caseload breakfast like that was a luxury but I knew in my gut breakfast
luxury but I knew in my gut breakfast
luxury but I knew in my gut breakfast like that was a necessity I can
like that was a necessity I can
like that was a necessity I can distinctly remember going this system is
distinctly remember going this system is
distinctly remember going this system is so broken it is insurmountable and a
so broken it is insurmountable and a
so broken it is insurmountable and a still small voice saying but there’s no
still small voice saying but there’s no
still small voice saying but there’s no such thing as can’t when I started in my
such thing as can’t when I started in my
such thing as can’t when I started in my next job we had an opportunity to
next job we had an opportunity to
next job we had an opportunity to redefine what nursing homes look
redefine what nursing homes look
redefine what nursing homes look and I wanted to take a minute to figure
and I wanted to take a minute to figure
and I wanted to take a minute to figure out why is there such a big challenge
out why is there such a big challenge
out why is there such a big challenge and the big challenge really starts with
and the big challenge really starts with
and the big challenge really starts with staffing just as I described one social
staffing just as I described one social
staffing just as I described one social worker seventy-five people eight to ten
worker seventy-five people eight to ten
worker seventy-five people eight to ten per direct care staff but here’s the
per direct care staff but here’s the
per direct care staff but here’s the bigger challenge we have ahead of us is
bigger challenge we have ahead of us is
bigger challenge we have ahead of us is even though that’s inadequate in itself
even though that’s inadequate in itself
even though that’s inadequate in itself the challenge is only going to grow
the challenge is only going to grow
the challenge is only going to grow there’s 1.2 million people in this
there’s 1.2 million people in this
there’s 1.2 million people in this nation who need skilled level of care
nation who need skilled level of care
nation who need skilled level of care right now 1.2 so if you would just take
right now 1.2 so if you would just take
right now 1.2 so if you would just take a minute I want to make this real for
a minute I want to make this real for
a minute I want to make this real for you all look next to you hello
you all look next to you hello
you all look next to you hello one of the two of you is gonna need
one of the two of you is gonna need
one of the two of you is gonna need nursing home care at some point in your
nursing home care at some point in your
nursing home care at some point in your life I can see everybody going yup it’s
life I can see everybody going yup it’s
life I can see everybody going yup it’s them you never know three out of four of
them you never know three out of four of
them you never know three out of four of you that 75% of you all in this audience
you that 75% of you all in this audience
you that 75% of you all in this audience will need nursing home level of care for
will need nursing home level of care for
will need nursing home level of care for someone that you love care needs do not
someone that you love care needs do not
someone that you love care needs do not discriminate so we have to figure out a
discriminate so we have to figure out a
discriminate so we have to figure out a way to do this differently but the
way to do this differently but the
way to do this differently but the challenge is the direct care staff
challenge is the direct care staff
challenge is the direct care staff aren’t there so here’s the 1.2 million
aren’t there so here’s the 1.2 million
aren’t there so here’s the 1.2 million million people who need care and in the
million people who need care and in the
million people who need care and in the blue bar on the Left what you see is the
blue bar on the Left what you see is the
blue bar on the Left what you see is the amount of staff that we need to
amount of staff that we need to
amount of staff that we need to basically take care of those people in a
basically take care of those people in a
basically take care of those people in a traditional model of long-term care the
traditional model of long-term care the
traditional model of long-term care the problem is on the red right next to it
problem is on the red right next to it
problem is on the red right next to it you can see how many staff we actually
you can see how many staff we actually
you can see how many staff we actually have employed today this issue goes
have employed today this issue goes
have employed today this issue goes across industry lines into my sister’s
across industry lines into my sister’s
across industry lines into my sister’s work into across our nation for anyone
work into across our nation for anyone
work into across our nation for anyone who’s looking for a direct care we have
who’s looking for a direct care we have
who’s looking for a direct care we have to start thinking about this different
to start thinking about this different
to start thinking about this different because in five 10 15 years our
because in five 10 15 years our
because in five 10 15 years our population that needs skilled nursing
population that needs skilled nursing
population that needs skilled nursing care is going to double that means 2.7
care is going to double that means 2.7
care is going to double that means 2.7 million people will need skilled level
million people will need skilled level
million people will need skilled level of care it doesn’t matter if you think
of care it doesn’t matter if you think
of care it doesn’t matter if you think you can stay home that’s not gonna work
you can stay home that’s not gonna work
you can stay home that’s not gonna work because it’s shown that it hasn’t worked
because it’s shown that it hasn’t worked
because it’s shown that it hasn’t worked for all people so at some point some
for all people so at some point some
for all people so at some point some people will need it
people will need it
people will need it 2.7 million dollar in people yet the
2.7 million dollar in people yet the
2.7 million dollar in people yet the work force according to the Bureau of
work force according to the Bureau of
work force according to the Bureau of Labor and Statistics is saying
Labor and Statistics is saying
Labor and Statistics is saying effectively the same that is a startling
effectively the same that is a startling
effectively the same that is a startling statistic friends and we have to figure
statistic friends and we have to figure
statistic friends and we have to figure something out so what do we do what do I
something out so what do we do what do I
something out so what do we do what do I do I run a nursing home do I just stop
do I run a nursing home do I just stop
do I run a nursing home do I just stop and go well it is what it is we’ll let
and go well it is what it is we’ll let
and go well it is what it is we’ll let them deal with it when they get there
them deal with it when they get there
them deal with it when they get there that’s us we’re gonna have to deal with
that’s us we’re gonna have to deal with
that’s us we’re gonna have to deal with it or do we really step back and be
it or do we really step back and be
it or do we really step back and be inspired by
inspired by
inspired by those who’ve gone before us and say now
those who’ve gone before us and say now
those who’ve gone before us and say now I think we can do something else and
I think we can do something else and
I think we can do something else and that’s what I’m here to share with you
that’s what I’m here to share with you
that’s what I’m here to share with you today is that we can do something else
today is that we can do something else
today is that we can do something else and I have and it’s been successful and
and I have and it’s been successful and
and I have and it’s been successful and I want to keep doing it in 2012
I want to keep doing it in 2012
I want to keep doing it in 2012 we opened in Penfield New York the first
we opened in Penfield New York the first
we opened in Penfield New York the first homestyle nursing home planted right
homestyle nursing home planted right
homestyle nursing home planted right into a community if you drove by it you
into a community if you drove by it you
into a community if you drove by it you wouldn’t know it was a nursing home we
wouldn’t know it was a nursing home we
wouldn’t know it was a nursing home we really sat down as a staff and figured
really sat down as a staff and figured
really sat down as a staff and figured out how can we do this in a different
out how can we do this in a different
out how can we do this in a different way and what we realized is that for
way and what we realized is that for
way and what we realized is that for every direct care staff lets they’d be a
every direct care staff lets they’d be a
every direct care staff lets they’d be a 15 direct care staff we had around six
15 direct care staff we had around six
15 direct care staff we had around six or seven indirect employees social
or seven indirect employees social
or seven indirect employees social workers activities staff dieticians
workers activities staff dieticians
workers activities staff dieticians dining support staff Environmental
dining support staff Environmental
dining support staff Environmental Services Quality Assurance clerical
Services Quality Assurance clerical
Services Quality Assurance clerical teams seven in direct staff 215 direct
teams seven in direct staff 215 direct
teams seven in direct staff 215 direct care staff and I looked at my team and I
care staff and I looked at my team and I
care staff and I looked at my team and I said guys this is gonna be hard
said guys this is gonna be hard
said guys this is gonna be hard because we’re gonna have to figure out a
because we’re gonna have to figure out a
because we’re gonna have to figure out a way to put those resources from indirect
way to put those resources from indirect
way to put those resources from indirect care into a direct care workforce I call
care into a direct care workforce I call
care into a direct care workforce I call those indirect staff by the way
those indirect staff by the way
those indirect staff by the way experienced Bridgers because the reason
experienced Bridgers because the reason
experienced Bridgers because the reason that they’re there for a big part is
that they’re there for a big part is
that they’re there for a big part is because there’s not adequate direct care
because there’s not adequate direct care
because there’s not adequate direct care staff there’s not enough numbers of them
staff there’s not enough numbers of them
staff there’s not enough numbers of them to do what we need them to do and then
to do what we need them to do and then
to do what we need them to do and then they’re not trained well enough to be
they’re not trained well enough to be
they’re not trained well enough to be compliant so we have to add in all these
compliant so we have to add in all these
compliant so we have to add in all these fillers and then the last reason that we
fillers and then the last reason that we
fillers and then the last reason that we need those experience gaps is because we
need those experience gaps is because we
need those experience gaps is because we can’t compensate or haven’t been able to
can’t compensate or haven’t been able to
can’t compensate or haven’t been able to compensate direct care staff in a way
compensate direct care staff in a way
compensate direct care staff in a way that makes it a career so it’s a
that makes it a career so it’s a
that makes it a career so it’s a constant churn of people who are burning
constant churn of people who are burning
constant churn of people who are burning out and fizzling out and moving through
out and fizzling out and moving through
out and fizzling out and moving through in 2012 we opened with a revelatory
in 2012 we opened with a revelatory
in 2012 we opened with a revelatory staffing model and physical model in
staffing model and physical model in
staffing model and physical model in which there are adequate staff and they
which there are adequate staff and they
which there are adequate staff and they are adequately trained and they are
are adequately trained and they are
are adequately trained and they are compensated in a way that rivals
compensated in a way that rivals
compensated in a way that rivals entry-level professional careers so that
entry-level professional careers so that
entry-level professional careers so that they continue to can continue to grow in
they continue to can continue to grow in
they continue to can continue to grow in their skill set and really make a
their skill set and really make a
their skill set and really make a difference in a system this model has
difference in a system this model has
difference in a system this model has been incredibly successful 100 percent
been incredibly successful 100 percent
been incredibly successful 100 percent satisfaction from the elders and staff
satisfaction from the elders and staff
satisfaction from the elders and staff and family members who are a part of it
and family members who are a part of it
and family members who are a part of it for the last five years less than 1%
for the last five years less than 1%
for the last five years less than 1% staffing turnover in five years time in
staffing turnover in five years time in
staffing turnover in five years time in an industry where thirty to forty
an industry where thirty to forty
an industry where thirty to forty percent turnover does it make us balk at
percent turnover does it make us balk at
percent turnover does it make us balk at all the best experience has been the
all the best experience has been the
all the best experience has been the Quality Assurance because this is such a
Quality Assurance because this is such a
Quality Assurance because this is such a new model and we had to figure out could
new model and we had to figure out could
new model and we had to figure out could it be compliant
it be compliant
it be compliant could this really work in an industry
could this really work in an industry
could this really work in an industry more regulated than nuclear power in
more regulated than nuclear power in
more regulated than nuclear power in seven surveys by the state and federal
seven surveys by the state and federal
seven surveys by the state and federal government this is a new model so it’s
government this is a new model so it’s
government this is a new model so it’s heavily scrutinized it has been near
heavily scrutinized it has been near
heavily scrutinized it has been near perfect including two weeks ago where
perfect including two weeks ago where
perfect including two weeks ago where they had an exemplar state
they had an exemplar state
they had an exemplar state recertification survey yet again the
recertification survey yet again the
recertification survey yet again the second big challenge that we had to
second big challenge that we had to
second big challenge that we had to tackle was can I convince that indirect
tackle was can I convince that indirect
tackle was can I convince that indirect staff that this is okay imagine you go
staff that this is okay imagine you go
staff that this is okay imagine you go to school to be a social worker
to school to be a social worker
to school to be a social worker expecting a traditional 75 person
expecting a traditional 75 person
expecting a traditional 75 person caseload and what this administrator is
caseload and what this administrator is
caseload and what this administrator is saying is that you need to teach the
saying is that you need to teach the
saying is that you need to teach the people who take care of those elders
people who take care of those elders
people who take care of those elders every single day how to make sure they
every single day how to make sure they
every single day how to make sure they are doing all the things that you’re
are doing all the things that you’re
are doing all the things that you’re there to support it’s a bit of a
there to support it’s a bit of a
there to support it’s a bit of a paradigm shift but if you look at our
paradigm shift but if you look at our
paradigm shift but if you look at our direct care numbers it’s hard to
direct care numbers it’s hard to
direct care numbers it’s hard to convince somebody that we can’t we don’t
convince somebody that we can’t we don’t
convince somebody that we can’t we don’t have to do something different there
have to do something different there
have to do something different there were some great successes at this story
were some great successes at this story
were some great successes at this story but just remember Anthony who I
but just remember Anthony who I
but just remember Anthony who I introduced you to when I first started
introduced you to when I first started
introduced you to when I first started in my nursing home career breakfast with
in my nursing home career breakfast with
in my nursing home career breakfast with like I had with Anthony and this model
like I had with Anthony and this model
like I had with Anthony and this model happens every single day seven days a
happens every single day seven days a
happens every single day seven days a week with every single elder but it’s
week with every single elder but it’s
week with every single elder but it’s not done by a social worker if done by
not done by a social worker if done by
not done by a social worker if done by the direct care staff who supports all
the direct care staff who supports all
the direct care staff who supports all of Anthony’s needs from spiritual needs
of Anthony’s needs from spiritual needs
of Anthony’s needs from spiritual needs to social needs to physical care needs
to social needs to physical care needs
to social needs to physical care needs to meal needs it’s pretty remarkable
to meal needs it’s pretty remarkable
to meal needs it’s pretty remarkable another great example of success in this
another great example of success in this
another great example of success in this model comes from my friend Lou Lou moved
model comes from my friend Lou Lou moved
model comes from my friend Lou Lou moved in after he had lost both of his legs
in after he had lost both of his legs
in after he had lost both of his legs and he was out with his amazing
and he was out with his amazing
and he was out with his amazing Universal work staff foraging for
Universal work staff foraging for
Universal work staff foraging for cartoons in the woods behind the home
cartoons in the woods behind the home
cartoons in the woods behind the home any of you guys know what cartoons are
any of you guys know what cartoons are
any of you guys know what cartoons are not too many Italians in the area okay
not too many Italians in the area okay
not too many Italians in the area okay so apparently they grow in the wild they
so apparently they grow in the wild they
so apparently they grow in the wild they were foraging for them in the woods and
were foraging for them in the woods and
were foraging for them in the woods and when they brought them in to fry them
when they brought them in to fry them
when they brought them in to fry them because I guess that’s what you do with
because I guess that’s what you do with
because I guess that’s what you do with cartoons while they were out talking he
cartoons while they were out talking he
cartoons while they were out talking he had mentioned how much he missed hunting
had mentioned how much he missed hunting
had mentioned how much he missed hunting and she came in and she said you know
and she came in and she said you know
and she came in and she said you know Lou I think we could figure out a way to
Lou I think we could figure out a way to
Lou I think we could figure out a way to get you out hunting again kind of looked
get you out hunting again kind of looked
get you out hunting again kind of looked down at his chair and he was like really
down at his chair and he was like really
down at his chair and he was like really and she goes well there’s no such thing
and she goes well there’s no such thing
and she goes well there’s no such thing as can’t really well trained this girl
as can’t really well trained this girl
as can’t really well trained this girl was so long story short he got to the
was so long story short he got to the
was so long story short he got to the field where he was typically hunting in
field where he was typically hunting in
field where he was typically hunting in into a tree stand where he was familiar
into a tree stand where he was familiar
into a tree stand where he was familiar with and doesn’t a five plate flashy
with and doesn’t a five plate flashy
with and doesn’t a five plate flashy buck walk right by going shoot me Lou
buck walk right by going shoot me Lou
buck walk right by going shoot me Lou me and sure enough he did he then
me and sure enough he did he then
me and sure enough he did he then proceeded to bring that buck home to his
proceeded to bring that buck home to his
proceeded to bring that buck home to his home in Penfield New York upstate New
home in Penfield New York upstate New
home in Penfield New York upstate New York and he asked to hang it in the
York and he asked to hang it in the
York and he asked to hang it in the garage to dress it out I don’t know if
garage to dress it out I don’t know if
garage to dress it out I don’t know if anyone knows what that means but the
anyone knows what that means but the
anyone knows what that means but the people in the house said absolutely not
people in the house said absolutely not
people in the house said absolutely not what they finally decided on was that
what they finally decided on was that
what they finally decided on was that they would get it processed externally
they would get it processed externally
they would get it processed externally and make venison sausage together and
and make venison sausage together and
and make venison sausage together and celebrate lose victory over venison
celebrate lose victory over venison
celebrate lose victory over venison sausage I would be hard pressed to find
sausage I would be hard pressed to find
sausage I would be hard pressed to find a traditional nursing home that would
a traditional nursing home that would
a traditional nursing home that would have a story like that in its history
have a story like that in its history
have a story like that in its history I’ve got ages of them but here’s my
I’ve got ages of them but here’s my
I’ve got ages of them but here’s my challenge I also run a big building on
challenge I also run a big building on
challenge I also run a big building on Highland Avenue where four hundred and
Highland Avenue where four hundred and
Highland Avenue where four hundred and seventy people live and most of the time
seventy people live and most of the time
seventy people live and most of the time that’s where I spend my life we needed
that’s where I spend my life we needed
that’s where I spend my life we needed to do something different there – I
to do something different there – I
to do something different there – I couldn’t wrestle
couldn’t wrestle
couldn’t wrestle I couldn’t reconcile the dichotomy of
I couldn’t reconcile the dichotomy of
I couldn’t reconcile the dichotomy of care so here we had this home with 475
care so here we had this home with 475
care so here we had this home with 475 people in it and an amazing staff
people in it and an amazing staff
people in it and an amazing staff struggling to convert to something
struggling to convert to something
struggling to convert to something different but what we’ve done in the
different but what we’ve done in the
different but what we’ve done in the last three years with this incredible
last three years with this incredible
last three years with this incredible team is start to emulate the model that
team is start to emulate the model that
team is start to emulate the model that we’ve seen in Penfield no longer is this
we’ve seen in Penfield no longer is this
we’ve seen in Penfield no longer is this one home this is 20 homes for elders
one home this is 20 homes for elders
one home this is 20 homes for elders staffed in the same Universal work model
staffed in the same Universal work model
staffed in the same Universal work model with the same well staffed well trained
with the same well staffed well trained
with the same well staffed well trained and well compensated direct care worker
and well compensated direct care worker
and well compensated direct care worker that we need again seven homes have been
that we need again seven homes have been
that we need again seven homes have been open for the last two years the expect
open for the last two years the expect
open for the last two years the expect or the result are just what you would
or the result are just what you would
or the result are just what you would expect improves quality improves
expect improves quality improves
expect improves quality improves satisfaction and improve staff retention
satisfaction and improve staff retention
satisfaction and improve staff retention we’re talking about redefining a
we’re talking about redefining a
we’re talking about redefining a workforce here and I want to give you
workforce here and I want to give you
workforce here and I want to give you some tips about doing something
some tips about doing something
some tips about doing something insurmountable so that you too can
insurmountable so that you too can
insurmountable so that you too can remember there’s no such thing as can’t
remember there’s no such thing as can’t
remember there’s no such thing as can’t in your life the first thing that you
in your life the first thing that you
in your life the first thing that you need to do stop commiserating it is so
need to do stop commiserating it is so
need to do stop commiserating it is so easy to talk about how bad the system is
easy to talk about how bad the system is
easy to talk about how bad the system is or how unjust life is or how broken
or how unjust life is or how broken
or how unjust life is or how broken things are but you know what it really
things are but you know what it really
things are but you know what it really doesn’t take us anywhere so instead of
doesn’t take us anywhere so instead of
doesn’t take us anywhere so instead of commiserating and saying well just the
commiserating and saying well just the
commiserating and saying well just the way it is start saying it’s the way it
way it is start saying it’s the way it
way it is start saying it’s the way it is now and I’m gonna work to make it
is now and I’m gonna work to make it
is now and I’m gonna work to make it different in the future collaborate this
different in the future collaborate this
different in the future collaborate this community is so rich in academia and
community is so rich in academia and
community is so rich in academia and cotton collegial relationships in
cotton collegial relationships in
cotton collegial relationships in organizations like here who people are
organizations like here who people are
organizations like here who people are really trying to do something different
really trying to do something different
really trying to do something different together you can’t tackle the
together you can’t tackle the
together you can’t tackle the insurmountable on your own don’t even
insurmountable on your own don’t even
insurmountable on your own don’t even try
try
try I finally probably most importantly have
I finally probably most importantly have
I finally probably most importantly have some courage there’s a lot of naysayers
some courage there’s a lot of naysayers
some courage there’s a lot of naysayers out there especially when you’re trying
out there especially when you’re trying
out there especially when you’re trying to do something different
to do something different
to do something different people are going you’re gonna die if you
people are going you’re gonna die if you
people are going you’re gonna die if you run faster than a four-minute mile kind
run faster than a four-minute mile kind
run faster than a four-minute mile kind of I might so right just being honest
of I might so right just being honest
of I might so right just being honest but seriously have some courage through
but seriously have some courage through
but seriously have some courage through this work force conversion at st. John’s
this work force conversion at st. John’s
this work force conversion at st. John’s I can assure you I have been effective
I can assure you I have been effective
I can assure you I have been effective and I have been woefully ineffective I
and I have been woefully ineffective I
and I have been woefully ineffective I have been loved and I have been
have been loved and I have been
have been loved and I have been painfully loathed I have been incredibly
painfully loathed I have been incredibly
painfully loathed I have been incredibly proud of our accomplishment and yet I am
proud of our accomplishment and yet I am
proud of our accomplishment and yet I am desperate for a faster transition
desperate for a faster transition
desperate for a faster transition because we cannot continue to provide
because we cannot continue to provide
because we cannot continue to provide institutional care for people who need
institutional care for people who need
institutional care for people who need real life support in a home so as we’re
real life support in a home so as we’re
real life support in a home so as we’re talking about reimagining this nursing
talking about reimagining this nursing
talking about reimagining this nursing home I want you to take heart and if
home I want you to take heart and if
home I want you to take heart and if you’re curious about how you might be
you’re curious about how you might be
you’re curious about how you might be able to collaborate please talk with me
able to collaborate please talk with me
able to collaborate please talk with me there’s always room for more right but I
there’s always room for more right but I
there’s always room for more right but I want you to take some solace in the fact
want you to take some solace in the fact
want you to take some solace in the fact that when one or the person you or the
that when one or the person you or the
that when one or the person you or the person to your right needs a nursing
person to your right needs a nursing
person to your right needs a nursing home care or someone in your family
home care or someone in your family
home care or someone in your family needs that level of care that you just
needs that level of care that you just
needs that level of care that you just might be able to go to another home if
might be able to go to another home if
might be able to go to another home if your own home might work and you’ll be
your own home might work and you’ll be
your own home might work and you’ll be able to do that with a staff that’s
able to do that with a staff that’s
able to do that with a staff that’s rewarded with the ability and the
rewarded with the ability and the
rewarded with the ability and the resources and the compensation that they
resources and the compensation that they
resources and the compensation that they deserve to take full care of you in your
deserve to take full care of you in your
deserve to take full care of you in your life and then finally I just want to
life and then finally I just want to
life and then finally I just want to celebrate and give gratitude to those
celebrate and give gratitude to those
celebrate and give gratitude to those who’ve given purpose and clarity in my
who’ve given purpose and clarity in my
who’ve given purpose and clarity in my life including Tony Anthony and Lou and
life including Tony Anthony and Lou and
life including Tony Anthony and Lou and of course my incredible sisty and as you
of course my incredible sisty and as you
of course my incredible sisty and as you depart from here today I wish you great
depart from here today I wish you great
depart from here today I wish you great clarity in your purpose so that you too
clarity in your purpose so that you too
clarity in your purpose so that you too can look those naysayers in the face and
can look those naysayers in the face and
can look those naysayers in the face and say there’s no such thing as can’t thank
say there’s no such thing as can’t thank
say there’s no such thing as can’t thank you
you
you [Applause]
”
Be First to Comment