Methodology for Workplace Innovation in Long-term Care

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1 Methodology for Workplace Innovation in Long-term Care Research Centre for Social Innovation Utrecht University of Applied Science, Netherlands Anneke Offereins, MA Istanbul, 4 October 2013 Inaugural International Istanbul Initiative on Ageing 1

2 What is Workplace Innovation? Workplace Innovation is a social, participatory process which shapes work organization and working life, combining their human, organizational and technological dimensions. This participatory process simultaneously results in improved organizational performance and enhanced quality of working life. Source: Dortmund/Brussels Position Paper, 2012

3 Experiment Workplace Innovation in Nursing Homes Development of new care models Evident improvement of quality of care, work and efficiency Methodology for other care providers 3

4 Continuous interaction change & design Social Phase 1 Creative process April Juni 2011 Phase 2 Design process CHANGE Change process Unfreeze change- refreeze September - december 2011 Phase 3 implementation Januari juni 2012 Action plan Juni 2013 Phase 4 Evaluation & Continue Functional Infrastructural DESIGN ADCE-cyclus Organizational design Dimensions of the Change process (Achterbergh, Vriens en Doorewaard, 2010)

5 3 pilots 3 different results Essence of new designs for care models: 1. Family participation: dialogue and cooperation between team and family of clients (D n Boogerd) 2. Redesign: introduction of autonomous teams (Viool & Sering) 3. Competencies: optimal use of individual qualities and creativity of employees (no longer positions) (Katwijk)

6 Dreams of pilotteam Viool & Sering To place the relationship with cliënt and family in a central position To create housing conditions that resemble a rural community: privacy, small scaled, cosy, facilities and activities To make optimal use of ICT & technology in administration To work in a team in a pleasant way

7 Old Care Model Pilot team 2 Inhuizing: TM en CCp-er leggen soms huisbezoek af afspraken en wensen in zorgdossier bij bezoek aan V&S Zorgdossier en rapportage in Caress 1 TM planning 2 6 TM TM s: 1TM aansturing Viool & Korenbloem 1TM aansturing Sering, Tuinkamer oplossen Verstoringen 3 Afdeling Viool 4 Afdeling Sering Looproute 1 V Looproute 1 S Looproute 2 V Looproute 2 S Looproute 3 V Looproute 3 S Looproute 4 V Looproute 4 S 5 Registratie: Bij start dienst dossier lezen en registreren in Caress op 2 pc s in zusterpost Huishoudelijke dienst Activiteitenbegeleiding Nachtdienst Behandelaars 7

8 Binnenkant New Care Model Pilot team 2 2 Inhuizing: huisbezoek door CCP-er samenspelscan tbv vaststellen behoeften en wensen afspraken vastgelegd in zorgmenukaart 3 Zorgmenukaart 5 Aazicht 6 TM 1 Buitenkant TM t Middegaaltje Passiebloem Morgenzon Buitenkant: Samenwerking in de wijk Vroeg in contact met nieuwe Bewoners Aanjaagfunctie productontwikkeling en innovatie Coachen teams Registratie: Dossier lezen via ipad op kamer van de cliënt, samen met Cliënt registreren. Aansluiting op flatscreen TV 4 Zorgteam 1 Zorgteam 2 Zorgteam 3 Zorgteam 4 Nachtdienst Behandelaars 7 Binnenkant Vaste groep cliënten, ca.12 Zelforganiserend Zelf roosteren Alle benodigde disciplines in 1 team: zorg, AB en HD max. 8-9 med.

9 Critical criteria Trust Dare to let go Let go of old structures and habits Create space and energy Support and management involvement

10 Results Quality Efficiency Technological adjustments Methodology