Relationship Centered Care has a primary focus of all staff establishing relationships with residents of Salem Home. The implementation of how care is provided is based on autonomy in decision-making (determining rising time and bedtimes, bathing schedules, menu choices), meaningful relationships, meaningful engagement in activities and other programming, and a living environment that is inviting, friendly, and comfortable. A measurement tool QUIS-EH-O is used to measure the effectiveness of how care is provided and the quality of interactions between residents and staff. QUIS-EH-O measures three distinct areas of the organization. QUIS measure the quality of interactions between residents and staff, residents and volunteers, and family members. EH measures the Environmental Health of the organization – relational health (does the Electronic Health Record reflect the resident’s point of view), schedules/routines, meaningful activities, emotional care, and physical environment. O measures the organizational health which includes the Mission Statement – does it reflect what is occurring every day, a Resident Bill of Rights written from the residents perspective, and polices. Policies should reflect the mission, resident choice, least restraint, residents right to privacy, resident focused instead of task focused, and an evaluation of the quality of life. The primary goal of the QUIS-EH-O measurement tool is to measure the residents’ actual lived experience in a care home, not what is perceived to be their experience. Care and organizational data is reflecting a ‘positive lived experience’ for residents, and higher work satisfaction among staff.

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