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Culture Change

A nursing home is a place residents call "home." A place where someone lives and calls home should nurture the human spirit as well as meet medical needs. Culture change is a movement to promote a person-centered model of care. The goal is deinstitutionalize the facility to create an envirornment that follows the residents' routines rather than those imposed by facility and provides truly individualized care. Deep culture change is an important component of the right of residents to “care and services to attain or maintain the highest practicable physical, mental and psychosocial well being;” as promised in the 1987 Nursing Home Reform Law. It is the role of the Ombudsman programs to advocate for residents and their right to make choices to direct their care and life in long-term care facilities. Below are documents and resources that may help ombudsmen in their work to achieve resident-directed care.

NORC Resources



 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Ombudsman Advocacy and Culture Change: Achieving Resident-Directed Care in Daily Advocacy (January 2012)
As advocates for residents living in long-term care facilities, ombudsmen have long promoted individualized, resident-directed care. They incorporate culture change in their regular activities, advocating for residents, working with families, facility staff and administration and others through Culture Change Coalitions and state and national quality initiatives. This webinar demonstrates how long-term care ombudsmen can promote culture change practices at both the individual and systemic level during daily advocacy and complaint resolution. During this interactive webinar we will review tips for ombudsman advocacy, discuss the role of the ombudsman in culture change and review two case studies.

LTCOP Innovative Practices: Incorporating Person-Centered Care in Ombudsman Training, Complaint Investigation and Advocacy (October 2012)
This webinar is designed to help ombudsmen think about applying person centered care principles to the role of the ombudsman in advocacy and program management. The presentations delve into the gray areas around avoiding the perception of being more of a provider advocate than a consumer advocate, resource allocation, and teaching ombudsmen how to apply the principles to their ongoing work. Participants had the opportunity to share their program's best practices and learned about resources from the National Long-Term Care Ombudsman Resource Center and the National Consumer Voice for Quality Long-Term Care regarding person-centered care/culture change and the role of the ombudsman.

 

Additional Resources


Journey to Culture Change (November 2015)
Presented by the Maryland Culture Change Coalition, these slides serve as a guide on the culture change movement and how culture change can be implemented.

Changing the Nursing Home Culture (March 2008)
Alliance for Health Reform Culture Change Issue Brief

Pioneer Network
A grassroots movement to transform the culture of aging in America. The movement is called culture change, the transformation of traditional institutions and practices into communities in which each person's capacities and individuality are affirmed and developed.

Locate Your State Culture Change Coalition - search for your state coalition

 

Training and Outreach


LTCOP Innovative Practices: Incorporating Person-Centered Care in Ombudsman Training, Complaint Investigation and Advocacy Intensive

Culture Change Inservice Training (February 2011)
Ohio Department of Aging, Finer with Age, February 2011 Program Regarding Person-Centered Care

Individualized Care: The Key to Quality and Retention
Quality Partners of Rhode Island - coordinated a 2004-2005 CMS pilot of QIO work in nursing homes

Residents: The Heart of the Matter
Best Practices of Northern Michigan 13th Annual Conference

Texas Long-Term Care Ombudsman Initial Certification Training Manual: Module 10- Resident-Directed Care and Module 11- Systems Advocacy

 

Information to Share with Consumers


Pioneer Network
A grassroots movement to transform the culture of aging in America. The movement is called culture change, the transformation of traditional institutions and practices into communities in which each person's capacities and individuality are affirmed and developed.

Locate Your State Culture Change Coalition - search for your state coalition

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