Specialized Information for:

Nursing HomesAssisted Living/Board & Care Home and Community Based Services

Systems Advocacy

The ombudsman program promotes systems change to address the quality of life for residents of long-term care facilities. The resource documents contained here are organized by topic.


General Systems Advocacy Resources

Systems Advocacy: It's More than Legislative Work

View the slides as a PDF.

Participants were taught what is required under the federal law and rule regarding systems advocacy. Presenters shared how they promote better care through systems advocacy at both the state and local level and how they coordinate their advocacy. 

UPDATED: Role and Responsibilities of Ombudsman Programs Regarding Systems Advocacy (February 2018)
The Older Americans Act (OAA) and State Long-Term Care Ombudsman Programs Rule outline the responsibilities of the State Ombudsman and their representatives, clearly stating that the primary role of the Long-Term Care Ombudsman Program is to serve as resident advocates. Ombudsman programs are charged with serving as the resident advocate in response to individual complaints as well as advocating for the concerns of residents and need for change on a systems level. This reference guide briefly defines systems advocacy, reviews the federal mandate and support for systems advocacy work by Ombudsman programs, define several systems advocacy strategies, shares examples of Ombudsman program advocacy and additional resources.

Consumer Voice Advocacy Toolkit

Working Systemically to Improve Care (November 2014)
Presented by Louise Ryan of the Administration for Community Living, this PowerPoint provides tips on advocacy methods for Ombudsmen.


Archive

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Ombudsman Best Practices: Using Systems Advocacy to Improve Life for Residents (June 2002)
This paper provides a framework for engaging in systems advocacy on behalf of long term care residents. It discusses the LTCOP’s responsibility and role in changing systems on behalf of residents in the Guidance for Systems Advocacy section. The Tips for Sanity and Success section describes basic principles for systems advocacy, i.e. strategies and approaches, and key questions for each stage in the process. Real World Examples gives “real life” examples of systems advocacy and discusses program policies and requirements that support such advocacy. A final list of reminders of decision points which can make or break systems efforts is the Essential Elements section.

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