Index

 

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 that seeks to create an environment for residents which follows the residents' routines rather than those imposed by the facility; encourages appropriate assignments of staff with a team focus to make deep culture change possible; allows residents to make their own decisions; allows spontaneous activity opportunities; and encourages and allows residents to be treated as individuals. 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 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. You will need Adobe Acrobat Reader to open pdf files. Click Here to get Adobe Acrobat Reader for Free
Ombudsman Involvement in Culture Change: News Training Best Practices Resources
News
Culture Change News brings you highlights of activities around the country that promote Culture Change and may involve the ombudsman program. Also included are items of interest regarding facilities that are implementing Culture Change.
Training
The 2006 State Long-Term Care Ombudsman Spring Training Conference included a session titled, Person Directed Care or Culture Change: Where's the Action? Materials from that session are included here:                       Handouts: South Dakota Culture Change Coalition - mission statement and stakeholders list Virginia Culture Change Coalition - priorities, challenges and proposed action steps; "Lighting the Flame" workshop brochure                            Presentations: Quality Partners of Rhode Island - coordinated a 2004-2005 CMS pilot of QIO work in nursing homes. Individualized Care: The Key to Quality and Retention Quality Improvement Organizations: 8th Scope of Work Transforming Nursing Home Quality                             Training Materials:  TX Omb Training Manual: Module 6 - Advocacy from             Individual Complaint to Culture Change Trainer's Notes Student Material Powerpoint
Best Practices
"Best Practices" are developed for sharing ideas in various categories among ombudsman programs.  They are informal documents that are program based not research based. Those listed below fall into the program management category.  Ombudsman Best Practices: Supporting Culture Change to Promote Individualized Care in Nursing Homes, by Barbara Frank.     The Following Best Practices were submitted for the 2006 State Long-Term Care Ombudsman Spring Training Conference and appear in the Conference notebook.              April 2006 (posted June 2006) Ombudsman Program Support for Culture Change, Colorado Training to Implement Culture Change, Maryland Strategic Conference on Culture Change with partner agencies, Virginia
Resources
The Role of the LTC Ombudsman in Culture Change: Promoting Resident Directed Care in Nursing Homes and Assisted Living. This new resource brief, developed by Center Consultant, Sara Hunt, is designed to generate ideas about how long-term care ombudsmen can promote systemic, resident-directed care practices in facilities. Included are examples of state and local ombudsman program involvement in promoting culture change practices, offers tips for ombudsman advocacy, discusses the role of the ombudsman, and lists salient resources.  May 19th, 2008 Webinar: Culture Change in Nursing GHomes; How Far Have We Come? Hosted by the Pioneer Network and the Commonwealth Fund. Download a recording of the webinar and materials.  State Culture Change Coaltions: California Culture Change Coalition Colorado Culture Change Coalition Connecticut Culture Change Coalition Kansas Culture Change Coalition Illinois Pioneer Coalition Minnesota Culture Change Coalition Missouri Coalition Celebrating Care Continuum Change (MC5) Nebraska Aging Enrichment Coalition Innovation Network or New Mexico North Carolina Coalition for LTC Enhancement Ohio Person-centered Care Coalition Pennsylvania Culture Change Coalition RI Generations (formerly Rhode Island Culture Change Coalition)   Changing the Nursing Home Culture. (March 2008). Alliance for Health Reform Culture Change Issue Brief. NCCNHR - In 2004, NCCNHR members approved a resolution in support of Culture Change, Require the Principles and Values of Deep Culture Change in All Long Term Care Settings.  The NCCNHR website hosts a special page providing links to consumer fact sheets, other resources, organizations, and activities centered around Culture Change. Culture Change Now - books, newsletters, training and other resources at Culture Change Now. 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.  To learn more about the Pioneer Network and the 2008 Conference, visit their website at: www.pioneernetwork.net.