In this section…

What is culture change and person-centered care?

Are we ready for culture change?

Principles of the Eden Alternative

Questions & Answers about Culture Change

Restoring Identity to Socially Deprived and Depersonalized Older People (St Louis Accord)

 “Mayday!” by Karen Schoeneman

VIDEO: CMS regulatory comments about nursing home culture change  (6:39)

OBRA 1987  – Residents’ rights, quality of life, resident assessment, and quality of care

Regulation interpretation guidance for long-term care surveyors

Culture Change and Compliance; A CMS Perspective

Building the Case for Culture Change

Employee-Centered Workplace Practices

What would you like to do next?

Take a self-assessment.

Where are you in the evolving culture of long-term care? 

 

 

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What is culture change?

 

Learn more about the concept of person-centered care and different culture change philosophies of nursing home industry leaders. 

Read compelling support and rationale for culture change from the industry’s top leaders, including long-term care regulatory officials at the Centers for Medicare and Medicaid Services (CMS).

Background information about person-centered care and the different culture change philosophies in the nursing home industry.

                        PDF (109 KB)                       Microsoft Word (232 KB)

When deciding if your nursing home is ready for change, it’s important to consider the three domains – care practices, workplace practices, and the environment – that are interdependent on the person-centered care model.           PDF (116 KB)                       Microsoft Word (264 KB)

Learn more about the ten principles developed by the Eden Alternative philosophy of care.  PDF (44 KB)             Microsoft Word (128 KB)

Learn more about culture change and person-centered care from the pioneers of the movement. From the Pioneer Network.

                        PDF (49 KB)                         Microsoft Word (136 KB)

This article, written in 1966, discusses in detail the experience of an elder in long-term care and the need to restore identity to these older people.  From the St. Louis Accord meeting, excerpted from a paper written by Helen M. Gossett, United Hospital Fund in New York, used with permission.

                                                                        PDF (54 KB)

Karen Schoeneman, Senior Policy Analyst at CMS, discusses the need for a new vocabulary in the nursing home culture. 

                        PDF (48 KB)                         Microsoft Word (132 KB)

Karen Schoeneman, Senior Policy Analyst and Thomas Hamilton, Director of Survey & Certification at CMS discuss federal regulations as they relate to culture change in the nursing home.

                        Windows Media Video - Length: 6:39 (20.3 MB)

This document is an excerpt of the “quality” section of the Omnibus Budget Reconciliation Act (OBRA) of 1987. 

                        PDF (94 KB)                         Microsoft Word (158 KB)

Review guidance for surveyors on regulations as they relate to person-centered care.  PDF (112 KB)                   Microsoft Word (60 KB)

A presentation by Karen Shoeneman, Senior Policy Analyst at CMS, about compliance as it relates to culture change and the delivery of person-centered care. PDF (52 KB)                      Microsoft PowerPoint (53 KB)

A presentation by David Farrell, Project Manager at The Quality Partners of Rhode Island and former CEO of the Wellspring Institute, using research and data to discuss the business case for culture change.

                        PDF (52 KB)                         Microsoft PowerPoint (53 KB)

A presentation by David Farrell, Project Manager at The Quality Partners of Rhode Island and former CEO of the Wellspring Institute, discussing the impact and importance of employee-centered workplace practices and its positive impact on staff turnover.

                        PDF (323 KB)                       Microsoft PowerPoint (424 KB)

 

 

To Contact Us

E-Mail: ltc@ohqio.sdps.org

Provider QIC Line: 1.800.385.5080

 

Rock Run Center, Suite 100 · 5700 Lombardo Center Drive · Seven Hills, OH 44131 · www.ohiokepro.com

 

Ohio KePRO, the Medicare Quality Improvement Organization (QIO) for Ohio, is working with committed hospitals, nursing homes, home health agencies, and TTTTphysicians throughout the state who are dedicated to the common goal of Continuous Quality Improvement for Medicare beneficiaries. 

 

Publication No. 8001-OH-057-3/2006.  This resource was prepared by Ohio KePRO, the Medicare Quality Improvement Organization for Ohio, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services.  The contents presented do not necessarily reflect CMS policy.