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Live Blogging the NCCNHR conference

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by joe angelelli
Posted on Mon Oct 23, 2006 at 10:44:31 AM EST

I'm presenting at NCCNHR in Washington, DC -- here are some ideas generated by small workgroups of advocates tasked with "growing culture change in our community...." -- entered in real-time

1. Make link to regulatory requirements for providers

3. Advocate for policy changes that offer financial incentives for pursuing culture change practices
1. How to get to consumers? Send educational materials to family councils and ask them to identify champion in nursing home to give materials to...

2. Create 1 page summaries of "what culture change" is and distribute

3. Get out there into the community and just do it (replicate Maryland Model

4. Identification of stakeholders, build coalitions and publicity...
1. Regional program for Administrators and DONs to educate and 'take temperature' and then have a follow-up conference opened up to other stakeholders.

2. Promote with Dept. of Social Services, Adult Protective Services...anyone we do training with...
1. Texas: Use existing meetings, QIO, use regulatory trainings of providers

2. New Hampshire: Replicating Kansas PEAK program; sent out questionnaire to all 87 NHs to guage level of involvement to date, organized by domain (activiites, dining) and gave examples. Now giving 6 awards to 6 most innovative practices, and giving book summarizing all nursing homes in state to all NHs.

3. OHIO: Go to facility ahead of the curve and negotiate with them to become mentors to others in their area who are less far along -- act as catalyst to pass along experiences and opportunities.
1. Arkansas -- in-services for facilities
2. Alabama -- working with QIOs (over 37 NHs)
3. Colorado -- regional coalitions...
1. Arrive at common definition, then expand resident involvement in activities; involve CNAs involved in care plans; educate broadly, including family -- create new communcation tools for family councils
1. Need for involvement of families, residents, politicians -- in Colorado involved Health Dept. surveyors, ombudsman invited facilities to come if they were concerned with conflicts with regulations

2. Need for a resident liason to help translate culture change principles.

3. Show resisters how it can ultimately save $$

< Barry Barkan and the Live Oak Institute | The Brown Report: Out of the Shadows >



Financial incentives (4.00 / 1)

"3. Advocate for policy changes that offer financial incentives for pursuing culture change practices."

Long-term care is the fulcrum on which teeters one of Gandhi's seven deadly sins:  Commerce without morality. Or capitalism without conscience. The reality is that long-term care is both a business, and it's about MOM. It's a BIG business that depends on doing what's right. I simply do not understand why the regulatory environment is based on the stick - hit them harder if they do wrong; instead of the carrot - making what's right more profitable.

True Culture Change in long term care will occur when we use the lever of government to create what we want, instead of penalizing what we don't want.


by Christopher Murray on Wed Nov 01, 2006 at 07:25:47 AM EST
Well said... (none / 0)

There is a lot of debate these days about "P4P" or "pay for performance" -- and we are still trying to figure out just how that would apply to culture change in long-term care.  It gets at the issues raised in the other thread about defining and measuring culture change.

by joe angelelli on Wed Nov 01, 2006 at 08:40:50 AM EST
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