Culture Change

Making strides in resident-centered care

Making strides in resident-centered care

Bethany Village's Silver Recognition is a significant milestone in the organization's culture change journey. More importantly, it reassures residents and families that effective policies, practices, tools, and systems are in place to meet a broad range of resident, family, and professional health care giver needs and preferences.

Take a look in the mirror

Take a look in the mirror

I have worked in the aging profession for more than 21 years, have been a registered nurse for more than 40 years and will soon begin my (semi-) retirement. This has led me to do a lot of reflecting on my career and, for lack of a better word, my legacy as a nurse and long-term care educator.

Ask the payment expert ... about regs vs. resident choice

Ask the payment expert ... about regs vs. resident choice

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We are going through culture change and wonder if surveyors will be more lenient with regulations if we do something that is resident choice?

Culture change increased care quality, reduced rehospitalizations: study

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Culture change pays off by increasing the quality of care in nursing homes, according to a new study from Brown University.

Leadership and execution: Keys to culture change

Leadership and execution: Keys to culture change

A student preparing her master's thesis in healthcare management recently asked me, "Why aren't more organizations doing The Eden Alternative or something like it?" From the tone of her voice, it was obvious that she was struggling to find an answer. Well, I've thought about this question a lot, so I had my answer ready.

Consistent assignment study shows need for careful culture change implementation, Eden Alternative leader says

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Consistently assigning nursing home aides to particular residents could cause the aides to feel isolated and overburdened, suggests a study forthcoming in the Western Journal of Nursing Research. However, a prominent voice in the nursing home culture change movement says the study simply shows that providers must adhere to best practices to see the benefits of consistent assignment.

Nursing home culture change is linked to a decrease in survey deficiencies, research shows

Nursing home culture change is linked to a decrease in survey deficiencies, research shows

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Nursing homes that initiated culture change between 2004 and 2009 saw a noteworthy decrease in health-related survey deficiency citations, according to recently published research. The investigators describe their study as the first of its kind.

Systematic improvement is a key to larger culture change in long-term care, Advancing Excellence leader says

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The Advancing Excellence campaign is well known for helping long-term care providers improve on measureable quality goals, but the program goes beyond this to create less quantifiable changes, according to Executive Director Douglas Pace, LNHA.

Nursing homes as human habitats

Nursing homes as human habitats

Things were so much less complicated when I started into the nursing home business in 1973. My father, looking for a business venture, built a 19-bed nursing home on the family farm. My older brother was the administrator and night shift aide. My mother was the cook, and my father was the maintenance man. I was the director of nursing and day shift aide.

Sorry, that's not the full recipe for fixing nursing homes

Sorry, that's not the full recipe for fixing nursing homes

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The Atlantic's recent article called 'How to Fix Nursing Homes' is a well-written and thoughtful piece. My only gripe is that the headline is a bit of a reach.

Eden Alternative acquires Wellspring

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The Eden Alternative, a culture-change long-term care program, has announced the acquisition of Lifespan Network's Wellspring Program.

A survey you don't have to worry about

A survey you don't have to worry about

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The quality of nursing home care is improving — and residents and their families are noticing. That's the message two industry researchers want administrators and caregivers to take away from new survey findings.

Nursing organizations release list of competencies for nursing home culture change

A group of nursing organizations on Thursday released a list of 10 nurse competencies for nursing home culture change. The move marks the end of a two-year effort to find the most relevant competencies for creating person-centered care, according to a press release.

CMS official honored for work with nursing homes

Karen Schoeneman, deputy director of the Division of Nursing Homes at the Centers for Medicare & Medicaid Services, has received the 2010 Picker Institute Award for Excellence.

Every day is an opportunity to forge relationships

Every day is an opportunity to forge relationships

Strong relationships are the backbone of the culture change movement.

Nurse administrators meet to hone survey skills, examine culture change

Directors of nursing are going to be told from Saturday to Wednesday that they "can do whatever they put their mind to" at the annual meeting of the National Association Directors of Nursing Administration / Long-Term Care, organizers say. Themed "Mission Possible," the meeting takes place in Phoenix and will feature workshops focusing on Recovery Audit Contractor (RAC) surveys, culture change and Quality Indicator Surveys (QIS). The keynote speaker will be LeAnn Thieman, co-author of "Chicken Soup for the Nurses Soul."

Leading by example: promoting culture change in nursing homes

Leading by example: promoting culture change in nursing homes

One of the primary concepts behind the Promoting Excellent Alternatives in Kansas (PEAK) award is promoting culture change in nursing homes.

Report: culture change in nursing homes good for business

Report: culture change in nursing homes good for business

Nursing homes that have adopted aspects of the culture change movement, or at least strive to, are more likely to see benefits in resident satisfaction, staff retention, higher occupancy rates and improved operational costs, according to a recently released survey of directors of nursing.

An imperfect world calls for an increase in risk management

An imperfect world calls for an increase in risk management

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Falls and medication errors can lead to big problems. That is why providers need to be extra vigilant about prevention.

Care not same as caring

Care not same as caring

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When "Dianne Butler's" mother was rushed to the emergency room with signs of a heart attack, the ER nurses quickly cut away her snug, pullover silk shift. Hurrying to do CPR and start IVs, that dress was the last thing they were worried about...

Finding long-term solutions

Finding long-term solutions

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It's hardly a secret that eldercare services in this nation are in a state of flux. The average age of nursing homes in most metro markets has surpassed 30 years.

Ask the legal expert

Ask the legal expert

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The raiding of resident trust funds and theft of insurance checks by staff are perhaps the two most significant fraud/embezzlement problems in long-term care. What is your advice for guarding against them?

Skilled nursing facilities find new opportunities, new challenges with 60% rule

Skilled nursing facilities find new opportunities, new challenges with 60% rule

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Since the reduction of the so-called 75% Rule to 60%, SNFs have to work even harder to attract Part A therapy residents

Tech toys

The nation's top lawmakers are learning more about new monitoring, personal health record and brain fitness technologies for seniors during a special briefing and demonstration today.Senators from the Special Committee on Aging; the Health, Education, Labor and Pensions Committee; and the Medical Technology Caucus are hosting the event to discuss and explore what type of support is needed to promote technological advances that can help our nation's aging population.

It's about time

Staying on top of the latest products, services and industry trends can be a time-devouring pursuit. But the job just became less time consuming, thanks to our new Web site. Eldercare pros can find many time-saving options. These include a substantially enhanced Directory that makes it easier to locate needed services, plus videos of important suppliers. The latest job openings are also available, as well as immediate access to our Career Guide. Please take a moment to familiarize yourself with our new site. We think you'll find it's time well spent.

Nip and tuck

Nip and tuck

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Culture change is all the rage in nursing home design today, but you don't have to build new to make a difference.

This addition's a natural fit

This addition's a natural fit

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An Ohio CCRC uses rooftop gardens and open green spaces both to be environmentally conscious and to bring a sense of nature to residents.

Boomers healthy, conservative, new report finds

A quick glance at the oldest baby boomers: They've been married only once; they have 2.4 children average; and conservatives outnumber liberals by two to one.

60 Seconds with...

60 Seconds with...

Beth Baker, Author, Old Age in a New Age, about new nursing home models

Housing market fear doesn't affect long-term care confidence

Housing market fear doesn't affect long-term care confidence

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While the rest of the housing market is gripped by credit fears, those in long-term care are staying confident.

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