Quality Improvement
Person-Centered Care
Person-Centered Care (culture change) refers to the national movement for the transformation of older adult services, based on person-directed values and practices where the voices of elders and those working with them are considered and respected. Core person-directed values are choice, dignity, respect, self-determination and purposeful living. Click here for the Pioneer Network’s definition of Culture Change.
The FHCA Performance Excellence Council consists of members and other partners, including representatives from the Florida Pioneer Network and the National Pioneer Network, working together to encourage understanding and support person-centered care. The mission of the Council is to promote person-centered care and culture change movement in the long term care profession by serving as a resource to educate, assist and support person-directed care in accordance with the vision and values of FHCA in partnership with the Florida Pioneer Network.
CMS Categorical Waivers RE: Culture Change
- CMS S&C: 13-58-LSC: 2000 Edition NFPA 101 Life Safety Code Waivers (August 30, 2013)
- CMS S&C: 12-21-LSC: Instructions Concerning Waivers of Specific Requirements of the 2012 Edition of NFPA 101, LSC in Health Care Facilities (March 9, 2012)
- Steps to Implement Categorical Waivers
- Example Letter for Increased Amount of Decorations
- How to Talk With Your Local Fire Inspecting Authority
- Categorial Waivers for Combustible Decorations
- Categorical Waiver for Corridors
- Categorical Waivers for Fireplaces
- Cooking Waivers
Resources
- Fire Protection Codes for Culture Change Brochure
- Starter Toolkit for Engaging Staff in Individualized Care - Free Resource from Pioneer Network
- Agency for Health Care Administration’s response to the question on the allowance of preset tableware with reference to the 2009 Food Code (Feb. 2013)
- Agreement with Motion Picture Licensing Corporation Re: Showing Movies in Nursing Homes, ALFs, LTC Settings
- Myths and Facts about Patient-Centered Care
- FHCA Culture Change Survey Results
- Long Term Living Magazine: Jennifer Mikula (CC Council Chair) interview, October 2010
- The Case for Culture Change
- Positive Outcomes of Culture Change – the Case for Adoption
- Pioneer Network
- Pioneer Network's "Artifacts of Culture Change" Tool
- Pioneer Network New Dining Practice Standards
- TMF Health Quality Institute: Person-directed Care
- Dietary Services and Culture Change Q & A
- Achieving Staff Stability Using Data Driven Decision to Re-examine Industry Norm
Consistent Assignment
- Advancing Excellence - Consistent Assignment Tools
- Pulse article on Consistent Assignment (March 2012), by Wendy Stoutjesdijk
- Change Ideas of Consistent Assignment
- A Case for Consistent Assignment (Provider Magazine)
- A Keystone for Excellence (Provider Magazine)
- Dedicated/Consistent Caregivers Tip Sheet
- Huddles Tip Sheet on Person-Centered Care
Eden Alternative Warmth Surveys
Improving Dementia Care / Reducing the Inappropriate Use of Antipsychotic Drugs
- Click here for resources
- A Peer Coach Nursing Home Success Story, with Maureen Brown, administrator at Miami Shores Nursing & Rehab Center
Measuring Culture Change
Culture Change Leadership Assessment
- Leadership Self-Assessment
- Assessment Mechanism
- Kansas Culture Change Instrument (KCCI) Leader Version
Approved Food Sources
- CMS Rule on Approved Food Sources
- CMS Survey & Certification Memo 07-07 Nursing Home Culture Change Regulatory Compliance Questions and Answers
- CMS Survey & Certification Memo 09-39 Food Procurement and Self Determination and Participation
Sexuality in LTC Settings
- Policies and Procedures Concerning Sexual Expression (sample)
- Abuse or Intimacy: Older Adult Sexuality
- Pioneering Change: Sexuality in Nursing Homes Education Module
- INTIMACY, SEXUALITY AND SEXUAL BEHAVIOUR IN DEMENTIA: How to Develop Practice Guidelines and Policy for Long Term Care Facilities
- Link to NPR broadcast, July 22, 2013: “Can Elderly Patients with Dementia Consent to Sex?
Staff Engagement
VA Care for Veterans
FHCA Members Only-Webinar focused on how to help your Veteran residents navigate the process to access their benefits and how your center can become a VA contracted facility.