[net-gold] Person-Centered Care For Nursing Home Residents: The Culture-Change Movement -- Koren, 10.1377/hlthaff.2009.0966 -- Health Affairs
- From: "David P. Dillard" <jwne@xxxxxxxxxx>
- To: Temple University Net-Gold Archive <net-gold@xxxxxxxxxxxxxxxxxxx>, Temple Gold Discussion Group <TEMPLE-GOLD@xxxxxxxxxxxxxxxxxxx>, Net-Gold <net-gold@xxxxxxxxxxxxxxxx>, Educator Gold <Educator-Gold@xxxxxxxxxxxxxxx>, Educator Gold <Educator-Gold@xxxxxxxxxxxxxxxx>, K12AdminLIFE <K12AdminLIFE@xxxxxxxxxxxxxxx>, Net-Platinum <net-platinum@xxxxxxxxxxxxxxx>, NetGold <netgold@xxxxxxxxxxxxxxx>, "Net-Gold @ Nabble" <ml-node+3172864-337556105@xxxxxxxxxxxxx>, K-12ADMINLIFE <K12ADMIN@xxxxxxxxxxxxxxxxxxx>, net-gold@xxxxxxxxxxxxx
- Date: Sat, 9 Jan 2010 10:14:48 -0500 (EST)
.
Date: Fri, 08 Jan 2010 18:54:13 -0600
From: "Barbara Acello, RN" <bacello@xxxxxxxxxxx>
Reply-To: Net-Gold@xxxxxxxxxxxxxxx
To: Net-Gold@xxxxxxxxxxxxxxx
Subject: [Net-Gold] Person-Centered Care For Nursing Home Residents: The
Culture-Change Movement -- Koren,
10.1377/hlthaff.2009.0966 -- Health Affairs
.
Person-Centered Care For Nursing Home Residents:
The Culture-Change Movement --
Koren, 10.1377/hlthaff.2009.0966 --
Health Affairs
<http://content.healthaffairs.org/cgi/
content/abstract/hlthaff.2009.0966>
Person-Centered Care For Nursing Home Residents:
The Culture-Change Movement
by Mary Jane Koren
<http://content.healthaffairs.org/cgi/
content/abstract/hlthaff.2009.0966>
Mary Jane Koren is assistant vice president,
Frail Elders Program, at The
Commonwealth Fund in New York City.
A diverse group of stakeholders, including the
Centers for Medicare and Medicaid Services
(CMS, which replaced HCFA), helped create a
definition of the characteristics expected to
be present in the "ideal" facility.
They included the need for a homelike rather than
institutional environment where residents are
enabled to make decisions affecting their
day-to-day lives and given choices, and
relationships between residents and staff are close.
Management hierarchies would be decentralized, with
staff empowered to respond to residents' needs.
Studies are showing that these changes are having
positive effects on staff turnover and performance.
Comparing findings from Commonwealth Fund surveys of
health care opinion leaders, Koren finds that
widespread awareness of the movement has come about
only in the past few years. In 2005, only 27 percent
of respondents were familiar with the culture change
movement, compared to 66 percent in 2008.
She notes that states have played an important role in
recognizing and promoting the movement, using regulatory
approaches, recognition programs, and participation in
culture-change coalitions. She also observes that
"States' efforts to rebalance the mix of long-term care
services and supports offered in institutional and
community settings...giv[e] consumers alternatives to
nursing homes ...thereby forcing traditional nursing
homes to reassess what they must offer to stay
competitive." Koren concludes that while the difficulties
of implementing and maintaining culture changes are still
formidable, the current policy environment is conducive
to further innovation and adoption of new models, which
have the potential of being enacted well before the
baby-boom generation arrives at the nursing home doors.
Health Affairs is pleased to make this article freely
accessible for two weeks.
Download full text from
<http://content.healthaffairs.org/cgi/
reprint/hlthaff.2009.0966v1.pdf>
--
"Barbara Acello, RN"
<bacello@xxxxxxxxxxx>
.
Other related posts:
- » [net-gold] Person-Centered Care For Nursing Home Residents: The Culture-Change Movement -- Koren, 10.1377/hlthaff.2009.0966 -- Health Affairs - David P. Dillard
