The Commonwealth Fund 2007 National Survey of Nursing Homes Implications for Practice

1. The Commonwealth Fund2007 National Survey of Nursing Homes Implications for Practice Bonnie S. Kantor, Sc.D Executive Director, Pioneer Network May 19, 2008

2. Where Are We Now? • From debate to conversation; • Critical mass of adopters and strivers; • Credible results confirming “it” works; • But the barriers remain persistent.

3. From Findings To Implementation What will it take to make resident-centered care the norm?

4. Seven Opportunities We Are Ready To Address • Further defining quality; • Changing the national conversation; • Helping leaders become change agents; • Engaging, and empowering staff early and systematically.

5. Seven Opportunities We Are Ready To Address (continued) • Involving consumers; • Adapting the physical environment; • Creating a unified will.

6. Opportunity #1: Further defining quality • The values and principles underlying culture change: • Know each person; • Each person can and does make a difference; • Relationship is the fundamental building block of a transformed culture; • Respond to spirit, as well as mind and body;

7. Opportunity #1: Further defining quality Continued • Risk taking is a normal part of life; • Put person before task; • All elders are entitled to self-determination wherever they live; • Community is the antidote to institutionalization; • Do unto others as you would have them do unto you;

8. Opportunity #1: Further defining quality Continued • Promote the growth and development of all Shape and use the potential of the environment in all its aspects: physical, organizational, psycho/social/spiritual; • Practice self-examination, searching for new creativity and opportunities for doing better; • Recognize that culture change and transformation are not destinations but a journey, always a work in progress.

9. Opportunity #2:Change the National Conversation… From what is wrong with nursing homes to thinking about long term care in terms of values.

10. Linking Quality and Outcomes Opportunity for practice, research and policy to view quality and efficiency as interconnected outcomes. Improved quality of care and measurable Financial success Resident-centered Adaptations

11. Opportunity #3:Address Identified Leadership Needs The importance of leaders as change agents in nursing homes that are both adopters and strivers.

12. Opportunity #4:Engage Staff At All Levels Earlier and Systematically • Expand the role of universities and colleges; • Integrate culture change into education and training programs; • Case Study: Nursing Home Administrators.

13. Opportunity #5:Engaging Consumers • Promising trends identified; • Actively create advocates for change.

14. Opportunity #6:Making the Nursing Home Feel Like Home • Update on the Creating Home Symposium; • Importance of activity on the state level; • The role of the Culture Change Coalitions and LANES.

15. Opportunity #7Create a Unified Will to Proceed