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Changing the Culture and Improving Quality: Innovations in Long-Term Care

Friday, October 19, 2007

Culture change in the long-term care world involves many players residents, administrators, workers, lawmakers, policy analysts sharing a common vision. One such vision attracting attention has been developed by a group of citizens, providers and advocates known as Pioneers who are exploring alternatives to traditional nursing facilities. Their goal: facilities that are resident-centered, less institutional and more home-like. This involves trying to piece together financing from Medicaid, Medicare and private funding sources.

Will we be ready to meet the demands of aging boomers for more consumer-directed care? Are legislative changes needed to promote it? This briefing, sponsored by the Alliance for Health Reform and the Robert Wood Johnson Foundation, addressed these and related questions.


Rosalie Kane, University of Minnesota, Speaker
Bonnie Kantor, Pioneer Network, Speaker
Jay Sackman, Service Employees International Union, Speaker
Karen Schoeneman, Centers for Medicare and Medicaid Services, Speaker

Transcript, Event Summary and/or Webcast and Podcast

Transcript: Public Opinion Strategies Election Night Survey (Adobe Acrobat PDF), 12/17/2014
Full Webcast/Podcast: Innovations in Long-Term Care

The transcript, full webcast and podcast for this briefing are provided by Kaiser Family Foundation.

Speaker Presentations

Kane Presentation: Culture Change in Nursing Homes and Resident Quality of Life (Adobe Acrobat PDF), 10/19/2007
Kantor Presentation: Nursing Home Transformation, Following Consumer Demand (PowerPoint), 10/19/2007

(If you want to download one or more slides from these presentations, contact us at info@allhealth or click here for instructions.)

Source Materials

Green Houses Provide a Small Group Setting Alternative to Nursing Homes (Word Document), Robert Wood Johnson Foundation, 1/1/2007
Letter to Mississippi Congressional Delegation (Adobe Acrobat PDF), Centers for Medicare and Medicaid Services, 2/27/2007
What Culture Change Is, and Why an Aging Nation Cares (Adobe Acrobat PDF), Aging Today, 8/1/2007
Resident Outcomes in Small-House Nursing Homes: Analysis of Green House Project (Adobe Acrobat PDF), Journal of the American Geriatrics Society, 6/1/2007
Culture Change in Nursing Homes - Consumer Fact Sheet (Adobe Acrobat PDF), National Citizens' Coalition for Nursing Home Reform, 8/1/2007
A Campaign to Improve Quality of Life For Residents & Staff (Adobe Acrobat PDF), Advancing Excellence in America's Nursing Homes, 2/28/2007
National Spending for Long-Term Care (Adobe Acrobat PDF), Georgetown University Long-Term Care Financing Project, 2/2/2007
Preliminary Research Supports Nursing Home Culture Change Movement (Adobe Acrobat PDF), Pioneer Network, 8/1/2007
Comparing Nursing Home Rules Yields 10 Lessons From 50 States (Adobe Acrobat PDF), Aging Today, 8/1/2007
Out of Isolation: A Vision for Long-Term Care in America (Adobe Acrobat PDF), National Commission for Quality Long-Term Care, 9/1/2006
Nursing Home Culture Change Regulatory Compliance - Questions & Answers (Adobe Acrobat PDF), Centers for Medicare and Medicaid Services, 12/21/2006
Radical Redesign of Nursing Homes: Applying the Green House Concept in Tupelo, MS (Adobe Acrobat PDF), The Gerontologist, 6/1/2006
Bringing Culture Change to Louisiana Nursing Homes/Report From the Frontlines of Culture Change (Adobe Acrobat PDF), Louisiana Department of Health and Hospitals, 11/9/2004
Transforming Nursing Homes (Adobe Acrobat PDF), InformeDesign (University of Minnesota), 9/1/2007
Culture Change in Nursing Homes - Stephen Shields (Word Document), The Commonwealth Fund, 10/4/2004
Culture Change in For-Profit Nursing Homes - Leslie Grant (Word Document), The Commonwealth Fund, 11/1/2005
Pioneer Network - Fact Sheet (Adobe Acrobat PDF), Pioneer Network, 8/1/2007
Pioneer Network - Values and Principles (Word Document), Pioneer Network, 8/1/2007
Report of the Quality Care Committee (Word Document), Service Employees International Union - Local 1199, 3/6/2007
Skilled Nursing Facilities Payment Regulation Language (Word Document), Centers for Medicare and Medicaid Services, 8/8/2002
Additional Resources (Adobe Acrobat PDF), Alliance for Health Reform, 10/18/2007
Speaker Biographies (Adobe Acrobat PDF), Alliance for Health Reform, 10/18/2007
Selected Experts (Adobe Acrobat PDF), Alliance for Health Reform, 10/18/2007
Panelist Responses to Unasked Written Questions (Adobe Acrobat PDF), Alliance for Health Reform, 11/20/2007
2014 Analysis: Another Republican Wave (Adobe Acrobat PDF), , 12/17/2014

Offsite Materials (briefing documents saved on other websites)

Abstract - A Story of Culture Creation: The Alois Alzheimer Center, Alzheimer's Care Today, 7/1/2007
The Green House Concept, NCB Capital Impact/Robert Wood Johnson Foundation, 2/1/2007


Karen Schoeneman of CMS -- speaker at the October 19th briefing cosponsored by the Robert Wood Johnson Foundation.

Jay Sackman consultant to SEIU-- speaker at the October 19th briefing cosponsored by the Robert Wood Johnson Foundation.

Bonnie Kantor of the Pioneer Network -- speaker at the October 19th briefing cosponsored by the Robert Wood Johnson Foundation.

Rosalie Kane of the University of Minnesota -- speaker at the October 19th briefing cosponsored by the Robert Wood Johnson Foundation.


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