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Person-Directed Care/Consistent Assignment

Each and every day, nursing home staff across the country are re-evaluating the way they care for their residents. They search for approaches to care that are more resident-centered. Both residents and staff are becoming more empowered to make decisions. Care practices are becoming less task-oriented and more focused on individualized care. These growing concepts are part of a transformational journey for nursing homes, with the term ‘culture change’ (CC) representing the vast and varied dynamics. Many nursing homes have committed to the change, but few data have been collected to measure the effect of such changes.

The CC movement has historical roots that go back as early as the late 1980s. What started as grassroots efforts in isolated pockets across the country have evolved into a major national movement today that is becoming more and more mainstream. As the CC movement continues to gain momentum, CC practices are gradually diffusing to nursing homes across the United States. The need to understand what CC is and what value it offers to key stakeholders such as consumers, payers, workers, regulators, and providers is greater today than ever before.

Resources:

Some of the following files are provided in Adobe Acrobat format. If you do not have Adobe Acrobat Reader, you can download it for free at Adobe's web site.

  • Change Ideas for Consistent Assignment
  • Pragmatic Steps to Staff Stability, presented by David Farrell, Director- Care Continuum, Lumetra Wednesday, June 13, 2007
    - Please contact CFMC for access to this presentation- 303-695-3300, ext. 3040.
    - Handouts

The Colorado Foundation for Medical Care (CFMC), the Medicare quality improvement organization for Colorado, prepared this material under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents do not necessarily reflect CMS Policy.