Page 4 - Regulatory Support for Culture Change - 2018 update

Regulations that Support Culture Change
Resident Rights
Resident Behavior and Facility Practices Comprehensive Assessment
Comprehensive Care Plan
Care Planning Highest Practicable
Resident Participation in Care Planning Quality of Life
Dignity
No More Bibs!
Self-determination and Participation/Choices Accommodation of Needs
Activities
Social Services
Homelike Environment
p. 7
p. 13 p. 14 p. 15 p. 16
p.1
p.4 p.6
p.8 p. 10 p. 12
p. 17 p. 18 p. 19 p. 21
p. 23 p. 24
p. 25 p. 25
p. 28 p. 29
Regulations Regarding Medication Carts
Consistent Staff Regulations
Cross-training of Staff
Self-directed Work Team Regulations
Creating Home and Individualizing Resident Rooms Eliminating Overhead Paging Regulations
“I” Format Care Planning
Narrative Care Planning
Person-centered Care Planning Regulations Normalization
State Regulations
State Waivers and Variances
Traditions – Not Regulations
Reminders
CMS Support
Risk
Appendices
p. 30 p. 31
p. 31 p. 32 p. 32
p. 33 p. 33 p. 35
p. 36 p. 36
p. 37 p. 37
p. 38
p. 38
p. 40 p. 41
Regulatory Support for Culture Change
How Obra ‘87 Regulations Support Culture Change
Compliant with the Regulations: Common Culture Change Practices and Coinciding Regulations p. 22 Open Dining Regulations
Buffet Style Dining Regulations
• Two letters written by CMS in January, 2005 to the Pioneer
Network answering several culture change questions.
• Change in SNF payment regulation to include innovative, culture change programs entitled Quality of Care Efforts Under the SNF PPS in the Federal Register Vol. 68, No. 149, Monday, August 4, 2003, Rules and Regulations.
• CMS Policy Letter on Use of Civil Monetary Penalty Fine S&C-02-44, 8/8/02 which gives permission for state collected CMP funds to be used for any project that benefits residents including
innovative programs such as the Eden Alternative.TM
Restaurant Style Dining Regulations
Family Style Dining Regulations
Resident Choices and Physician Orders Regulations Regarding Staff Dining with Residents Regulations Regarding Food from Other Sources Wireless Call System Regulations
Regulations Regarding Animals
p. 24
p. 27 p. 27
©Action Pact, Inc.2005-2006
Porch Swing SeriesTM Culture Change Workbooks
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