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the CommonweaLth Fund
change training together with surveyors and nursing home staff. To maximize the success of this collabora- tion, they must also be part of the facility-level teams that identify regulatory barriers, work to minimize these hurdles, and ensure the achievement of cultural transformation.
noteS
1 C. S. Bowman, The Environmental Side of the Culture Change Movement: Identifying Barriers and Potential Solutions to Furthering Innovation
in Nursing Homes, background paper to the sym- posium, “Creating Home in the Nursing Home: A National Symposium on Culture Change and the Environment Requirements” (Washington, D.C.: Centers for Medicare & Medicaid Services, Apr. 2008), available at: http://www.pioneernetwork.net/ Data/Documents/Creating-Home-Bkgrnd-Paper.pdf.
2 R. A. Kagan and L. Axelrad, Regulatory Encounters: Multinational Corporations and American Adversarial Legalism (Berkeley, Calif.: University of California Press, 2000); and K. Walshe, “Regulating U.S. Nursing Homes: Are We Learning from Experience?” Health Affairs, Nov./Dec. 2001 20(6):128–44.
3 M. B. Kapp, “Quality of Care and Quality of Life in Nursing Facilities: What’s Regulation Got to Do with It?” McGeorge Law Review, 2000 31(3):707– 31; Walshe, “Regulating U.S. Nursing Homes,” 2001; and J. M. Wiener, “An Assessment of Strategies for Improving Quality of Care in Nursing Homes,” The Gerontologist, Apr. 2003 43(Spec. no. 2):19–27.
4 Bowman, Environmental Side of Culture Change, 2008.
5 I. Ayres and J. Braithwaite, Responsive Regulation: Transcending the Deregulation Debate (New York: Oxford University Press, 1992).
6 Walshe, “Regulating U.S. Nursing Homes,” 2001.
7 Bowman, Environmental Side of Culture Change, 2008; M. J. Koren, Moving to a Higher Level: How Collaboration and Cooperation Can Improve Nursing Home Quality, testimony before the U.S. House of Representatives Committee on Energy and Commerce, Subcommittee in Oversight and Investigations, May 15, 2008.
8 Bowman, Environmental Side of Culture Change, 2008.
9 N. Bryant, L. Barbarotta, and R. Stone, Assessing State Investments in Culture Change, unpub-
lished final report to The Commonwealth Fund, (Washington, D.C.: Institute for the Future of Aging Services, 2008).
10 Ibid.
11 Ibid.
12 Ibid.
13 Koren, Moving to a Higher Level, 2008. 14 Ibid.
15 Bryant, Barbarotta, and Stone, Assessing State Investments, 2008.