Culture change reflects a shift from the "one-size fits-all" traditional medical model to a model that seeks to improve the quality of life for residents, while fostering an atmosphere of community within the nursing home setting for staff and residents alike.
Culture change is sought by individuals who promote the values and mission of the the Pioneer Network. The Pioneer Network is a loosely associated group of providers, regulators, advocates and elders who hold that nursing homes can serve as the starting point for changing society's vision of aging. Their work is premised on the belief that nursing homes can be good places to live and work. Pioneers seek to improve the quality of life for residents, and to foster an appreciation of the work of those who care for them, by altering the "culture", the sense of community or lack thereof , of the nursing home setting.
"CMS nursing home requirements are resident-centered and outcome-oriented. Your compliance is determined by the appropriateness with which you comprehensively assess, plan, implement, evaluate, and communicate resident care and services."
"We can give you CMS' definition of a restraint, but only you can tell whether something is a restraint for a resident. That determination is based on your comprehensive assessment of each resident and your evaluation of each resident's outcome." - D.McElroy, CMS (4/22/04)
Federal regulations used for surveying nursing homes that participate in Medicare & Medicaid programs are available from Code of Federal Regulations, see Title 42 Part 483, Subpart B or from the Centers for Medicare & Medicaid Services (CMS) website State Operations Manual select Appenix P.
As of January 6, 2010, DHH is not offering MDS 3.0 Training. Rose Helwig, MDS Program Manager, will attend CMS sponsored training in March, 2010. If a decision is made to offer training the information will be sent to nursing home administrators via FAX.
A link to the Nursing Home Blue Book order form is found on Health Standards Nursing Home web page. http://new.dhh.louisiana.gov/index.cfm/directory/detail/734
Mailing Address: Department of Health & Hospitals | P. O. Box 629 | Baton Rouge, LA 70821-0629 Physical Address: 628 N. 4th Street | Baton Rouge, LA 70802 | PHONE: 225.342.9500 | FAX: 225.342.5568 | DisclaimerCustodian of Records Medicaid Customer Service 1-888-342-6207Bayou Health1-855-BAYOU4U (1-855-229-6848 )