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Health Affairs Highlights Culture Change in Nursing Homes

Article "Person-Centered Care For Nursing Home Residents: The Culture-Change Movement"

Mary Jane Koren - Health Affairs
01/08/2010

Health Affairs highlights culture change in nursing homes with an online article entitled, "Person-Centered Care For Nursing Home Residents: The Culture-Change Movement."  Mary Jane Koren, M.D., M.P.H., the assistant vice president of the Frail Elders Program at The Commonwealth Fund, authors this compelling discussion of culture change adoption, awareness and the potential for policy interventions to promote deep systemic change.

ABSTRACT: The "culture change" movement represents a fundamental shift in thinking about nursing homes. Facilities are viewed not as health care institutions, but as person-centered homes offering long-term care services. Culture-change principles and practices have been shaped by shared concerns among consumers, policy makers, and providers regarding the value and quality of care offered in traditional nursing homes. They have shown promise in improving quality of life as well as quality of care, while alleviating such problems as high staff turnover. Policy makers can encourage culture change and capitalize on its transformational power through regulation, reimbursement, public reporting, and other mechanisms.

The culture-change movement is a broad-based effort to transform nursing homes from impersonal health care institutions into true person-centered homes offering long-term care services. The movement encompasses almost three decades of consumer advocacy coupled with legal, legislative, and policy work aimed at improving both the quality of care and the quality of life in nursing homes.

Click here to view or download the full article at healthaffairs.org.



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