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CA Voices CA Voices
CA Voices for Quality
Strategies in the National Campaign for Excellence in America's Nursing Homes
2007-2008
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This project, funded by the California HealthCare Foundation (CHCF), a California nonprofit public benefit corporation based on Oakland, California, aims to provide information and tools that can be used to train ombudsmen to engage consumers in quality improvement, by educating and engaging consumers to advance better quality care in nursing homes. Consumers include residents, their families, and long-term care ombudsmen. The educational component will highlight strategies to promote facility involvement and hold nursing homes accountable to quality standards.
Under this project, consumer-oriented materials, including fact sheets, will be developed; training programs and educational conference calls will be held; and materials will be posted on this website.
*This page is updated frequently. Please check back often for the most up-to-date information!
Restraint Free Care Is the Standard
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 ? Consumer Guide - Restraints: The Exception, Not the Rule - A Guide
for Residents, Their Families and Friends to Promote Good Care in Place
of Restraints in California Nursing Homes
→ Download and view the Guide in Color
→ Download and view the Guide in Black and White (recommended for printing)
? Training Guide: Restraint Free Care in California - A Training Guide to
Equip Long-Term Care Ombudsman Representatives and Consumers to
Understand and Promote Restraint Free Care in California Nursing Homes
→ Download Guide with links to handouts
→ Download Guide containing handouts
*NOTE: Handouts not included will be need to be downloaded.
These are:
1: "Facts and Strategies: Restraint Free Care is the Standard"
PowerPoint Presentation
2: "Promoting Quality: Opportunities for Advocates to Make a
Difference" PowerPoint Presentation
(Please Note: Save the PowerPoint files to your workspace
BEFORE you open it, allowing you to view it in the PowerPoint
program, and see any speaker notes.)
Physical Restraints and California Long Term Care - Selected Findings from Survey
? Free Educational Conference Call Series for California
Ombudsman Staff and Representatives (Volunteers), and Long Term Care
Consumers!
? Consumer fact sheet: "Expect and Promote Excellence in California
Nursing Homes: Physical Restraint Free Care"
? Elizabeth Capezuti's article "Improving Bed Safety," from the NYU
Nursing Spring 2007 Newsletter
? CA LTC Ombudsmen Bi-Annual Training Conference Presentations on
Restraint Free Care
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Spring 2007
Resource Index
Training Resources
1. "Facts and Strategies: Restraint Free Care is the
Standard"
PowerPoint Presentation (Please note: Save the
PowerPoint file to your workspace BEFORE
you open it, allowing you to view it in the
PowerPoint program, and see the speaker
notes.)
2. Scenarios
3. Physical Restraints: Decision Tree
4. Restraint Reduction Evaluation Trees: Falls,
Behavior Symptoms, Wandering (excerpt)
5. Change Ideas for Creating Pleasant Bathing
(excerpt)
6. Change Ideas for Sleeping and Waking
(excerpt)
7. Guidelines for Placing Mattress on Low Platform
8. Individualized Care: Life Without Bedrails
(excerpt)
9. Individualized Wheelchair Seating: For Older
Adults (excerpt)
10. Physical Restraints: Essential Systems for
Quality Care
11. Restraint Elimination: A Decade and a Half
12. Guide with Video: Everyone Wins! The Family
Guide to Restraint Free Care
13. Federal Law and Appendix PP – Restraints
(excerpt)
14. Federal Law and Appendix PP - Quality of Care
(excerpt)
15. California Code of Regulations 72523 (excerpt)
16. California Code of Regulations 72527 (excerpt)
17. California Code of Regulations 72528 (excerpt)
18. Restraint Reduction Resource List
19. Physical Restraints: Annotated Guidelines
Consumer Resources
1. Alternatives to Restraints
2. That’s Great for Other Families But…
3. Resident Information
4. Restraint Reduction
5. Restraint Risks
6. Restraint Reduction Presentation to Family
Council
Other Resources
1. Dr. Miles' Informed Consent for Restraints form
? Fall 2007
Presentation - PowerPoint
Resource Index
Training Resources
1. Project Overview and Action Checklist
2. Sample newsletter article to promote project
3. Guide with Video: Everyone Wins! The Family
Guide to Restraint Free Care
4. Information and order forms for the video
Everyone Wins! The Family Guide to Restraint
Free Care
5. California Ombudsman notes on ways to promote
and achieve change
Consumer Resources
1. Consumer fact sheet: "Expect and Promote
Excellence in California Nursing Homes:
Physical Restraint Free Care"
2. Restraint Reduction Presentation to Family Council
Other Resources
1. CMS Memorandum re: Physical Restraint term
definitions, June 22, 2007
2. Selected findings from the "Physical Restraints and
California Long Term Care" survey
Additional Resources
1. How Quality Care Practices Preclude Restraint Use
for Nursing Home Residents
Advancing Excellence in America's Nursing Homes Campaign
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A Campaign to improve quality of life for residents and staff
? Learn more about the Campaign, NCCNHR's involvement, and what consumers
and advocates can do to get involved in the Campaign.
? Visit the Campaign website.
? CA LTC Ombudsmen Bi-Annual Training Conference Presentations on the
Advancing Excellence Campaign
? Spring 2007
Resource Index
Training Resources
1. "Promoting Quality: Opportunities for Advocates to
Make a Difference" PowerPoint Presentation
(Please note: Save the PowerPoint file to your
workspace BEFORE you open it, allowing you to view
it in the PowerPoint program.)
2. Summary - Advancing Excellence in America’s Nursing
Homes Campaign
3. Overview – Advancing Excellence Campaign
4. Goals – Advancing Excellence Campaign
5. Technical Goals – Advancing Excellence Campaign
6. NCCNHR position on Advancing Excellence Campaign
7. National Baseline Measures
8. Center for Medicare Advocacy, Inc. Position on
Campaign
9. May Report – Advancing Excellence Campaign
10. Tips for Local Ombudsmen in Advancing Excellence
Campaign
11. Consumer Involvement in Advancing Excellence
Campaign
Consumer Resources
1. NCCNHR Guide to Choosing A Nursing Home (includes
measures)
2. Consumer Fact Sheet – Advancing Excellence in
America’s Nursing Homes Campaign
3. Sample Family Council Flyer for Advancing Excellence
(Ohio)
4. Sample Resident Council Flyer for Advancing Excellence
(Ohio)
5. Sample Nursing Home Information Flyer for Advancing
Excellence (Ohio)
6. Sample Letter to Resident Councils for Advancing
Excellence (Colorado)
7. Sample Handout for Advancing Excellence (Wisconsin)
? Fall 2007
Resource Index
Resources
1. Advancing Excellence Campaign Data - Sept. 9, 2007
2. Nursing Home Quality Measures - Q4 of 2006
? CA LTC Ombudsmen Bi-Annual Training Conference Presentations on the
Advancing Excellence Campaign
? Fall 2007
Resource Index
Resources
1. "Consistent Assignment: The Prerequisite for Individualized
Care" PowerPoint by David Farrell, Lumetra
2. Change Ideas for Consistent Assignment (Lumetra)
3. "A Case for Consistent Assignment." Farrell, David, et al..
June 2006. Provider.
Action Checklist for Ombudsman Coordinators, Staff and Representatives
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Nine things that Ombudsman coordinators, staff and representatives can do on a day-to-day basis in your work to promote restraint free care in California Nursing Homes, and to disseminate materials developed through this project! (download in
PDF)
ü
Post the Expect and Promote Excellence in California Nursing Homes: Physical
Restraint Free Care consumer fact sheet on your organization’s website.
Remember that there is room at the bottom of the second page to include
contact information for regional ombudsman programs.
ü During your regular facility visits, explain to facility staff that this initiative
is taking place because California continues to have one of the highest
restraint rates in the country. Review the restraint indicator of the facility
before you visit and discuss with the facility what they are doing to reduce
restraints or to keep their restraint rate low. Encourage facility staff to work
with the QIO and LANE to reduce restraints.
ü When you visit nursing homes, provide copies of the Physical Restraint Free
Care consumer fact sheet to residents, family members, resident councils,
family councils, administrators, and nursing home staff.
ü Use the Physical Restraint Free Care consumer fact sheet to train colleagues,
family and resident councils, and other organizations. Explain that the California
restraint rate is very high and that there are national and state initiatives to
reduce restraints.
ü Post a short information article in your organization’s newsletter about the Voices
for Quality: Strategies in the National Campaign for Excellence in America’s Nursing
Homes project.
ü Enroll in the Advancing Excellence in America’s Nursing Homes Campaign to show
that consumers care about quality: www.nhqualitycampaign.org.
ü Tell others about the Advancing Excellence Campaign and encourage them to
enroll.
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