CA Voices

CA Voices for Quality Strategies in the National Campaign for Excellence in America's Nursing Homes 2007-2008

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.

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

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

 

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 viewit 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.

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.

ü Encourage facilities to be a part of the Advancing Excellence Campaign. Encourage

them to choose.