Post on 14-Dec-2015
Session Outline
Similarities/differences between nursing homes and assisted living facilities and their residents
Something old: Nursing home ombudsman strategies
Something new: Adapting strategies to assisted living
Case study
For our purposes:
Assisted Living Adult homes Assisted Living Residences:
Three levels: Assisted living residences Enhanced assisted living residences Special needs assisted living residences
Similarities & Differences
Between nursing homes & assisted living facilities
Between residents in nursing homes & assisted living facilities Handouts: Primary Characteristics of Facilities Primary Characteristics of Residents
Key Ombudsman Principles Resident empowerment Resident direction Consent Confidentiality Reporting back Working - to the greatest extent
possible - with the resident to identify, chose, implement resolution strategy
Key Ombudsman Principles
Apply in assisted living, but may need to be adapted Example: confidentiality
Work-arounds
Nursing Home Resolution Strategies
Education/Best practices Referral Regular ombudsman presence Community Action
Today’s Focus: Negotiation Education/Best practices
For other strategies: Read “Translating Nursing Home Ombudsman Skills To Assisted Living”
Negotiation: Something New - Adapting to Assisted Living
Resident contract Model residency agreement
Negotiation: Something New - Adapting to Assisted Living
Fair Housing Laws Laws include:
Fair Housing Act Americans with Disabilities Act Rehabilitation Act
Negotiation: Something New - Adapting to Assisted Living
Fair Housing Laws Basic Principle
Individuals with certain disabilities may be part of a protected class
Providers must make “reasonable accommodations or modifications”
Negotiation: Something New - Adapting to Assisted Living Fair Housing Act
Many residents in assisted living will meet definition of disability
Reasonable accommodation and reasonable modification are powerful tools to help residents
Negotiation: Something New - Adapting to Assisted Living Fair Housing Act
Reasonable accommodation Change, exception, or adjustment to
a rule, policy, practice, or service Reasonable modification
Structural change to the premises
Negotiation: Something New - Adapting to Assisted Living
Consumer protection laws: Marketing materials
Brochures, websites, resident handbook, etc.
Education/Best Practices Something New - Adapting to Assisted Living
Develop trusting relationship so provider is open,responsive
Make suggestions Encourage, motivate provider
Education/Best Practices Something New - Adapting to Assisted Living
Provide one-on-one training Connect provider to other
providers Connect provider to resources,
information Board & Care Quality Forum