Translating Nursing Home Ombudsman Skills to Assisted Living: Something old, Something new

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Translating Nursing Home Ombudsman Skills to
Assisted LivingSomething old,Something new
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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

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For our purposes

• Assisted Living
• Adult homes
• Assisted Living Residences
• Three levels
• Assisted living residences
• Enhanced assisted living residences
• Special needs assisted living residences

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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

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Something old,

• Something new

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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

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Key Ombudsman Principles

• Apply in assisted living, but may need to be
  adapted
• Example confidentiality
• Work-arounds

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Nursing Home Ombudsman Resolution Strategies

• Something Old

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Nursing Home Resolution Strategies

• Self-advocacy
• Negotiation
• Mediation

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Nursing Home Resolution Strategies

• Education/Best practices
• Referral
• Regular ombudsman presence
• Community Action

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Nursing Home Resolution Strategies

• Legal action
• Media

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Assisted Living Resolution Strategies

• Something New

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Todays Focus

• Negotiation
• Education/Best practices
• For other strategies Read Translating Nursing
  Home Ombudsman Skills To Assisted Living

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Negotiation

• Something old nursing home
• Leverage?

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Negotiation

• Something new adapting to assisted living
• Leverage?

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Negotiation Something New - Adapting to
Assisted Living

• Resident contract
• Model residency agreement

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Negotiation Something New - Adapting to
Assisted Living

• Ways to work with the resident contract

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Negotiation Something New - Adapting to
Assisted Living

• Fair Housing Laws
• Laws include
• Fair Housing Act
• Americans with Disabilities Act
• Rehabilitation Act

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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

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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
  

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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

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Negotiation Something New - Adapting to
Assisted Living

• Consumer protection laws
• Marketing materials
• Brochures, websites, resident handbook, etc.

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Education/Best Practices

• Something old nursing home

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Education/Best Practices Something New - Adapting
to Assisted Living

• Develop trusting relationship so provider is
  open,responsive
• Make suggestions
• Encourage, motivate provider

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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

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Case Study