Translating Nursing Home Ombudsman Skills to

Assisted Living:

Something old,Something new

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

Something new

Something old,

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 Ombudsman Resolution Strategies:

Something Old

Nursing Home Resolution Strategies

Self-advocacy Negotiation Mediation

Nursing Home Resolution Strategies

Education/Best practices Referral Regular ombudsman presence Community Action

Nursing Home Resolution Strategies

Legal action Media

Assisted Living Resolution Strategies

Something New

Today’s Focus: Negotiation Education/Best practices

For other strategies: Read “Translating Nursing Home Ombudsman Skills To Assisted Living”

Negotiation

Something old: nursing home Leverage?

Negotiation:

Something new: adapting to assisted living Leverage?

Negotiation: Something New - Adapting to Assisted Living

Resident contract Model residency agreement

Negotiation: Something New - Adapting to Assisted Living

Ways to work with the resident contract

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 old: nursing home

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

Case Study