New CMS Regulations, a Win for Person-Directed Living

By / Posted on April 7th, 2017

As thought leaders Green House adopters lead the way by supporting, and deeply knowing each individual living in their homes. With the introduction of new CMS regulations comes the opportunity for Green House homes to demonstrate how the model is designed to ensure each elder is able to live on his/her own terms. “Language and being focused on the elder vs. the disease, makes a difference.  At The Green House Cottages of Carmel, we developed our policies and procedures prior to these new regulations, and it felt great to see that what we knew in our hearts to be right, was reflected in government mandates.” said Melody DeCollo, Guide of  The Green House homes of Carmel, in Indiana.

The Green House Project invited, Carmen Bowman, a nationally recognized expert in all things regulatory and culture change to facilitate two webinars exclusively for The Green House Peer Network about the new CMS regulations. In these webinars, Carmen highlighted where, specifically, the new regulations support The Green House Core Values, and how Green House adopters can leverage them to even more fully realize the benefits of the model.  Says Carmen, “There is power in the institution to shut people down, and there is power in the home to bring people back to life.”

There were many areas to highlight, but here are a few of the hot topics:

Language – Words Matter! Where are the opportunities for Green House adopters to utilize language that is more person-centered and less institutional?

  • Community (or home) vs Facility
  • Individual vs Resident/Patient
  • Real Home vs Homelike
  • Meaningful Engagement vs Activities
  • Approaches vs Interventions

Proactive Approach- How can we learn to be ‘preventionists’ and align with an elder’s natural rhythms, patterns and preferences to meet their needs before an issue escalates?

Daily Community Meetings – How does The Green House model support teams to approach issues in real time to emulate the concept of daily community meetings? Where are the opportunities to involve/engage elders in decision making

Care Planning – What are Green House adopters doing to ensure Shahbazim (direct care staff), elder, and family voices are heard in care plan meetings? How can we intentionally gain the rich information that yields deep, knowing relationships?

Highest practicable level of well-being – By intentionally focusing on the physical, social and mental wellness of the person, it expands and elevates the experience. What do individuals need to thrive?

Creating Real Home and Personal Belongings – “We really want to know who you are, so please bring in things that are special to you to decorate our home”.  WHO is doing WHAT to ensure elder’s personal belongings are brought into the home/their room?

Meaningful Engagements – Take a moment and consider, is it real life, or fake life? Break apart the word to understand… What is meaningful? What is engaging?  People want to make a difference, how can we support people to live lives of purpose?

Food and Nutrition – What are Green House homes doing that showcase the power of deep knowing that supports individual preferences?  What can we do to expand ‘choice’ and offer it around the clock.

These new regulations were created in response to person-directed care, that means that our work to change the culture of aging is making a difference! We need to keep telling our stories, and letting the world know that aging and long term care can be different. We want to hear from you! If these new regulations are supporting you to shine—email us at inquiries@thegreenhouseproject.org.