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Promising Practices in Dining


Part 1: Examining the Institutional Dining Experience
In order to understand where we are going, we have to first understand where we have been. In Part 1 of the series, we examine institutionalized dining practices as they relate to CMS Guidance and an overview of the food and dining practices that CMS has identified as undignified. To "tempt your taste buds" of what is to come in Part 2 & Part 3 of the series, we highlight "Mythbusters" and link back to our historic Creating Home in the Nursing Home II: A National Online Symposium on Culture Change and the Food and Dining Requirements.




Part 2: Creating Promising Practices
Part 2 in the series will begin to highlight examples of promising practices in dining with innovative examples of how providers are changing their dining practices so that it is a more dignified, pleasurable experience. Learn "What's New" in dining and how to make it work in your organization!




Part 3: Promising Practices – Your Stories
Coming Soon – Part 3 in the series will highlight your stories. To be featured, share your own Promising Practice or check back to learn from other homes engaged in transformational change in dining. We encourage you to share practices, operational tools and resources, including vendors whose products and services have helped you meet and exceed regulatory expectations at the lowest possible cost.


Dignified Dining Tools and Resources
The "Dignified Dining Tools and Resources" section directly links providers to the CMS Guidelines and Surveyor Procedures and Investigative Protocols that relate to some aspect of the food and dining experience and to sample implementation checklists, policies and procedures which can be used to facilitate the operationalizing of the Guidelines.




Wait! There's more! As you start your transformations, don't forget the basics


The History and Key Provisions of OBRA '87
OBRA '87 is the often cited foundation of culture change, but busy providers don't often have time to actually read it. The History and Key Provisions of OBRA '87 gives an easy to read, summary of this landmark legislation.




CMS Interpretive Guidelines
To engage providers in Promising Practices, we also examine the background of the CMS Interpretive Guidelines Revisions. Guidelines are summarized and easy to read to help you support transformations to your home!




Building Blocks of Culture Change: Tools and Resources
Before developing your own Promising Practices, you will want to start with a solid foundation in your culture change journey. The Building Blocks of Culture Change provides links to valuable tools and resources in Getting Started, Organizational Assessment, Education, Regulatory Guidance, Staffing and Resident Assessment.




Share Your Promising Practices
Are you interested in what others are doing or do you want to share a Promising Practice of your own? Promising Practices provides an easy way for nursing homes to share tools and resources that they have used to operationalize the CMS Interpretive Guidelines and culture change. Providers will be able to submit and to review promising practices pertaining to the CMS guidelines and culture change. 




Coming Soon - Download the Online Guidebook summarizing the Creating Home: Promising Practices in Dining Series with a special focus on cost-effective strategies for meeting and exceeding the regulations and New Interpretive Guidelines.


Introducing the Author of Promising Practices,
Kim Clayton

Kimberly Clayton, NHA, is a 20-year Administrator who is an active contributor to Pioneer Network. Recently she has participated in the National Life Safety Task Force, sponsored by Pioneer Network, in 2009 and the Pioneer Network 2009 Conference Planning Committee.  She participated in the "Creating Home" national webinar series jointly sponsored by AAHSA, AHCA and the Pioneer Network and spoke at the Pioneer ninth annual conference regarding regulatory compliance, culture change and operationalizing new CMS Guidance. Kimberly believes that the culture change movement is a return to the recognition of the principles of the OBRA '87 law and regulations for quality of life in context of optimum quality of care, which she has made the key focus of her career. 

Kimberly has consulted to health care facilities across the health care continuum and has specialized in conducting large scale operational turnarounds and disaster preparedness and response for several special focus facilities, leading them to full regulatory compliance.  She is regarded as a regulatory compliance and operations expert.



Submit a promising practice by visiting our Promising Practices Link


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Special Thanks to our 2010 National Sponsors.