Supporting culture change: Working toward smarter state nursing home regulation

Abstract

This brief explains how traditional methods of nursing home regulation often impede culture change. The authors propose that nursing home surveyors adopt a new regulation model, which they dub ''smart'' or ''responsive'' regulation. This model would recognize the need for culture change, yet still hold failing nursing homes accountable. The brief highlights smart regulation models in Kansas and Oregon, and outlines several issues that federal and state governments must address while shifting toward smart regulation.

Author

Stone, Robyn I., Natasha Bryant, and Linda Barbarotta

Publication Date

October 2009

Publisher

Commonwealth Fund

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