CMS and Culture Change
Karen Schoeneman, MPA
Project Officer
Division of Nursing Homes
CMS Supports Culture Change
• Culture Change is an item on
Administrator’s Action Plan – fits with the
OBRA law and CMS regulations
• We have been educating surveyors
through several satellite broadcasts and
national regulator teleconferences
• Participated in the panel for this research
• Co-sponsored with Pioneer Network the
Creating Home Symposium
CMS and Culture Change
• CMS contractors, the QIOs, did large
project on culture change, assisting
hundreds of nursing homes
• Some staff have visited innovative homes,
some have become Eden Associates
• Culture Change groups among our
stakeholders
How This Research Fits In
• We are happy to see so many homes
starting or part way along the trail to
culture change
• The changes they are making help provide
more choice and better quality of life for
residents and better worklife for staff.