Dining Practice
Standards 101:
Part 1
Contributed by Rose Hoenig, RD, CSG. LD, and Carol S. Casey, RD, CDN, LDN, SFPM, FSM
Review Date 12/11
G-1752
New Dining Practice
Standards
Where did they come from?
Why were they developed?
What do they tell us?
Pioneer Network Announces
New Dining Practice Standards
On September 7, 2011, Pioneer
Network announced a Food and
Dining Clinical Standards Task
Force; the Rothschild Regulatory
Task Force finalized new Dining
Practice Standards agreed to by
12 national clinical standardsetting associations.
What is
Pioneer
Network?
Formed in 1997, the
Pioneer Network was
formed by a small group
of professionals in longterm care (LTC) to
advocate for persondirected care. It called
for a radical change in the
culture of aging in LTC
and elsewhere.
Pioneer Network’s Vision
A focus on the Culture of Aging
Remember this acronym: LASHM
Making the culture Life Affirming
Ensuring this culture is Satisfying
Assuring this cultural environment
is Humane
Making certain that this culture is
Meaningful
L A S H M
Pioneer Network’s Commitment
to Values and Principles
These values and principles are the
same principles we all MUST adopt
and embrace, if we have not done so
already
Like Pioneer Network’s commitment
to these values and principles, we
MUST buy into these same values
and principles…WHY?
It is the HUMANE thing to do
What are these values and principles?
Pioneer Network’s
Values and Principles
These values and principles are
found at: http://goo.gl/aLN4h
A commitment to know each person
Always remember each person can
and does make a difference
A guiding premise is that relationship
is the fundamental building block of
a transformed culture
(Cont’d)
Pioneer Network’s
Values and Principles
Look at the person as a whole—
respond to the individual’s
spirit, as well as mind and body
Even in the culture of aging, risk
taking is a normal part of life
Just as in good customer service,
put the person before the task
(Cont’d)
Pioneer Network’s
Values and Principles
We must realize that ALL are entitled
to self-determination wherever they
live
It is important to realize we do not
work in an institution, we work in a
community—community is the antidote to
institutionalization
Always remember the Golden Rule: Do
unto others as you would have them do
unto you
(Cont’d)
Pioneer Network’s
Values and Principles
It is imperative to promote growth
and development for all
We must shape and use the
potential of the environment in all
of its aspects:
Physical
Organizational
Psycho/social/spiritual
(Cont’d)
Pioneer Network’s
Values and Principles
All stakeholders (employees, volunteers, and
elders) need to practice self-examination,
searching for new creativity and
opportunities for doing better
Recognizing that culture change and
transformation are NOT destinations, but a
journey, and always a work in progress,
which creates a partnership aimed for
LASHM
Life Affirmation, Satisfying,
Humane, and Meaningful
Culture in Any Environment
Pioneer
Network’s
Mission
The Pioneer Network
advocates and facilitates
deep system change and
transformation in our
culture of aging
Which is achieved through . . .
Creating communication bridges,
networking, and learning opportunities
Building and supporting relationships
and community
Identifying and promoting
transformations in practice, services,
public policy, and research
Developing and providing access to
resources and leadership
Pioneer Network in Culture Change
35 E Wacker Drive, Suite 850, Chicago, IL 60601
www.PioneerNetwork.net
Primary financial supporter:
the Hulda B. and Maurice
Rothschild Foundation
 Founded by Hulda Rothschild,
who had great interest in
elderly life—Chicago based
 She died in 1980 at age 102
years
 Her will directed the money
left—to advance the
quality of life for the elderly
population
Working Toward a Culture
of an Aging Population
P
that supports the care of
elders in settings where individual
voices are heard
P
as well as ensuring that
individual choices are respected
The Pioneer Network is very
effective with influencing
policy makers and caregivers
Pioneer Network
works with
stakeholders to
modify regulations
to support new
models of aging in
LTC
Pioneer Network’s
Additional Initiatives
National Life Safety Task Force
Consumer Education Kits
Training materials for nursing
homes
National benchmarking and outcomes
analysis of culture change
implementation
Development of core competencies
in culture change for nurses
Recent Accomplishments
Pioneer Network announced
approval from the National Fire
Protection Association (NFPA) of
all of its submitted proposals from
the National Long-term Care Life
Safety Task Force: A Rothschild
Regulatory Task Force—
incorporated in the 2012 edition
of NFPA 101® Life Safety Code®
Increase percent of wall/door areas
for display of art and photos
Remove barriers in nursing homes
that prevent a homelike atmosphere
Allow use of residential cooking
equipment in homes of 24 residents
or less
Allow more movable functional
furniture
Why are
the dining
standards
important?
CMS reports that the
most frequent
questions and concerns
that it receives focus
on the physical
environment and dining,
as well as food-related
issues
Pioneer Network,
CMS, AHCA
2010 cosponsored
National Symposium
Brought Together
Diverse Stakeholders
Nursing home industry staff
Regulators
Providers
Researchers
Registered dietitians
Various health care professional
organizations
Vendors
Advocates for culture change
Symposium Results
Set of research papers commissioned
Series of webinars to solicit input
Food and Dining Clinical Standards
Task Force formed to obtain evidence
and consensus
Developed Practice Standards and
Current Thinking/Recommendations
for more research
Twelve National Clinical Standard
Setting Associations
American Association for Long Term Care Nursing
(AALTCN)
American Association of Nurse Assessment
Coordination (AANAC)
Academy of Nutrition and Dietetics (AND)
American Medical Directors Association (AMDA)
American Occupational Therapy Association (AOTA)
American Society of Consultant Pharmacists (ASCP)
American Speech-Language-Hearing Association
(ASHA)
Dietary Managers Association (DMA)
Gerontological Advanced Practice Nurses
Association (GAPNA)
Hartford Institute for Geriatric Nursing (HIGN)
National Association of Directors of Nursing
Administration in Long Term Care (NADONA/LTC)
National Gerontological Nursing Association (NGNA)