1. Translating Nursing Home Ombudsman Skills to Assisted Living: Something old, Something new

2. Session Outline Similarities/differences between nursing homes and assisted living facilities and their residents Something old: Nursing home ombudsman strategies Something new: Adapting strategies to assisted living Case study

3. For our purposes: Assisted Living Adult homes Assisted Living Residences: Three levels: Assisted living residences Enhanced assisted living residences Special needs assisted living residences

4. Similarities & Differences Between nursing homes & assisted living facilities Between residents in nursing homes & assisted living facilities Handouts: Primary Characteristics of Facilities Primary Characteristics of Residents

5. Something new Something old,

6. Key Ombudsman Principles Resident empowerment Resident direction Consent Confidentiality Reporting back Working - to the greatest extent possible - with the resident to identify, chose, implement resolution strategy

7. Key Ombudsman Principles Apply in assisted living, but may need to be adapted Example: confidentiality Work-arounds

8. Nursing Home Ombudsman Resolution Strategies: Something Old

9. Nursing Home Resolution Strategies Self-advocacy Negotiation Mediation

10. Nursing Home Resolution Strategies Education/Best practices Referral Regular ombudsman presence Community Action

11. Nursing Home Resolution Strategies Legal action Media

12. Assisted Living Resolution Strategies Something New

13. Today’s Focus: Negotiation Education/Best practices For other strategies: Read “Translating Nursing Home Ombudsman Skills To Assisted Living”

14. Negotiation Something old: nursing home Leverage?

15. Negotiation: Something new: adapting to assisted living Leverage?

16. Negotiation: Something New - Adapting to Assisted Living Resident contract Model residency agreement

17. Negotiation: Something New - Adapting to Assisted Living Ways to work with the resident contract

18. Negotiation: Something New - Adapting to Assisted Living Fair Housing Laws Laws include: Fair Housing Act Americans with Disabilities Act Rehabilitation Act

19. Negotiation: Something New - Adapting to Assisted Living Fair Housing Laws Basic Principle Individuals with certain disabilities may be part of a protected class Providers must make “reasonable accommodations or modifications”

20. Negotiation: Something New - Adapting to Assisted Living Fair Housing Act Many residents in assisted living will meet definition of disability Reasonable accommodation and reasonable modification are powerful tools to help residents

21. Negotiation: Something New - Adapting to Assisted Living Fair Housing Act Reasonable accommodation Change, exception, or adjustment to a rule, policy, practice, or service Reasonable modification Structural change to the premises

22. Negotiation: Something New - Adapting to Assisted Living Consumer protection laws: Marketing materials Brochures, websites, resident handbook, etc.

23. Education/Best Practices Something old: nursing home

24. Education/Best Practices Something New - Adapting to Assisted Living Develop trusting relationship so provider is open,responsive Make suggestions Encourage, motivate provider

25. Education/Best Practices Something New - Adapting to Assisted Living Provide one-on-one training Connect provider to other providers Connect provider to resources, information Board & Care Quality Forum

26. Case Study