Dining Practice

Standards 101: Part 1

Contributed by Rose Hoenig, RD, CSG. LD, and Carol S. Casey, RD, CDN, LDN, SFPM, FSM

Review Date 12/11G-1752

Where did they come from?

Why were they developed?

What do they tell us?

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 standard-setting associations.

Pioneer Network Announces

New Dining Practice Standards

What is Pioneer

Network?

Formed in 1997, the Pioneer Network was

formed by a small group of professionals in long-

term care (LTC) to advocate for person-

directed 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 AgingRemember this acronym: LASHMMaking the culture Life AffirmingEnsuring this culture is SatisfyingAssuring 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 alreadyLike 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 doWhat are these values and principles?

Pioneer Network’s Values and Principles

These values and principles are found at: http://goo.gl/aLN4hA commitment to know each person

Always remember each person can and does make a differenceA 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 bodyEven in the culture of aging, risk taking is a normal part of lifeJust 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 liveIt 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 allWe 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 betterRecognizing that culture change and transformation are NOT destinations, but a journey, and always a work in progress, which creates a partnership aimed for

L A S H M Life Affirmation, Satisfying,

Humane, and Meaningful Culture in Any Environment

The Pioneer Network advocates and facilitates

deep system change and transformation in our culture of aging

Pioneer Network’s

Mission

Which is achieved through . . .Creating communication bridges, networking, and learning opportunitiesBuilding and supporting relationships and communityIdentifying and promoting transformations in practice, services, public policy, and researchDeveloping and providing access to resources and leadership

Pioneer Network in Culture Change35 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

that supports the care of elders in settings where individual voices are heard

Working Toward a Culture of an Aging

Population

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

National Life Safety Task ForceConsumer Education Kits Training materials for nursing

homesNational benchmarking and outcomes analysis of culture change implementationDevelopment of core competencies in culture change for nurses

Pioneer Network’s Additional Initiatives

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 arethe 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 staffRegulatorsProvidersResearchersRegistered dietitiansVarious health care professional organizations VendorsAdvocates for culture change

Symposium ResultsSet 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)