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New Long-Term Care Tools

Three Commonwealth Fund-supported tools pertaining to long-term care are now available through summaries in the Innovations section of commonwealthfund.org.

The Family Council Manual and Toolkit: A Guide for Creating and Sustaining Effective Nursing Home Family Councils is a new practical handbook for family members interested in setting up a new family council as well as a comprehensive resource for more experienced leaders facing new issues or wanting to reinvigorate an existing council. The manual and toolkit were developed by FRIA, a nonprofit consumer advocacy group.

With support from the Centers for Medicare and Medicaid Services and partial funding from The Commonwealth Fund, the Rhode Island Department of Health conducted a project called the Individualized Care Pilot (ICP), which used the mandated federal regulatory survey process to motivate and enable the state's nursing homes to fully realize the potential for resident-centered care inherent in the Nursing Home Reform Law. The Individualized Care Pilot Toolbox, which outlines the project design and offers surveyor training materials, is now online.

Based on the experiences of more than 400 nursing homes, the online Staff Stability Toolkit is designed to serve as an evidence-based resource for nursing homes that are working to reduce staff turnover. The toolkit, developed by Quality Partners' of Rhode Island with Commonwealth Fund support, identifies some of the perverse incentives, such as giving hiring bonuses rather than retention bonuses, and poor management practices, such as ineffective hiring and scheduling, that contribute to high staff turnover in nursing homes. It also offers guidance on ways to sustain employee stability.

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