Components of nursing home (NH) culture change include resident centeredness, empowerment, and home likeness, but practices reflective of these components may be found in both traditional and culture change NHs.
Mixed methods were used to examine the presence of culture change practices in the context of an NH’s payer sources.
Qualitative data show how higher pay from Medicare versus Medicaid influences implementation of select culture change practices, and quantitative data show NHs with higher proportions of Medicare residents have significantly higher (measured) environmental culture change implementation.
Findings indicate heightened coordination of Medicare and Medicaid could influence NH implementation of reform practices.
For details see Lepore et al. (2015). Medicare and Medicaid reimbursement rates for nursing homes motivate select culture change practices but not comprehensive culture change. Journal of Aging & Social Policy, 27(3), 215-231.