Culture change is a national movement for the transformation of older adult services, based on person-directed values and practices where the voices of elders and those working with them are considered and respected. Core person-directed values are choice, dignity, respect, self-determination and purposeful living.

Helpful Culture Change Links

• Pioneer Network Website
• Kansas Culture Change Coalition
• KDOA Promoting Excellent Alternatives in Kansas Nursing Home (PEAK) Awards
• Advancing Excellence in Nursing Homes Website
• PEAK - ED Website
  • Culture Change Education Modules
• Kansas Culture Change Instrument (KCCI)
  • Staff Version
  • Leader Version
• Culture Change and Turnover in Kansas Nursing Homes
  • This Year 5 Report has information about participation rates and the degree of culture change implementation.

Culture Change Outcomes

Bill McDaniel, KDOA’s Commisioner of the Program and Policy Commission, has completed a case study comparing PEAK nursing home winners from 2002 – 2005 to non-PEAK nursing homes using the Nursing Facility Quality and Efficiency Outcome Incentive Factor as the measurement. The quality/efficiency factor is a component of the Kansas Medicaid nursing home rate-setting methodology that was implemented July 1, 2005, to provide a monetary incentive for favorable outcomes in the following areas: direct care staffing; operating costs; direct care staff turnover; staff retention; total occupancy; Medicaid occupancy; and Medicaid certification survey results.

Results of the study proved promising. Overall, a higher percentage of PEAK homes (63%) received an incentive factor ranging from $1 to $3 per resident day, compared to 36% of non-PEAK homes. To read the complete case study.