On April 3, 2008, the Centers for Medicare and Medicaid Services and Pioneer Network hosted a historic symposium on the impact of innovative environmental design on creating home and community for nursing home residents. Throughout the day, long-term care innovators, regulators, researchers, architects, advocates and public officials came together in an unprecedented discourse to highlight environmental innovations and to discuss regulatory challenges associated with transforming the physical environments of nursing homes into comfortable, pleasurable places for elders to call home.  This extraordinary event assembled a powerhouse of key stakeholders to enlighten, discuss, collaborate and move forward with recommendations to advance more widespread innovation in new care environments. MORE

Click here for the April 3 CREATING HOME SYMPOSIUM RECOMMENDATIONS SUMMARY.  The recommendations contained herein do not necessarily reflect the opinions of the Pioneer Network or CMS.

Click Here for the April 3 Creating Home in the Nursing Home Symposium PRESENTATIONS AND PAPERS

DOWNLOAD BACKGROUND PAPER
This background paper set the stage for the April 3rd, 2008 Centers for Medicare & Medicaid Services (CMS) and Pioneer Network co-sponsored Creating Home in the Nursing Home: A National Symposium on Culture Change and the Environment Requirements. (PDF, 1.9 MB, Acrobat Reader required, to download Acrobat Reader free, click on the link below.)

An erronous statement in the symposium background paper was found. As of May 27th, a corrected copy of the paper has been posted. The statement was on page 30 and referred to lighting measurements in foot candles suggested by the American National Standards Institute (ANSI). For more information about this and the correct ANSI measurement recommendations go to the paper entitled Lighting: Partner in Quality Care Environments by Elizabeth Brawley, Table 1 on page 7, available at this website.

Appendix A: CMS/Pioneer Network 1/10/08 letter of invitation to the Creating Home national symposium and Invitational Workshop

Appendix B: CMS Survey and Certification Letter 07-7, 12/21/06 Nursing Home Culture Change Regulatory Compliance Questions and Answers

Appendix C: CMS Administrator’s Letter February 2007 response to an inquiry by the Mississippi Senate and House delegations regarding the Green House® Project

Appendix D: CMS Survey and Certification Letter 02-42, 8/8/02 Use of CMP Money Penalty Fine

FEDERAL ENVIRONMENT REGULATIONS AND INTERPRETIVE GUIDELINES