|Barry Barkan||Rose Marie Fagan||Jeff Jerebker|
Let’s make good trouble, necessary trouble.
— Human Rights Champion John Lewis, of Blessed Memory
Pioneer Network, our Council of Elders, and Live Oak Institute are launching the Live Oak Project to fuel the revolution to transform every aspect of the nursing home system that is funded and regulated through the Center for Medicare & Medicaid Services (CMS). Clearly, fragmented fixes have only exacerbated the failure of the system that continues to result in the catastrophe of COVID-19 driven nursing home deaths. We intend to transform the whole system, from top to bottom and from the inside out.
At Pioneer Network’s Virtual Gathering, the Live Oak Project will detail our mission, strategy and workplan for our unparalleled, integrated campaign to transform a whole sector of society. Come to our booth in the virtual exhibit hall, and our Facilitated Networking Discussion, From the Campfire to Zoom: A Conversation with Pioneer Network Sages, (FB7) on Thursday, September 3 at 4:30 p.m. ET at Envisioning the Future 2020 to learn the details of our campaign and your potential place within it. At any time, any one of us, or someone we love deeply, may be included among those who will be profoundly affected by the actions we take.
Between now and Envisioning the Future 2020, we invite you to reflect on the Live Oak Project’s Vision and Guiding Principles.
THE LIVE OAK PROJECT VISION
Every great initiative begins with the vision of what we have set out to achieve. This is our vision for the prize upon which we will keep our eyes.
Each person receiving Medicaid who meets the criteria for nursing homes will have the right to choose from a variety of different types of care settings. Long term care homes will be life-affirming communities where people can live out the narrative of their lives with joy and meaning, even as they encounter loss of capacity and the imminence of death; where people come for rehabilitation from a medical event and go home with not just their bodies but their spirits regenerated; where each person has a private room and ample common space to socialize even when physical distancing is required.
Direct care partners will receive equitable compensation and have a career ladder and opportunities for professional advancement; managers on all levels will become servant leaders, empowering everyone to work together to fulfill their potential for well-being and excellent service.
Government will provide realistic funding so each nursing home is a well-run, person-centered community; regulation is both part of a collaborative learning process and actually de-licenses chronically underperforming operations; and new business models provide a countervailing aspiration where profits are earned for the benefit of its residents, staff, and community, as well as its investors.
The very culture of long term care is transformed to render obsolete the ageism, racism, sexism, ableism and virtually every other -ism that permeates the long term care system so young people can look forward to engaging their elders in welcoming environments and the fear of old age begins to be tempered by hope.
LIVE OAK PROJECT GUIDING PRINCIPLES
- The culture that drives the transformation of the system is person centered, cultivates community, and empowers each person and each group of stakeholders.
- Each person who lives in a nursing home or is there for rehabilitation is known as a whole person, who is still growing, still learning, still with potential, with physical, mental, emotional, spiritual and relationship needs.
- Each person in a home is entitled to the full range of human rights, including simple pleasures, risk taking in everyday life, and a voice and choice in the decisions that impact one’s life.
- The physical environment of each home supports at-homeness by providing private rooms, plenty of spacious common areas, healthy air quality, natural light, and easy access to outdoors.
- The system of reimbursement is sufficiently funded to assure high quality care and a meaningful life for each resident or short-stay patient.
- The management culture within each home and each government agency engaged with homes moves from a hierarchical top-down culture to one that is collaborative, transparent, and learning based.
- The regulatory system approaches homes that pursue excellence as partners in quality, and aggressively enforces the full extent of the law with those that are chronically poor performing.
- Direct care workers are well trained; equitably compensated professionals who are valued for what they know and can contribute; related to with dignity and respect; and have a career ladder.
We hope you will join us on September 3 and decide to lend your skills and expertise to realizing the transformation that will benefit ourselves and our loved ones in the years to come.