The Massachusetts Senior Care Foundation has several other programs in place to improve the quality of care and quality of life for older adults and people with disabilities, and partners with organizations that have similar philosophies and goals.
The Massachusetts Culture Change Coalition is part of a national movement that is transforming nursing facilities into resident-centered communities. This philosophy nurtures the human spirit and promotes a living environment where older adults, people with disabilities, and their caregivers will thrive.
The Pioneer Network, a national organization with the goal of changing the culture of aging in the 21st century, serves to inform and guide the work of the Massachusetts Culture Change Coalition.
Read more about Culture Change:
As part of its work, the Coalition sponsors regional forums that provide an opportunity for organizations and communities that have begun to implement culture change to share their experiences with others. These lively sessions provide resources, information, and valuable networking for individuals and organizations interested in learning more about the culture change movement.
The Coalition also acts as the Local Area Network for Excellence (LANE) for the national Advancing Excellence quality improvement campaign. In this role, the Coalition raises awareness and encourages enrollment in the campaign, acts as the communications relay point on the local level, and coordinates the provision of technical assistance for recommended interventions to improve quality.
Central to the culture change movement is resident choice, and ensuring that the public health survey process aligns with the facilities efforts to accommodate resident choice. Revisions have been made to the federal Guidance concerning Quality of Life and Environment to reflect the importance of choice. Tag F255 (closets) is deleted and regulatory language and Guidance moved to F461. To train surveyors in this revision, a training document is included with speaker notes from Centers for Medicare & Medicaid Services (CMS) Regional Offices and State Survey Agencies.
Medical Orders for Life-Sustaining Treatment (MOLST) is an expansion of the advance care planning process that has been implemented in several states. The objective of the MOLST model is to ensure that seniors’ end-of-life wishes are respected across all care settings.
Studies have shown that life-sustaining treatments and procedures are frequently administered in direct contradiction to the patient’s wishes. The MOLST program provides tools for seniors to use in ensuring that their wishes are respected and resources for health professionals in search of information on end-of-life issues. More information about the program is available on the Massachusetts MOLST website.
MOLST in Massachusetts began as a mandate in the Acts of 2008 to implement a "POLST Paradigm" pilot program in at least one area of the Commonwealth. (For information about the POLST Paradigm, see www.polst.org). The Massachusetts MOLST Demonstration Program occurred in the greater Worcester area during 2010.
Based on the Demonstration experience, statewide use of MOLST throughout Massachusetts by 2014 is recommended in:
Statewide expansion of MOLST has begun in phases as of April 2012. To achieve statewide use of the MOLST process and form, all clinical care institutions are encouraged to learn about MOLST and to begin MOLST implementation.
Click here for information and resources to begin implementing MOLST.