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Care in California Nursing Homes Improves Under Medicare Quality Initiative
Date:5/12/2008

Facilities working with Lumetra significantly reduce use of restraints

SAN FRANCISCO, May 12 /PRNewswire-USNewswire/ -- Patients in California nursing homes working with Lumetra are less likely to be physically restrained, according to data collected as part of the national Medicare Nursing Home Quality Initiative.

Nursing facilities across California have reduced their use of restraints noticeably since 2004, but those homes working directly with Lumetra during an 18 month-long patient-centered care collaborative have shown considerable reductions in the use of physical restraints. Nursing homes participating in Lumetra's Quality Improvement Collaborative showed, overall, an average 52% reduction in the use of restraints. Homes in the Collaborative that had been designated by the Center for Medicare & Medicaid (CMS) as "poor performing" showed an improvement of 55% average rate of reduction.

Comparative state-wide numbers from all California nursing homes showed declines of less than 26% for restraint use. California nursing home residents are twice as likely to be restrained as residents in nursing homes nationally (10% vs. 5%).

"This Quality Improvement Collaborative focused on de-institutionalizing the nursing home culture and implementing the principles of person-centered care," says Lumetra's David Farrell, Director of the company's Care Continuum program. "Combined with evidence-based best clinical practices, the curriculum, along with the hard work by the providers to change their systems of care, led to these unprecedented levels of improvement."

Lumetra worked with 138 California Nursing Homes over 18 months to focus on reducing restraint use using a person-centered care collaborative. Consultants met with teams in each home, challenging them to eliminate just one physical restraint a week at their facility (a deliberately do-able goal). A graph for each home tracked the cumulative number of residents that would
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SOURCE Lumetra
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