State Nursing Home Quality Improvement Programs: Site Visit and Synthesis Report. Texas Department on Aging/ Ombudsman Restraint Reduction Initiative


In addition to the programs described above, the Ombudsman and his staff, who have a presence in facilities, are conducting training on resident centered care. Restraints were chosen as a focus because they are a long-standing issue with consumer advocates, restraint use is notably high in Texas and currently a major DHS concern, and the Department of Insurance says that restraint use is a risk factor for liability. Educating families is particularly important because Texas researchers found during the 2000 Statewide Assessment that a substantial portion of clinically inappropriate restraint use was due to families requesting the use of restraints out of concern for their relative's safety. The program will help dispel myths about perceived benefits of restraints in resident safety and help educate staff and families about alternative options. Program content has been coordinated with the best practice protocols developed for the Quality Monitor program. The program is set up in three modules: training all ombudsmen volunteers (60 staff oversee the 850 volunteers), followed by those volunteers training facility administrators and key staff, and then the volunteers/staff educate families on the topic area. There is no mandatory requirement for facilities to participate. The goal of the program is to have ten percent of facilities adopt the program by August 2003.

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