Regulatory Support for Culture Change:
How OBRA '87 Regulations Support Culture Change
A Porch Swing Series Culture Change Workbook
Action Pact, Inc. © 2006.
Organizations often worry that the culture change steps that they take may create
problems for them during survey time. Now you can become knowledgeable about regulations
and their compatibility with culture change before making changes.
Carmen S. Bowman, a former state surveyor, has worked closely with state and federal
regulators. Her new workbook, Regulatory Support For Culture Change: How OBRA '87
Regulations Support Culture Change will put these fears to rest.
Authoring this interactive workbook, Carmen speaks the language of F-tags and discusses
compliance issues in dining, resident choice, physician orders, wireless call systems,
animals, med carts, consistent staffing, cross-training, self-directed work teams, homey
environments, care planning, waivers and variances. She provides clear explanations and
recommends practices to assure quality.
Appendices inlude letters from CMS addressing several culture change questions, changes
in SNF payment regulations to include innovations, and the use of Civil Monetary penalty
monies.
You may wish to couple this workbook with our other workbook on Regulations,
Regulatory Compliance in Culture Change: Assure Your Ongoing Success. This
workbook includes a variety of Learning Circle Topics so that you and your team can study
and work on together to create culture changes that bring the spirit of OBRA '87 to life.
