Investing in Nursing Home Culture Change

Robyn's Read | April 08, 2008

The State Investment in Culture Change Toolkit is designed to help states initiate or expand culture change effort in nursing homes. The toolkit is a collection of programs and activities—workforce, person-centered care, and continuous quality improvement—that seven states created to support culture change initiatives in nursing homes.

The State Investment in Culture Change Toolkit aims to help states initiate or expand culture change efforts in nursing homes. The toolkit is a collection of the financial and human resource investments of 7 states to promote and support culture change initiatives in nursing homes: 

  • Georgia  
  • Kansas  
  • Massachusetts  
  • Michigan  
  • North Carolina  
  • Oregon  
  • Vermont  

The states developed programs and activities that can guide other states interested in making similar investments. The materials were collected from a case study supported by  The Commonwealth Fund. Other states can build on the models described in the toolkit to promote culture change in their own nursing homes.

The toolkit highlights features that contribute to the successful implementation of culture change activities across states, such as: 

  • Funding from Workforce Investment Boards.
  • The buy-in of state survey agencies involved in regulation.
  • Improved relations between state agencies, between state officials and providers, and between provider associations and consumer advocates. 

The Culture Change Toolkit organizes the descriptions of the initiatives into 3 areas:

  • Workforce Improvement Initiatives.
  • Person-Centered Care Initiatives.
  • Continuous Quality Improvement Initiatives.

The profiled initiatives include a description to enhance awareness of the range of approaches and specific interventions that have been developed through state investments.

You can download the programs and activities either through the full toolkit or by accessing specific sections of the toolkit:

For more information about the toolkit, contact Natasha Bryant.