Pioneer Network has launched ‘Promising Practices,’ a Web-based resource for providers who are navigating the revisions to the Centers for Medicare & Medicaid Services (CMS) Interpretive Guidelines. Providers have indicated interest in tools and resources for nursing homes to operationalize the guidelines, which are all about resident quality of life, person-centered care, and a home environment.
Readers are then directed to an answer to the myth that in many cases includes real world advice or examples from providers who have successfully navigated the change, like the following:
After Initial Increases, Budget Neutrality, and Cost Savings
Linda Bump explains that initial food costs may increase with new enhancements, but as staff learn resident preferences and plan for them, those costs “reestablish within budget” (2004-2005).
Eric Haider similarly says that staff learn what residents prefer and how much of each item to prepare, minimizing waste. He attributed a savings of $20,000 per year to this process (Rantz and Flesner, 2004).
This is also the experience of the facility identified in Linda Handy’s book Surveyor M.O. for Nutritional Care (F325) that there are “budget increases at first until you figure out who is going where,” “less prep,” residents “usually eat what they take which means we are not feeding the garbage can as much as we used to” and budget is now “actually more efficient and more effective” (2009).
Also by avoiding the pre-plating of food, unused food may be used as leftovers following guidelines at Tag 371 or even as “planned overs,” both of which reduce costs according to Linda Bump (2004-2005).