Maine Partnership to Improve Dementia Care in Nursing Homes

In July 2012, the Maine Culture Change Coalition/LANE, the Maine Long-Term Care Ombudsman Program and the Maine Health Care Association joined forces to lead the statewide Partnership to Improve Dementia Care in Nursing Homes.  The goal of the Partnership is to provide education and support to all 107 nursing homes across the state as they provide care to residents with dementia.  57% of residents in Maine nursing homes have dementia.  The Partnership is assisting nursing homes by providing inspiration and supporting them in reducing the use of antipsychotic medications.  This has generated savings while promoting best practices.

​The centers of Medicare and Medicaid Services (CMS) set a national goal to reduce the use of antipsychotic medications by 15% for residents living in nursing homes with dementia.  Maine has held its place as the 4th most improved state in the country.  Our nursing homes achieved a reduction in percentage points of 5.98 from 27.24% in Quarter 4 2011 to 21.26% in Quarter 3 2013.  ​Maine has achieved a 21.96% reduction, well exceeding the CMS target of 15% reduction - a true accomplishment considering the high percentage of Maine nursing home residents with dementia.

The Partnership has been pleased to support nursing home staff in the following ways:

 *Provided a statewide training to kick off the Initiative with Dr. Susan Wehry, Geriatrics Psychiatrist as keynote.

*Developed a consumer fact sheet for family members distributed by Ombudsman staff and volunteers, maine Health Care       Association, maine Culture Change Coalition/LANE and Partnership members.

*Co-sponsored direct care staff training developed by the Northeast Health Care Quality Foundation called "Moving Towards Person Directed Dementia Care".  Trainings were held in Bangor, Bar harbor, Caribou, Lewiston, Machias, Rumford, Scarborough, and Waterville.  Over 200 direct care staff attended these day-long trainings.

*Supported the Northeast Health Care Quality Foundation's "Train the Trainer" program for "Moving Towards Person Directed Dementia Care".  Five Ombudsman Volunteers completed the "Train the Trainer" so that they can provide training for direct care staff.

​*Supported the Maine Health Care Association's conference featuring nationally recognized expert, Dr. G. Allen Power, board certified internist and geriatrician, clinical associated professor of medicine at the University of Rochester and a Fellow of American College of Physicians/American Society of Internal Medicine.  Approximately 100 individuals attend including nursing home staff and over 20 Division of Licensing & Regulatory Services Surveyors.

*The Ombudsman Program, the Maine Health Care Association and the Culture Change Coalition/LANE sponsored an annual workshop for the Partnership to reflect upon the past year and develop goals for the New Year.