B&F Consulting, Inc.


From Institutional to Individualized Care

Four Part Series:

From Institutional to Individualized Care

This four-part webinar series was produced by B&F Consulting under contract with Quality Partners of Rhode Island for CMS to provide a framework and practical examples to help LTC surveyors, providers, and consumers understand and support individualized care.

The series was produced in collaboration with Karen Schoeneman, Deputy Director of the Division of Nursing Homes at CMS. The series provides guidance to surveyors and practitioners on individualizing the physical environment so residents feel at home, individualizing the morning routine, eliminating alarm use, decentralizing food services, helping residents to a good night’s sleep, individualizing the med pass, implementing consistent assignment, using individualized care to achieve clinical improvements in pressure ulcers, falls, and depression, and stabilizing staffing.

  1. Bullet Part 1, broadcast Nov. 3, 2006, entitled “Integrating Individualized Care and Quality Improvement” - includes information about making the physical environment more home to people, individualizing the morning routine, and eliminating use of alarms.

  1. Bullet Part 2, broadcast May 4, 2007, entitled “Transforming Systems to Achieve Better Clinical Outcomes” - includes information about individualizing the night routines, decentralizing dining services, instituting consistent assignment, and the link between individualized care and reducing pressure ulcers and depression.

  1. Bullet Part 3, broadcast May 18, 2007, entitled “Clinical Case Studies in Culture Change” - includes one home’s story of individualizing their dining services and another home’s story about reducing their medication pass.

  1. Bullet Part 4, broadcast Sept. 14, 2007, entitled “The How of Change: What a difference management makes! - discusses the basics of an effective change process, the importance of inclusive leadership, workplace practices to achieve staff stability, and why of individualized care is better care. One home tells its story of stabilizing staffing to be able to take on change. Several leaders describe the how and why of instituting consistent assignment.

Please note that the quality of this web-based broadcast varies,

due to the mechanics of embedding it this website.

Videotapes can be purchased from


and from

National Technical Information Services

5285 Port Royal Road, Rm. 1008, Sills Bldg.

Springfield VA 22161

Phone: (703) 605-6186

Based in New England, Brady and Frank work throughout the country.

Contact us by email at:

Cbrady01@snet.net or bfrank1020@me.com

or by phone at:

Cathie Brady 860-334-9379

Barbara Frank 617-721-5385

Click for:

  1. BulletFIIC Part One

  2. BulletFIIC Part Two

  3. BulletFIIC Part Three

  4. BulletFIIC Part Four