Last updated March 2017
Adopting the Music & Memory program allows long-term care organizations to meet federally-mandated CMS guidelines (F-Tags). These guidelines promote the development of person centered activities that identify and honor individual needs and keep each individual at the center of the care planning and decision-making process.
Rev 168 Publication 100-07. Regulating Unnecessary Drugs–Tag F329
MUSIC & MEMORYSM offers a non-pharm alternative to medications.
MUSIC & MEMORYSM use before and during meals can stimulate appetite, increase intake and ensure acceptable nutritional status and desirable body weight. This meets requirements for ensuring nutrition and weight maintenance, helping to ensure compliance of the following:
“Based on a resident’s comprehensive assessment, the facility must ensure that a resident maintains acceptable parameters of nutritional status, such as usual body weight or desirable body weight range and electrolyte balance, unless the resident’s clinical condition demonstrates that this is not possible or resident preferences indicate otherwise.”
FOCUSED DEMENTIA CARE SURVEY TOOLS
PART 3–Quality Assurance and Improvement Program (QAIP)–Tags F520, F309
MUSIC & MEMORYSM meets requirements for personal preferences, helping to ensure compliance of the following:
- 11a. “Does the nursing home look systematically at ways to structure the care processes around the residents’ individual needs and not around staff needs or routines?”
MUSIC & MEMORYSM demonstrates one of the easiest approaches to monitor because responses are often immediate, helping to ensure compliance of the following:
- 11b. “Does the QAA Committee monitor for consistent implementation of the policies and procedures for the care of residents with dementia?”
Part 4–Dementia Care & Related Practices
I. Comprehensive Evaluation of Each Resident on Admission by the Interdisciplinary Team–Tags F272, F281, F309
The Music Start-up Kit can be introduced as part of the admissions paperwork to gather personal music preferences and help ensure compliance for the following:
- B. “During admission interviews, are the resident and family asked about previous life patterns, choices, cultural patterns, preferences with respect to: daily routines… and any other relevant information related to the resident’s comfort, well- being and rituals?”
- C. “Does staff know, based on the admission process, what approaches calm or soothe a resident with dementia once resident becomes distressed…?”
- D. “Did staff document preferences and patterns (above) in the clinical record in a place easily accessible to all staff?”
II. Recognition, Assessment and Cause Identification of Behavioral Manifestations of Dementia–Tags F272, F309
If MUSIC & MEMORYSM is sufficient to manage distress issues then you can avoid this entire section.
- A. “Has the resident expressed or indicated distress or engaged in behaviors that appear to be distress-related, while residing in the nursing home? (If no, skip to section III).”
III. Comprehensive Care Planning–Tags F279, F309
- Family members may participate in the Personal Music Assessment and personalized playlist creation process.
- Residents music is integrated into the Care Plan
- To be provided according to needs of the individual: frequently, duration, etc. of greatest benefit.
- Helps ensure goals are met regarding non-pharmacological approaches, decrease in physical altercations, increased participation in activities, meals, therapies, family visits, etc.
- Helping to ensure compliance of the following:
- A. “Was the resident and/or family/representative involved…?”
- B. “Was involvement documented in the medical record…?“
- C. “Consistent with the resident’s wishes, was the person and/or family/representative involved in determining the goals of care (see also J and K)?”
- D. “Does the care plan reflect an individualized approach…?”
- E. “Does the care plan include a description of potential distress triggers and non-pharmacological approaches to implement when distress is expressed or indicated?”
- F. “Does the care plan include why potential triggers should be addressed (e.g., severely distressing to the individual or risk to other residents)?”
- G. “Does the care plan include strategies and approaches based on information about the person’s previously stated goals and preferences and knowledge about what has been helpful in supporting the resident when they have become distressed in the past?”
- H. “Does the care plan include monitoring the effectiveness of any/all approaches, as well as, documentation of these efforts and revisions, as necessary?”
IV. Individualized Approaches and Treatment: Care Plan Implementation and Staffing–Tags F282, F309
MUSIC & MEMORYSM available 24/7 across shifts with all staff familiar and trained in use of the programming offering compliance for the following:
- B. “Were individualized, person-centered approaches to care implemented with/for the resident?”
- C. “Did staff document the results?”
- D. “Did staff communicate and consistently implement the care plan, over time and across various shifts (D/E/N, weekday/weekend)?”
- E. “Were alternatives other than psychopharmacological medications discussed with staff and resident or family, with respect to the expression or indication of distress, as well as the engagement in behaviors that appear to be distress-related?”
- F. “What non-pharmacological approaches were/are used for this resident with dementia?”
V. Monitoring, Follow-up and Oversight–Tags F280, F309
MUSIC & MEMORYSM trains certified program staff to make revisions routinely to maintain therapeutic value of intervention.
- A. “Does staff, in collaboration with the practitioner, adjust the care plan approaches based on their effectiveness in supporting the resident when distress is expressed or indicated, as well as any adverse consequences that may occur?”
These Standards were established by the Department of Health & Human Services Centers for Medicare & Medicaid Services , Center for Clinical Standards and Quality/Survey & Certification Group.