Culture Change in Oregon

Highlights of Long-Term Care Culture Change in Oregon

• 1981 Oregon Legislature calls for shift from nursing home care to home and community-based care. First Medicaid home and community-based care waiver granted:
• 1987 RNs permitted to delegate nursing care tasks to unlicensed persons (nurse delegation) Assisted Living Facility (ALF) concept introduced:
• 1990 Oregon’s first ALF is licensed:
• 1990 – present Expansion of Residential Care and Adult Foster Home Programs:
• Mid 1990’s Standardization of dementia care through Best Friends approach:
• 2003 – 2006 Better Jobs, Better Care Demonstration Project Person-Directed Care Measurement Tool developed:
• 2004 Making Oregon Vital for Elders coalition formed