Musings about POEs and the definition of healthcare

So, I'm having a thought here... I think I need to take a look at current Post Occupancy Evaluations as they are being used in senior care. Who is creating them? What kinds of things are being studied? How far "post-occupancy" are we talking about? Who is conducting them? How is the information being collected? Where does the information go? Are there holes or gaps? Do we need to take another look at them from the standpoint of person-centered care to make sure we are measuring the appropriate things?

Which lead me to another thought... senior care is generally considered a subset of the healthcare industry. Many of the standards being set forth in research and legislation of senior care facilities are based on the larger healthcare model. But healthcare, more often than not, is referring to hospitals and medical management, based on the "sick-patient" concept. It's goals are institutionally based.

By definition, the culture change movement in senior living is anti-institutional. The entire concept is to get away from the "sick-patient" concept and get to a "whole-person" concept. These residents may also have ailments that need to be treated, but that is not the focus of their daily lives.

So how can the goals and models developed for the larger healthcare system really be addressing the needs of the senior care community. I have a feeling we are working at cross-purposes here. Which is why a larger review of something like post-occupancy evaluations may be in order.