Developing and Piloting the Well-Being Toolkit—a Novel Innovation for Systematically Prioritizing Well-Being in Long-Term Care

Asking and knowing what matters is critical for delivering high-value care to older adults, especially those in long-term care (LTC). We developed the Well-Being Toolkit to help nursing homes systematically understand and prioritize resident well-being. Drawing from multiple disciplines, we created a simple well-being framework with 4 domains—security, meaning, autonomy, and social connection—and paired it with a conversation guide and implementation resources. We describe the iterative development of the Toolkit, including a 6-month pilot in 2 rural nursing homes to assess feasibility, acceptability, and utility.