CQC Long-Term Care CAG Definition

1. A Long-Term Care Citizen Advocacy Group (“CAG”) is a state or regional nonprofit organization dedicated to improving the quality of long-term care.  Members of a CAG may include long-term care recipients, their families and friends, citizen advocates, ombudsmen (comprise less than 25% of membership) and organizations subscribing to the CAG’s purpose.

2. CAGs are directed by a Board, management team, or leaders whose members are independent of long-term care industry or regulatory connections and include no more than 25% paid Ombudsmen.

3. In order to qualify as a CAG for purposes of membership in the Coalition for Quality Care, an organization must meet all of the following criteria:

  • Operate on a regional or state level (as opposed to a single council in a single nursing home);
  • Have members consisting of: persons needing long-term care services, their friends and families, other concerned citizens and/or long term care ombudsmen (with no more than 25% of members being paid ombudsmen);
  • Be managed by a board of directors, management team, or group of leaders who are independent of long-term care industry and government and which includes no more than 25% paid ombudsmen;
  • Have a primary focus on long-term care; and
  • Consist of more than one person. ( In cases where a larger CAG existed in the past and has dwindled down to one person, the CQC steering committee can recommend that individual to the general membership for a vote to be accepted as representative of the former, larger CAG.) 

4. For purposes of membership in the Coalition for Quality Care, a CAG cannot:

  • Have voting members with long-term care industry or regulatory connections.  In cases where the employment or association of an individual working in a paid or unpaid long-term care industry position does not create a conflict of interest, the individual CAG’s management group by special vote, on a case by case basis, may grant Supporting (non-voting) membership. The individual CAG’s management group reserves the right to reconsider their decision if the circumstances of the conflict of interest subsequently change.;
  • Receive funding for anything more than occasional single short-term projects from providers; or
  • Receive majority funding from government (with the exception of a term-limited project).