The Pioneer Network Conference is far and
away the absolute best venue for stretching ones knowledge and imagination
about how aging and aging services can be transformed into a humane, value-laden, purposeful life for our elders.
The following information is taken directly from the
website of www.pioneernetwork.net
It is a listing, on one page, of all the offerings at the
Pioneer Network Conference in New Orleans, July 31 - August 3.
I am offering a half-day Intensive, Intensive # 5 on Monday, August 1. It involves a look at and study of how one's congregational documents reflect the spirit of the standards of care expressed in the Federal minimum standards of care for licensed nursing homes. We will reflect on and discuss how service to our own members is truly a ministry of prophetic witness, a stance to which we are called as women religious.
Whether a Sisters' nursing home is licensed or not, no one can argue against maintaining, implementing "minimum standards of care" in any retirement setting for our Sisters.
I always enjoy looking at the presentations offered with
the same excitement with which, as a child, I used to look through again and again the Sears Christmas Catalogue
that the postman delivered! Enjoy!
Conference
Intensives
Pioneer Network Workshop Intensives allow for a deep dive into
crucial topics. Experienced Guides, who can demonstrate with hands-on
practical approaches, will get to the heart and soul of the subject matter,
while giving you the nuts and bolts that you can take home and use immediately.
These Workshop Intensives are designed especially for YOU – the Pioneer
attendee. So prepare for a day of interactive intense learning experiences.
For our 2016 conference, the Workshop Intensives will take place on the first
day of the conference: MONDAY, AUGUST 1, from 8:00 am to 5:00 pm. There will be
four full-day Intensives and nine half-day Intensives offered. You can register
for one full-day intensive or the pair of half-day Intensives that works best
for you.
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Monday, August 1
Intensive Schedule
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8:00 – 11:45
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Intensives 1
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11:45 – 1:15
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Lunch (Exhibit visits
& networking)
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1:15 – 5:00
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Intensives 2
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FULL-DAY INTENSIVES (click on Intensive name
for details)
HALF-DAY INTENSIVES
8:00-11:45 (click on Intensive name for details)
HALF-DAY INTENSIVES 1:15pm
– 5:00pm (click on Intensive name for details)
Full-Day Intensives: 8:00-5:00 (with 90-minute lunch)
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INTENSIVE #1
Working Together to Put Living
First: A Culture Change Guidebook
This all-day intensive explores
one organization's award-winning, collaborative culture change journey, guided
by Appreciative Inquiry, and engages participants in a variety of practical
resources from a new, research-based guidebook organizations can use to begin
or strengthen their culture change efforts. This comprehensive intensive will
feature a variety of perspectives, from researcher, senior leaders, care
partners, and elders themselves. First, participants will engage in
self-reflection and strategic-planning activities aimed at building a solid
foundation for culture change. Then, participants will engage with practical,
yet fun, strategies and resources to mobilize a culture change journey guided
by Appreciative Inquiry.
Guides:
Jennifer Carson,
Researcher, University of Nevada, Reno
Susan Brown,
Research Coordinator, Schlegel-University of Waterloo Research Institute for
Aging
Jessica Luh-Kim,
Director of Program Development and Education, Schlegel Villages
Building a Culture of
Person-Directed Living: Four Key Elements
Everything in the area of aging
services is moving towards an approach that recognizes the sovereignty of the
individual receiving supports and services. Terms like 'person-centered
care' and 'person centered planning' are bandied about, oftentimes without a
clear definition or framework of what is meant by these words. This
presentation provides a highly experiential glimpse into the four core elements
of person directed living, the ultimate expression of elder empowerment that
effectively shifts power and focus to the elder and the care partner closest to
them.
Guides:
Cean Eppelheimer,
Organizational Change Consultant, PHI
Kathy McCollett,
Organizational Change Consultant, PHI
Person-Centered Life in Assisted
Living:
Navigating a Shifting Landscape
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Missed it
last year?
Back by
Popular
Demand!
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This intensive will explore current trends and best practices in
person-centered assisted living. Your interactive day will confront some of the
myths and realities of assisted living. You will explore how meeting clinical,
social, and emotional needs in the face of increasing acuity can be done
without compromising person-centered principles. At the same time, you will
accrue useable tools and best practices to create better person-centered living
environments.
Guides:
Juliet Holt-Klinger,
Senior Director of Dementia Care, Brookdale Senior Living
Jeanne Heid-Grubman,
Administrator, Franciscan Retirement Community
Getting it Right for Each
Resident: Creating a Culture of Prevention and Continuous Improvement
Your performance outcomes are
measured by each person's daily experience in your care. This session will help
you get to yes for these three questions:
- Do people who can,
get better?
- Do you catch early
warning signs and use your best clinical skills to intervene and prevent
avoidable events?
- Do residents
maintain their routines for when they eat, take their medicines, get up
and go to bed?
Learn how to be a leader who engages all your staff in a
continuous loop of communication and collaboration. Everyone knows what needs
to be done, and their part in it.
Guides:
Barbara Frank,
Co-Founder, B&F Consulting
Cathie Brady,
Co-Founder, B&F Consulting
David Farrell,
VP of Sub-acute Operations, Telecare Corporation
Half-Day Intensives 8:00-11:45 (with 90-minute lunch before the afternoon
sessions begin)
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Build your own full day intensive
Sisters: Still Called to be
Pioneers, Poets and Prophets
Pioneer Sisters coming to this
country came without any blueprint for meeting the needs of an immigrant
population in their new environment. Yet, we are bearers of a rich legacy of
diverse ministries, executed with vision, competence and compassion. We again
find ourselves at a place without blueprints: when aging-related services for
our members require the bulk of personnel, finances, and planning. We are still
called, by our vocation to respond with vision, competence and compassion. This
session provides tools for seeing with new eyes how aging services should be
seen and implemented as a profound element of Congregational mission.
Guide:
Sister Imelda Maurer
Note: This is session is repeated in the afternoon
Love Matters: Leadership Lessons
from Wise Women
Wise women, including our mothers and grandmothers, have taught
us valuable lessons in life. Through their caring we have learned to laugh,
play, sing, dance, dream, and then realize those dreams. Through their wisdom
we have learned values and manners, how to treat people, and how to persevere
through difficult times. Through their hearts we have learned unconditional
love. These are all meaningful lessons for leaders working to transform the
culture of aging. In this powerful session, you will be embraced in the caring
heart of wise women leaders, and you will be nurtured and transformed as a
leader for change.
Guides:
Nancy Fox,
Chief Innovation Officer, Vivage Senior Living
Susan Ryan,
Senior Director, The Green House Project
Denise Hyde,
Community Builder, The Eden Alternative
Sarah Rowan,
Elder Wisdom Keeper
Sandy Ransom,
Great Grandmother
Jude Thomas,
Founder and Mother of Eden
We're All In This Together:
Multiple Stakeholder Insights On Integrating Quality Improvement In a Large
System
Change presents challenges and opportunities. How change happens
determines success. This intensive engages participants in learning about and
using an evidence-based approach that makes quality improvement (QI) easier and
more likely to achieve its full potential. The step-by-step method integrates
QI into staff members' everyday habits, enabling continuous innovation.
Stakeholders from the Department of Veterans Affairs— including residents,
frontline staff, managers, and national leaders—will share insights from their
experiences using the method and will engage participants in hands-on learning.
Participants will practice applying the approach and will leave with
individualized plans for their own QI projects.
Guides:
Christine Hartmann,
Researcher, Bedford VA Medical Center
A. Lynn Snow,
Researcher, Tuscaloosa VA Medical Center/University of Alabama
Supporting Well-being for the
Person with Dementia:
It Begins with Comfort
As the US population ages,
long-term care organizations are called to address the ever changing needs of
persons with dementia. Questions regarding autonomy and personhood are at the
center of quality of care and quality of life for people who have trouble
thinking. Adopting comfort-focused strategies for people with dementia is
answer. This session will explore the theories and evidence supporting a
comfort model of care as well as how to implement this best-practice model in
your organization.
Guides:
Tena Alonzo,
Director of Education & Research, Beatitudes Campus
Karen Mitchell,
Comfort Matters Nurse Educator, Beatitudes Campus
Karen Harper,
Community Director and Dementia Coordinator, Isabella Geriatric Center
Deidre Downs,
Corporate Director for Social Work and Supportive Care Programs, Cobble Hill
Nursing Home
Robert Herel,
Director of Social Work, Cobble Hill Nursing Home
Liza Long,
Dementia Care Unit Manager, Cobble Hill Nursing Home
Sharon Blake,
Dementia Coordinator, The New Jewish Home
Integrating Complementary
Therapies in Our Elder's Lives and Our Work
You will experience "a
taste" of many complimentary therapies in this session to have an
understanding of their benefits and identify ones you may want to dive into in
a deeper way. Program goals include bringing about social integration,
relaxation, a sense of community and a healthy approach to our human needs.
Other benefits are ways of managing pain, stress and isolation and demonstrated
positive outcomes for elders and staff. We will discuss challenges and
successes of incorporating these therapies into everyday life of our
Elders.
Guides:
Evy Cugelman,
Innovations Specialist, Vivage Quality Health Partners
Elizabeth Flattery,
Wellness Director, Friendship Haven
Raquel Jarrard,
Assisted Living Director/RN, Friendship Haven
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Half-Day Intensives 1:15-5:00 (with 90-minute lunch
after the morning sessions end)
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Build your own full day intensive
Note: This is an exact repeat session from the morning
Intensives.
Love Matters: Leadership Lessons
from Wise Women
Wise women, including our mothers and grandmothers, have taught
us valuable lessons in life. Through their caring we have learned to laugh,
play, sing, dance, dream, and then realize those dreams. Through their wisdom
we have learned values and manners, how to treat people, and how to persevere
through difficult times. Through their hearts we have learned unconditional
love. These are all meaningful lessons for leaders working to transform the
culture of aging. In this powerful session, you will be embraced in the caring
heart of wise women leaders, and you will be nurtured and transformed as a
leader for change.
Guides:
Nancy Fox,
Vivage Senior Living
Susan Ryan,
The Green House Project
Denise Hyde,
The Eden Alternative
Sarah Rowan,
Elder Wisdom Keeper
Sandy Ransom,
Great Grandmother
Jude Thomas,
Founder and Mother of Eden
From the Executive's Desk:
Motivations, Experiences, and Outcomes
Are we really moving from flavor of the month to a widespread
change in culture? Hear from executive leaders about their case for deep,
sustained organizational change. What motivated these innovators'
personal and organizational transformations? Participate in a candid
conversation and reflections from these pioneers about their experiences and
approaches to change, including the most significant barriers that got in their
way and the drivers that kept them moving forward. We'll discuss the
outcomes they achieved and leave you with strategies for influencing leaders in
your organization to commit to deep and sustained change.
Facilitator:
Megan Hannan,
Executive Leader, Action PACT
Guides:
KaraLe Causey,
Owner, Haven Nursing and Rehab Center
Steve McAllily,
CEO, Methodist Senior Services
Jeff Jerebker,
Blogger, Author, Elder Care Influencer
Glenn Van Ekeren,
President, Vetter Health Services
Advancing Care Excellence for
Seniors (ACE.S): Integrating Nursing Skills for Person Centered Care
Calling all nurses!! The National League for Nursing (NLN) and
PHI (Paraprofessional Healthcare Institute) have partnered to provide evidence
based training tools for gerontological nurses, using as a foundation the NLN's
Advancing Care Excellence for Seniors (ACE.S) program and PHI's
Coaching-communication skills. With funding from the Retirement Research
Foundation (RRF), this curriculum is being taught to practical nurse educators
across the country. Join us to engage in conversations and interactive teaching
strategies that explore the role of nurses through the eyes of the person
served and that identify aspects of self-awareness and self-management as core
to effective gerontological nurses. Participants will leave the workshop with
ideas about how to integrate coaching communication skills and ACE.S teaching
strategies to improve the quality of care for older adults and their
caregivers.
Guides:
Sue Misiorski,
Director of Coaching and Consulting, PHI
Anna Ortigara,
Organizational Change Consultant, PHI
Culture Change Dining Can Work
from Trayline to Household
In this session, we will show communities at all stages of Food
Service in Skilled living how to implement Culture Change and deep seeded
resident choice. Just because you have not gotten off a trayline or using
a satellite does not mean you cannot implement aspects of Culture Change that
will have significant impact on the lives of your residents.
Guide:
Jonathan Addess,
Regional Director of Culinary and Nutrition Services, ACTS Retirement Communities
Let's Get Unreal! Practical Tools
to Incorporate Creativity for Life Enrichment
Discover thrilling possibilities
when relationship-centered enrichment occurs in an experience that leaves
elders saying things like, "You're a brain stretcher. You make us look
outside our world," and "This makes the week. Do we think of pains
and aches? No we don't." Kareen King, Creative Engagement Specialist,
shares field-tested tools that foster the desire Elders have to learn, play,
discover, create, belong, and express themselves. Groundwork will be laid on
the basics of creative improvisation and how it works with storytelling,
poetry, conversation, music, and more. Participants will both learn and
experience techniques, and will discover how creativity can occur during
personal care and mealtime, not just during planned activities.
Guide:
Kareen King,
Registered Drama Therapist, The Golden Experience
Concurrent Session
A
Tuesday,
August 2, 10:30am - 12noon
Working Together to Support Well-Being:
An Upstream Approach to Eliminating Downstream
Interventions
in Care for Persons Living with Dementia
Increasingly, healthcare professionals are
moving from pharmacological approaches 'treating' persons living with dementia
to an array of non-pharmacological 'interventions'. While this shift may appear
progressive, it perpetuates a reductionist, biomedical paradigm that is
reactive rather than proactive. Most distress represents expressions of unmet
needs. Instead of treating ill-being, our primary goal should be supporting
well-being. After exploring the meaning and importance of well-being for
persons living with dementia and their care partners, this session offers a
practice example of one organization's journey to engage all community members
in working together to promote well-being through an initiative called the
'Dialogue Project'.
Jennifer Carson, University of Nevada, Reno
Preventing Falls: An Innovative Approach to Restorative
Nursing
This session will discuss how decreased mobility is the
primary cause of falls and an overall deterioration in the health of residents.
Traditional restorative nursing programs do little to address balance, strength
and endurance issues that lead to immobility. This session will discuss
exercise & restorative nursing programs that prevent falls by enhancing
mobility, balance, strength and endurance of residents. It will describe how to
set up an environment to help promote safe mobility and how to capture the
program on the MDS restorative nursing section.
Jeri Lundgren, President, Senior Providers Resource
Sue Boyd, Vice President of Quality Assurance, Elim Care
The Role of Compassion in Elder Care
We are born to relate, to connect and to bond. The most noble of human
relationships is compassion. No other profession is as closely associated with
the virtue of compassion as is eldercare. What is compassion? What is the
scientific evidence that explains and supports compassion? What is the leader's
role in establishing a culture of compassion? The answers to these questions
will be discussed during this session. We will discuss how compassion
interfaces with the five universal needs and yearnings that make each of us
human: To Be; To Become; To Belong; To Be our Best; and To Reach Beyond...
Content of this presentation is based on the recently published book "The
Return of Compassion to Healthcare," written by Dr. V. Tellis-Nayak.
Dr. V. Tellis-Nayak, Senior Researcher, National Research Corporation
Mary Tellis-Nayak, VP Quality Initiatives, My Innerview
Rewriting Dementia: Using Poetry to Engage,
Creatively Stimulate and Empower Those with Dementia
In this session, you'll learn innovative ways to engage, creatively stimulate,
and empower people living with dementia. The Mind's Eye Poetry method
challenges stereotypes and advocates for a new approach to engagement. Learn
how to plan theme-based, one-hour sessions that result in the creation of
poetry using the ideas, words, and phrases of the individual living with
dementia. This session is tailored to all caregivers, whether caring for
someone in their own home or in residential care communities.
Molly Middleton Meyer, Poet, Mind's Eye Poetry
Aging Well - Living Fully
Aging well requires continuously finding purpose and meaning in
living.
Using a custom-created questionnaire, our international team is collecting
stories from older adults to build knowledge and understanding of what it is
like to age in a variety of circumstances. From this we are developing a tool
to help persons in late life find wellbeing as they define it for themselves.
We will share stories, what we've learned, and the tools and processes we've
developed and continue to test.
Helen Guthrie, President, Guthrie Consulting, Inc.
Kathy Laurenhue, CEO, Wiser Now, Inc.
Takin' It to the Streets! Engaging Consumers in Redefining
Care
and Revolutionizing Their Expectations
historically, revolutions are successful only when the people affected lead the
charge. And so it is with revolutionizing culture change. The time has come for
us to collaborate with and empower those directly receiving care and their care
partners all along the continuum. Eden at Home, an initiative of The Eden
Alternative, is the perfect vehicle to engage consumers in a meaningful way.
Through a series of workshops that delve deeply into person-directed care
values, care partners learn that the caregiving and care receiving experiences
can be not only meaningful, but very different experiences than previously
thought.
Kim McRae, President & FCTA (Family Caregiver Turned Advocate), Have a
Good Life
Mel Coppola, Owner, Hearts in Care
Building an Environment: The Human Approach
The session will describe how an organization can achieve real culture change
in a residential household using the adapted Butterfly Home model developed by
U.K.'s Dementia Care Matters. Participants will engage in a mini-workshop using
tools to create a dementia friendly environment. The importance of enhancing
residents' meal experience and ways to do so will also be discussed.
Renate Sainsbury, General Manager, Lifestyle Options Retirement Communities
Jennifer Mabugat-Chan, Director of Care/Clinical Lead, Lifestyle Options
Retirement Communities
Person Centered Rehabilitation: The NET Model
and the Role of Team Collaboration in Clinical Success
The NET model represents an innovative approach to providing rehabilitation to
individuals living with moderate to severe dementia that is grounded in
person-centered care, team collaboration and the promotion of meaningful
engagement. NET results in positive functional outcomes and enhanced
engagement, as documented in a recent research study. This session will
introduce the NET model, highlighting the ways in which it represents culture
change in rehabilitation services, lessons learned, and a review of the research
and its findings.
Kelly Carney, Executive Director, Phoebe Ministries
Jennifer Howanitz, Director of Rehabilitation Services, Phoebe Ministries
The Need for a Social Revolution in Residential Care
Research suggests that programs fostering engagement and peer support provide
opportunities for residents to be socially productive and develop a valued
social identity. This interactive session will explore a re-conceptualization
of current practices that focus on entertainment and distraction, to one that
centers on resident contributions and peer support. Presenters will offer a
model for discussion—Resident Engagement and Peer Support (REAP)—for designing
interventions that advance residents' social identity, reciprocal relationships
and social productivity. Attendees will leave with viable take away strategies
that have the potential to revolutionize current psychosocial practices from
resident care to resident engagement.
Kristine Theurer , Founder, President, Java Group Programs, Inc.
Robyn Stone, Executive Director, LeadingAge Center for Applied Research
"Help me understand" Mrs. Katie: Empowering
Positive Partnerships with Residents and Families
Are you frustrated by family members? Are you tired of confrontations with
daughters who just don't understand? With her mother's words "Help me
understand" and a knowledgeable steadfast voice, learn how one family
member developed a positive partnership with the nursing home staff. Their
success was based on knowledge, person-centered care, mutual respect and
gratitude. The Preferences for Everyday Living Inventory and how it supports
development of positive partnerships with staff, residents and families will
also be discussed.
Karen Alizzi, VP of Residential Care, Madlyn & Leonard Abramson Center
for Jewish Life
Rita Morris, Family Member
Alzheimer's and Memory Cafes:
Effective and Fulfilling Events for People Living with Dementia, with
Families and Friends.
An Alzheimer's or Memory Cafe is a non-judgmental and safe environment where
people living with dementia and their families can relax, have fun, and connect
with others in the same situation. Many cafes have fostered friendships between
participants. This session will inspire you and help you start your own cafe.
Jytte Lokvig , Founder and Facilitator, National Alzheimers Cafe Alliance
Jan Olsen, Co facilitator, Alzheimers Cafe
Eliminating Workplace Violence in Nursing
Homes:
Experiences of Two Coalitions in Connecticut and New York City
Working in healthcare is rewarding, but can also be dangerous. CNAs have the
highest incidence of workplace violence of any American worker. Seventy percent
of nursing home staff are assaulted at least once a month; Certified Nursing
Assistants an average of nine times a month. Over the past two years, two
separate groups of nursing homes, in Connecticut and New York City, addressed
this issue. Both groups worked with the Union representing their staff. This
workshop will provide overviews of the approaches utilized and examples of
assessments, curricula, policies, training activities and results. Nursing home
staff will speak about their experiences in creating safer homes.
Lois Schram, Consultant, L/S Gerontology 1199SEIU Labor Management Project
Janice Dabney, Assistant Director, Labor Management Project, 1199SEIU Training
& Employment Funds
Engaging Residents and Families in CAUTI Prevention
Nursing home infections are the leading cause of mortality and morbidity for
residents. Prevention of these infections is critical in order to promote
resident safety. Engaging residents and families as partners in care around
infection prevention is essential to promoting person-centered care, plus is an
important opportunity to increase resident safety. Hear examples of how to
engage residents and families in reducing CAUTIs; and identify tools and
resources to educate staff, residents and families.
Lori Smetanka, Executive Director, National Consumer Voice for Quality
Long-Term Care
Sue Collier, Clinical Content Development Lead, Health Research & Education
Trust
Person-Centered
Care and Implementation of CMS Proposed Rule Changes
This session will review and analyze the new proposed CMS rules for nursing
facilities. Attendees will learn how person-centeredness is incorporated as a
key principle, and will discuss how these rules can be effectively implemented
to promote person-centeredness as well as improved quality of care in other
domains. The limitations, pitfalls, and unintended consequences of these
proposed rules along with challenges in implementation will also be identified
in order to develop strategies to prevent shortcomings, undesirable actions or
outcomes.
Guide: Jonathan Evans, MD
Panel: To be announced
Concurrent
Session B
Tuesday, August 2, 1:30pm - 3:00pm
Grand Transformations: Organizations Making Bold Moves
Successfully repositioning an occupied
residential building takes leadership, vision, creative planning, quality care
delivery, sound financial modeling and risk. Two organizations will describe
how to overcome challenges, such as the logistics of relocating residents in a
high occupancy setting, phasing, and coordinating with local and state
licensing agencies. They will describe why they took these bold moves, how they
managed the strategic position of the organization and the expectations of the
residents during design and construction. Both transformations resulted in
creating all or mostly private rooms and dedicated household environments.
Vernon Feather, Senior Vice President, SFCS Architects
Panel:
Janet Lorenzon, Administrator, Liberty Lutheran
Cathy Emig, Administrator, Kendal Crosslands
Transforming
Dementia Care through Collaboration and Connectedness
During this interactive session, we will evaluate current stigmas, culture and
practices and examine how learning from the perspective of individuals living
with dementia enhances our ability to transform the culture of dementia care.
The LIVING in My Today program will be introduced as an example of supporting
individual strengths, personhood, relationships and personal well-being.
Melynda Anderton , Social Worker, Schlegel Villages
Jessica Luh Kim, Director of Education and Program Development, Schlegel
Villages
Moving
Toward a Person-Centered End-of-Life Experience
This session will focus on transforming the culture of end-of-life care to an
individualized, person- and loved-one-centered experience. We will discuss
assumptions and biases as well as practical methods of learning about people at
the end of their lives and treating them as individuals with a lifetime of
experiences, accomplishments, opinions and preferences. End-of-life symptom
assessment and development of individualized, dignity-promoting treatment
measures will be discussed. The intended outcome is increased understanding of
methods of assuring that individuals and loved ones experience self-determined
death in accordance with their wishes and values.
Elizabeth Hopkins, Clinical Nurse Educator for Hospice, Palliative Care
& Rehabilitation,
New Mexico VA Health Care System
Twenty
Percent = Success Programming: Re-evaluating the Activities Model to Address
Lack of Participation and Engagement
As we continue to strive for person-centered care and truly understand
residents as individuals, we must also learn to re-invent and discover new
offerings in the arena of activities/life enrichment. With the coupling of
generations in long-term care, one approach to engage and facilitate quality of
life will no longer suffice. By dissecting and analyzing participation, and
admitting there is room for improvement, Nicoya & Senior Care Centers are
challenging staff with new initiatives that do not resemble activities as we
know them but instead seek to meet residents where they are rather than conform
their interests to a predetermined model.
Sara Kyle, Director of Resident Wellness, Nicoya Health and Lifestyle
Jana Russell, Manager of Resident Wellness, Senior Care Centers
Love is
All You Need: Making Intergenerational Programs Work
Natural communities include people of all ages and life stages who are entwined
in webs of relationships. This session will describe how to create
life-enhancing connections and an authentic community in the most unnatural
place: a residential community for older and disabled adults. Various models
and approaches to intergenerational programming and ways to involve all
generations in the life of any community will be discussed.
Kathryn Anderson, Director of Clinical Services, Providence Mount St. Vincent
Marie Hoover, Director, Intergenerational Learning Center, Providence Mount St.
Vincent
Investing
in the Frontline: Developing Leadership Opportunities for Resident
Assistants
We know that Resident Assistants (RAs) are the heart and soul of
resident-centered care. They have a critically important role in partnering
with the resident and family and ensuring that the resident's well-being is at
the center of the care team. In recognizing this, a program was developed whose
immediate goal was to develop the leadership skills of RAs, with the
overarching goal of improving resident engagement and ultimately
resident-directed care. We will discuss the process for developing and
sustaining our program, and a panel of RAs will share both the challenges and
successes encountered on this ongoing journey.
Tammy Retalic, Chief Nursing Officer, Hebrew Senior Life
Doris Bertram-Morin, Director of Professional Development, Hebrew Senior Life
The Sunny
Hill Story of Change
Sunny Hill Nursing Home of Will County, a county owned nursing home in Joliet,
Illinois, has been on their Culture Change journey for the past 12 years. Tools
and examples will be presented to help attendees put into practice some of the
changes that have been successful for Sunny Hill in their journey. Learn how
Sunny Hill transformed their dining program, eliminated alarms, gained the
community's involvement, empowered the elders by starting a resident interview
committee for hiring staff and other practices that have helped the home
maintain their person- centered approach to daily living.
Becky Haldorson, Assistant Administrator, Sunny Hill Nursing Home of Will
County
Starting
the Revolution in a Circle!
Learning Circles are a powerful yet under utilized tool that communities and
individuals can use to start and/or further grow as they seek to change the
culture of aging. We will begin by sharing the history of learning circles as
they support communication in cultures throughout the ages. Then, through
discussion and doing, together we will learn the process for conducting
learning circles, and experience first-hand how they can provide the
"fuel" needed to change the culture - organizationally and
personally. Participants will leave with the knowledge of how to develop a
learning circle challenge in their organization.
Joan Devine, Board President, Missouri Coalition Celebrating Care Continuum
Change (MC5)
Paula Lee, Person Centered Care Liaison, The Sarah Community
The Good, the Bad, and the Ugly: Getting the Whole Story
The Human Being evolves his/her story beginning at birth. Culture change begins
here, in the individual's first words and steps, the gaining of knowledge and
skills, and ultimately forming a purpose in life. For the caregiver of someone
living with dementia, recording life history is imperative in providing a
quality of life for that person and adopting a person-centered philosophy.
Learn how to be thorough in capturing the good, the bad and the ugly in the
person with dementia – the REAL person—to make the best possible plan of care
at home or in transitioning to other settings.
Dana Territo, Director of Services, Alzheimer's Services of the Capital Area
Katherine Schillings, Program Coordinator/Social Worker, Alzheimer's Services
of the Capital Area
The Role
of the Physician & Other Members of the Team
When
Planning Person-centered Care
In this world of person-centered care and individualized choices, learn what
the roles of the physician and other members of the team are when care
planning. How do we "safely" honor risky choices, while lessening
litigation and citation risks for health professionals? Don't miss this
presentation that blends a 'real life' case study with a skit to demonstrate
the process of planning for person-directed care. A discussion follows of
approaches and steps that can be taken by physicians and other care
professionals to successfully work in the new culture of aging.
Diane Hall, Owner, Balanced Senior Nutrition
Christopher Mulrooney, Assistant Dean/Chief Operating Officer, Florida State
University College of Medicine
When
Practice and Policy Meet: Applying the CMS HCBS Settings Rule to the Goal of Promoting
Community Integration in LTSS
The Home and Community-Based Services regulations issued by the Centers for
Medicare and Medicaid Services (CMS) in March 2014 set forth new requirements
for several Medicaid authorities under which states may provide home and
community-based services. This session will discuss innovative strategies and
promising practices that states and providers of long-term supports and
services may consider as they continue to flesh out how best to implement the
HCBS settings rule by March 2019. Services to individuals living with dementia
will be a significant focus of the dialogue. Technical resources will also be
shared with participants for consideration and feedback.
Becky Kurtz, Director, Long-term Care Ombudsman Program, Administration for
Community Living, U.S. Department of Health and Human Services
How Do
Elders Living with Advancing Dementia Voice Their Choices?
This session guides the care partner to recognize the variety of modes of
communication from elders living with advancing dementia as they indicate their
needs and choices throughout the day. Is the message being heard? Utilizing
video case studies, care partners will evaluate elder communication to honor
choices which foster self-worth, meaning and purpose for the elder living with
dementia.
Linda Riccio, Vice President of Clinical Operations, Vertis Therapy
Disrupt Infections by Creating Community Immunity
The top three causes of hospitalizations for elders in nursing homes are
infections, causing not only personal distress but costly hospital stays and
use of resources. These infections and many others in all settings across the
continuum of care can be prevented. This session will overview disrupting
infections by creating "Community Immunity", which is an approach to
elevating awareness about spread of germs leading to infection, and includes practical
action steps to stem the spread of germs, including changing daily care
practices and involving staff and family's commitment to disrupting infection.
Lynda Crandall, RN, GNP, Pioneer Network
Concurrent Session
C
Tuesday,
August 2, 3:30pm - 5:00pm
Innovative Workplace Solutions: Nurse
Leadership Make-over
Health care providers continue to look for innovative
workplace solutions that lead to a stable workforce. This session will describe
in detail the innovative practices that have led to the successful
transformation of a nurse leadership team from a dictatorial medical model to a
staff empowered decentralized style of management.
Jalane White, Administrator, Pleasant View Home
Marilyn Stufflebean, Director of Nursing, Pleasant View Home
Experiencing Life with Dementia: It's Never Too Late
How much do we really know and understand about living with dementia, and how
can we better design environments for residents living with dementia? Our team
of senior living experts tackled this issue "head on" by living as
memory care residents in communities across the country, using equipment to
simulate the challenges experienced by and behavioral responses of a person
with mid-stage dementia. A gerontologist followed three Architects and a CEO of
a Pennsylvania provider through 24 hour stays in a variety of care settings.
The speakers will share their first-hand experiences of "walking in the
resident's shoes" with the audience.
Melissa Pritchard, Senior Vice President, SFCS Architects
Amy Carpenter, Senior Associate, SFCS Architects
Kendal at Hanover's Inner Light Program
This session will introduce attendees to Kendal at Hanover's Inner Light
Program, our successful person-centered program of care. Our focus is to show
how residents and staff benefit from maximizing choice, autonomy and comfort,
allowing us to foster nurturing relationships in an environment that promotes
wellness of mind, body and spirit. Participants will learn how to establish
their own resident-centered care programs, and ways to inspire staff
engagement.
Hailey Wetherbee, Assisted Living Administrator, Kendal at Hanover
Laurie Flynn, Director of Nursing, Kendal at Hanover
Engage, Inspire and Uplift People with Dementia
through a Dance/ Expressive Movement Program
This workshop will present a model for a dance/expressive movement program
which is fun, engaging and esteem-building for older adults and people with
dementia. The structure is designed to incorporate the movements and offerings
of all participants, regardless of physical or cognitive abilities. Recent
studies have found that dance has many benefits which range from a greater
feeling of vitality, improved mood and reduced agitation to more coherent
speech, increased neuronal pathways and possible protection against dementia.
Caregivers/staff who enjoy dancing and moving will leave with the resources to
implement such a program.
Donna Newman-Bluestein, Dance/Movement Therapist, Dance for Connection
Getting Household Dining Right, The First Time!
Implementing full-service dining in a household model of care can be the most
challenging aspect in the culture change planning process. Delicious and
nourishing meals need to be the centerpiece of daily care. The household
kitchen must be the heart of the home. Don't take this huge step forward
without some background and knowledge of the essentials for successful design,
implementation, and training.
Jeffrey Goldone, President, J. Goldone Consulting and Training, LLC.
Coming Together is a Beginning, Keeping Together is Progress
and Working Together is Success: Creating Synergy to Promote Culture Change
How do you create an environment where care partners feel
valued and an integral part of the team? Imagine an Assisted Living community
where departments join together to create synergy while establishing
person-centered services. In this session, leaders of nursing, support services
and recreation will present examples of how to successfully mentor and engage
staff while empowering them to embrace the culture change revolution and remain
compliant while maintaining 100% resident, employee and overall family
satisfaction.
Marcia Ortez, Administrator, Francis Parker Memorial Home
Our Journey to Culture Change
Join us as we share our journey in changing from institutional to
elder-centered care. We will discuss our rough start, challenges with
implementation of these ideas, lessons we have learned, successes and what we
would do differently if we had to do it all over again. Please join us as we
share our stories and "Put yourself in their shoes."
Becky Lawson, DNS/AA/LNHA, Providence Seward Mountain Haven
Video Introductions - An Excellent Tool for Transitions
Elders and persons with different abilities experience transitions of location
as well as care partners. Video introductions illustrate their specific needs
to new care partners in order to provide continuity in care and stability for
the individual. Session participants will work individually and within a group
to plan the implementation of Video Introductions in their community.
Michelle Daniel, VP for Philanthropy & Strategic Implementation, Methodist
Senior Services
James Tucker, Audio Visual Coordinator, South Mississippi Regional Center
A Dialogue on Improving Patient/Resident
Experience Throughout the Continuum of Care
From clinics and practices, to the acute setting, to long-term care, an
unwavering focus on the experience of patients/residents and families remains a
critical part of ensuring the best outcomes for those we serve. Through
examination of the The Beryl Institute's biennial 'State of Patient Experience'
benchmarking study and findings from interviews with leading long term care
experts, participants will gain a broader understanding of the challenges and
opportunities in creating excellent experiences across the care continuum. In
addition, eight guiding principles for experience excellence and suggested
application and key considerations for each will be discussed.
Stacy Palmer, Vice President, Strategy & Member Experience, The Beryl
Institute
Your Culture Change Journey Can Be Greatly Enhanced by
Regularly Checking the Condition of Your Spirit and Your Soul
Contrary to popular belief, we all take our soul and spirit to work with us
each day. It affects how we work and the attitude in which we approach daily
responsibilities. This session will be about bringing your soul to work and how
it can increase your effectiveness and bring more feelings, imagination, and
heart to what it is that we are called to do as healthcare professionals.
Pastor Gary Gibson, Chaplain & Director of Pastoral Care, Presbyterian
Senior Care
Decreasing Pain, Anxiety and Depression in Residents by Using
Selected Interventions Applied by Student Interns
Holistic interventions, carefully selected from a range of options to fit
specific individuals, were found to reduce pain, anxiety and depression in
residents including those with different types of dementia. This
intern-supported program at six Metron Nursing Homes showed that student interns
could be readily trained to apply a variety of holistic tools. This session
will describe the Metron program and suggest how it might be adapted for use in
other settings. Cost and medication reduction benefits, intervention selection
methods, intern training protocols, and the metrics applied to assess resident
improvement will be examined.
Jamie Garcia, Director of Well-Being Services, Metron Integrated Health
Systems
Joy Langereis, student intern, Western Michigan University
Put the Drugs Down and Turn the Music Up!: How Today's Technology is
Transforming Aging
The more things change, the more they stay the same—at least for those
providers who continue to deliver the same activity and engagement experiences they
have delivered for years to their residents living with dementia. Yet the
growth of person-centered technology in activity and therapy programming can't
be denied. Why the disconnect? Learn from Presbyterian SeniorCare how the
organization has successfully implemented person-based technologies to lessen
isolation, increase a sense empowerment and well-being, and, in many cases, to
alleviate behavioral expressions, resulting in the reduction of psychotropic
drugs given to their residents living with dementia.
Jack York, President / Co-Founder, It's Never 2 Late
Carrie Chiusano, Executive Director, Dementia Care Center of Excellence,
Presbyterian SeniorCare
Driving Successful Change Through Facilitative
Techniques
Creating an organizational culture that welcomes the ideas and perspectives of
all stakeholders, builds trust and inspires team members to develop a powerful
sense of ownership is becoming a well known path. Teams develop the ability and
flexibility to tackle complex challenges with creativity and confidence.
Facilitative practices can respectfully and effectively address concerns, while
removing barriers to success. As organizations engage in change efforts, it's
the transitions involved that often give rise to the most arduous challenges.
Session participants will explore how facilitative approaches can be applied to
theses different phases of transition: awareness, letting go, chaos, and the
new reality.
Laura Beck, Learning and Development Guide, The Eden Alternative
Denise Hyde, Community Builder, The Eden Alternative
Sage Conversation
Reflections on Aging from an Elder Sage
Jeff Jerebker, a national leader with over 40 years of experience in Long Term
Care Management leads this Sage Conversation. Jeff was one of the
original voices to champion the psycho social model with a career dedicated to
leading care communities through transformation to person-centered care.
Join him as he shares stories of the journey of aging from his wizened
perspective.
Jeff Jerebker
Concurrent Session D
Wednesday, August 3, 8:00am - 9:30am
Person-Centered Leadership
The current environment requires its leaders to be more than ever
before: strategist, financial wizard, visionary, coach, motivator and much
more. This session will look at qualities exemplified by good leaders and help
you to see how you measure up. We will explore leadership styles to determine
yours. We will discuss techniques for improving your style and you will learn
how you can better motivate your caregivers in a Person-Centered Culture.
Participants will start to develop their own plan to develop into the leader
they want to be. Leadership is learned – let's continue to grow!
Mary Tellis-Nayak, VP Quality Initiatives, MyInnerView
Positive Work Environments for Nursing: Correlations to a
Culture of Change
Studies show that environments with certain characteristics help improve
nursing satisfaction and retention. Pathway standards help organizations
develop those characteristics. They represent traits that nurses and
researchers agree are critical to an ideal practice environment. Recognition of
these positive characteristics demonstrates to consumers, health care
providers, third-party agencies, and potential accountable care organization
partners that processes are in place to support a culture of safety, well-being,
excellence, interprofessional collaboration, and innovation. The session will
include case studies and testimonials of how a more satisfied and motivated
nursing workforce led to better results for long-term care organizations around
the country.
Leigh Hume, Appraiser Manager, American Nurses Credentialing Center-Pathway
to Excellence
Christine Pabico, Director, American Nurses Credentialing Center-Pathway to
Excellence
Utilizing
Appreciative Inquiry to Create a New Narrative about Older Adults
This session will help participants discover how to use strength-based and
high-engagement approaches, along with the personal stories of elders, to
inspire support and create programmatic improvements within home and community-based
services and take advantage of the wisdom and talent that surrounds us as the
population ages. A description of the Appreciative Inquiry process we utilized
to "change the narrative about aging and older adults" and develop
new program strategies that promote seniors' dignity, independence and quality
of life will be described.
Jane Bavineau, Vice President, Neighborhood Centers, Inc.
Using Person
Centered Discovery Techniques To Reflect Balance in Planning
This session will consist of a brief overview of five essential
person-centered questions correlated to the CMS HCBS Settings Final Rule.
Participants will be introduced to person- centered discovery skills that will
assist them in exploring the boundaries of choice in the context of determining
what is important to people. One page, person-centered profiles will be shared
and a variety of issues for people using an array of long-term services and
supports will be discussed.
Tanya Richmond, Senior Associate, Support Development Associates, LLC
Staff Engagement...Feel The Difference
This session will describe the key roles in a household model and
discuss strategies that create a culture that promotes team empowerment and
staff engagement. The challenges and opportunities of implementing and
sustaining the household model and the benefits for both residents and staff
will be described. Hear testimonials that share both trials and triumphs
experienced during the journey from a traditional "facility" to a
culture change home.
Rebecca Gauthier, Director of Nurses, Commcare Corporation
Vanessa Houck, Administrator, Riviere de Soleil
Transforming
Your Physical Environment to Reflect Culture Change
This session will explore the important questions and range of responses
that senior living providers face as they try to address culture change needs
when upgrading their physical plant. The primary teaching tool will be a Case
Study comparing and contrasting two approaches that will draw on the
experiences and perspectives of both Owner and Architect. Participants will
acquire tools to clarify their organization's goals as they evaluate their
current environments and will take away ideas of what to look for to make the
most of what they have when budget constraints govern or their physical plant
presents significant limitations.
Thomas Grden , Project Director, Stantec Architecture
Steven Tack, President and CEO, Quality Life Services
Exploring
the Small Setting and the Home Plus Model
Organizations are on the lookout for the newest trends in bricks and mortar.
Whether it is called a household, a small house or a home plus, the small
setting is making a big difference in the lives of elders and staff. Four
individuals who all bring their perspective to the presentation will describe
in detail the blessings and bumps in the road as it relates to the small
setting. The session will demonstrate how universal workers, a home atmosphere,
and choices for the elders adds up to a very positive experience for all.
Jalane White, Administrator, Pleasant View Home
Marilyn Stufflebean, Director of Nursing, Pleasant View Home
Advocating for Choice: How Long-Term Care Community Social
Workers Can Become Advocates for Resident Rights
Long-term care communities employ social workers to provide multiple functions
for residents, especially those with high levels of dependence. These include
assessments of cognition and developing care plans, managing difficult resident
reactions and identifying useful resources outside of care. However, social
workers often lack training and preparedness for the important role as an
advocate. This session will demonstrate the importance of this role and provide
participants with a better understanding of tools available to long-term care
social workers to become advocates for their residents, and how they can be
leaders in creating a person-centered environment.
Christine Flynn, Regional Ombudsman Coordinator, VOYCE
Vive la
Revolution! Living Culture Change Through Engagement:
Embracing customer service and technology to truly know each
individual
What does "culture change" mean to the individual living in a
community? How do they feel cared about instead of cared for? We found that in
our memory care communities it required a paradigm shift where everybody is a
customer service agent. We focus on serving others and building relationships
and the results are true engagement. To do this, we leverage technology that
enhances living and purpose. As a provider, we'll share our experiences, best
practices and tips for integrating a customer service model and technology into
existing programming, training and care services to have an impact on real
culture change.
Melany Sattler, MSW, Vice President of Clinical Services, SimpleC, LLC
Wayne Cash, Executive Director, LNHA, MACM, Oxford Senior Living
A Statewide
Conference: Organization and Implementation
During this session, members of the Pennsylvania Culture Change
Coalition (PCCC) will explain how to organize and implement a successful
statewide conference. In recent years the PCCC has held several statewide
events featuring nationally known speakers and averaging over two hundred attendees
at each one.
Iain Crichton, VP PA Culture Change Coalition, PA Culture Change Coalition
Kathy Ardekani, Board Member, PA Culture Change Coalition
Honor, Dignity, and High Quality Living through Palliative Care
for Persons with Dementia
Because of the lengthy course of diseases with cognitive loss, people
living with dementia stand to benefit from palliative care over a longer period
of time than people with other terminal illnesses, yet very few palliative care
programs for this population exist. Kendal Outreach developed a program that
utilizes evidence based interventions, life history books, individualized
music, pain management, person centered care plans, and end of life comfort to
increase quality of life for persons living with cognitive losses. Participants
will engage in an interactive education session, learning specific proven
approaches that maintain dignity and improve quality of life for residents with
cognitive losses.
Linda Hnatow, Regional Director and nurse educator, Kendal Outreach LLC
Janet Davis, Regional Director, Kendal Outreach LLC
Breathing
Life into Inspired Care, Implementing Action Pact's Household Model Across 77
Residential Communities in Australia.
Uniting of NSW Australia, is the largest not for profit provider of
community and residential aging services in Australia. Led by visionary Steve
Teulan who first heard about Action Pact's Household Model in 2007, they have
embarked on a deep organizational shift. This intriguing journey has included
starts and stops, stalls and fits AND successes and impressive outcomes! Join
us to understand the structures, and systems of the change model and hear the
stories and results that can help any organization large or small.
Linda Justin, Director, Continuous Service Improvement, Uniting
Megan Hannan, Executive Leader, Action Pact
Honoring
Everyday Preferences of Nursing Home Residents:
Facilitating Choice and Satisfaction
Person-centered care and evidenced based practices are both highly
valued in the culture change movement. Successful implementation of both
requires soliciting resident preferences and offering choices. Increasing
choices offered to residents is associated with better satisfaction as it
values elders' right to self-determination. This hands-on session will offer
evidenced-based information for nursing home staff to use in the facilitation
of choices for residents.
Liza Behrens, Administrator/Project Coordinator, The Pennsylvania State
College of Nursing
Laura Roy, Executive Director, Lutheran SeniorLife Passvant Community
Home Sweet Home: Lessons of the Maturing Green House Model
The Green House Project continues to evolve with each new implementation
of this revolutionary model. Now, over a decade since the first homes opened,
the collective experience of adopters, along with research released in 2016,
has provided new information to further shed the institutional lens.
Significant advancements have been made related to the normalization of homes
through careful design and selection of Fixtures, Furniture, and Equipment
(FF&E). This session will explore the feedback, analysis, and practical
advice gained from thirteen years of implementation to reflect on the most
critical and valuable decisions in the creation of real Home.
Rob Simonetti, Senior Associate, SWBR Architect
Debbie Wiegand, Project Guide, The Green House® Project
The Java
Mentorship Study: Residents helping Residents
Loneliness and depression continue to be serious mental health concerns
in residential care communities. In this interactive session, attendees will
examine and experience the Java Mentorship Program, where residents, families
and volunteers meet weekly for discussion and education, then pair up to seek
out and support lonely/isolated residents. The program was implemented in 10
continuing care communities in the fall of 2015. The Schlegel-UW Research Institute
for Aging and the University of British Columbia collaborated in a mixed
methods trial to evaluate the program and its impact on loneliness and
depression. Research results and lessons learned will be shared.
Kristine Theurer , Founder, President, Java Group Programs, Inc.
Susan Brown, Research Coordinator, Schlegel-University of Waterloo Research
Institute for Aging
Ageism:
Recognizing and Destroying the Weed Sabotaging your Culture Change Journey
It's disguised in jokes, movies, music, and advertising. From years of
internalizing these messages, it gets buried deep within us. Ageism, the last
socially accepted form of prejudice and a global multi-billion dollar industry.
Society views aging in terms of loss, decline and worthlessness. By shifting
that focus toward the gifts Elders have to give and their well-being, we
empower all care partners to create healthier lives for themselves and those
for whom they care. This session will explore how ageism's underlying effects
can damage a culture change journey and how to pluck this invasive weed by its
root.
Mel Coppola, Owner, Hearts In Care, LLC
Chair Chi: Seated Tai Chi for the Movement Challenged Population
Chair Chi is a gentle exercise program developed by Pat Griffith to help
people receive the benefits of traditional Tai Chi Chuan in the comfort and
safety of their chair. This allows people who cannot stand, or do not feel
confident with their balance, to participate. Pat is the founder of Chair Chi.
He has been teaching at health clubs, senior and wellness centers and senior
housing and long-term care since 1997. Chair Chi is currently in 30 states and
Canada with approximately 2,400 instructors including Activity Directors,
Physical, Occupational, Recreational and Massage Therapists, Doctors, Nurses,
Personal Trainers and Managers of Senior Living residences.
Patrick Griffith, Founder, Chair Chi
Coaching
P.I.L.L.A.R.S. of Excellence:
Power Tools to Strengthen Leaders, Health Care Professionals, and their
Teams
Are you feeling stuck? Do you feel derailed by competing priorities or
resistance to improve? This session is designed to demonstrate through lecture
and participation that the
P.I.L.L.A.R.S. of Excellence can be utilized to enhance teamwork among
departments in care settings to elevate employees, engage them more deeply, and
change the work culture from one of detachment, to one of inspiration,
engagement, and growth. Taken from years of leadership work in aging settings,
coaching, and social work, The P.I.L.L.A.R.S. of Excellence are both teachable
and enormously powerful.
Sylvia Nissenboim, Counselor, Coach, Trainer, Lifework Transitions, LLC
Angela Keeven, LMSW, LNHA, Own Living, LLC
Charles
House Daytime Eldercare and Eldercare Homes:
A Model for Community Eldercare
Charles House Association, a 25 year old nonprofit, has established an
innovative daytime eldercare program and pioneered neighborhood eldercare homes
using the household model. This session will describe both programmatic
approaches to serving elders within the community.
Paul Klever, Executive Director, Charles House Association
Join the Revolution: How Montessori for Aging and Dementia Can
Change Long-Term Care Culture
Montessori for Aging and Dementia is an innovative approach that supports
people by enabling them to make choices and to live as independently as
possible. Roles and activities are developed for each individual which are
meaningful to that person. Montessori principles result in increased safety,
reduced agitation and "wandering", and promote self-esteem and
independence. The Association Montessori International has newly established
standards and training requirements for Montessori programs for elders. This
program will share the international guidelines, provide concrete examples of
the innovative work being done all around the world, and discuss how care
communities can implement this person-centered approach.
Jennifer Brush, President, Brush Development Company
Sage Conversation
Tapping the Root Wisdom:
Five Pillars of a Culture Change Champion
There is a root wisdom that underlies all culture change practices and
strategies, It grounds our actions in the highest possible good we can bring to
fruit at any moment. For each of us committed to championing a
person centered community culture, this ancient-contemporary wisdom
increasingly permeates our actions. It liberates our capacity to spread love,
empowerment, equality and hope. Reflecting on these Five Pillars of
a Culture Change Champion we will increase our capacity to embody Pioneer
wisdom. These five pillars are Authenticity; Love; Vision;
Compassion; Persistence.
Barry Barkan
Concurrent
Session E
Wednesday,
August 3, 10:00am - 11:30am
Safely Honoring a Resident's Risky Preferences (SHARP):
An approach for cognitively intact, and mildly or moderately cognitively
impaired residents.
A core value of Pioneer Network is: "Risk taking is a normal part of
life." Residents with intact cognition or mild to moderately impaired
cognition may have decision-making capacity to choose a preference that is
potentially risky to themselves and others. Safety Handling a Resident's Risky
Preferences (SHARP) is an approach that balances risk-taking and safety; it has
potential to empower residents and staff. SHARP will be described. Participants
will be asked to provide feedback on the approach and related documentation.
Registered nurses, nursing staff, administrators, and interdisciplinary team
members are invited to participate in the session.
Mary Dellefield, Research Nurse Scientist, VA San Diego Health Care System
Diane Carter, CEO, AANAC
To Be Somebody's Someone
Anyone working in aging services has probably heard, "It takes a special
person to do what you do." The implication is that only individuals with
special qualifications, training, or personalities can serve individuals in
care communities. Perhaps the answer isn't in what we know, but in who we are
in order to best serve the person who is non-verbal, who is actively dying, or
who lives with a physical or cognitive challenge seemingly beyond our
capability to address.
Kareen King, a Registered Drama Therapist, offers encouragement through
specific narratives in connecting with those we would most like to avoid.
Kareen King, Registered Drama Therapist, The Golden Experience
Person-Centered
Environmental Lighting: Technology's "Pill" to Reduce Sleep Disorders
in Older Adults and Caregiver Stress
Research over the last decade has greatly enhanced our understanding of how
light synchronizes 24-hour human body rhythms, with sleep and activity being
the most observable. We know that environmental light must mimic the natural
light/dark cycle of daylight in both the color of light and intensity to
maintain healthy circadian rhythms, especially for those living in residential
care settings. This session will summarize the prevalence and consequences of
sleep disorders among older adults; describe the circadian system (body clock)
and how it works; and discuss how environmental lighting is being used to
improve sleeping at night and alertness during the day.
Robert Dupuy , Lighting Designer, Robert Dupuy Consulting, L.L.C.
Eunice Noell-Waggoner, Lighting Designer, Center of Design for an Aging Society
Quality Care through Quality Jobs:
Employee-Centric Strategies for a Person-Centered Workplace
Direct Care Worker jobs are among the fastest growing positions in America. Now
more than ever, providers must stand out as an employer of choice through
workplace practices that attract and retain mission driven employees. This
session will explore the current demographic trends of our workforce and offer
evidence based tools to create a person-centered workplace where employees feel
valued, respected, and proud to work.
Susan Misiorski, Director of Coaching and Consulting, PHI
iGen Saskatoon: Bringing an Intergenerational
Classroom to Life at Sherbrooke Community Centre
Elders laughing, kids shouting, energy abounding...this is what iGen looks like
at Sherbrooke Community Centre in Saskatoon, Saskatchewan. iGen is an
intergenerational classroom which shares the home of Elders at Sherbrooke.
Grade Six students apply to enter the iGen program and spend their full school
year working, learning, and building relationships with Elders and staff. Find
out how the first years of the iGen program brought new meaning to the lives of
Elders, students, families, caregivers and an entire community.
Keri Albert, Teacher, Sherbrooke Community Centre
NextAge Mississippi: Connecting Older Adults to Resources for Successful Aging
NextAge Mississippi is designed to create a single point of access to empower
older Mississippians to successfully age in place. Our definition of age in
place is giving NextAgers the opportunity for personal growth and a meaningful
life. It offers the right support with the right relationships, at the right
time, in the right place.
Michelle Daniel , VP of Philanthropy & Strategic Implementation,
Methodist Senior Services
Steve McAlilly, CEO, Methodist Senior Services
Measuring
Culture Change: Relationship to Survey Deficiencies
During this session, participants will discover key components to measuring
culture change and learn which components have significant relationships to
survey deficiencies. There has been limited research in Louisiana on the impact
of Culture Change implementation and the number and scope and severity of
deficiencies. This presentation will review the highlights of research
conducted in Louisiana which outlines the relationship. Future areas of
research to advance the study of new models of care delivery in the long term
care setting will be discussed.
Jolie Harris, VP Nursing, CommCare Corporation
"'Ramblin' Man,' Positive Interventions
and Deep Understanding for Those Walking with Cognitive Loss"
There are no behaviors without a reason; they are simply unmet needs in action.
The mission for care partners is to find the rationale behind that behavior and
a person directed way to meet the need of the Elder. Participants will learn
how to use Maslow's Hierarchy of Need to identify where the roots of
"aimless" and "intentional" walking fall into the Hierarchy
and share and discuss ideas about how to meet the need of the Elder. The team
will learn how to apply holism and person-directed care sharing to uplift
Elders and meet the need that inspires their desire to walk about.
Sandra Place, Administrator, Jackson County Medical Care Facility
Building a Comprehensive Evidence-Based Therapy
and Wellness Fall Prevention Program
The purpose of this session is to increase understanding of fall risk in
community dwelling elders and how to implement a comprehensive evidence-based
fall prevention program though skilled Physical Therapy and Wellness to reduce
the risk, keep residents healthier, and help improve community marketability.
Melissa Ward, Director of Clinical Services & Elite Living, Functional
Pathways
A Toolkit to Fix Your Culture Change Challenges
Having 23 communities in eight states makes it very challenging to initiate and
sustain culture change. Creation of a Toolkit, which incorporates the
components of our culture change journey, the ACTS Signature Experience (ASE),
has enabled our communities to meet this challenge. Our ASE Toolkit addresses
person-centered living, hospitality, customer service, wellness, language and
Quality Assurance Performance Improvement (QAPI). To complement the information
within our Toolkit, we have added valuable resource materials and the "how
tos" for success. It is a user friendly guide for all stakeholders and
will not only introduce you to culture change, but will also assist you in
maintaining the momentum and sustaining the journey.
Peggy Brenner, Regional Director of Nursing, ACTS Retirement-Life
Communities, Inc.
Revolutionizing the Culture by Overcoming Barriers
Are you contemplating changing the culture of your organization, but have met
resistance or obstacles? Learn about common areas of resistance and how to
overcome them. Hear from three homes that are at various stages of
organizational change and learn how they have overcome resistance and obstacles
to seeing change happen.
Laci Cornelison, Project Coordinator, Kansas State University
More than Meds: It's About Meaning and Purpose
More Than Meds is a project funded by CMS and the New Jersey Department of
Health to reduce the use of anti-psychotics through person-centered care. But
it really isn't just about anti-psychotics! It is thinking differently about
how we can support nursing home residents (and all members of the team) to have
meaning and purpose and how we have to change the way we do things to make this
happen. In this session, members of the project team will share their
experiences, successes, and lessons learned in changing their communities to
become better places to work and live.
Sonya Barsness, Owner, Sonya Barsness Consulting LLC
Michele Ochsner, Instructor/Co-Director, Occupational Training and Education
Consortium
School of Management and Labor Relations Rutgers University
Banishing the Stigma: Bridging Relationships
Between Residents of Varying Cognition Using Art!
There are many stigmas concerning Alzheimer's and Dementia. These stigmas are
shared among a large number of the residents currently residing in assisted
living and nursing homes. Many residents are uncomfortable with the idea of
interacting with others who have memory loss and believe these people are no
longer able to create or participate in meaningful activities. Art programming
has been used as a bridge in my organization to develop rapport and
relationships between residents of varying cognition. Learn how our home's Art
Program is banishing resident stigmas and encouraging collaboration. Take this
program back to your community and watch the stigmas slowly dissolve!
Colleen Keegan, Director of Activities/Membership Chair, Attic Angel
Community/ NAAP
Cognitive Aging: Maximizing Capacity and
Changing Culture
Physical aging is widely accepted, and as a result, adaptive devices, tools and
supports are implemented to compensate for physical challenges. Cognitive aging,
on the other hand, tends to be stigmatized, with less awareness, understanding
and acceptance. As a result, techniques and strategies to address both normal
and abnormal cognitive aging are underutilized. The BayBridge Senior Living
approach to supporting cognitive changes has a conceptual framework that
applies to all residents, whether they live in Independent living, Assisted
Living or Residential Care. This session will focus on the culture change that
surrounded implementing these approaches.
Heather Palmer, Regional
Director of Memory Care, BayBridge Senior Living
Think
Tank Talk
How Do You Change a Culture?
Many people agree with the tenets, goals, and desired outcomes of culture
change and have spent decades trying to change culture in various settings,
with mixed success. How does culture change occur? What are the necessary
steps? How do people really change their own behavior? What are the barriers
and how can they be overcome. This session addresses these fundamental issues
in order to inspire meaningful change now and in the future.
Jonathan Evans, MD
