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Colorado Culture Change Coalition

Contact Information

Penny Cook
Executive Director

2002: A Pioneer Network workshop was held with various state agencies and participants interested in culture change.
May 2002: The first Colorado Coalition for Culture Change (CCCC) meeting.
Jan. 2003: Board of Directors was elected.
Educational forums have continued monthly with 40-250 participants.

Organizational Structure

  • Initially followed the model of the Pennsylvania CCC;
  • Written by-laws and articles of incorporation;
  • 501C3 status granted in 2006;
  • Elected Board of Directors with 18 Board members representing all stakeholders;
  • Hired first Executive Director August 2009;
  • Committees include: Executive Committee, Education and Program Development, Communications, Outreach and Partnerships, Fundraising and Public Policy.


  • In-kind support has come from many agencies, including Pinon Management, Colorado Health Care Association, Colorado Association of Homes and Services for the Aging, state and local ombudsmen, Colorado Foundation for Medical Care, Health Facilities and Emergency Medical Services Division,  Center for Medicare and Medicaid Services Denver Region;
  • In 2007, the CCCC  received an $86,000 grant from the Colorado Health Foundation for strategic planning, capacity building and the Colorado Accord. Grant included a $17,000 challenge which has been raised in 2008;
  • In 2008, the CCCC received a $12,000 donation from the St. Paul Golf Classic, hosted by a long-term care management company.
  • In 2010 the CCCC received a $50,600 grant from the Civil Money Penalty Fund as a result from the passing of House Bill 1196. This grant will benefit residents of nursing facilities by improving their quality of life. This specifically includes consumer education, developing a newsletter and expand the web site which will provide comprehensive information on resident-centered care, development of a Speaker's Bureau, holding the second Colorado Accord to bring all stakeholderstogether for training and developing a "Culture Change 101" training to educate providers and community members unfamiliar with culture change.
  • The CCCC also received a three-year $528,600 grant from the Colorado Health Foundation. This grant will provide additional staff, the first office space for the Coalition, development and expanded marketing and communications, increase the awareness of the person-directed care and culture philosophy, enhance public knowledge of person-directed care and adoption of the culture change philosophy through technical assistance to five skilled nursing facilities interested in starting their culture cahnge journey.

 Major Activities This Year

  • The Coalition continues with a full-time Executive Director on staff.
  • Continues to work throughout the state of Colorado through Coalition Networks including:  The Western Slope, Northern, Northeastern and Southern Networks.
  • Went through rebranding of CCCC and our logo with the assistance of Christopher Communications.  Also enhanced website to make it user friendly and give more information to consumers.
  • Developed a monthly e-newsletter and have grown the email list to over 1200 people.
  • Held the 2nd Colorado Accord in April, 2011, with over 400 attendees and an evening program for consumers.  Speakers included Bill Thomas, Al Power, Barbara Frank, Joanne Rader, David Seaton, Laura Beck, Sarah Rowan, Carol Benner, Vicki Rosebrook and Amy Elliot.
  • With grant money from Colorado's CMP Fund, developed a consumer education presentation in partnership with the Pioneer Network.  There are now volunteer speakers across the state available to give this presentation.
  • Continue to work with the Nursing Facility Culture Change Accountability Board of Directors and the use of the CMP Funds in a support role and as an advocate for amending the legislation to include additional dollars to be used for culture change grants.
  • Completed the first phase of a three-year grant for $528,600 from the Colorado Health Foundation for "Patient-Centered Long Term Care."  The objectives of this grant are to increase the awareness of the person-directed care and culture change philosophy, enhance the public knowledge of person-directed care, the adoption of the culture change philosophy.
  • Contracted with Carmen Bowman to begin a consultation and technical assistance project to help nursing homes on their culture change journey in Colorado.   This project will also focus on clinical outcomes.
  • Provided quarterly education including round table discussions on culture change practices, a presentation by Anna Ortigara and a Pay for Performance Fair to help nursing homes complete the annual Pay for Performance application in CO to receive enhanced Medicaid reimbursement.
  • The Executive Director was appointed to the Long Term Care Advisory Committee through the CO Department of Health Care Policy and Financing.