Pioneer Network’s 17th Annual Conference offers 60- or 90-minute concurrent Education Sessions during five different time periods. These are facilitated by a diverse group of expert Guides (faculty), including professors, consultants, regulators, CEOs, direct care workers and those who are “walking the walk” every single day. Whether you have been working in culture change for many years, or are new to the journey, we guarantee that you will find something to stimulate your interest. Session space is on a first-come, first-seated basis.
If you’re looking for sessions that can help you meet the new CMS Conditions of Participation (Regulations), check out the sessions marked with the “REG” logo.
CONCURRENT SESSION A • Tuesday, August 1 • 10:30 am - 12:00 noon
Honoring Individuality: Care Planning Beyond the Care Conference
The new requirements of participation from CMS emphasize the resident’s participation in their care plans. The resident’s ability to make choices, even when they cannot speak for themselves, is critical. Knowing the person, their preferences and routines, is at the center of effective care planning. Care planning happens every day. Care plans that are strength-based, with a focus on well-being, honor the gifts that the resident brings to the care partner team. Care planning is also a QAPI process that involves the whole care partner team and is constantly evolving along with the resident.
Vickie Burlew, Health Care Consultant and Educator, Linchpin Quality Solutions, LLC
Denise Hyde, Community Builder, The Eden Alternative
An Alzheimer’s or Memory Café in Every Community
An Alzheimer’s or Memory Café offers people living with dementia new social connections and creative experiences to share with their family members, friends and professional caregivers. Dementia often isolates people, both those living with the condition and their care partners, due to the challenges of daily living, compounded by lack of public awareness, and stigma. Cafes are joyful, affordable, and flexible programs that can be tailored to fit any community. Learn about thriving cafes around the US, and particularly Massachusetts’ experience, where over sixty cafés now serve urban and rural communities, and many populations.
Beth Soltzberg, Director, Alzheimer’s/Related Disorders Family Support Program, Jewish Family & Children’s Service, Waltham, MAs
The Mayer-Rothschild Foundation Activities Update: What are we doing to help you?
While CMS has demonstrated an increasing commitment to Person-Centered Care (PCC) values, care providers continue to experience significant challenges in their efforts to advance PCC adoption. The Mayer-Rothschild Foundation remains committed to the amazing legacy of Rob Mayer, advancing projects and resources to help care providers more deeply implement PCC practices. This session will update you on the latest PCC changes in the Life Safety Code, Building codes and FGI Guidelines as well as introduce several new projects, including a collection of Best Practice Design Guidelines and resources for creating person-centered policies and procedures. Participants in this session will be invited to discuss the barriers they continue to face in their efforts to adopt PCC practices, as the basis for potential future Foundation projects.
Dr. Addie Abushousheh, Gerontologist, Researcher, and Consultant for Organizational & Environmental Development
Margaret Calkins, PhD, EDAC, Executive Director, The Mayer-Rothschild Foundation
Diminished Capacity: Compassion and Support, not Control
Few late life issues are more troubling to older adults than the fear of loss of self-determination; few issues are more troubling to their adult children than fear for their loved one’s safety. In this session, we explore the difference between competency and capacity; the ethical and practical implications of diminished capacity; and, alternatives to guardianship, including the emerging fields of team mediation and supported decision-making (or SDM).
Susan Wehry, MD, University of New England College of Osteopathic Medicine
In Their Own Voice: A Conversation with Care Partners about Recruitment and Retention
Hard problems are best understood and resolved by the people closest to the issue. You’re invited to join us for a panel discussion with CNAs and Care Partners as they share their reflections on life as a direct care worker. Together we’ll explore provocative questions and open our minds and hearts as we consider the dilemma posed by America’s growing care gap—that is the gap between the number of elders needing care, and the number of workers available to support them. Please join us for this vital session where you’ll hear firsthand what CNAs look for when seeking a new job, what makes them stay, and what they see as causing people to leave.
Sue Misiorski, National Director of Coaching and Consulting, PHI
Respected and Whole
Conflicts and tensions between neighbors, as well as employees, are often unavoidable. However, for LGBT older adults, this conflict may be more frequent and intense because of their sexual orientation or gender identity. During this presentation, participants will explore 8 suggestions for preventing bias and creating inclusive services in their communities for LGBT older adults. Participants will explore conflict resolution and concrete programming ideas and policies to ensure that staff and constituents feel respected and safe. Participants will walk away with an understanding of how an inclusive environment can improve the health and happiness of both staff and constituents.
Sadiya Abjani, Training Specialist at SAGE
Beyond Anxiety and Depression: Honoring and Respecting Elders with Severe Mental Illness
As more Americans enter their later years, there is an increasing number who do so without the support of family or friends, without knowledge of the illness that grips their reality and without place to call home. Hope Network Health & Integrated Care provides individuals with the things they are missing. This session outlines the program implemented to address the aging population with severe mental illness, dementia and chronic and acute healthcare needs. In this session, you can expect to be inspired and begin to understand how Hope Network empowers these individuals to reach their highest level of independence.
Joy Langereis, Case Manager, LLMSW, Hope Network
Crystal Parish, Manager of Medical Services for Hope Network Integrated Care
CHOICE+: An Innovative Education Program for Improving the Mealtime Experience in Long Term Care
Mealtimes are central to quality of life and health at any age. However, there is little evidence about what changes are most effective to enhance the mealtime experience in long-term care (LTC) homes. This workshop will share key findings from the Making the Most of Mealtimes study, conducted in 32 Canadian LTC homes. CHOICE+, an educational intervention to improve the dining experience in LTC residents, will be introduced. CHOICE+ was piloted in 2016 and we learned that a variety of educational techniques, self-assessment, and team audit and feedback are key activities to embed a change in practice. This workshop will provide an overview of CHOICE+. Delegates will reflect on their own experiences with changing practices, and share successes. Two resources developed for CHOICE+ will be shared and delegates will practice using these tools during the workshop.
Heather Keller, Schlegel Research Chair Nutrition and Aging
Hilary Dunn, Director of Communications and Project Manager, Agri-food for Healthy Aging
Changing Culture to Create Meaningful Moments at Home
Recognizing the limitations in the current homes, Providence Health Care (PHC) used human centered design to better understand the experience of residents, families and staff in residential care. These insights led to a new vision for PHC residential care and will inform future improvements and innovations in PHC homes. PHC residential care is shifting care and culture from a task oriented medical model to a relationship-based and resident-directed social model in non-institutional environments focused on emotional connection. This shift is facilitated through human centered design principles to vision the change and modified agile methodology to implement and sustain the change.
Kimberly Smith, Resident Care Manager/Site Leader, PHC Youville Residence & Parkview Older Adult Tertiary Mental Health Intensive Support Program
Positive Work Environments: Transforming the Culture
Studies demonstrate that environments with certain characteristics help improve nursing staff satisfaction and retention. Pathway to Excellence Standards provide a template for organizations to develop those characteristics. The direct care nursing staff, leaders and the relationship with the organization’s mission and vision, demonstrated through support for shared decision making, strong leadership, safety, well-being, and excellence is part of the pathway journey. Transforming culture while maintaining a foundation of values contributes to a sustained positivity and excellent results. Elements of the Pathway foundation, strategies for staff engagement, support during organizational change, and guidance for leaders is presented.”
Patience Harris, Senior RN Specialist, Pathway to Excellence Program, ANCC
Maggie McCright, Senior Program Analyst, Pathway to Excellence – Long Term Care Program, ANCC
Re-Thinking Power: Leadership for a New Culture
Organizations tend to focus first on enacting the changes that cause the least disruption to their fundamental systems. Practices and environments are altered, but underlying power dynamics stay the same. This workshop will explore creative approaches to leadership that are fully participatory and engage all levels of staff in meaningful change. These approaches give everyone a voice and thus a stake in an enlivened workplace.
Bill Keane, Consultant in Aging, Keane-I, Inc.
Wendy Lustbader, MSW, Affiliate Associate Professor, School of Social Work, University of Washington
Come Join the Dance: Bringing Dance Programs to Older Adults & People with Dementia
This workshop will present a model for a dance/expressive movement program which is fun, engaging and esteem-building for older adults and people living 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 who enjoy dancing and moving will leave with the resources to implement such a program.
Donna Newman-Bluestein, Dance/Movement Therapist
CONCURRENT SESSION B • Tuesday, August 1 • 1:30 pm - 3:00 pm
Changing Our Behavior
We are so focused on “managing the inappropriate” behavior of the person living with dementia that we don’t see it is OUR behavior that is poor and needs to change. Let’s look at the actions and reactions as communication, as a plea for an unmet need, as a response to how we are treating them. This method will make your job easier and the life of our Elders better.
Sonya Barsness, MSG
Uncovering Shared Doing — Collaborative Approaches to Promote Meaningful Engagement Within Residential Care Settings for Elders with Cognitive Losses
Experiences of active aging, and meaningful engagement, need to be framed for elders with cognitive losses living in care environments. Uncovering specific examples of what elders from culturally and linguistically diverse backgrounds experience as meaningful engagement was the result of this appreciative inquiry (AI) project. After an overview of how care partners were involved in identifying best practice scenarios in their homes, the session will involve attendees in the initial steps of an AI session to uncover their insights related to shared doing. The outcome of the session is to provide attendees with insights about using AI for care practices advancement.
Dr. Sanet du Toit, Lecturer, University of Sydney
Prof. Christine Raber, Shawnee State University
Resident Choice: Embracing the Revised Conditions of Participation for Nursing Homes
The increased emphasis on resident choice in the revised Conditions of Participation (COP) may be a source of anxiety or confusion for nursing home staff. This session will use case studies based on real resident situations to present practical tools to meet the COPs, with special emphasis on balancing resident quality of life with mandatory and extensive health and safety requirements.
Kathryn Anderson, Clinical Nursing Support, Providence Mount St. Vincent
Recruiting Employees that Share Your Pioneer Values
Finding employees who are the best fit for your organization isn’t easy. As the number of qualified applicants dwindles, and vacancies remain unfilled, it becomes increasingly challenging to hire employees you believe will genuinely be successful. This workshop will explore how to recruit employees who share your mission and values. Together, we’ll discuss how to message your mission in recruiting materials, how to maximize the impact of your website, how to conduct a values-based interview and how to attract new people into the caregiving profession.
Sue Misiorski, National Director of Coaching and Consulting, PHI
Anna Ortigara, Organizational Change Consultant, PHI
Frontiers of Person Centered Care
Person-centered care, the most widely discussed topic in eldercare is, at the same time, often carelessly used and misused. The book, “The Return of Compassion to Healthcare”, asks What makes us human – What gives us our humanity. It summarizes the five primal yearnings that constitute a human person: To Be, To Belong, To Become, To Be our best, To go Beyond. This session will review the major approaches to person-centered care, explore its trends and themes and discuss the frontiers.
Mary Tellis-Nayak, VP Quality Initiatives, MyInnerView
Vivian Tellis-Nayak, PhD, Senior Researcher, NRC Health
For the Love of Art: A Person Directed Living Approach to Meaningful Engagement
Meaningful life engagement can convey different things to different people. Art is an important part of life for many older adults. For some it is a lifelong passion, for others, art is hobby. No matter the situation, having an established art program in a long-term care community can contribute to the overall well-being of the elders. The art making process is rewarding and is used to attain many benefits such as socialization, communication, improved physical functioning, self-expression, exploration, motivation, and stress relief. The effectiveness of using art has a direct correlation to person directed living.
Sue Ellen Clark, Director of Therapeutic Recreation, CTRS & Lead Support for Culture Change, Westminster Canterbury Lynchburg
Engaging All Staff in Lean Six Sigma Approaches to Improve Performance & Increase Job Satisfaction
CMS regulations require nursing homes to conduct QAPI activities that are unit-based and involve interdisciplinary teams. Archcare, a voluntary faith-based organization that operates five skilled nursing homes in New York, has committed resources to engage Management and Union staff in utilizing Lean Six Sigma methodologies in their Performance Improvement program. Leaders and direct care staff have completed Green or White Belt training and have co-led teams across the Archcare system to increase efficiency, reduce costs and improve staff engagement in five strategic areas. This workshop will provide an overview of their process, the concepts and specific tools they used and share results.
Janice Dabney, Assistant Director – Labor Management Project
Jonathan Rubell, Director, Learning & Organizational Development, ArchCare
Case Management in the SNF
How is your SNF responding to the rapid changes that are occurring? Is your team prepared for the unique challenges in regulatory regulations and ACA while still meeting resident needs? Learn how one SNF successfully combined three departments into one synergistic Case Management team. The Goal? Increasing efficiencies, satisfaction and faster response times to residents and family members.
Dana Nelson-Eisinger, NHA, Heritage Community of Kalamazoo
Jennifer Valvo, LPN, MS Health Care Management
Transforming Practices in Nursing Home Care: A Comparison of the Medical Model to Person-Directed Care
Decades of research has indicated that the culture change movement has made a positive change on nursing home care, but has it come far enough? This session examines change in nursing home care over the last decade and considers the next evolution. We present findings from traditional nursing homes from 2004 and compare them to the more recent Green House model. The session will allow participants to identify practices that have led to comprehensive culture change and discuss the impact of the new nursing home conditions of participation. We will conclude by hosting a co-creative dialogue – bringing participants into a collective ideation space to identify the constraints and possibilities for the future.
Lisa Rill, PhD, Claude Pepper Center at Florida State University
LuMarie Polivka-West, MSP. Senior Research Associate, Claude Pepper Center, FSU
Bryan Rill, Ph.D., Director of Co-Creation Initiative
Dying from Dirty Teeth: Reducing Pneumonia/Stroke Risk Through Effective Oral Care
With the exploding senior population, effective oral care, the ability to identify disease indicators and determine risk factors have never been more important. This session will guide participants in the design of a simple, yet effective oral care process that is focused on improving quality of life, quality of care, reducing infection and bacterial growth, reducing dental costs and identifying the warning signs of poor oral health before intrusive care is required. Participants will learn how simple changes, such as the use of xylitol based products, can make a positive impact.
Angie Stone, Founder and CEO HyLife Oral Health Alliance
Dr. Linda Shell, DNP, MA, RN
The Dining Experience: It’s More Than Just the Food. Travel the World
Can you ever consider eating at the same restaurant more than twice a week? You would be considered a regular. Now think if you ate at that same restaurant every day, no matter how good the food was it would get boring. I will be taking you on a year trip to visit different countries and learn of their culture and food. Just like a cruise ship you will experience what it is like to visit that country through food, service and with pictures. So, all aboard and join us on our journey.
Jonathan Pinsker, Regional director Culinary and Nutritional Services, Acts Retirement Life Communities
Beth Cooper, Senior Hospitality Manager, Compass Group
How to Use Research in Caring Work: A Research Update and Primer
This session is intended for anyone who works in residential care settings or with seniors. The session will summarize recently published research on person-centered care and related topics. We will teach participants how to access recent research in bibliographic databases and then in on-line literature. In the second part of the session, we will explore how participants can incorporate current research in their approaches to questions facing them in their own work; and how they can approach questions in their own work using basic research methods.
Celia Berdes, Research Assistant Professor of Medicine, Buehler Center on Aging
CONCURRENT SESSION C • Tuesday, August 1 • 3:30 pm - 4:30 pm
Intentional Design for Memory Care: Supporting Residents and their Communities
While this session will address design, it will focus on the benefits associated with educating the public about intentional design for memory support, with the added benefit of leveraging that process into a marketing opportunity that can distinguish senior communities that are making the effort to create truly supportive environments. Because hospitality design has become such a pervasive element in the move toward less institutional care settings, the session will also consider trends in contemporary hospitality design that are being implemented in residential memory care settings. It will also discuss supportive applications, and others that may be less appropriate.
Steven Montgomery, Associate, Harley Ellis Devereaux
Susan Pettis, Administrator, Huron Woods Memory Care Community
OPTIMISTIC: A Model for the Future—Palliative Care in Long-Term Care Communities
OPTIMISTIC, an innovative, successful CMS Enhanced Care & Coordination Provider Demonstration initiative to reduce avoidable hospitalizations of individuals living in long-term care communities, is currently active in 44 communities. The OPTIMISTIC model of care embeds a collaborative clinical team in the communities to optimize chronic disease management, reduce unnecessary hospitalizations, and help residents develop and meet their goals of care. Enhancing palliative care through advance care planning and symptom management is an important focus of the OPTIMISTIC model. Results from communities implementing OPTIMISTIC demonstrate a nearly 40 percent reduction in avoidable hospitalizations as well as significant increases in advance care planning activities.
Kathleen Unroe, MD. MHA. Assistant Professor of Medicine, Indiana University School of Medicine, Geriatrics
Shannon Effler, MSW, OPTIMISTIC Research Manager
Doing Well by Doing Good: How Short Term Rehabilitation Supports The Mission and Margin of Your Organization
“Doing Well By Doing Good” defines our charge to understand the needs of the consumer while running a sound business, realizing that a person-directed focus is imperative for success.
Short term rehabilitation positions organizations for the future, and the small house model provides a consumer-driven experience that leads to positive outcomes. Hear from one organization who has captured their market by utilizing The Green House model for short term rehabilitation. By leveraging the core values of Real Home, Meaningful Life and Empowered Staff, this organization is establishing credibility with key stakeholders and positively impacting their bottom line.
Debbie Wiegand, Project Guide, The Green House Project
Kandice Robinson, Director of Admissions, John Knox Village, Pompano Beach, FL
Living Our Aspirations, Promote Resident Empowerment: Resident-led initiatives to bridge the gap between generations
One of the main culture change aspirations for Schlegel Villages is Promote Resident Empowerment. David Kent, a resident at the long-term care home The Village of Erin Meadows in Mississauga, Ontario is a perfect living example of this aspiration. He is a retired educator who has been inspired by the opportunity to facilitate programs that connect students and elders through the power of observation and storytelling. David was one of the winners of the 2016 life time achievement award as presented by the Ontario Long Term Care Association (OLTCA), at their Awards Gala which took place on November 24, 2016.
David Kent, Resident, Village of Erin Meadows
Denis Zafirovski, General Manager, The Village of Erin Meadows
Sami Kermani, Director of Recreation, The Village of Erin Meadows
Music Therapy: Beyond the Headphones and Across the Continuum
Recent trends have highlighted the importance of music for individuals living with dementia, yet the knowledge of music’s impact beyond listening through headphones, entertainment, and cognitive loss is less main stream. The evidence-based impact of music on holistic wellness is immense, yet very few elder care communities employ a full-time music therapist. Through hands on experience and case studies, participants will learn how music therapy is an essential component to addressing the spectrum of needs in the aging community and promoting culture change. Participants will discover how to incorporate and sustain music therapy, using one community’s experience as a model.”
Abigail Amidon, Music Therapist, Shenandoah Valley Westminister-Canterbury
Occupancy, Satisfaction and Care: How Life-Enrichment Can Help Your Community Achieve All Three
Wellness programming is essential to create the best communities we can. We need to invest in life enrichment, brain health programming, and create environments where people can live meaningful and purposeful lives. We will discuss the latest research that supports investing in wellness. Creating a vibrant community can keep residents at current level of care longer and create a healthy and active environment that attracts healthy and active residents (i.e., success will beget success). Finally, we will discuss how to operationalize life enrichment, maximize its effectiveness and efficiency, in the context of person centered care.
Dr. Rob Winningham, Professor of Psychology & Gerontology, Western Oregon University
Meaghan McMahon, MSW, Director, MBM Consulting LLC (Linked Senior Research Consultant)
Creating “Super” Volunteers: Expanding the Role of Volunteers in Long-Term Care
This session shares the experiences of long-term care providers who currently screen and train people to provide non-medical staff support to include personal cares for residents. These “super”” volunteers possess an extraordinary passion for and commitment to serving older adults. In addition, this session presents supporting research that clearly reveals that volunteers can be and desire to be trained for the purpose of supporting professional care staff resulting in a paradigm shift in the way we view and use volunteers.
Paul Falkowski, Executive Director, Community 360
Innovative Career Development for the Future of Workplace Development
This session will present interesting and proven approaches to providing a career ladder approach for all individuals within the organization. This approach covers a number of learning styles as well as addressing the career goals of the staff member who chooses to grow in their skills, whether longitudinally or laterally.
Jalane White, Administrator, Pleasant View Home
Marilyn Stufflebean, RN, DON
Diversity and Inclusion: The Perfect Mix for a Person-Centered Recreation Program
Are you ensuring that your recreational programs promote an atmosphere whereby each person can achieve his/her potential despite their differences in ethnicity, gender, age, national origin, disability, sexual orientation, education and religion? We will discuss how we are able to get the mix of diverse residents to come and participate in our programs, despite their differences. We will explain how we have enabled all residents to feel included welcomed and respected by addressing each person’s need for identity, connectedness, security and meaning.
Peggy Brenner, Regional Director of Nursing, ACTS Retirement-Life Communities, Inc.
Lisa Nassau, Director of Recreation, Spring House Estates
Keep Calm and Carry On: Learning to THRIVE During Changing Times
The field of aging is rapidly changing, creating a challenging and tumultuous work environment. Leaders must be resilient, allowing for flexibility and adaptability, to new ideas and innovative approaches. Research demonstrates a correlation between improved quality, increased customer satisfaction, and employee engagement when leaders demonstrate resilient characteristics. Resilient leaders are resistant to burnout, experience less stress, and exhibit overall better health. This session will provide participants with six specific steps from the SurTHRIVEL leadership model that will inspire a renewed passion for their work.
Linda Shell DNP, MA, RN
The Impact of Storytelling in Dementia Care: A Case Study in Opportunities and Challenges
There’s a problem in dementia care. We know life stories are important for smoothing care transitions, growing relationships, building empathy and improving quality of life for residents and families, but they’re difficult to capture and make accessible to care staff and families. This session will detail what St. Paul’s House in Chicago learned as it faced those challenges and worked to overcome them, including the pitfalls and opportunities it revealed.
Ilan Brat, Entrepreneur
Kelly Cooke, Life Enrichment Director, St. Paul’s House
A Kaleidoscope of Perspectives: How Can We View the Lens from a “Fresh Perspective?”
Regulations, research, health, wellness, finance, food services, technology, house-keeping, and so much more, are part of the kaleidoscope of shifting culture. While viewing those “must-dos,” what if the eye focusing through that lens was the “eye of the heart?” What if the key that unlocks the momentum of deep, systemic, cultural change is rooted in heart-to-heart inclusivity with every person in the community – no exceptions? Join two 21st century pioneers, a resident and administrator, who will share experiences of being part of a shifting culture, and their stepping-stones, stumbling-blocks, and laughter along the way.
Lorraine Pasadino, Resident, Pennswood Village
Charles Christian Whitlock, Director of Health Services at Pennswood Village and Executive Director of Hospice Care by Pennswood Village
CONCURRENT SESSION D • Wednesday, August 2 • 8:00 am - 9:30 am
Positive Interactions in the Workplace…for Healthier and Happier Work Teams
The Positive Interactions Program was developed in the 80’s for a healthier environment in which individuals living with dementia could feel successful, doing activities that focused on their strengths. The same approach is being applied to the work environment. How do we treat each other? How are we as leaders modeling our values in our interactions with our teams? How can Positive Interactions and Culture Change values be applied to the work environment? This session will explore these questions and provide training and engaging exercises to demonstrate the impact this approach can have on worker retention, self-esteem, and job satisfaction.
Sylvia Nissenboim, LCSW, Owner, Lifework Transitions, LLC
Person-Centered Care: How Far Have We Come in a Decade?
The research reveals a standard bell curve associated with outcomes over the course of adoption—positive results may be attributed to picking the “low hanging fruit” early in the adoption process as well as persevering to overcome the most complex challenges at the deepest point of adoption; but, in the middle of the adoption process, communities’ suggest that they struggle more and have less positive outcomes. We will start by having participants answer 4 questions that classify their care community as a deep adopter, a moderate adopter, a striver, or just beginning. They can then use this information to compare to similar communities from the survey. Knowing they aren’t alone can motivate them to continue their efforts.
Maggie Calkins, PhD, EDAC, Executive Director, The Mayer-Rothschild Foundation
Dr. Addie Abushousheh, Gerontologist, Researcher, and Consultant for Organizational & Environmental Development
From Theory to Practice: Engaging Long Term Care Nurses in Culture Change
Five years into our culture change journey, we realized that while we had made significant gains toward self-directed care, our nurses often struggled with understanding and integrating aspects of their role as culture change agents. Building on a Pioneer presentation by PHI in 2014, we translated PHI’s ‘4 Roles of the Long Term Care Nurse’ into a 4-part series of classes, with the goal of supporting the nurses as they developed and refined their skills. This session will provide a detailed framework of classes we created for our nurses, as well as an opportunity to share the lessons we learned.
Anne Mahler, Geriatric Clinical Nurse Specialist
Panel of Staff Nurses
The Stigma of Being Other: Exploring the Prejudices of Aging and Care
“ISMs” such as ageism and ableism are prejudices which, seemingly innocuous, can cause people to feel stigmatized and less than worthy. They are so pervasive and socially acceptable that we often fail to realize their unintended consequences. These prejudices create an “us/them” mentality with messages that are often internalized by the recipients, causing a loss of well-being and usually fostering loneliness, helplessness and boredom. This session will explore multiple stigmas which can affect people as they age and receive support, and will provide insight into actions we can take to restore their dignity and respect.
Mel Coppola, President/Owner, Hearts In Care, LLC
Kim McRae, President & FCTA (Family Caregiver Turned Advocate), Have a Good Life
Enhancing Spirituality: Creative Programming
Learn how to meet the spiritual needs of individuals through utilization of effective assessments. Improve daily spiritual programming through involvement with church, chaplain and religious groups in the community. Develop unique and quality programs that improve physical and mental health. Learn how to maximize the provision of pastoral care for residents, families and staff, and receive recognition for having innovative and effective religious programs. Experience spirituality, with examples of singing bowls of Tibet, drumming, movie discussions, story sharing, memorial tributes, pet blessings, wedding vow renewal ceremonies and more.
Rita Lopienski, Director of Life Enrichment, Plymouth Place Senior Living
Quality Dining and Cost Effectiveness in a Household Environment
In this session, participants will identify many of the key components necessary for a complete and quality-focused dining program in a household model of care. Learn how to train care providers and homemakers in effective daily kitchen tasks; how to engage residents and families in active participation in meal preparation and service; how to create the kitchen as the ‘heart of the home’; and learn how to be realistic in maintaining reasonable operational costs.
Jeff Goldone, President, J. Goldone Consulting and Training, LLC.
Aging with Dignity: Starring my Mother & Me
Some people say that life is like the theater or drama, or perhaps even a comedy. I once read a statement where someone described it this way, “Life for me is like a play in which I was made to put on the wrinkles and confinements of old age. I was pushed out onto the stage; but I knew that it was still me inside.” While I was taking care of my “aging” parent, I realized I was also aging! Jan takes the participants through the scenes of aging and shares what she has learned while becoming an aging woman.
Janice Dressander, Social & Memory Care Services Coordinator
Less is MORE: Well-Being Before the Med Cart
Evidence shows that quality of life improves significantly when medication use is optimized, rather than maximized. Through person-directed approaches, providers can more effectively assess the risks, burdens, benefits, and prognosis for the resident, all of which drive decisions about medication use. New requirements of participation from CMS emphasize knowing each person and ensuring that medications improve their quality of life; not just sustain it. The requirements also expand the role of the pharmacist on the interdisciplinary team. Come and hear about how you can use the concepts of person-directed care to put well-being ahead of the med cart.
Vickie Burlew, Health Care Consultant and Educator, Linchpin Quality Solutions, LLC
Denise Hyde, Community Builider, The Eden Alternative
Changing the Culture of Dementia Care in 10-06-06 steps
The 10-06-06 program to enhance dementia care developed by a team of Dementia Care Specialists within the UK has demonstrated significant reductions in anti-psychotics, falls, distress reactions and staff leavers along with improvements in pain scores and well-being. The program runs over a 6-month period and involves four levels of training along with 76 interventions based on research and evidence based practice. The program was run within 12 care homes initially but is now being rolled out across all 160 care home communities over the next two years. The program has been shortlisted for six National Awards this year.
Caroline Baker, Director of Dementia Care, Barchester Healthcare, UK
Ann Marie Harmer, Dementia Care Specialist, Barchester Healthcare, UK
Through the Looking Glass – A Lesson in Empathy
Through the Looking Glass was born at Aviston Countryside Manor in 2009. Since that time, 17 employees have moved into the nursing home to live a dependent life full of daily challenges like our residents live every day. Some stayed for ‘only’ three days and others for 11 days. All of them learned more than they expected. They learned what it was like to exchange dignity for care and were challenged to be leaders of change when they returned to work after living like a resident.
Leslie Pedke, Educator for Quality Improvement, King Management Company
What’s in Your Bundle? A Communication Map to Engage Staff in Individualizing Care
What’s in your bundle of QI systems? Do your systems generate the quality of communication needed to achieve success? This session will utilize a communication map to examine a system of practices (including consistent assignment, interdisciplinary shift huddles, CNAs in care planning, and quality improvement closest to the resident) as a communication network that hardwires preventative person-centered care into day-to-day operations. This map depicts how these foundational practices facilitate communication throughout the organization so that all the staff have a daily way to ensure individualized care and to maximize quality.
Amy Elliot, PhD, Research and Evaluation Consultant
Sonya Barsness, MSG
Engagement and Hope: Innovative Memory Care Programming and Training
Research indicates one out of every two individuals living with dementia in senior living suffer from loneliness and social isolation. Studies suggest however, that those with moderate to advanced cognitive impairment can alleviate loneliness and isolation by participating in peer support groups. Presenters will share evaluation results of a peer support program for advanced dementia called Java Memory Care. Attendees will have an opportunity to engage in experiential learning by walking through the steps of this program with some volunteer attendees using dementia simulation components. A guided open interactive conversation will follow, along with a takeaway strategy.
Krisine Theurer, Founder, Java Group Programs
Dayne DuVall, Senior Director, Virtual Dementia Tour, Second Wind Dreams
CONCURRENT SESSION E • Wednesday, August 2 • 10:00 am - 11:30 am
How to Build a Culture of Quality Improvement Focused on the Positive
We want to do it; regulations require it: quality assurance and performance improvement programs to improve residents’ quality of life and quality of care. But how do you move from publicly-available tools and resources to implementing successful, tailored quality improvement (QI) programs? In this session, you will (1) learn key processes for creating meaningful QI efforts and (2) apply a theory-driven, user-friendly, and adaptable framework to guide those efforts in your community. You will leave with viable, concrete strategies for transforming your community by keeping change bite-size and helping all members see with new eyes and focus on the positive.
Camilla Pimentel, Postdoctoral Research Fellow at the University of Massachusetts Medical School and the VA Center for Healthcare Organization and Implementation Research (CHOIR)
Whitney Mills, PhD, Research Investigator, Center for Innovations in Quality, Effectiveness, and Safety
Michael E. DeBakey VA Medical Center; Assistant Professor, Baylor College of Medicine
Christine W. Hartmann, PhD, Research Health Scientist, VA, CHOIR, Bedford VA Medical Center, and Research Associate Professor, Boston University School of Public Health
A. Lynn Snow, PhD, Associate Professor, The University of Alabama; Research Clinical Psychologist, Tuscaloosa VA Medical Center
Connecting the Dots Through Consumer Engagement
As we navigate different care services and living environments, consumers are the common denominator. A general public that understands person-directed care raises standards for care and helps dismantle silos across the care continuum. True mastery of culture change requires engaging all stakeholders in creating a life worth living. Learn about a national grant project engaging family members in nursing home care; an organization engaging consumers and employees alike in person-directed practices across all living environments; and a consumer education project funded by the Picker Institute. Through these examples and interactive exercises, participants will consider their own vision for engaging consumers.
Laura Beck, Learning and Development Guide, The Eden Alternative
Kim McRae, President & FCTA (Family Caregiver Turned Advocate), Have a Good Life
Secrets Your Employees Aren’t Telling You
Ever wonder what your team members and residents are saying about your organization when you aren’t around? It’s not what you think! Benefit from the incredible feedback of thousands of employees and residents who have shared what goes right in their home, and what could go better. Guaranteed the same bright spots and downsides can be found in your own organization and that they are impacting your customers’ experience as well as your bottom line! Once you find out the secrets, learn the essential actions to address them and positively impact satisfaction, finances and clinical outcomes.
Denise Boudreau-Scott, President, DRIVE
The Ripple Effect of Dementia and Pain: What the Leadership Team Needs to Know
Pain and dementia creates the perfect storm for suffering and agitation to emerge.
Participants of this session will examine the impact of poorly controlled pain on resident and organizational outcomes including surveys, family satisfaction, unnecessary hospitalizations and reputation.
Jeannine Forrest, RN, MS, PhD, Through the Forrest, LLC
Affirming Optimal Life and Outcomes in Memory Care
The prevalence of Alzheimer’s and related dementias has become more significant and in 2016, dementia will cost the United States more than $236 billion. The demand for quality memory care environments that promote life has never been greater.
To address this challenge, The Green House Project has developed a program that marries the best thinking in memory care with the architectural, philosophical and organizational elements of The Green House model. It requires dedicated teams, extensive knowledge of the types of dementia, and a fervent belief in the unique ability of every individual to enjoy a meaningful life, regardless of their limitations.
Susan Ryan, Senior Director, The Green House Project
Knowing and Valuing Elders, Creating Home, Empowering Teams: The Caledonian House Story
An origin story of a small house model built upon the values of the 120 year history of The Scottish Home. Team members and leaders will tell their stories of creating homes of meaningful engagement and staff empowerment. Outcomes will be shared including an increase in elder well-being by decreasing psychoactive medications and increases in engagement, staff satisfaction and feelings empowerment. Elements of planning, opening and sustaining the homes will be discussed.
Anna Ortigara, Organization Change Consultant, PHI
Jim Boyle, Administrator, The Scottish Homes
Gus Noble, President of Scottish Home
Chris Cortez, House Manager of Caledonian House
Chante Wright, DON Scottish Home
Jeffery Goldone, Consultant for Dining and Food systems in the homes
1-2 Care Partners working in the homes
Graying of The Rainbow: Best Practices for Creating Safety and Inclusion for LGBT Residents
There are approximately 1.5 million lesbian, gay, bisexual and transgender (LGBT) older adults in this country. Many LGBT older adults have experienced discrimination and stigma in their lifetime. LGBT older adults are less likely to seek services from aging service providers for fear of discrimination and face complex challenges and barriers in long-term care settings. This interactive workshop will provide practical guidance, including program and policy recommendations, on developing inclusive programs and services for LGBT older adults. Additionally, a diverse panel of LGBT older adults will share their aging experiences with attendees.
Britta Larson, Senior Services Director, Center on Halsted
Panel of LGBT Older Adults
Integrating Residents’ Voices into the Fabric of the Community
“Knowledge is power” is an old saying consistent with culture change. Ensuring residents are informed and involved in their care and community is the core of changing culture. This session will provide resources and an outline of information residents should be receiving to promote active engagement. Information will be based on the revised federal regulations and best practices (e.g., resident rights, QAPI, resident/family councils providing input into community life). We’ll walk participants through what residents need to know from their initial visit when choosing a nursing home, to moving in and then over the duration of the resident’s stay.
Carol Scott, National Ombudsman Resource Center
Chartwell Long Term Care Innovative Programs to Make People’s Lives Better
At Chartwell we believe our Residents should be the drivers of their journey as they live in our homes. We will present four examples of how this is achieved based on projects from four of our homes. Amie Wilker from Chartwell Westmount will present Chartwell Academy, an innovative approach to residents wanting to continue learning in the home. Lisa Smith from Chartwell Parkhill will present themed day meals from her home, planned by her residents and front line team members. Sonia Ryerson from Chartwell Gibson will present her Montessori program for working with the senior’s that live in her home to provide meaningful work and Lori Demaiter from Chartwell Aylmer will present her warm wash cloth program and the benefits this has brought to her dining program. Cathie Schalk, Director of Operations will close with the book showcasing Chartwell’s appreciative inquiry of great things happening in our homes to support the Culture Change journey.
Catherine Schalk, Director of Operations
Lisa Smith RN, Administrator
Amie Wilker, Administrator
Sonia Ryerson RN, Administrator
Lori Demaiter, Administrator
Peer Enabled Dementia Care — Using Group Problem Solving to Promote Relationship Focused, Centered Care
The Peer Enablement Program (PEP) endeavors to enhance person-centered, relationship-focused care practices based on a group-problem solving process that support organizational culture change. Workshop facilitators act as change agents by modeling the group problem-solving approach during the workshops and acting as mentors to support professional care staff when they trial the process in between workshops within their work environment. This session will provide an overview of the scope of the program and involve attendees in a practical session to apply the group problem solving process and thereby provide insight into the potential value of the PEP program for advancing care practices.
Dr. Sanet du Toit, PhD, University of Sydney
Microlearning: Little Message with a Big Impact
Being the future of a person-directed culture means a commitment to ongoing learning. Yet, we struggle getting each other’s attention. How do we make ideas stick? We need to challenge traditional learning so that education itself is person-directed. Through 5-10 minute videos that are poignant and practical microlearning offers a new culture of education that meets people where THEY are in their busy lives of caring. In this session, we’ll share how Virginia nursing homes have been breaking new ground using microlearning, its impact, and lessons learned. Then we’ll brainstorm microlearning as a pathway to the future of person-directed education.
Sonya Barsness, Gerontologist, Sonya Barsness Consulting LLC
Mary Martha Stewart, Director of Culture Change & ClearPath Riverside Center for Excellence in Aging & Lifelong Health
Culture Shock: Improving Your Business By Improving Your Culture
The status quo is no longer acceptable. The old ways of understanding human systems are not working anymore – the way of superior versus inferior or management versus employee or parent versus child. They never did. And now we need new systems that create equality and reveal the courageous people we really are. LifeWork Systems provides invaluable vision and strength to further the dynamics of win/win, authentic collaboration in which power-over and power-under are replaced by power-within. The systems presented in this session demonstrate how to change the face of business-as usual.
Judy Ryan, Owner, LifeWork Systems