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Artifacts of Culture Change 2.0 Introduction and Handouts

An overview of the ACC 2.0 for nursing homes and the new ACC-AL for assisted living

Karen Schoeneman, Karen Schoeneman Consulting: Quality of Life and Culture Change
Carmen Bowman, Regulator turned Educator, Edu-Catering: Catering Education for Compliance and Culture Change

Have you ever asked yourself the question, “how can I measure the work I am doing related to culture change?” If you have, then we’re here to help you answer that question.

The Artifacts of Culture Change (ACC), originally developed in 2006 by Karen Schoeneman and Carmen Bowman as a CMS funded project, has recently been updated and expanded into the ACC 2.0, reflecting the many culture change and person-directed practices that are part of turning an institution into a home/community. The ACC 2.0 is integral to the culture change movement and a great way for communities to assess and measure where they are on the culture change journey, celebrate accomplishments, and generate goals and action plans for the journey. There are now two ACC 2.0 tools: one for nursing homes and the other for assisted living communities ACC-AL).  Life plan communities have their choice of the two.

This webinar will provide an overview of the ACC 2.0 for nursing homes and the new ACC-AL for assisted living. Karen and Carmen will explain why and how the 2.0 versions were developed, introduce the subsections with examples, and describe best practices for completing the tool as a team.

And there’s more. Pioneer Network is hosting web-based versions of both tools for download and/or online completion, along with videos to assist in completion of the tools. CLICK HERE for helpful resources to support teams in learning how to implement the practices reflected in the tool. 


The Artifacts of Culture Change 2.0–It’s Here

60 minutes / FREE


Artifacts of Culture Change 2.0 webinar handouts

Artifacts of Culture Change 2.0 webinar slides

Artifacts of Culture Change 2.0 Q&A

Artifacts of Culture Change Self-Assessment Tool

Guide Bios:

Carmen Bowman

Carmen Bowman is a consultant, trainer, author and owner of Edu-Catering: Catering Education for Compliance and Culture Change turning her former role of regulator into educator. Carmen was a Colorado state surveyor for nine years, a policy analyst with CMS Central Office where she taught the national Basic Surveyor Course and surveyor satellite broadcasts on culture change and how to survey for activities. As a contractor to CMS, Carmen co-developed the Artifacts of Culture Change measurement tool and facilitated both Creating Home national symposiums sponsored by CMS and the Pioneer Network. She facilitated the Task Forces that developed the new Dining Practice Standards and Toolkit. She serves on the Pioneer Network Public Policy committee meeting quarterly with CMS Division of Nursing Homes and co-developed the Artifacts 2.0. Carmen has a Master’s degree in Healthcare Systems, a Bachelor’s in Social Work, is a Certified Eden Associate and Eden Mentor, Certified Validation Worker, Group Practitioner and Presenter. She co-founded the Colorado Culture Change Coalition and has authored eight culture change workbooks plus hosts a monthly web culture change talk show Conversations with Carmen.

Karen Schoeneman

Karen Schoeneman spent the first held of her career in Social Services in various state-run long-term care homes. The second half was spent at Centers for Medicare & Medicaid Services (CMS) in the Nursing Home Division, where she became the lead for quality of life regulations, a trainer of over 5000 surveyors in their BASIC courses, developer of the Hand in Hand training toolkit which was sent by CMS to all nursing homes (15,000) in the U.S. Karen is one of the founders of the culture change movement and Pioneer Network. She brought principles of culture change to CMS through several surveyor video broadcasts and national projects including the Environment and Dining Symposia, co-sponsored by CMS and Pioneer Network. She co-developed the Artifacts of Culture Change tool with Carmen Bowman in 2006 as a CMS product. Currently, Karen seems to be retired, sort of, and has been working as part of the Pioneer Network team on Artifacts of Culture Change 2.0, scheduled for release winter, 2021.