2013 Culture Change Coalitions Accomplishments

The following accomplishments were reported to Pioneer Network by coalitions as of March 3, 2014.

Alabama Culture Change Coalition

Developed and deployed a 2013 Strategic Plan and a performance metrics dashboard. Launched new re-designed website, new branding/stationary . Hosted a statewide conference-“A New Age of Culture” featuring nationally recognized speaker,

Carmen Bowman. Collaborated with Pioneer Network and AQAF (Alabama QIO) on a series of statewide Pioneer

Network educational webinars for nursing home providers on Using the MDS 3.0 as the Engine for High Quality Individualized Care.

Ended the year committed to partnering with the Alabama Nursing Home Association, the Alabama State Survey Agency, the State Ombudsman/Network, Dr. Daniel Potts, Dan Cohen, B&F Consulting, AQAF (QIO) and provider/consumer representatives to organize, plan, charter and seek funding for a statewide “Alabama Partnership to Improve Dementia Care” special project highlighting the use of music and expressive arts to improve person-centered care for people living with dementia.  The first organizational meeting to charter the project is scheduled for February 21, 2014.

Collaborated with the AL (QIO) to pilot a series of CMS Hand-in-Hand trainings for direct caregivers.  The ACCC is collaborating with the QIO and churches to extend this training to family caregivers in 2014.  A family-caregiver and ACCC board member is participating as a trainer.

Arkansas Culture Change Coalition

Hosted Karen Schoeneman to introduce the Hand in Hand Toolkit to our State. Followed it up with introduction of the Hand in Hand toolkit in regional settings around the state.

Worked with the State Long Term Care Ombudsman in developing the “Home Thermostat Tool” Sponsored an exhibit at the AR Health Care Association Spring tradeshow called:  “To Boldly

go where No Nursing Home has gone before” at which we promoted the “Basic Blueprint for Implementing Culture Change Toolkit”  and the “Home Thermostat Tool” http://aipp.afmc.org/AIPPResourceCenter.aspx  (Culture Change).

Conducted Conference Calls featuring various Culture Change speakers and topics. Monthly updates to the www.arkansasculturechange.com blog. Provided culture change speakers to various stakeholder events around the state. Provided intensive onsite coaching and support to homes working on culture change ideas

around the state. Developed “Honoring Resident Choice and Desires” document to be used as a QAPI tool for

person-centered care. Held a statewide workshop on culture change called “Defining and Creating the Culture Around

You.”

1

Held two regional trainings with CNAs as the target audience called, “The Heartbeat of Care, Arkansas’ CNAs”.  Topics included, “Team Building” and “The Value of the CNA as a Care Partner to our residents.

  California Culture Change Coalition

Grants Submitted a Civil Monetary Penalty grant request to CMS and was granted $500,000 over a two

year period of time for the program titled “California Partnership to Improve Dementia Care and Reduce Unnecessary Antipsychotic Medication Drug Use in Nursing Homes”. This grant was given to the State of California to consider as a non-compete contract. Currently, this contract is moving through the appropriate State departments and is scheduled for a March 2014 approval.

Received a grant of $25,000 from the California HealthCare Foundation to “Bridge” the grant application given to and approved by CMS and subsequent contract request from the California Department of Public Health. This grant titled, “Improving Dementia Care in California Nursing Homes” is for a 6-month period of time. The deliverables include, but are not limited to, the following: in-person meetings, conference calls, establishing and convening four workgroups, documenting all proceedings, and continuing to pursue the CMS grant/State contract to continue the same work, but with an expanded scope of responsibilities.

Seminars/Conferences & Presentations Presented at the LeadingAge California annual conference. The presentation was titled, “Asking

the Right Question – Expand Person-Centered Care and Reduce Use of Psychotropic Medications”. Presented best practice updates in Northern and Southern California regarding the Improving

Dementia Care Project funded by the California Health Care Foundation. Regional Forums were conducted in the Bay area with several nursing homes participating and

discussing best person-centered care practices and sharing of success stories. Presented two sessions at the Patient and Family-Centered Care (PFCC) annual conference. One

presentation titled, “A Culture of Person-Centered Care in Nursing Homes – A Commitment to Quality” and the other titled, “Continued Engagement through the Progression of Dementia”.

Re-established qualifications and information to continue offering CEU’s for Nursing Home Administrators (NHA), the Board of Nursing (BRN) – RN’s, and also for Certified Nursing Assistants.

Public Policy Participated in meetings with CDPH/OSHPD to review and revise Life Safety Codes to enable and

support person-centered care projects. Participated on AB 973, a bill allowing CDPH to use CMP funds for person-centered care efforts.

This bill did not pass. Participated in the “Small House – SB 1228” demonstration project stakeholder meetings. Participated in the State OSHPD – Care Delivery and Design Improvement Committee (CDDIC).

Pioneer Network Two CCCC Board members attended the Pioneer Network Annual Conference. Continued to participate and support the monthly Pioneer Network coalitions networking calls.

Partners/Participation Sponsored and attended the Patient and Family-Centered Care annual conference and participated

on the planning committee.2

Participated in the National Provider Network and Dementia Care improvements and education. Participated in the National Partnership to Improve Dementia Care. Participated in the National Nursing Home Quality Care Collaborative. Participated in the Health Services Advisory Group (HSAG) (QIO) – Care Transitions

Collaborative.

Board Development/Operations Elected and expanded a new Board. Created and supported four new committees to assist with the California Healthcare Foundation

“Bridge” grant titled “Improving Dementia Care in California Nursing Homes”. Interviewed, selected and contracted with a “Program Manager” in preparation of State contract

approval for the Improving Dementia Care project. This role is scheduled to expand in time and scope in 2014 as funding is secured by the State contract.

Contracted with a person-centered care consultant/leader to assist with the CMS/CMP grant and other operations.

Contracted with an administrative assistant for day-to-day functions. The volunteer board of CCCC contributed expertise and leadership while assuming operation of the

existing program of work which enabled the coalition to build its treasury and reposition for a strong future.

Website Reviewed and updated CCCC website (www.calculturechange.org).

Colorado Culture Change Coalition

Held the 2013 Colorado Accord with over 250 attendees from across the spectrum of long-term care services and supports. The keynote speaker was Lynne Seagle from Hope House in Virginia and Sarah Rowan spoke at the closing ceremony. Net revenue from the event was over $15,000.

Received a one-year grant from The Colorado Health Foundation of $200,000 to continue our work in 2014. This grant also included money to hire a Fund Development Contractor who started with the coalition in December.

Developed a sister Consumer Guide to our nursing home and assisted living guide titled, Smart Consumers Guide for Home Health Care, Home Care and Hospice. The guides were designed and written to help people choose person-centered organizations when they need care for themselves or a loved one. The guides have been distributed to providers and consumers and have been very well received. An even greater and more formal distribution plan is being developed for 2014.

Expanded our technical assistance project in nursing homes to include 10 homes. Continued the contract with Carmen Bowman to help with this project. Every nursing home received quarterly visits and also attended a quarterly educational collaborative. The goal of the project was to show that the implementation of person-centered care principles and practices has a positive outcome on clinical measures, increases census and decreases staff turnover. The project will be moved into assisted living communities in 2014.

Continued our work with a communications consultant to further progress on our website and increase our social media presence.

Continued to provide administrative support to the Colorado Nursing Facility Culture Change Accountability Board which helps to distribute Civil Monetary Penalty (CMP) Funds for culture change projects.

3

Worked throughout the year with the Colorado Department of Health Care Policy and Financing to develop the outline for legislation to increase the amount of CMP funds that can be used for culture change. We came to an agreement in the fall and worked to get other stakeholders on board. In 2014, legislation will be introduced to increase the funds and increase the length of the grants to three years.

Became one of the co-leaders of the Colorado Partnership to Improve Dementia Care in Nursing Homes. Our Partnership has now taken on the responsibilities of the LANE and involves a large group of stakeholders. The group has become a prime place to disseminate information and coordinate the different quality initiatives

Presented and exhibited at various statewide conferences.

Florida Pioneer Network

4

Continued coalition activities under the supportive non-profit umbrella of the Senior Resource Alliance (SRA) (Area Agency on Aging for Central Florida).

Conducted bi-monthly meetings, including conference call access for coalition members unable to attend in person.

Annette Kelly was succeeded by Sue Crane and Debbie Brazill as Co-Chairs in March. Held Central Florida Regional Learning Collaborative reception and hot topics seminar in

September. Funding for the CFRLC was May 2012 – Dec 2013 from the Winter Park Health Foundation. Remaining Funds will be used to fund the development and dissemination of a Consumer Handbook.

Several FPN members attended the Pioneer Network Conference in Seattle. Sue presented at a workshop with Barbara Frank and others that participated in Pioneer Network’s National Learning Collaborative.

Established a FPN Facebook Page and updated the website. Several members participated in the Agency for Healthcare Administration Culture Change

Roundtable Calls where issues around culture change and survey were discussed. Several FPN members participated in the Florida Health Care Association Culture Change

Council. Continued as co-convener, along with FMQAI (Florida’s QIO), of Florida’s Local Area Network

of Excellence (LANE) for the Advancing Excellence Campaign. Participated in the face-to-face meeting of all LANE partners in July.

Continued as a partner in the Florida Partnership to Individualize Dementia Care in Nursing Homes – Florida, responding to CMS’ National Partnership to Improve Dementia Care with the goal of reducing the inappropriate use of antipsychotic medications.

Continued as a partner with the Florida Chapter of SAGE: The Society for the Advancement of Gerontological Environments.

Continued engagement with the local chapter of Aging in Place. Completed participation as a Tier Two Coalition Partner in the Pioneer Network’s National

Learning Collaborative. Agreed to participate in Phase II. Responded to questions regarding FPN’s grant request to the Florida Agency for Health Care

Administration in response to the new Civil Monetary Penalty Funds guidelines issued by CMS. The proposal is focused on expanding the National Learning Collaborative Model to 20 homes in four distinct areas of the state.

Presented a Webinar on the new Pioneer Network Starter Toolkit to Florida Health Care Culture Change Council

Continued to promote the New Dining Standards Increased Participation by 20 New Members in November.

Illinois Pioneer Coalition

Continued to work on The Retirement Research Foundation funded Consumer Education Project, “Your Way: How to find Dignity and Choice in Nursing Homes.” Phase one of the project is nearly complete.

Celebrated IPC’s 10th Annual Summit that was held October 23-25 at the Crowne Plaza, in Springfield, IL. Nearly 300 attendees were present.

Two 4 hour pre-conference intensives were offered with speakers, Carmen Bowman and Kathy Laurenhue. These were both very well attended. We offered 30 breakout sessions and 3 keynote sessions. Keynote speakers were Karen Schoeneman, Loretta Downs, and Michael Miller. New this year was a school project asking students “What are old people for?” based on the book by

5

the same title by Dr. Bill Thomas. We received several responses that were on display at the summit and had two students present to read their responses during the opening session.

Two long-term care communities that completed the Artifacts of Culture Change survey discussed their progress at the summit which was very well received.

Continued to grow our successful membership program. Growth in our membership tends to happen around the time of educational offerings when members receive a discount on registration. Association membership increased 50%, Individual membership increased 50% and Facility membership increased 24% in the first year.

Sponsored full day training throughout the state in 3 different locations entitled, “Transform Your Organization and Your Bottom Line.”

Continued to work with Regional Coalitions throughout the state by co-sponsoring local educational events. Examples include: Tales From the Prairie, Caring for All Ages: The Differences in Younger and Older Populations With Alzheimer’s Disease, The Virtual Dementia Tour, and Behavior is Communication.

Honored our first ever Culture Change Champion of the Year at the Annual Summit. The honoree was Lois Leach, Assistant Director of Nursing at St. Matthew Center for Health, a program of Lutheran Social Services in Park Ridge, IL. Lois was nominated by her staff and chosen by a group of Culture Change experts.

Continue to maintain an active Speaker’s Bureau. This information is available on our website for anyone that is looking for a speaker for a local event.

Increased communications with individuals that are interested in culture change through a schedule of notifications through Constant Contact.

Diversified our Board of Directors with the goal of having representations from several types of elder care communities and the department of public health.

Iowa Person-Directed Care Coalition

Focus for 2013 was on reorganizing the Coalition in view of overlapping state and national initiatives to more efficiently use our limited resources (including the volunteer services of our Coalition members who serve on committees for several of these projects). 

Hosted Pioneer Network’s Cathy Lieblich who facilitated a strategic planning meeting that helped solidify our purpose and goals.  The Coalition continues to work on the action plan that came out of this session to better promote culture change across Iowa in 2014.

Kansas Culture Change Coalition

Applied and received a Gould Foundation Grant to educate consumers on person centered care. Conducted annual meeting with approximately 100 participants attending. Hosted Rose Marie Fagan at the coalition’s annual meeting. Co-sponsored a culture change conference with Leading Age of Kansas. Conference booths with information handouts at Kansas Adult Care Executives, Leading Age of

Kansas, Joint Provider Training, Kansas Health Information Medical Association, and Kansas Health Care Association.

Seven consumer advocacy presentations throughout Kansas and reaching approximately 250 consumers.

Designed “Ask Sheet” to assist in donation.6

Created capacity to accept online donations. Upgraded and enhanced social media to include web page and Facebook presence. Presented on person directed care at an Activity Director Association meeting. Continued publication of our online quarterly newsletter Designed and purchased a banner. Recruited and organized participants Developed dining guidelines through a nutrition workgroup

LEADER (Louisiana Enhancing Aging with Dignity Through Empowerment and Respect)

Hosted the Fourth Annual LEADER Summit: Connecting the Dots with Person Centered Care. Over 375 long-term care professionals, ombudsmen, surveyors and policymakers gathered from across the state for two days of networking and information sharing by various national and state speakers. Special guest speakers were David Gifford, MD, MPH, Karen Schoeneman, Christine E. Wright, PhD, LOTR, Lynda Crandall, RN, GPN, and Jack York.

Initiated a new website re-design project that is planned to be launched in January 2014. Participated on a Long Term Care Financing Workgroup established by House Resolution No,

185 to look at the financing of all long term care services provided in Louisiana. The CMS Partnership to Improve Dementia Care work group conducted workshops across the

state for clinicians who play a role in the use of antipsychotics for residents with dementia living in nursing homes. 71 MD's, NP's and Pharmacists attended these sessions.

11 nursing homes across the state participated in a Staff Satisfaction project sponsored by Advancing Excellence. These homes conducted surveys of their staff using a tool approved by AE. The nursing homes will be able to use data from the surveys to improve in areas that were identified by their staff.

Continued to participate in a workgroup led by the Louisiana Department of Health and Hospitals to revise the Louisiana Minimum Licensure requirements for nursing homes.

Continued to participate on a workgroup established by the Secretary of the Louisiana Department of Health and Hospitals (DHH), Bruce Greenstein. As a result of this workgroup’s discussions, a CMP grant project was obtained and 11 nursing homes were awarded a quality innovation grant.

Received a $35,000 civil money penalty (CMP) grant from the Louisiana Department of Health Hospitals to support the 5rd Annual LEADER Culture Change Summit. CMPs paid into the Nursing Home Residents’ Trust Fund may only be used to support activities that benefit nursing home residents. Use of CMP funds awarded by the state for projects must be approved by the Centers for Medicare and Medicaid Services.

Selected to participate in a live, interactive broadcast with national experts on Medicare hosted by AARP.

Selected to participate in the 2013 Strategic Thinking and Planning Session of the Leadership Committee of the Coalition for Choice in Long Term Care Options in Louisiana hosted by AARP.

Participated in the Pioneer Network National Learning Collaborative as one of the Tier One Coalition Partners. Several nursing homes volunteered to participate and were able to gain new information that they could implement in their nursing home setting.

Invited to speak on Culture Change in Louisiana at a meeting of the New Orleans Continuity of Care, an educational network of resources for health care professionals.

Published 3 issues of the LEADER Newsletter featuring news, information and member stories about the culture change journey. The newsletter is distributed to more than 1500 individuals via LEADER’s e-mail list. Issues of the newsletter are available at www.LaLEADER.org.

7

Maine Culture Change Coalition/Lane

Expanded membership and outreach from 90 to 110 individuals representing various roles in nursing, assisted living, independent living and stakeholder organizations.

Continued work on CCC/LANE goals to enhance resident and direct care staff engagement in culture change efforts. CCC/LANE meetings consistently hosted at nursing homes and “Sharing Best Practices” featured as standing agenda item.

Development of CCC/LANE website www.maineculturechange.org. Engaged in Round 3 Advancing Excellence/LANE grant project focused on safely reducing

hospitalizations. First time exhibitor at Maine Geriatrics Conference and second time exhibitor at Maine Health

Care Association Fall Conference. Planned and provided statewide regional “Moving Towards Person Directed Dementia Care”

trainings for direct care staff in collaboration with QIO. Facilitated learning circles at each statewide regional training capturing the wisdom of direct care

staff across the state. Co-Chair of Maine Partnership to Improve Dementia Care in Nursing Homes. Sponsored First Annual Workshop for Maine Partnership to Improve Dementia Care in Nursing

Homes.

Maryland Culture Change Coalition

Established the Maryland Culture Change Coalition and met face-to-face monthly for 8 months Toured several nursing homes with strong culture change components Developed a brochure to announce our new organization and distributed it at face-to-face

meetings where providers were present Exhibited at the annual meeting of the two provider organizations Developed a preliminary governance structure to guide the coalition through its first two years Prepared a slate of officers for election at our January meeting Created subcommittees to work on: working with the state survey agency to review “culture

change” components of state licensure regulations; exploring use of civil money penalty funds; developing an agenda for educational activities including webinars, regional breakfast meetings with coalition members and providers, and possibly a one-day conference.

Michigan Alliance for Person-Centered Communities

Held bi-monthly coalition meetings throughout 2013 uniting stakeholders from various long term supports and services, trade organizations, and government agencies, as well as providers and consultants across settings to discuss and plan activities in Michigan.

Bi-monthly coalition meetings regularly included educational sessions aimed at expanding member understanding of person centered approaches across the continuum.

Sponsored and conducted a 3-day Certified Eden Associate training for 24 enthusiastic attendees including providers, regulators and state agency representatives.

Actively participated on the Pioneer Network Coalitions Committee and monthly networking calls, helped disseminate information regarding Pioneer resources, and maintained a strong relationship with the national organization.

Presented at various conferences to skilled nursing, assisted living and other aging-focused professionals on person-centered practices.

8

Continued involvement in Michigan’s Integrated Care initiative through workgroup participation and system design to ensure that the Medicare/Medicaid beneficiary plan includes a person-centered focus.

Concluded enthusiastic regional participation in the MDS 3.0 Tier One initiative. Participated in the review of CON guidelines that award homes additional points in a

comparative review process when they actively implement a nationally-recognized person centered culture change model.

Continued involvement in second phase of the One Vision initiative resulting in several new regulatory clarifications, ensuring a collaborative person-centered interpretation of the rules and regulations. Preparations continue for 2014 Consistent Assignment conference.

Participation in a workgroup that completed a one-day training for the long term supports and services field that reflects the Michigan-specific definition and elements of Person Centered Planning.

GROW Mississippi Culture Change Coalition

Held a Spring Conference in March 2013 in Flowood, Mississippi.  Dr. Al Power of the Eden Alternative and Author of Dementia Beyond Drugs was the keynote speaker.  Sarah Rowan, also of the Eden Alternative was our special guest.  The conference focused on identifying and nurturing Life Passions of Elders and learning to design I-Care Plans. Medication reduction was also a main focus.   Dr. Al Power provided his medical experience and his unique perspective to the idea of culture change, addressing the effect of real culture change within residential care settings while reducing the administration of psychotropic drugs in the symptomatic treatment of dementia.

Participated as a Sponsor and Exhibitor at the 14th Annual Conference on Alzheimer’s Disease and Psychiatric Disorders in the Elderly, held in August 2013 in Meridian, MS.

Held a Fall Conference in October 2013 in Flowood, Mississippi.  Suzette Molina of the Eden Alternative and Lynn Cox of MS State Dept. of Health were our Facilitators.  “Culture Change Made Simple” was the focus of the conference.  Participants learned the fundamentals of the culture change process along with gaining insightful tools to use to further grow culture change within their organizations.

Applied for a grant for CMP funds. 

Missouri Coalition Celebrating Care Continuum Change (MC5)

Conducted 6th Annual Conference in Columbia, Missouri, April 20-May 2nd The conference was extended to three days and included both full and half day pre-conference intensives with 161 attendees.

Began preparation for hosting, along with the Kansas coalition, the 2014 Annual Pioneer Network Conference in Kansas City, Missouri. An invitation, presented in the form of a song and Kansas City BBQ sauce and seasoning was a part of the closing plenary session at the 2013 Pioneer Network Conference.

Continue to bring the message to the providers through the 12 regional groups located throughout the state, with 1,103 people attending 58 scheduled regional meetings.

In May 2013, 18 homes from throughout the state completed the Tier II of the Pioneer Network National Learning Collaborative. Representatives from participating homes participated in a break out session at the annual conference.

MC5 has been selected to participate in Phase 2 of the National Learning Collaborative. Held second annual Regional Leadership Training Day which was attended by respresentatives

from each of the state’s 12 regions.9

Co-sponsored, along with Primaris, the Alzheimer’s Association and Missouri Association of Nursing Home Administrators, a full day program entitled, “Enhanced Well Being: The Key to Anti-Psychotic Reduction” presented by Dr. Al Power. There were over 200 attendees.

The MC5 website received a face lift thanks to the dedicated work of the Communications Committee.

New Jersey Alliance for Culture Change

Hosted our first conference, “Culture Change: Can Any Road Get You There?” with the support of Healthcare Association of NJ. The conference sold out and was extremely well received by attendees. The conference will be repeated in South Jersey in April.

The direct care workers committee is planning two conferences for direct care workers that will take place in April and June in different regions. The all-day conference will feature speakers on person-centered care, personal finances, and care for the caregiver.

The inspiring new leaders group has submitted a CMP application for funding of a year-long leadership development program for new administrators and department directors, or those young at heart! The program will focus on transformational leadership skills and how they support person-centered care.

Participated in statewide initiatives including the NJ LANE and presenting at the NJ Long Term Care Leaders Association.

Created and maintained website www.njculturechange.org. Created presence on social media including LinkedIn and Facebook. Worked on marketing brochure and printed to give out at events. Obtained LLC status and are in the process of completing the application for 501(c)(3) status.

Quality Care Committee (New York metropolitan area)

QCC has partnered with Dan Cohen, founder of Music & Memory, to establish personalized music programs in 9 facilities.  We are tracking the effect of this intervention on the use of antipsychotic medications, as well as residents’ behavior changes.

QCC was a sponsor at the Pioneer Network Conference in Bellevue, Washington and sent a large delegation from NYC nursing homes and 1199SEIU to participate.  One of our CNAs donned a Statue of Liberty costume as part of our participation in the roll call of states!

Hosted QCC XIV annual conference, entitled, “A Tale of Two Nursing Homes: Long Term Care & Subacute Care under One Roof”.  Highlights included a keynote presentation by Dr. Alice Bonner and an audience participation sing-along, led by Dominic Chianese (actor of “Sopranos” fame and founder of “Joy Through Art” – which brings cultural programs to nursing homes.).

North Carolina Culture Change Coalition

Through partnership with CMS, the coalition continues to award grants to nursing homes across the state. A new RFA was developed for grants. The grants are funded with Civil Money Penalties.

The Coalition Connection was published monthly sharing information through articles on culture changes in centers in North Carolina.

This year the Coalition was very active in regard to representation at educational sessions. NCCCC was at the NC Health Care Facilities Association conference, held grant writing sessions in May, August and October across the state, presented to the Activities Professionals Group, and Centralina Conference regarding grant writing and culture change in long term care.

10

The NCCCC obtained a grant and held 3 sessions across North Carolina for Music and Memory. NCCCC started to Skype our monthly meetings, started the development of a speakers’ bureau,

and started a Facebook page. The coalition obtained 17 new memberships this year. Gave out our second Donna McNeil Award to a husband and wife who contribute time, energy

and resources to the center that had cared for their mother. The coalition’s logo was updated on our website, brochures and educational materials.

Ohio Person-Centered Care Coalition

Completed, printed, and posted consumer brochure designed to function as a tool for residents to define what person-centered care is to them and to help them communicate those preferences to nursing home staff. The brochure provides statements to help residents create a conversation with caregivers about his or her preferences, choices, abilities, and culture. The brochure is available to download from our website at www.centeredcare.org.

The outreach committee distributed three copies of the consumer brochure to the resident councils in 970 Ohio nursing homes, putting this valuable resource in the hands of thousands of consumers. The OPCCC continues to send additional brochures to consumers as requested.

The board participated in strategic planning establishing priorities for the year. Sponsored several training events with important partners such as the Ohio Partnership to Improve

Dementia Care, including the “Respecting Choices” conference developed by Ohio’s nursing home provider associations, and others.

The education committee started working on a monthly webinar series planned for 2014. Became an approved provider of continuing education units for licensed nursing home

administrators through the Board of Executives of Long-Term Services and Supports (BELTSS) enabling the OPCCC to apply for CEUs for our own educational events and for those we sponsor with partners.

Provided members with information from Pioneer Network and others through the membership listserv.

Sent the board president and state coordinator to the Pioneer Network conference and they shared what they learned at the annual membership meeting.

Presented on person-centered care and culture change at Life Safety Conference. Board approved bylaws and held elections to fill board vacancies. Regulatory committee changed to the TIPS committee – Transformation in Practice Solutions – and

initiated work on a Nursing Home Quality Improvement Initiative project focused on consistent assignment.

Website committee became the Technology committee and initiated use of technology to do online registration for educational events, host webinars, explore cost-effective methods of processing online payments, conduct surveys, and generate revenue.

Oklahoma Culture Change Network

Bi-monthly Network meetings continued throughout 2013 to  encourage and establish education, support and to exchange experiences and plans to aid in the improvement of the quality of life for those who live and work in Oklahoma's long-term care homes with a focus on the culture change process. 

Network Meeting Discussions/Topics included:  1. How we can educate the public on the positive changes underway in long term care communities and change the public's perception?  2. “Next Steps in Culture Change.”   What are the next steps?  What do you have planned?  What

11

is being implemented now?  3. Neighborhoods and the Universal Worker.4. Hand in Hand.  Best resources within the manual.

LeadingAge Oklahoma incorporated a Culture Change emphasis within its annual conference agenda, specifically focused on Culture Change in Dining.

LeadingAge Oklahoma hosted the Oklahoma Culture Change Network meeting during the annual conference.

LeadingAge Oklahoma sponsored a full day conference, “A Single Focus – Person-Centered Living In a Culture Change Environment “with an attendance of 175, with featured speaker, Carmen Bowman.

The Oklahoma Culture Change Network webpage continued to support experiences, communication and to provide resource information.

The Oklahoma Culture Change Facebook page is maintained and continues to provide communication for upcoming Network meetings. 

Discussed establishing a list of communities that are culture change focused.   Established a 2014 goal to work with OFMQ to focus on and educate direct care staff.  Established a plan to have an Oklahoma Culture Change week in 2014.   Promoted a contest for

a slogan to be used on T-shirts, website and Facebook that will highlight the Culture Change week in 2014. 

Scheduled Culture Change Conference for June 2014.

Making Oregon Vital for Elders (MOVE)

Participated as a Tier 2 Coalition in the Pioneer Network National Learning Collaborative. The achievements made by Oregon’s participating nursing homes have been presented in these public forums:

o Three half-day workshops sponsored by MOVE o Presentations at the Oregon Health Care Association and LeadingAge annual conferences, o Presentation at the annual Oregon Ombudsman conference

Signed a MOU with the Pioneer Network to participate in Phase II of the National Learning Collaborative. Received $3,000 from Pioneer Network to complete the scope of work.

Developed and tested a Consumer Outreach project called “What Do We Do Now? Talking to Your Parents about Long-Term Care.” Actors improvised conversations between aging parents and adult children. MOVE members provided tips for having more productive conversations. Staff from community-based programs and services (e.g., ADRC of Oregon, the Ombudsman’s Office, SHIBA) provided information about their resources.

Conducted three half-day trainings and one full-day conference that featured Barry and Debby Barkan’s presentation “Empowering Elders and Building a Culture of Change: It Takes the Whole Team.” Total number of participants in 2013 events was 239. Received $2000 in sponsorships and $150 in donations to help support events.

Completed a complete overhaul of MOVE’s website. o Enabled features such as the listservo Made the site more user friendly and visually attractiveo Updated, revised, and added new contento Added MOVE Supporters (corporate sponsors)

Held a strategic planning day long retreat with all committees in attendance. Discussion focused on increasing financial support, building awareness of MOVE and the culture change movement, increasing membership involvement in MOVE activities, and increasing the impact of MOVE’s educational offerings.

12

Continued to participate in multi-stakeholder activities. These include representation on the Long-term Care Quality Steering Committee, Oregon’s State Plan for Alzheimer’s and other Diseases, and the QIO’s Resident Safety and Quality Collaborative Advisory Committee.

Conducted monthly committee meetings (Steering Committee, Education, and Communications) Participated in the Pioneer Network’s monthly networking calls. Participated as a member of the Pioneer Network Coalitions Committee. Provided half of the volunteers for the annual Pioneer Network conference held in Bellevue, WA.

Pennsylvania Culture Change Coalition

Conducted 4 free Regional Educational Events via WebEx to18 sites across the state to an average of 300 participants for each of the 4 events. Each event consists of an hour presentation on a topic followed by learning circles to determine barriers to implementation of the topic and solutions to those barriers. These are published along with the handout and video presentation on the PCCC website for providers to use as training tools.

Held the annual ACCORD – “With These Hands” in the Mid-State Region with 375 in attendance. Megan Hannan of Action Pact gave a keynote on “Knowing What These Hands have Done”; Kelly Papa’s keynote was titled “Hands of Transformation” and Secretary of Aging Brian Duke gave an update on the long-term care environment. Concurrent sessions in the afternoon were:

o “Culture Change Regulatory Issues”, Susan Williamson - DOH, Charlie Schlegel – Labor/Industry and Steve Lindsey

o “The PA Depression Collaborative: Behavioral activation and social support help meet the residents’ needs” Dr. Scott Crespy and Brad Norris

o “Keeping the Momentum – Avoiding the pitfalls of culture change burnout” by Kay Lynne Ege

o “Using Technology to enhance your activity program” by Paul Cerconeo “Measuring the quality of person-centered care delivery: Honoring everyday

preferences through preference congruence” by Karen Alizzi and Karen Eshraghio “Compassionate Touch – Infusing human touch back into care” by Melody Meyero “Reduction of use of antipsychotic medication in residents with dementia” by Dr. J.

Kenneth Brubakero “Making the transformation to person-centered care” by Janet Davis and Ruth Bish

Continued with the regionalization project that we started in 2008. We now have 3 organized regions in PA – Western, Mid-State and Eastern. Each region has a Regional Leadership team that facilitates the Regional Educational Event sites and works on communication strategies (marketing) to increase provider involvement in the culture change journey in their respective regions.

The PCCC Board is made up of 15 members – 5 each from the 3 Regional Leadership Teams and there are term-cycles for each Board member.

The annual ACCORD’s location is rotated in the 3 regions to provide opportunity for greater participation and to reach additional providers throughout the state.

The election of new officers, board orientation and yearly planning was held at the end of 2013.

RI Generations (Rhode Island)

Conducted two statewide individualized care presentations titled, “Coffee Exchanges”. This forum gives nursing homes or other long-term care providers the opportunity to host a breakfast

13

presentation at their home and present a snap-shot of their individualized care journey highlighting specifics accomplishments. The presentation must include the “how” from planning to expense. The attendees consist of representatives from other nursing homes, assisted livings, home health agencies, hospitals, and other long term care stakeholders.

The 7th Annual Culture Change Symposium was held with over 200 attendees representing different long term care stakeholders from all over New England. The theme of the symposium was, “Mealtime Magic”. The keynote speaker was Becky Dorner, RDN, LD widely-known as one of the nation's leading experts on nutrition and long-term care issues. The two long-term care providers that were hosts of Coffee Exchanges during 2013, shared their successes of individualized care programs in a session titled, “Individualized Care Next Door”. Finally, Marie Carpenter of American Baptist Churches of Rhode Island presented on bringing spirituality into the lives of those living and caring for people living in nursing homes.

The Imogene “Imy” Higbie Awards were awarded at the 2013 Annual Culture Change Symposium. This was the second year these scholarships were awarded. Nursing Assistant/Care Partners that have shown exceptional performance in providing and promoting person- centered care were recipients. The award(s) are funded and supported through donations from RI Generations members and long-term care organizations.

The coalition’s relationship was increasingly strengthened with the Department of Health and Human Services. In 2013, RI Generations was awarded its third civil monetary penalties (CMP) grant toward the education & implementation of Culture Change practices to the long term care arena.

South Dakota Culture Change Coalition

Continued participation as a Tier Two Coalition Partner in the Pioneer Network’s National Learning Collaborative on Using MDS 3.0 as the Engine for Individualized High Quality Care. With Peggy Williams’ stellar leadership, our collaborative consisted of 4 nursing homes as official incubator homes and 4 additional homes invited as guests. The coalition used the South Dakota Digital Network (DDN) to broadcast the Pioneer Network webinars across the state. In 2012, 2 DDN broadcasts and 2 Learning Sessions were held. Attendance at the DDN broadcasts averaged about 75 and about 20 for each of the Learning Sessions.

Continued positive relationships between providers and state survey agency as evidenced by SSA faithful participation in SDCCC calls.

Peggy Williams led a session reporting on the collaborative at the South Dakota Health Care Association (AHCA affiliate) fall convention. The session was well attended and well received and identified interest in repeating the collaborative.

The State Survey Agency continues to provide leadership in defining, measuring and providing progress reports on number of “culture change” homes in South Dakota.

SDCCC stakeholder calls or meetings held 4 times during the year. SDCCC planning for 2014 consisted of application and acceptance as a participant in Phase 2 of

the National Learning Collaborative as well as planning to repeat Phase 1 of the collaborative with a new set of nursing homes.

Two South Dakota representatives attended the PN conference in Washington state and they reported on their conference experience during a SDCCC conference call in November.

Regularly participated in Pioneer Network’s Coalitions Committee and Coalitions Networking Calls.

Tennessee Eden Alternative Coalition

14

In concert with our partners in the Tennessee Advancing Excellence Coalition (TN-AEC) and with the support of CMS through funding from federal Civil Monetary Penalties, TEAC assisted the TN Department of Health in hosting the first-ever presentations of 2 seminars: “Unleash the Power of Person-Directed Care: Improve Compliance, Reduce Antipsychotics” and “Dementia beyond Drugs” in Knoxville, Memphis and Nashville during the last quarter of 2012 and first quarter of 2013. Tennessee nursing homes were offered the opportunity to attend the trainings for free by the Department of Health which applied for CMP fund use approval through CMS. Approximately half of the State's nursing homes took advantage of the opportunity.  The trainings also attracted attendees from some of the State’s assisted living communities as well as attendees from across the U.S. and Canada.  The trainings provided insight and techniques for handling one of the most pressing issues in today’s long-term care communities, the rising tide of residents living with dementia. 

One of TEAC’s Board members was invited by the Chair of the Human Services Department at Middle Tennessee State University to participate in a series of Alumni Focus Group Sessions at the College of Behavior and Health Sciences. This provided an invaluable opportunity to further engage with the university on discussions regarding culture change, provide opportunities for collaboration, and to educate future long-term care professionals about person-centered care.

TEAC was also invited by the Eden Alternative to co-host at their exhibit at the Tennessee Health Care Association’s annual meeting in Nashville.  TEAC was able to provide educational materials about our organization and culture change and answer questions posed by attendees.

 Texas Culture Change Coalition

The Texas Culture Change Coalition under went an organizational change forming its own 501c3, writing new bylaws and transforming from a Steering Committee to a Board of Directors.

Partnered with Texas Department of Aging and Disability Services to host the 3rd Annual Culture Change Conference, "Culture Change: Moving Forward in Texas." It was the first time the coalition hosted the conference in the Dallas-Fort Worth area with over 250 in attendance.

15

Washington Pioneer Network

Conducted four Conversation Cafes on the following topics: “What is culture change? Back to Basics”, featuring Wendy Lustbader, “Sexuality & Dementia” featuring Steve Emmer and Lisa Bergstrom, “Addressing Challenging Behaviors in Residents in Adult Family Homes” featuring Piruz Huda, and “Alternative Therapies” with harp, music, dance/movement, art, tai chi, compassionate touch/massage panelists.

This year our Conversation Cafes were approved by DSHS and included 2 hours of CEU’s. Provided and coordinated volunteers at the national Pioneer Network conference in Bellevue.

Wisconsin Coalition for Person Directed Care

The Wisconsin Coalition for PDC’s objectives have consistently focused on three areas: Resource Development and Dissemination; Stakeholder Collaboration; and Community Education and Support. Below are the specific activities undertaken in 2013.

RESOURCE DEVELOPMENT AND DISSEMINATION

Continued alignment with Advancing Excellence goals through membership on Steering Committee & joint planning for educational offerings. One to two meetings per year scheduled with overlap by both the Coalition and Advancing Excellence Steering Committee to network.

Continued refinement and enhancements to website, http://www.wisconsinpdc.org/

Vendor booths at State Alzheimer’s Association Conference and FOCUS training for all long term care stakeholders to network and promote the principles of person directed care.

Members presented at variety of conferences and meetings to promote the Coalition objectives.

STAKEHOLDER COLLABORATION

4th Annual Friends’ Event held in April and September of 2013, which is an increase from one to two events from previous years. This event is free to members (Friends).

3 email newsletters sent to members (Friends) - Spring, Summer, Fall - showcasing ideas for culture change from around Wisconsin

COMMUNITY EDUCATION AND SUPPORT Developed process to provide for discounts for members (Friends) to attend state-wide

conferences that support the principles of person directed care & culture change. Coalition Board member facility (Patricia Morter, Lodi, WI) selected for a concurrent session at

the 13th Annual Pioneer Network Conference in 2013. This session on “Establishing Intergenerational Connections: Blending Their Voices” is an interactive session which is also available for other local presentations

16