Alabama Culture Change Coalition

2014 Culture Change Coalitions’ Accomplishments

The following accomplishments were reported to Pioneer Network by coalitions as of February 26, 2015.

Alabama Culture Change Coalition  On October 3, 2014, the Coalition sponsored a wonderful conference held at Danberry at Inverness in Birmingham, entitled: “Lives Rich with Experience and Love: Using Montessori Activity Programming Principles to Enrich and Empower the Lives of People with Dementia: A Person-Centered Approach for Everyone” which was led by nationally recognized speaker Dr. Cameron Camp.  The Coalition also continued participation in the Alabama Partnership to Improve Dementia Care. Several members of our Board serve on the state committee and on subcommittees as well. The group focused on a project that it calls, IMAGINE, and includes music, art, and storytelling as it relates to improving the life of those with dementia. There were several face to face meetings and conference calls during this year.  The coalition served as the LANE co-convener for the Advancing Excellence in America’s Nursing Homes Campaign, thereby joining forces with a national network of AE partners dedicated to improving clinical and organizational outcomes for more than 1.5 million nursing home residents through person-centered care delivered by a stable and empowered workforce.

Arkansas Culture Change Coalition  Held 5 regional workshops in varying cities around the state on the topic of Creating a Culture of Change led by CW Miller, Custom Training Concepts, Hot Springs, AR  Introduced the concept of an annual Culture Change Symposium in AR. Held in June 2014 with featured guests, Karen Stobbe and Mondy Carter. Invited AR culture change homes to set up a networking event to share ideas and communicate with peers during event.  Worked with the State Long Term Care Ombudsman to promote and distribute the “Home Thermostat Tool”  Sponsored a Virtual Dementia Tour exhibit at the AR Health Care Association trade show  Continued work through the Partnership to Improve Dementia Care on reduction of antipsychotic medication  Participated in work to educate front line staff on how to improve their approach to care  Members of coalition received Positive Approach to Care certification through Teepa Snow and work will continue to train and educate based on these principles for person directed care  Hosted Dr. Bryan Williams for a one day workshop on honoring our residents by providing world class customer service  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. 1  Continue to promote the tool “Honoring Resident Choice and Desires” document to be used as a QAPI tool for person-centered care.

California Culture Change Coalition Grants  Received a Civil Monetary Penalty (CMP) grant of $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 approved March 2014 to facilitate the California Partnership to Improve Dementia Care (CA Partnership), and was converted to a Contract with the California Department of Public Health. Under the contract, CCCC: . Serves as the lead agency of the CA Partnership which includes various stakeholders such as the California Association of Health Facilities, California Advocates for Nursing Home Reform, California Long Term Care Ombudsman Association, California Association of Long Term Care Medicine, Health Services Advisory Group, and the California Medical Association . Convenes and facilitates the CA Partnership meetings as a whole, via phone and in-person at the Department of Public Health in Sacramento . Convenes and facilitates the CA Partnership workgroup meetings, including: Informed Consent, Enforcement, Education and Consumer Awareness workgroups . Convenes and facilitates the CA Partnership Executive Committee, including facilitators of the CA Partnership, the CCCC Program Director, with support from select CCCC Board members . Created the foundation for an online toolkit that includes train-the-trainer materials for implementing evidenced-based materials, such as the CMS Hand-in-Hand training. The toolkit can be found at dementiacareresourceCA.org . Partnered with the Alzheimer’s Association to prepare presentations on least medicating approaches and best practices that identify effective strategies in dementia care that result in antipsychotic medication reduction . Developed a corrective action plan to promote training in geographic areas with facilities that have an antipsychotic medication rate of 30% or higher. . Partnered with Health Services Advisory Group (HSAG), California’s Medicare QIO, to plan 2015 Learning and Action networks . Hired Administrative, Public Relations and Web Consultants to support the needs of the CA Partnership Education and Consumer Awareness arenas . Hired Program Director to facilitate the California Partnership deliverables stated under the CDPH Contract utilizing the CMP funds . 2015 will be devoted to facilitating the Consumer Awareness campaigns, and to carry out educational opportunities with various dementia care educators, physicians, pharmacists and CA Partnership partners . Received funding in the amount of $50,000 over an 18-month period to create and distribute a training webinar for all California skilled nursing home employees focusing on the implementation of day-to-day practices that result in consistent staffing assignments to reduce staff turnover and improve staff stability in order to improve the quality of life and quality of care of nursing home residents.

2 . Received grant approved for the Eden Alternative Educational Project entitled, Leveraging Leadership to Drive Sustainable Change, for 2015 fully funded by the May and Stanley Smith Trust . Grant from HRET $60,000 being considered by CCCC for 2015/2016 to assist nursing homes in controlling infections.

Seminars/Conferences & Presentations Under the CMP Grant, planned two statewide conferences entitled “Dementia Care California: Sustaining Momentum and Success” to be held in February 2015 in Pasadena and Sacramento highlighting keynote speaker, Dr. Allen Power, author of Dementia Beyond Disease

Pioneer Network  CCCC Board President attended the Pioneer Network Annual Conference.  Continues to participate in the quarterly Pioneer Network coalitions networking calls

Staffing and Consultants

 CCCC was able to hire project-based staff and consultants, including: Program Director (CMS/CDPH Contract for the CA Partnership), Certified Public Accountant (CPA), Administrative Assistant, Public Relations and Web platform Consultants (CMS/CDPH Contract for the CA Partnership), and Graphic/Web Designer Consultant

Website  Facilitated development of the CA Partnership to Improve Dementia Care toolkit, www.dementiacareresourceCA.org. 2015 will be devoted to enhancing the toolkit resources  Continuation of updating the California Culture Change Coalition website www.calculturechange.org. Enhancements to be added in 2015.

Colorado Culture Change Coalition  Continued to distribute consumer guides including the Smart Consumers Guide to Quality Hospice, Home Health, and Home Care and the Smart Consumers Guide to Quality Nursing Home and Assisted Living Care.

 Expanded our technical assistance project to include 5 assisted living communities. Continued to contract with Carmen Bowman to help with this project. The impact was on all residents and staff living and working in the living communities. The goal of the project was to show that the implementation of person-centered care principles and practices had a positive outcome on clinical measures, increases census and decreases staff turnover. All 5 assisted living communities showed a positive increase in scores pre-project and post for the Artifacts of Culture Change measurement tool used to assess the implementation of person-centered practices.

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

 We finished our work with the Colorado Department of Health Care Policy and Financing in the development of legislation to increase the amount of CMP funds that can be used for culture change as well as the length of the grants from one year to three years. The legislation was introduced and passed this year. 3  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 until the old board was disbanded with the passing of the new legislation increasing funding and time frame of the funding.

 Continued to work with the Colorado Partnership to Improve Dementia Care in Nursing Homes. This group disseminates information and coordinates with different quality initiatives.

 Presented and exhibited at various statewide conferences.

 Offered education programs monthly, reaching individuals from all areas of delivery care including nursing homes, assisted living homes, home care and home health, single entry point agencies, state surveyors, and long-term care Ombudsmen.

 Developed and implemented an integrated fund development campaign resulting in the further development of our inventory of resources available.

Connecticut Culture Change Coalition Hosted and conducted the following three free educational events:  Culture clues in the workplace The cultural and social landscape of the American workplace is quickly changing as a result of new immigration patterns to the United States. Today, many of our employees are culturally diverse, and their contributions to our facilities are vital to achieving our goal of comprehensive quality and person-centered care. As leaders, we must ask ourselves, “What do I know about the cultural and religious beliefs of these employees, and how does this influence resident care?”

 Words have Power What is at the heart of who we are as caregivers? What inspires us to do the work that we do? If we look deep in our hearts, would we use words that have been scripted for us in the medical model, or would we prefer words that uplift our residents and preserve their personhood?

 LGBT Aging 101: Working with Lesbian, Gay, Bisexual and Transgender Older Adults Lesbian, gay, bisexual and transgender older adults face unique psychosocial, cultural and economic concerns. The CT Culture Change Coalition hosted guest speakers Amanda Aaron, TRD, RM, and Lisa Krinsky, Director of the LGBT Aging Project, to speak about the distinctive and, in many cases, devastating issues facing this invisible and underserved population. Lisa’s presentation was followed by a candid panel discussion with LGBT older adults living in CT. The panelists shared their perspective and opened up about their experiences accessing healthcare services across the continuum of care.

Delaware Culture Change Coalition  Conducted a successful annual conference on April 9, 2014. Topics included: Age Irrelevance, Resident Rights, and Caring for People With Dementia Without Antipsychotics.  Created a quarterly newsletter and set-up a website: http://www.deccc.org/  Presented about culture change to health care professionals.

4  Obtained non-profit status.

Florida Pioneer Network  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 who were unable to attend in person.

 Thanks to approval by the Winter Park Health Foundation to use some of the grant funds remaining from the Central Florida Learning Collaborative project, adapted the Take It On For Mom and Colorado Culture Change Coalition’s Smart Consumer’s Guide to Quality Nursing Home and Assisted Living Care to Florida and added a section on Paying for Long-term Care. 1500 copies of the Guide were printed for distribution and the Guide was posted in PDF format on the home page of the FPN website (http://floridapioneernetwork.org ). The printed guides were disseminated to the Alzheimer’s Association – Central and North Florida Chapter and the Florida Hospital Case Management Department as follows:

 Alzheimer’s Association: 900 copies that they made available to the chapter’s 52 support groups, included in the Helpline mailing packets when appropriate, and distributed at their educational programs.

 Florida Hospital Case Management Department: 150 copies that were given to 130 case managers at seven hospitals in the Florida Hospital system for distribution to patients and their families, as appropriate.

 Copies of the Guide were also provided to the FPN Steering Committee members for distribution of consumers.

 Participated in the Phase II: Harvest and Spread project as a Pioneer Network partner. FPN chair, Sue Crane, and some of the nursing homes that she worked with on the NLC project are featured in videos that will be part of a Handbook for Engaging Staff in Individualizing Care that will be published in 2015 by Pioneer Network.

 Several FPN members participated in the Agency for Healthcare Administration Culture Change Roundtable meeting where issues regarding culture change and survey were discussed.

 Several FPN members participated in the Florida Health Care Association Culture Change Council.

• Planned and facilitated a session at the Florida Health Care Association Conference entitled, “Adding Bling to Quality Care through Staff Engagement” with Sue Crane, Cathy Lieblich, Nicole Daigneault, DON at Westminster Towers and Heather Prinzel, Neighborhood Coordinator Health Central Park. Both homes participated in the National Learning Collaborative project and shared their experience and outcomes.

5  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.

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

 Received notice from the Florida Agency for Health Care Administration that FPN’s CMP proposal to spread the National Learning Collaborative Model to 20 homes in four distinct areas of the state was approved by AHCA and the CMS Regional Office.

Culture Change Network of Georgia

 Convened quarterly CCNG advisory group meetings. Continued to combine GA LANE/Advancing Excellence meeting with quarterly CCNG meeting

 Held 2014 Georgia Culture Change 7th Annual Summit, “Aging in the 21st Century: A Well- Being Approach” with Dr. Al Power. The summit was opened by a panel, “Culture Change in Motion”, presented by Becky Kurtz (AOA/ACL/HHS), Jay Bulot (GA DHS/DAS) and Linda Kluge (State QIO). Governor declared the day “Culture Change Day in Georgia” via a proclamation presented at the summit.

 Hosted two outstanding Certified Eden at Home Training events. 36 individuals were certified as Eden Associates.

 Certified Eden Associates presented workshops at the Everyday Creativity Conference (for Service Coordinators, Social Workers, Activity & Wellness Professionals) Culture Change information was presented at many events including the following:

 2014 Elderly Housing Symposium (for HUD-subsidized housing providers  2014 LeadershipNEXT (aging services leadership development program)  2014 Assisted Living Symposium  2014 Adult Day Services Symposium  2014 CCRC Symposium  2014 Coaching Supervision Training

 Significant representation of CCNG advisors served on the advisory group to work with Commissioners & Legislators on the development of the Georgia Alzheimer’s & Related Dementias State Plan.  Kim McRae presented on “Dementia-Friendly Congregations: How Faith-based Communities can be Champions of Change, A Conversation with Community Clergy” on June 20th. Explore what it means to be a “Dementia-Friendly Congregation.” The discussion focused on how faith communities can expand their welcome and ministry to people with dementia in a sensitive and person-centered way.

6  Co-sponsored and Kim served as a presenter for a program for care partners on navigating the long-term care system and understanding the difference between Alzheimer’s and dementia as well as “care partner” vs. “caregiver.”

Idaho iCARE  Hosted a Pioneer Network On-the-Road event “Hearing the Voice of Persons with Dementia” in November 2014. About 60% of the homes in the state sent teams to attend the event. Other attendees included a large representative group from the state survey agency, the local Alzheimer’s Association, and many other local partners. Nursing home teams that applied for and received CMP-funded scholarships were able to be reimbursed for their registration fee and travel expenses.  Created a website and a consumer guide to choosing long term care that supports individual choice and a person-centered philosophy. In 2015 Idaho iCARE plans to promote the Music and Memory program as a means to bring together communities in an innovative approach to person- centered dementia care and reduced use of antipsychotic medications.

Illinois Pioneer Coalition  Began Phase 2 on The Retirement Research Foundation funded Consumer Education Project, “Your Way: How to find Dignity and Choice in Nursing Homes.” This Phase of the Grant officially began in October 2014. The goal of Phase Two is to spread the materials created in Phase One throughout the state in a sustainable manner so that once the grant funding is diminished, the materials will still be used to help the consumer make an informed choice. One method for disseminating the information is to share the materials with those professionals who engage in conversations regarding the continuation of care with elders and their families as part of their work. Future plans for Phase Two of the Consumer Project include: · Translation of the materials into Spanish · Electronic publication of the Your Way! materials into Amazon, I-Tunes and Kindle · Educational sessions with the long term care providers · Printing of articles in trade magazines and elder focused publications · Continued Statewide education for providers and consumers through IPC Regional Coalitions and Health Fair engagement

 The Illinois Pioneer Coalition’s 11th Annual Summit, “Spread the Vision of Culture Change” was held Oct. 13-15, 2014 at the Crowne Plaza in Springfield, IL. We had 170 register through Constant Contact. This number does not reflect all of the speakers and vendors that attended the event. We totaled close to 225. We had an evening event dinner with filmmaker Scott Kircshenbaum. We charged $20 for this special event. Three 4 hour pre-conference intensives were offered with speakers Carmen Bowman, Glenn Blacklock and Anna Ortigara and Tameshia Bridges. We offered 23 breakout sessions and 3 keynote sessions. Keynote speakers were Steve Shields, Mary Tellis-Nayak and Anna Ortigara.  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. Membership retention is a goal of IPC. Of the 38 current members (25 facility, 10 individual, 3 trade/vendor), 26 were renewals and 12 represent new members. This signifies that 68% of current members are repeat members.  Continued to work with Regional Coalitions throughout the state by co-sponsoring local educational events. Examples include: Activities-Personalized and Individualized, Reducing Anti-Psychotic Medications, Reflections of Alzheimer’s Disease, No Money/No Excuses: Fundraising Ideas for Person Centered Care, Music and the Mind, Resident Rights and 7 Protective Oversight, HIV and Older Adults, Organizational Goals and Person Centered Care, Life Stories, Fragile Families.

 Honored our Culture Change Champion of the Year at the Annual Summit. The honoree was Jean Harris RN, BSN-C, Director of Health Care at the Ruma Center in Red Bud, IL, a retirement community for the members of the Adorers of the Blood of Christ religious community.

 Continued 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 representation from several types of elder care communities and the Department of Public Health.

Iowa Person-Directed Care Coalition Brainstorming, sharing, advising and supporting among the members resulted in valuable insight that no doubt added to the successes of the stakeholders within the organizations they represented-all towards the common goal of serving nursing home residents. For 2015 we have begun steps to share the knowledge and resources of our membership in building regional meetings to reach more stakeholders.

Kansas Culture Change Coalition  First video contest with three prizes awarded in-person at recognized homes: First Place - $500, Hand-crafted copper wall hanging and one scholarship to an Action Pact, LLC continuing education training. Second Place & Third Place - $100 and one scholarship to an Action Pact, LLC continuing education training.  Successfully finalized our Gould Foundation Grant (October 2013 thru September 2014); met or exceeded all grant deliverables including: designed and produced collateral materials to support KCCC educational message (brochures, family advocacy inserts, floor banners and business cards); offered community-based presentations reaching approximately 2,500 Kansans; established reporting of annual volunteer’s hours and in-kind donations.  Business entity formation: Kansas Culture Change Coalition became a non-profit corporation recognized as such by the Kansas Secretary of State.  Supported the Pioneer Network annual meeting convened in Kansas City  Continued to produce a timely and diversified quarterly newsletter.  Continued to form new professional relationship with like-minded organizations and agencies, while strengthening existing relationships.

Kentucky Coalition for Person-Centered Care

 The Coalition joined with a University of Louisville led grant writing effort to obtain CMP funds for assessment and leadership development through educational projects and summits. The implementation of that grant will now fund the statewide efforts of the coalition and reconfigure an active advisory group and projects for 2015. LEADER (Louisiana Enhancing Aging with Dignity Through Empowerment and Respect) 8 Maine Culture Change Coalition/Lane

 Expanded membership to Central Maine so there is now a Central Maine Coalition.  Planning in process for a Northern Maine Coalition.  The coalition provided on-site training in several homes in Maine on Culture Change.  Through Maine Health Care Association, offered “What is Culture Change” webinar to all Maine homes.  Sharing Maine stories of Culture Change on website.  Welcomed the new QIN-QIO: Healthcentric Advisors to Maine.  Recruited direct care staff to join the coalition.

Maryland Culture Change Coalition  Held monthly Maryland Culture Change Coalition meetings  Sponsored the following webinars: April 23, 2014 – Karen Schoeneman presented: What is Culture Change? May 28, 2014 – Carol Benner presented: Culture Change and QAPI July 23, 2014 – Dr. Judah Ronch, Erickson School presented: Language and Culture Change August 25, 2014 – Carmen Bowman, Edu-catering presented: The New Dining Practice Standards and Toolkit September 24, 2014 – Susan Frazier presented: The Green House Project October 30, 2014 – Carol Scott, Advancing Excellence Campaign presented: Consistent Assignment  Developed/designed a website: www.mdculturechangecoalition.org  Information Flyer development/design/distribution  Maryland Representation at Pioneer Network Annual Conference  Exhibitor and participant at the HFAM/LifeSpan Maryland Conference September 29 - October 2, 2014  LeadingAge Maryland conference presenter on Culture Change, November 6, 2014  Executive Board Planning Meeting, December 10, 2014, to plan for hire of staff person and implementation of other grant activities.  Key activity, process and outcomes metrics: -An average of 50 people participated in webinars for a total of 500 long term care providers reached. -An average of 18 people attend monthly culture change meetings.

Massachusetts Culture Change Coalition  The development and distribution of an online survey to all Massachusetts nursing homes to assess provider implementation and progress associated with culture change practices in care, dining, the physical environment, activities and staffing. The survey also solicited feedback on interest and preferences regarding participating in the Coalition and related activities. Over 80 nursing homes completed the survey, providing MCCC with a better sense of where providers are at in their culture change journey and how we can best engage their interest and participation.  Based on the priorities expressed by providers that participated in the survey, Coalition members planned and hosted four regional forums this past summer on eliminating personal alarms. The forums were both very well attended and received, and elicited suggestions for topics (dining practices, end of life care) and offers to host future forums. One of our primary goals for 2015 is to build on the interest generated through the forums by developing regional “offshoots” of MCCC led by established culture change coalition leaders in their respective region. As time, 9 attention and lack of resources compete with the best of intentions, we believe that local meetings would enable more people to actively engage in Coalition planning and activities and strengthen our efforts going forward.

GROW Mississippi Culture Change Coalition

Missouri Coalition Celebrating Care Continuum Change (MC5)  58 regional meetings were held at the 12 regions throughout the state. Total attendance was 1728, including 144 first time attendees. MC5 provided CEUs to 376 Administrators ,156 Social Workers, and 12 Activity Professionals.  MC5, in collaboration with Primaris and DHSS, hosted 3 screening of “Alive Inside” documentary, with Music & Memory founder Dan Cohen appearing live at each location. The approximately 500 attendees represented staff and volunteers from skilled nursing, assisted living, home care, hospice, regulators, Ombudsman, the Alzheimer’s Association as well as care givers.  MC5, along with the Kansas Coalition, hosted the 14th Annual Pioneer Network Conference in Kansas City, KS. o Missouri attendees numbered 168, which included 50 surveyors. o Missouri volunteers served as room moderators, greeters and registration staff. o Through the Dine Around Kansas City program, volunteers served as hosts to conference attendees at a variety of restaurants throughout Kansas City. o Residents from approximately 15 communities throughout Missouri provided a special touch to the conference luncheon through the creation of very special centerpieces reflecting their individuality and person centeredness! o 32 providers in Missouri were provided with incentives to help with the purchase of items at the conference that they have taken back to their communities to help spread the word about culture change! o MC5 Communications Committee helped to spread the word through the t-shirts they designed and provided to each Missouri attendee as well as through MC5 blue highlighters given to each PN attendee.  Communications committee redesigned the MC5 Newsletters and distributed 2 issues to those in the MC5 data base.  Second Annual regional representative retreat was held on October 9, providing a forum for learning, sharing and networking among the growing number of regional representatives and co- representatives.  MC5 participated in Tier II of the National Learning Collaborative with visits made to Bethesda Dilworth, Laclede Groves and several HIS Communities.  Development of “Tips for Person Centered Care” were coordinated by MC5 Vice-President, Julie Ballard, as a component of a MOLANE project. Tips are being distributed to all nursing care communities throughout the state of Missouri.

10 Nebraska Culture Change Coalition  Held a state wide education program on Dementia with National Speaker Teepa Snow.  Hosted National Speaker, Carmen Bowman, who presented on Culture Change and Dining practices.  Organized a follow up conference call for attendees of Carmen’s presentation to discuss what ideas the homes implemented as a result of the workshop and shared best practices.  Updated our NCCC website to include links to other culture change resources as well as happenings throughout the country.  Applied and granted CEU’s for the attendees at the statewide workshops.  Several members of the leadership attended the Pioneer Network Conference in Kansas City.  Coalition members sit on the state wide LANE committee with other long term care stakeholders committed to advancing excellence.

New Hampshire Culture Change Coalition  Engaged in a statewide campaign to eliminate the use of personal alarms in long-term care settings. Education and support are provided to homes that are seeking to improve fall reduction and safety while at the same time increasing the mobility of residents and elders within an alarm free environment.  Continued to offer the Pioneer Network Learning Collaborative Sessions and participated in the Phase II: Harvest and Spread project.  Began working with the regional Quality Improvement Network to assist with the convening of the Advancing Excellence Local Area Network for Excellence (LANE).

New Jersey Alliance for Culture Change  Became a not for profit 501c (3) LLC corporation thanks to the diligence of our vice-chair, Toni Davis. Board members were officially elected as part of the process and a bank account was set up with over $1,900.  Our Education Committee, chaired by Denise Kish, hosted our second regional conference in the Southern part of NJ, “Culture Change: Can Any Road Get You There?” Combined with our Northern conference in 2013, 160 people participated. A number of local organizations donated funding and prizes to make this possible.  The Direct Care Workers Committee, co-chaired by Michele Ochsner and Judi LoBue, hosted a conference for direct care workers, with approximately 150 attendees. The conference was held free with the support of NJ workforce grants.  The Inspiring New Leaders group, chaired by Jason Grant, received funding for a year-long leadership development program. Originally intended for new administrators and department directors, this program attracted seasoned leaders. Half of the group of 26 had significant experience in the field, with the longest being over 30 years! An online application process, including references, was required of applicants.  Created a Marketing Committee chaired by our secretary, Candice Avila. Members were recruited and their work has included logo designs that were completed by graphic design students as a class project.  Board members participated in statewide initiatives including the NJ LANE.  Entered into an agreement with the Health Care Association of NJ to advertise and collect registration fees for conferences.

11 North Carolina Culture Change Coalition  NCCCC has created a Proclamation to present to Governor of NC that will proclaim “National Culture Change Month.” The document has been drafted and awaiting presentation to Governor. We are proposing Culture Change Month in conjunction with National Nursing Home Week in May.  Partnered with the Coalition of Activity Professionals North Carolina (COAP-NC) to present their learning sessions throughout NC (Henderson Greenville, & Southern Pines). One subject was “Getting Away from the 5 B’s (Bible, Bingo, Beauty Shop, Birthdays, and Bulletin Boards).” Each event awarded Nursing Home Administrator & Activity Professional continuing education hours.  Through partnership with CMS, the coalition awarded 12 enhancement project grants to nursing homes across the state. Grants ranged from Computer Technology, “It’s Never too Late,” Music & Memory, Movie Café’, Sensory Gardens, Internet Café.  NCCCC partnered with several agencies to provide educational presentations related to culture change/person centered care, grant writing, and membership throughout the year to the following organizations: a. NC Health Care Facilities Association Tradeshow – Feb 2014

b. COAP-NC – April 2014

c. Leading Age – May 2014

d. NC Ombudsman Triangle J Program – August 2014

 Developed business cards to be handed out at community events. Revisions to NCCCC brochure and application completed.

 Created a Grant writing training video that was posted on our QIO’s website.

 NCCCC provides person centered training & Coalition information as a part of new State Surveyors orientation.

 Membership increased by 30 new members from varies job titles including activity professionals, nursing home administrators, corporate staff, and executive directors.

 Presented our 3rd Annual Donna McNeil Award to Sally Kohls, a volunteer at Universal Healthcare of North Raleigh.

 Continue to maintain their Facebook page by posting pictures of events, center enhancement projects, and success stories related to person centered care.

 The Coalition Connections published 9 articles in 2014. This publication is shared with Coalition members, NC communities, and surveyors.

 79% of nursing homes in the state reported that they were participating in some type of enhancement program on the Annual Licensure Report.

 Participated in the Pioneer Network’s coalitions networking calls.

12  NCCCC updated website www.ncculturechange.org .

North Dakota (ND) Culture Change Coalition

 The ND Culture Change Coalition is a brand new coalition that was initiated by staff at the ND Veteran’s Home after they attended a Pioneer Network annual conference. Those individuals with the support of their administrator reached out via the ND Quality Improvement Organization (QIO) and the ND Long Term Care Association (AHCA state affiliate) to reach others with similar desires to transform ND nursing homes into the “homes we would want to live in.” The group is in the process of developing its vision statement, values, structure and next steps toward growth.

Ohio Person-Centered Care Coalition  A monthly series of statewide network educational webinars for nursing home providers covering a range of topics on implementing person-centered care strategies. Provided CEUs for nursing home administrators.

 Quarterly Network meetings continued throughout 2014 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 Ohio’s long-term care homes with a focus on the culture change process

 An annual meeting sponsored in October for all statewide members.

 Developed a sponsorship program for vendors, members, and others to sponsor the coalition or specific events.

 Initiated a quarterly newsletter for members called Connections which provides updates on committee activities to our over 700 members.

 Supported the Ohio Nursing Home Quality Improvement Project titled, “Person-Centered Care through Consistent Assignment: Achieving Quality Care through Quality Relationships.” This is a voluntary project for nursing homes aimed at implementing consistent assignment and staff stability tracking tools for a specified resident unit while correlating a quality measure area for improvement plans related to resident care. Participating nursing homes must:

1. Form a Consistent Assignment team to oversee project implementation that includes active involvement of management, direct-care staff, and residents (submit team roster and schedule of meetings);

2. Complete a selection of a neighborhood/unit with between 16 and 24 residents for implementation and data collection;

3. Facilitate training to implement the consistent assignment and staff stability tools from Advancing Excellence.

4. Establish a baseline of residents and staff for tools that begins October 1, 2014. Select at least one resident improvement measure from a menu of options provided to measure impact of 13 strategies implemented (need to select early to establish baseline). For example-a decrease in falls or pressure ulcers.

5. Develop a new home-wide Consistent Assignment policy.

Oklahoma Culture Change Network  Bi-monthly Network meetings continued throughout 2014 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: The First 24 Hours; Best Practices-Transition of Care; Consistent Assignment-Teamwork  Leading Age Oklahoma Culture Change Conference in June 2014 including such topics as: Focus on Excellence-Documentation for Culture Change and Promoting Mobility, Reducing Falls and Alarms with the Reduction of Antipsychotic Medications.  LeadingAge Oklahoma incorporated a Culture Change emphasis within its annual conference agenda, specifically focused on Culture Change Topics.  LeadingAge Oklahoma hosted the Oklahoma Culture Change Network meeting during the annual conference.  LeadingAge Oklahoma sponsored a full day conference, “New Dimensions of Care in a Culture Change Environment”, with featured speaker, Teepa Snow.  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.  Worked with OFMQ to focus on and educate direct care staff.  Governor Mary Fallin proclaimed April 28th through May 2nd as Culture Change Week.  Scheduled Culture Change Conference for June 2015.

Making Oregon Vital for Elders (MOVE)  Steering, Education and Communication Committees held regular meetings; added new members to the Steering Committee  Changed process of working committees to support greater committee autonomy vis a vis the Steering Committee  Continued the Supporter Program as a method of donation and opening opportunity for broader participation/involvement  MOVE holds a seat on the state-wide Long Term Care Quality Steering Committee  Participated in age-friendly city activities in Portland  Representative of MOVE gave a presentation on culture change at the statewide annual gerontology conference at Oregon State University  Representative of MOVE participated on Portland State University work group focused on mental health and elders  Held 3 half-day trainings  Updated the web site including hiring a new webmaster. Plan to monitor analytics more closely  Increase of 165 new contacts to the e-mail list from the previous year  Created a dementia training module in partnership with Portland State University which is posted on the DHS website  Applied for and was awarded a $164,000 grant from the state quality fund for the purpose of 14 creating a multimedia introduction to person centered/person directed care which will include an individualized version for adult foster home providers, assisted living, nursing home, and memory care communities. It will be made available at no charge.

Pennsylvania Culture Change Coalition

 The PA Culture Change Coalition held its 10th Annual Culture Change ACCORD—“It’s a Wonderful Life”—in Valley Forge, PA. Three hundred participants were inspired by Carmen Bowman as our keynote speaker during this daylong event. The event also included eight breakout sessions.  Conducted four Regional Educational Events across the state free of charge. 2014 saw incredible growth in our reach as we grew from 18 sites in 2013 to 31 sites by the end of the year. The additional sites along with the WebEx technology enable more individuals to attend in a location close to where they work which has increased the Coalition’s reach and ultimately the advancement of person centered care. Over 635 individuals were reached through the educational events.  Hosted the Pioneer Network’s “On the Road” intensive workshop, “Key Practices for QAPI Success” presented by Barbara Frank in March which was exceptional.  A Coalition Board Member represents the PA Culture Change Coalition on the Advancing Excellence PA LANE.  As the oldest Culture Change Coalition, the Board felt it was important to put our history down in writing. That history was written by outgoing President, Kay Lynne Ege.

RI Generations (Rhode Island)

 The coalition’s relationship has increasingly strengthened with the Department of Health and Human Services. RI Generations has been awarded its third civil monetary penalties (CMP) grant toward the education & implementation of Culture Change practices to the long term care arena. This tradition will continue along with a new request for grant proposal seeking 5 grants to help promote culture change using the HATCH model, The Holistic Approach to Transformational Change. We are in the process now of securing these grants with the help of the Office of Health and Human Services.  Last year we conducted three statewide individualized care presentations titled, “Coffee Exchanges”. This forum gives nursing homes or other long-term care providers the opportunity to host a breakfast 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 programs offered included Elmwood Health center which focused on developing individualized dementia programs and involving staff on all levels in the development and deployment; Bayberry commons which developed a Centered Activity Memory Program (CAMP), where dementia residents spend the day doing activities to their preference, wash dishes, set the table, complete routine household task and socialize with others in their community, and Elmhurst Extended Care which focused on the Eden Alternative and discussed the transformation process and introducing culture change into transitional care.  The Imogene “Imy” Higbie Awards is given every year at our Annual Culture Change Symposium. Nursing Assistant/Care Partners that have shown exceptional performance in providing and promoting person- centered care are the recipients. The award(s) are funded and

15 supported through donations from RI Generations members and long-term care organizations.  Offered a Dementia Learning Session called “Designing a Meaningful Life Environment for People with Dementia” presented by Maggie Calkins, Ph.D, EDAC, which was attended by over 95 individuals from Administrators to direct caregivers throughout the state. South Dakota Culture Change Coalition

 SDCCC continued participation in Phase 2 of the Pioneer Network’s National Learning Collaborative, which consisted of Peggy Williams conducting videotaped interviews with staff members from 2 of the 4 official incubator homes for the 2012 - 2013 round of the Pioneer Network’s National Learning Collaborative on Using MDS 3.0 as the Engine for Individualized High Quality Care. The interviews and other information from those homes were shared with the Pioneer Network for the drafting of an implementation handbook regarding engaging staff in individualizing care.  Began a second round of the Pioneer Network’s Phase 1 National Learning Collaborative on Using MDS 3.0 as the Engine for Individualized High Quality Care. With Peggy Williams’ leadership, our collaborative consisted of 8 nursing homes. The coalition used the Pioneer Network’s “Engaging Staff in Individualizing Care Starter Toolkit” during the Learning Sessions and loaned out to the nursing homes 2 copies of the Pioneer Network’s “Engaging Staff in Individualizing Care 12 webinar DVD” to share the learning with additional staff in those nursing homes.  The SD Advancing Excellence LANE is now under the SD Culture Change Coalition.  Advancing Excellence National Director, Carol Scott and SD AE LANE Convener Lori Hintz gave a presentation at the SDHCA fall conference on the AE website format and person-centered activities and the AE person-centered care goal. Advancing Excellence had a booth at the SDHCA fall conference to promote AE and update current signup information.  SDCCC co-signed a letter with the SD Dementia Coalition, SDFMC and SDMDA that was sent to every nursing home medical director in December about the new antipsychotic reduction goals, current statewide data and actionable steps to help further the reduction of unnecessary antipsychotic use in nursing homes and request that they support the National Partnership to Improve Dementia Care. This letter was also submitted for publication in the SD Medical Directors Association’s newsletter and to both health care organizations for publication and dissemination to their members.

Tennessee Edenizing Foundation

 Nashville was the site of the 7th Eden Alternative International Conference in April and coalition members participated on the Southern Hospitality Committee and also served as conference volunteers.  Board members assisted in the staffing of the Eden Alternative booth at the Tennessee Health Care Association (THCA) Convention and Trade Show in August  To increase collaboration with other state entities interested in culture change, TEF invited representatives from organizations with similar objectives to discuss joint ventures  Submitted a grant proposal to CMS to offer “Reframing Dementia” to the state’s 324 nursing homes  Updated the By-laws and elected new officers.

Texas Culture Change Coalition

 Hosted and conducted the 2014 Culture Change Conference “Getting to Know You… The Keys 16 to Orchestrating a Person Centered Culture by Rethinking Care to Reconnect and Restore Quality in Life”. This was a joint conference sponsored by the Texas Culture Change Coalition and the Texas Department of Aging and Disability Services.  Board planned and conducted a 2014 Strategic Planning Meeting facilitated by Cathy Lieblich from Pioneer Network.

Vermont LANE/Culture Change Coalition:

 Restructured our quarterly meetings to include education topics at each session. We had a particular focus this year on reducing unnecessary antipsychotic use. Education topics presented included: quality improvement closest to the resident; huddles; involving the LNAs in care planning; and consistent assignment.  Held a day long Advancing Excellence & Culture Change Conference with a session on Key Practices for QAPI Success that included results of the Pioneer Network National Learning Collaborative.

Washington Pioneer Network  Helped host Dr. Bill Thomas’ “Second Wind” tour and distribute tickets. We sent volunteers to support it the day of the big event.  Supported Momentia Seattle, a new dementia friendly activity initiative and group.  Steering Committee members attended two local conferences (Leading Age & Washington Health Care Association) to lead sessions on culture change and the Pioneer Network.  Supported a book tour for Beth Baker by assisting in her visit to Seattle to promote her book: With A Little Help from My Friends – Creating Community as We Grow Older.  Assisted in getting the Music & Memory program going in several local supported living homes.

Wisconsin Coalition For Person Directed Care

 Collaborated with key stakeholders in transitioning Advancing Excellence and other long-term care initiatives under one entity, the Wisconsin Quality Coalition. The Wisconsin Coalition for Person Directed Care continues to have representation on the Wisconsin Quality Coalition.

 Continued refinement and enhancements to our website: www.wisconsinpdc.org .

 Exhibited at the State Alzheimer's Association Conference, FOCUS (collaborative training session for regulatory and provider personnel) and stakeholder's Association conferences.

 Hosted two "Friends Events" with specific topics around F tags 224 and 225. These events also are a great opportunity for people in the same region to network and possibly mentor each other regarding successful programs in their homes.

 Representation on the State's committee to create a "Dementia Capable WI".