THE JOURNAL ON

June 2013, Vol. 12 No. 4

Special developer’s issue

The future of active- aging adult centers Innovative design concepts to transform your space

A feasible solution? Questions to ask about your plans before calling an architect

Investing in wellness Three communities share the whys, the hows & the outcomes Design that inspires. Movement that empowers. Introducing the new T4r recumbent cross trainer. T4r combines lower and upper body movement for a full body workout – building strength, promoting independence, and invigorating users of virtually all ability levels to get the most out of life.

T4r’s fresh new design includes features like a comfortable 360° swivel seat, sturdy grab ring for easy on/off, and a clamshell release for easy arm adjustments.

For free DVD call 800.322.2209 or visit www.nustep.com/newT4r Design that inspires. Movement that empowers. Introducing the new T4r recumbent cross trainer. T4r combines lower and upper body movement for a full body workout – building strength, promoting independence, and invigorating users of virtually all ability levels to get the most out of life.

T4r’s fresh new design includes features like a comfortable 360° swivel seat, sturdy grab ring for easy on/off, and a clamshell release for easy arm adjustments.

For free DVD call 800.322.2209 or visit www.nustep.com/newT4r The Journal on Active Aging® Special developer’s issue June 2013, Vol. 12 No. 4 CEO & PUBLISHER CONTENTS Colin Milner, [email protected]

EDITOR-IN-CHIEF Jenifer Milner, [email protected] Special developer’s issue

DEVELOPMENT EDITOR/VICE PRESIDENT OF EDUCATION Articles Patricia Ryan, MS, [email protected] Return on investment Why retirement communities EDITOR Tammy Ditmore invest in new wellness centers pg. 22 For three retirement communities, the strategy to invest in building CONTRIBUTING EDITOR Vicki Baker new centers for fitness and wellness returned in resident satisfaction, higher occupancy and marketing power. By Marion Webb ART DIRECTOR Jacob Benaroch Development trends Capitalizing on wellness CHIEF OPERATING OFFICER market trends pg. 32 Julie Milner, [email protected] In the “new normal” for the post-recession senior living industry, DIRECTOR OF MEMBER SERVICES renovations as well as larger projects can position a community to Krystyna Kasprzak, BA, [email protected] provide expected amenities that maintain residents’ active lifestyles. DIRECTOR OF MARKET DEVELOPMENT By Gene Guszkowski, AIA Patsy LeBlanc, [email protected]

COMMUNICATIONS DIRECTOR Return on investment So you want a wellness Marilynn Larkin, MA, [email protected] center. But is it feasible? pg. 40 LEAD SERVICES Before you call the architect, ask seven important questions to Shari Akesson explore the feasibility of a new wellness center. Advance planning will The Journal on Active Aging® is published seven times per help ensure a center that is well-designed, well-used and appreciated. year by the International Council on Active Aging® By Margaret A. Wylde, PhD (ICAA), a division of ICAA Services Inc. Contact ICAA to find out about membership or subscriptions to the Journal on Active Aging® or ICAA Functional U®. Development trends The future of active-aging adult centers pg. 46 International Council on Active Aging® 3307 Trutch Street To appeal to the next generation of Boomers, “senior centers” must Vancouver BC V6L 2T3 Canada adapt and access innovative design concepts to transform into active- Toll-free: 866-335-9777 aging centers. By Craig Bouck Tel: 604-734-4466 Fax: 604-708-4464 www.icaa.cc Equipment Building a business case for equipping Every article published in the Journal on Active Aging® is your center pg. 52 indexed by subject and stored in ICAA’s articles archives, To maintain their active lives, older adults need the benefits of which can be accessed from the home of the ICAA exercise. Choosing the equipment that fits their goals helps them website. In addition, every issue—posted in its entirety—is available to members in the “Member zone.” stay independent longer and helps your organization maintain a competitive advantage. By Colin Milner Editorial submissions are welcome. Please send queries to Jenifer Milner, Editor-in-Chief. Submissions may be edited for length, style, content and clarity.

The Journal on Active Aging® ISSN 1814-9162 (print), ISSN 1814-9170 (online).

Contents copyright ©2013 by the International Council on Active Aging®. All rights reserved. Send permissions requests to Access Copyright by emailing [email protected]. Columns & departments Disclaimer: The Publisher and Authors recognize that older adults have medical and physical conditions 6 16 that affect the appropriate application of the recommendations and exercises published in the Comment News from ICAA Preferred Journal on Active Aging®. Consult with a physician, 8 Business Partners physical therapist, or other trained health or exercise 102 professional before using the exercises. The Publisher and Development news Authors are not responsible for any injury or ICAA Preferred Business Partners adverse effects from the application of the material in the articles.

4 The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc INTERESTED IN HAVING A oooff uyynoouuttahh????n It’s all here in a SwimEx resistance pool. Warm, soothing current. A safe, therapeutic multi-exercise aquatic environment. User-controlled temperature and current speed. And quicker, more comfortable recovery from illness, injury or joint replacement.

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Experience our Extraordinary Pools call 800.877.7946 | www.SwimEx.com Go with the Flow CONTENTS

ICAA Advisory Board

Scientific Advisory Board • Kevin O’Neil, MD, Brookdale Senior • Helen Foster, BA, Foster Strategy, LLC • Steven Blair, PED, Arnold School Living, Inc. • Jeff Glaze, MBA, ABHOW of Public Health, University of • Barbara Resnick, PhD, University of • Barbara Kleger, BS, Kleger associates, Maryland School of Nursing a division of KD Partners, LLC • Wojtek Chodzko-Zajko, PhD, • Debra Rose, PhD, State • Brenda Loube, MS, Corporate Fitness University of at Urbana– University, Fullerton Works Champaign • Mary E. Sanders, PhD, School of • Jan Montague, MGS, Whole-Person • Terry Ferebee Eckmann, PhD, Medicine, University of Nevada, Reno Wellness Solutions, Inc. Minot State University • Maria Fiatarone Singh, MD, University • John Rude, MS, Morrison Senior • William J. Evans, PhD, of Sydney Living GlaxoSmithKline • Wayne Westcott, PhD, Quincy College • Martha Schram, BS, Aegis Therapies • Kathie Garbe, PhD, University of • Kathy Smith, BBA, Kathy Smith North Carolina–Asheville Industry Advisory Board Lifestyles • Ben Hurley, PhD, University of • Lorrayne Anthony, BSc, The Canadian • Lynn Thorneburg, JD, Institute for Maryland School of Public Health Press Preventive Foot Health • Jamie Huysman, PsyD, WellMed • Ginger Anzalone, MBA, Vesta • Kay Van Norman, MS, Brilliant Aging Medical Management Facilities Management • Ronda Watson, RD, Atria Senior • Bob Laventure, MEd, British Heart • Marge Coalman, EdD, Touchmark Living Foundation National Centre for Retirement Communities • Stephanie Wong, BA, Healthways Physical Activity and Health • Terry Fay, BA, Senior Lifestyle Corporation

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The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc 5 COMMENT Wellness: the new normal

Welcome to the “new normal”: A world at what respondents to multiple ICAA “imagine facilities with spaces designed where wellness is a way of life for mil- surveys say they are, or will be, doing to to be relevant and vital to [these] ag- lions of older adults. equip the physical component of their ing adults.” Among the design concepts centers—from free weights to computer- outlined for appealing to the tech-savvy Creating or building environments ized machines to tools for the pool. Boomers are distance-learning facilities, to meet these consumers’ diverse life- digital multimedia labs and the mobile styles—and expectations—presents Also included in this special issue is device bar, a place where center/com- untold challenges and opportunities. development news. Besides news about munity members provide tech support To help you navigate the process, the specific projects, this department high- to peers. International Council on Active Aging® lights research and reports on such rele- launched the ICAA Developer’s Guide vant subjects as housing forecasts, green Whether developing wellness environ- in 2006. This annual publication has building trends, and indicators of “aging ments to support current customers or focused over the years on what organiza- in place” communities. And because pro- to appeal to future ones, your organiza- tions do to create compelling wellness viders of products and services can be tion will benefit by being positioned as a environments, covering all the stages of true partners in creating effective well- company that enhances your customer’s development from concept ness environments, the issue provides quality of life. With wellness the “new to completion. Now, we have brought news from ICAA’s Preferred Business normal” in the older-adult marketplace, this content under the umbrella of the Partners as well. your prospects are bright. And you can Journal on Active Aging®. anticipate returns on your investment Our goal is to ensure that whatever type that go far beyond the dollar value. In the Journal’s “special developer’s is- of wellness environment your organiza- sue,” we will continue the tradition of tion develops, you have the information, the Developer’s Guide by creating and research and insight needed to help you delivering thought-provoking stories at every stage along your journey. about what organizations like yours are Colin Milner, CEO doing to create and build engaging well- As wellness moves deeper into your International Council on Active Aging® ness environments. Also featured will be organization’s culture, and into society articles that offer information and ideas itself, the challenge for the future will from professionals with expertise in re- be to continue to provide environments lated areas. that engage older adults in ways that enable them to fulfill their passion and In our first such issue, we tackle topics purpose in life. You’ll find plenty of ideas ranging from why organizations invest to inspire you in Craig Bouck’s article, in wellness, to how to capitalize on this “The future of active-aging adult cen- massive opportunity, to why and how to ters,” on pages 46–51. determine the feasibility of your desired center—a “must do” before moving Bouck, an architect, first explores and ahead with any architectural plans. An- explains issues facing center operators other key contributor to a center’s suc- today in attracting Boomers. He then cess is the equipment you choose. In the invites readers, as the next step in envi- article on pages 52–62, I offer you a look sioning the future active-aging center, to

6 The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc HEAL T H & FITNESS EQUIPMEN T

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• Smart Card System, Personal computerized exercise programs

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• Prevent Falls, Strength and high speed power training improves muscular speed

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The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc 7 Development NEWS

The Rivertown development “is an important step toward effectively ad- dressing the increasing needs of the City of Detroit’s rapidly aging population,” said Roger Myers, president and CEO of PVM, which serves as the developer of the overall project. “This senior popula- tion will expand by nearly 20% by 2035 and will be the only demographic group experiencing such growth over the next 25 years.”

In addition to offering affordable hous- ing and health services for older adults in an area of Detroit with a compelling need, Rivertown Neighborhood has cre- ated nearly 200 jobs in healthcare and 350 in construction. For more information about the project, visit www.pvm.org/ press-releases/new-senior-life-options- open-in-detroit.

NAHB forecast for 55+ Recently opened in Detroit, Michigan, the first phase of Rivertown Neighborhood housing market offers the city’s first affordable assisted-living apartments for older adults as well as a As the share of American households age second location for the Center for Senior Independence, a comprehensive health services 55+ is expected to increase significantly program. Inset: As the view from Rivertown Neighborhood shows, this historic building through 2020, the segment of the housing is located near the Detroit . Images courtesy of Presbyterian Villages of Michigan industry that caters to home buyers and renters in that age group will continue to Neighborhood redevelopment is operating its second location inside the improve in 2013, according to industry benefits Detroit’s older adults newly opened building. experts at a press conference held at the Three nonprofit organizations with a recent National Association of Home history of innovation and service in “This partnership allows the Center for Builders (NAHB) International Builders’ Michigan have announced the opening Senior Independence to expand its com- Show in Las Vegas, Nevada. of Rivertown Neighborhood, a colla- mitment to promoting quality of life for boration to redevelop a neighborhood, seniors living in their own homes, by offer- “We expect to see an increased demand create jobs, and fill important healthcare ing a team approach to superior care man- for 55+ housing as more Baby Boomers and living needs for older adults in agement,” said Michael Karson, executive turn 55 and seek homes and communities Detroit. director, CSI. “Once you are part of the that offer the lifestyle they desire,” said CSI family, you needn’t look any further Paul Emrath, the NAHB’s vice president Henry Ford Health System, Presbyterian to have your medical, social and physical of survey and housing policy research. Villages of Michigan (PVM) and United needs met. Our new center will provide all “NAHB is projecting that the number of Methodist Retirement Communities the services our participants expect, while housing starts in 55+ communities will (UMRC) hosted a grand opening in opening our doors to help more of the increase 22% to 74,302 units in 2013, and April for the first phase of Rivertown medically underserved in the area.” another 20% to 89,071 in 2014.” Neighborhood. By the end of 2013, the partners expect 80 residents to live in The second phase, funded in part by a Emrath shared these results and more the city’s first affordable assisted-living grant from the United States Department from the NAHB’s “What Home Buyers apartments. Additionally, Henry Ford/ of Housing and Urban Development, will Really Want” survey that polled recent PVM’s Center for Senior Independence provide 50 independent-living affordable and prospective buyers. The associa- (CSI), part of the PACE [Program of All- senior apartments when complete. It is Inclusive Care for the Elderly] initiative, expected to open in spring 2014. Continued on page 10

8 The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc SENIOR LIVING

In order to provide a dining experience that continues to meet the needs of existing residents as well as elevate the role dining plays in attracting new residents to your community, Morrison Senior Living is excited to introduce Our Food RulesTM. Our Food Rules were created to inspire our chefs and their teams to create food that will give your community a “dining competitive edge” while enhancing residents’ experience with healthful, whole, unprocessed foods. From the time we turn on the light to your kitchen to the time the light is switched off at the end of the day, Our Food Rules are working to provide healthy, great tasting food. Boldly stated, “Our Food Rules!”

Here are just a few of Our Food Rules...

Fresh vegetables will Our foods will be We will purchase We will use fresh be prepared at the prepared with efforts to whole food in concert produce, never canned 1 last possible minute 2 dramatically reduce or 3 with the season at 4 or frozen, when and in the smallest eliminate excessive fats, the peak of ripeness preparing salads; possible batches calories and sodium and flavor croutons will never to ensure taste be purchased, but and freshness made-in house To make your FOOD RULE, call 1-800-2CLIENT today. Development NEWS Continued from page 8

tion surveyed more than 3,600 home at Ecumen Detroit Lakes into a hub that • an Internet café, library and class- buyers across the United States regard- improves and expands access for older rooms for health workshops, classes ing various characteristics of new adults in rural Becker County, Minnesota. and other social and educational homes. The goal is to develop a prototype that opportunities takes advantage of existing community • a salon “Walking and jogging trails and park infrastructures, integrates technology, • a dining area for up to 40 people areas are the two community amenities and combines services for older adults most likely to attract both Baby Boomers all in one location, enabling them to re- In most rural areas this mix of services and seniors,” said Emrath. “These are also main independent and healthy in rural doesn’t exist or is geographically scattered. the two most popular amenities among America. A hub approach opens the door to making younger home buyers. The older the buy- other community resources more acces- ers, however, the more likely they are to “We are honored by this opportunity to sible. For example, it can provide area phy- prefer a community offering an outdoor carry out Margaret A. Cargill’s philan- sicians with a partner in physical therapy, maintenance service. It’s also interesting thropic vision, especially as it relates to and facilitate the monitoring of patient to see that many of the Baby Boomers transforming aging services and serving care by better coordinating health infor- and seniors who buy homes prefer to live unmet needs,” said Kathryn Roberts, mation. In addition, transportation issues in suburbs and rural areas, rather than in president and CEO of Ecumen. “Our goal are simplified by a single destination. central cities.” is to help keep people healthier and out of the nursing home and hospital. This For more information, visit www.changing The median desired home size is 2,226 initiative will take a whole-person ap- agingblog.org/posts/view/1503-ecumen- sq. ft. However, a closer look at the data proach and create a community hub that receives-3-million-margaret-a-cargill- shows that age plays an important role in helps integrate technology, socialization, foundation-grant. a buyer’s preferences, with the amount fitness, nutrition and healthcare.” Roberts of space dropping as the age of the buyer added, “Society has long looked at aging goes up. Among those younger than 35, as a challenge. We believe growing older the desired home size is 2,494 sq. ft., represents one of our country’s great in- compared to 2,065 sq. ft. among those 65 novation opportunities.” and older. Design work for the new center has be- Other features that home buyers most gun at the Ecumen Detroit Lakes campus, desire include energy efficiency, and stor- which includes a mix of housing and age and organization (e.g., laundry room, services for older adults. Construction linen closet, garage storage and walk- should be finished in 2014. The facility in pantry). will include: Neighborhood walkability, an indicator of an ‘aging in place’ community, includes a “What Home Buyers Really Want” is • a telehealth (health-related services mix of housing and shops plus well-designed available for purchase as an e-Book at and information via telecommunica- streets and sidewalks. Image courtesy of ebooks.builderbooks.com. tions) center for physicians, nurses and www.pedbikeimages.org / Dan Burden other healthcare professionals to con- Ecumen receives Margaret A. duct patient consultations Indicators for sustainable Cargill Foundation grant • private rehabilitation suites for short- aging-in-place communities Ecumen, a nonprofit that provides se- term stays, so area residents can reha- What makes a community livable for an nior housing and services in Minnesota bilitate after illness or surgery and then aging population? The MetLife Mature and throughout the United States, has return home Market Institute and the Stanford Center received the Margaret A. Cargill Founda- • a warm-water pool for exercise classes on Longevity collaborated on a study that tion award to Create a Model for Improv- and physical therapy found communities can follow a relatively ing Rural Senior Living, a grant worth • state-of-the art occupational, speech simple set of markers to determine if US$3 million. and physical therapy areas their services meet the needs of an aging • a fitness center that can accommodate population that prefers to age in place. The money, according to “Changing all strength levels Aging” blog writer Andrea Marboe, will • a labyrinth area for meditation, prayer be used to transform the nursing center and reflection Continued on page 12

10 The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc Caring for someone who has trouble hearing on the phone?

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AD_ICAA_8.125x10.75_TA16863_v04.indd 1 5/3/13 5:06 PM Development NEWS Continued from page 10

According to the study, “Livable Commu- are finding business opportunities and Other expected benefits: nity Indicators for Sustainable Aging in value in green building, including the Place,” the best communities for people opportunity for new environmentally re- • 76% of survey respondents report that transitioning into older age offer: sponsible products, according to McGraw green building lowers operating costs Hill Construction’s latest SmartMarket • 38% to higher building values, • housing options that are accessible and Report, “World Green Building Trends— 38% to quality assurance, and 36% go affordable, and include assisted living Business Benefits Driving New and green as protection against likely fu- communities as well as flexible hous- Retrofit Market Opportunities in Over ture demands ing arrangements 60 Countries.” The report, developed in • mass transit and transport systems for partnership with United Technologies For more key findings from the “World older adults, neighborhood walkabil- Corp. (UTC), is based on a study of glob- Green Building Trends” SmartMar- ity, pedestrian safety, adequate sign- al green building trends and the green ket Report, see http://analyticsstore. age and lighting, nearby parks and building marketplace. construction.com/index.php/world- recreation green-building-trends-smartmarket- • safe neighborhoods (low crime rates), According to the study, more and more report-2013.html. emergency preparedness firms are shifting toward green building, • adequate numbers of doctors and hos- with 51% of respondents planning more Single-family homes remain pitals, plus preventive programs than 60% of their work to be green by popular among Boomers • support services, such as home health- 2015. This is a significant increase from Demand for suburban detached homes care and adult day care the 28% that predicted the same for 2013. remains strong among Baby Boomers in • nearby stores, restaurants and farmers’ Canada, according to the findings of a markets This growth is not a trend localized to one poll taken by Leger Marketing. The sur- • museums, libraries, community centers country or region. From 2012 to 2015, vey found that, of the Boomers (born be- and social organizations the number of firms anticipating that in tween 1947 and 1966) who plan to move excess of 60% of their work will be green to another primary residence, almost For additional information, go to will more than triple in South Africa and half (43.5%) intend to purchase another www.metlife.com/assets/cao/mmi/ more than double in Germany, Norway primary residence that is as large or larger publications/studies/2013/mmi-livable- and Brazil. It will also grow between 33 than their current property. Only slightly communities-study.pdf. and 68% in the United States, Singapore, more than half who planned to move de- the United Kingdom, the United Arab sired to downsize. Emirates and Australia. “Baby Boomers are the wealthiest genera- What is behind this movement? John tion in Canadian history,” said Phil Soper, Mandyck, chief sustainability officer CEO of Royal LePage Real Estate. “They of UTC Climate, Controls & Security, live in large homes with ample space for said, “By promoting greater efficiencies their many possessions. They love their for energy and water, green buildings garages and their yards. This study clearly lower building costs while conserving the indicates that contrary to popular belief, Earth’s precious resources. This power- most Boomers do not intend to downsize ful combination of built-in payback with anytime soon.” environmental stewardship creates a new value proposition that is accelerating Male Boomers who are planning to move Green building is accelerating around green building in all regions of the globe.” show more interest in upsizing their resi- the world, according to a recent global dence than women, with 23% of men re- study. Image courtesy of McGraw Hill The key driver of the trend, according to porting that they plan to move to a larger Construction the survey, is that green building is now residence compared to 12.1% of women. a business imperative around the world. Boomers looking to purchase a condo- Market demand drives green Although in 2008 the top incentive for minium prefer fewer amenities and low building growth green building was “doing the right maintenance fees (54.5%) over properties Green building has gone global. As sus- thing,” in 2012, business drivers such as that have many amenities (39.1%). tainability and energy-efficiency initia- client and market demand are the key tives take hold around the world, firms factors influencing the market. Continued on page 14

12 The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc ™

The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc 13 Development NEWS Continued from page 12

Seventy-eight percent of Boomers cur- For designers and builders of older-adult tionally less resilient in coping with the rently own their own homes. Contribut- communities and centers, nearly three- effects of environmental change than ing to their desire to continue to invest dozen key industry manufacturers and others. The insecurity and heightened in large, suburban homes is the reality suppliers are identified and profiled in the exposure to environmental threats are of housing children well into adult- report, “Materials in Green Buildings.” compounded for some older people by hood. According to the survey, more their reduced capacity for coping inde- than one-fourth of Generation Y (born Refer to www.navigantresearch.com/ pendently in later life. between 1980 and 1994) lives rent free newsroom/green-building-materials- because of arrangements with family or will-reach-254-billion-in-annual-market- This study reviews key issues relevant to friends. value-by-2020. global aging and environmental change. It examines older people not only in “The adult children of Baby Boomers The changing environment terms of their vulnerability to environ- aren’t going anywhere fast,” said Soper. affects older people mental threats, but as contributors to - “Good jobs have proven more difficult worldwide vironmental sustainability. It highlights for them to find, they’re extending their By 2050 there will be an unprecedented three areas for taking action: studies, and they’re living at home. It is increase in the number of people ages no wonder the concept of swapping a 55-plus, who then will represent nearly • Reduce the environmental footprint family-sized home for a small retreat has a quarter of the global population. The of the aging population by promoting lost its luster.” interaction between an aging population greener attitudes, behaviors and life- and the environment poses significant style choices. Among Boomers who do plan to down- challenges and opportunities for public • Protect older people from environ- size when they purchase their next resi- policy. However, policymakers at the mental change by adopting policies dence, the most popular reasons for do- international level have given little atten- that reduce their vulnerability to such ing so are to reduce maintenance (73.7%), tion to the effects global environmental changes. In developing countries, lack and free up money for retirement (48.1%) change will have on this demographic of basics such as clean water and sani- and for travel (30.9%). group. tation, healthcare and social care com- bined with poverty and malnutrition Green building materials may A new report from an international con- make older adults more vulnerable to top $250 billion per year sortium led by the Stockholm Environ- environmental threats. by 2020 ment Institute (SEI) at the University • Mobilize and encourage older people The demand for green buildings and of York and Simon Fraser University’s to participate in environmental the materials that go into them has not Gerontology Research Centre, and volunteering. been dampened by the global recession. including the Community Service Vol- In fact, future market growth for green unteers’ Retired and Senior Volunteer The report underlines the need for more building is a certainty. According to a Program (RSVP), highlights the need to evidence-based research as a foundation new Navigant Research report for build- raise awareness of the effects of a chang- for a better understanding of the unique ing owners, developers, designers, engi- ing environment on older people across geographical and socioeconomic factors neers and others, the worldwide market the world. affecting the interaction between older for green construction materials will people and environmental change. It increase from US$116 billion in 2013 to SEI’s Gary Haq, PhD, said, “Our study calls for policies to be “age proofed,” so more than US$254 billion in 2020. shows that older people are particularly they support older people throughout vulnerable to environmental change—but their lives as well as harnessing the con- Green building will be driven by a com- awareness among policymakers and older tribution they can make to addressing bination of policies and regulations that people is lagging behind. There is an ur- environmental threats and reducing their prioritize energy efficiency and green gent need for policymakers to better un- vulnerability. design. It will also be affected by the derstand the interaction between global expansion of voluntary certification aging and the environment to prevent For more information, see www.sei-inter programs for green buildings, cost re- and minimize disproportionate negative national.org/-news-archive/2557. ductions for green materials, consumer impacts on older people.” demand, and growing evidence that Compiled by Vicki Baker green buildings have measurable market Older adults are a diverse group, and advantages. some are physically, financially and emo-

14 The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc Q: Why does your organization currently invest in a wellness ICAA program and facilities, or plan to do so in the future? Please check all that apply. N=492 development To increase the life satisfaction of older adults 93% To attract new customers/residents 83% research It’s the right thing to do 72% Because current customers/residents demand it 61% In its role as the professional associa- To increase retention rate 55% tion that leads and defines the active- aging industry, the International Council on Active Aging® regularly surveys its membership, along with its Q: In the next 12 months, is your organization planning major wider network of organizations that capital projects? (Capital projects are very large, such as new serve older adults, to uncover indus- buildings, major renovations or major equipment purchases, try directions. The ICAA Wellness and often require special financing.) N = 390 Industry Development Survey 2012, Yes Maybe the association’s most recent research into development trends, was con- Total, all respondents 53% 14% ducted in May and June of 2012. The CCRC or lifecare retirement community 45% 28% 554 respondents included wellness Independent and assisted living community 24% 19% directors, senior managers and staff Active adult retirement community (55+ lifestyle working in retirement communities, 8% 8% community) seniors and community centers, fit- ness and wellness centers, and parks Seniors center, community center for older adults 6% 15% and recreation. Among these organi- Assisted living community 5% 4% zations, 51% were not-for-profit, 36% Community parks and recreation location 4% 4% were for-profit and 13% represented a government agency. Q: When planning new construction or remodeling, how The tables on this page highlight re- important is it that a building, equipment or process reflect sponses to a trio of questions posed in “green” or sustainable building practices? N=382 the 2012 survey. A 54-page report is Very important 49% available from ICAA containing data on organizations with and without Somewhat important 47% wellness programs; investment and Not important 4% outcomes measures; and facility and equipment availability, both current and planned. For more information, contact ICAA at [email protected] or 866-335-9777.

The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc 15 NEWS from ICAA Preferred Business Partners

Participants are in high spirits from their pole-walking workout, provided through SilverSneakers FLEX

Healthways debuts option create successful aging environments, and assistive technologies that enable with more flexible locations announced a strategic alliance with equal access and opportunity for all Healthways’ newly launched fitness Sodexo Senior Living. By prioritizing people, regardless of ability. ICARE, enhancement, SilverSneakers FLEX, is the potential of older adults and pro- the Intelligently Controlled Assistive designed to promote exercise at venues viding the resources to promote health Rehabilitation Elliptical, is a motorized outside the fitness center. Company re- and wellness, the partners aim to help elliptical trainer designed to help physi- search revealed that beyond the health clients create destinations for successful cally challenged individuals and those benefits of exercise alone, 80% of older aging. “Sodexo’s strong presence in the with chronic conditions regain or retain adults seek the “right company” or sense senior living market and commitment their walking ability and physical fitness of community when exercising. Silver- to healthy aging will provide Master- levels. It was developed in cooperation Sneakers FLEX was created to provide piece Living with a significantly larger with Dr. Judy Burnfield with Madonna members with more location options platform to positively influence the ag- Rehabilitation Hospital’s Institute for (e.g., parks, churches and seniors cen- ing experience in the [United States],” Rehabilitation Science and Engineering. ters) and fitness content to meet those explains Dr. Roger Landry, president of Visit www.sportsartamerica.com for needs. Activities are led by certified Masterpiece Living. For further informa- information. fitness instructors who establish their tion about Masterpiece Living services, own classes, such as Zumba, tai chi or view www.mymasterpieceliving.com. THORLO redesigns website outdoor walking groups. For details to further mission about SilverSneakers FLEX, see http:// SportsArt elliptical wins THORLO’s website recently underwent my.silversneakers.com. innovation award a complete makeover to reinforce the The ICARE by SportsArt Fitness re- brand’s foot-protection message and Masterpiece Living joins ceived a da Vinci Award for Innovation make it easier to navigate through the forces with Sodexo at the 2013 event ceremony in April. site’s resources, including new videos. In Recently, Masterpiece Living, LLC, The annual International da Vinci which partners with communities to Awards recognize innovative adaptive Continued on page 18

16 The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc Become an ICAA Preferred Business Partner

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ICAA-PBP full page ad.indd 1 13-06-11 5:22 PM NEWS from ICAA Preferred Business Partners Continued from page 16

addition, customers can now use the en- resistance jet technology; underwater Aegis’s wellness program hanced product finder to locate the right cameras and monitoring system; and improves resident satisfaction foot-protection product fast, plus enjoy a fully integrated 8’ x 12’ underwater EnerG by Aegis Therapies helps inde- a safe, rapid checkout. The website also treadmill. To learn more about the pendent living and assisted living resi- features a short preview of a one-hour HydroWorx 2000 Series pool, visit dents experience an enhanced quality of documentary about THORLO. States www.hydroworx.com. life and greater satisfaction, according founder and CEO Jim Throneburg, “We to recently released 2012 data. This data are excited about these new endeavors, NIFS webinars address how shows that 95% of residents surveyed which will propel us forward in our to build client vitality indicated that they were “satisfied” or mission to be ‘caretakers of the world’s The National Institute for Fitness and “very satisfied” with the quality of life at feet.’” Check out THORLO’s new web- Sport (NIFS), which manages fitness and their community. Additionally, 90% said site at www.thorlo.com. wellness programs, is offering a series of that participation in their wellness pro- four educational webinars focused on gram increased their satisfaction with building vitality for active-aging clien- the overall community. EnerG by Aegis tele. These 30-minute webinars address continually strives to improve service specific topics related to resident well- offerings, and success in this improve- being and provide viewers with clear ment is demonstrated by a 7% average action steps for reviewing what they’re increase in satisfaction scores compared offering to uncover potential areas for to 2011. See www.aegistherapies.com for improvement. Sessions include: program information.

• “Build a Better Wellness Brand” ActiveRx unveils its • “Build a Better Fitness Center” Strengtherapy Wellness • “Build a Better Wellness Staff ” System • “Build a Better Wellness Program” Recognizing that strength is the key component in maintaining an active and To find out more or to register for these independent lifestyle, ActiveRx recently webinars, go to http://wellness.nifs.org/ introduced its Strengtherapy System, seniorlivingbuildvitality. an ongoing wellness membership that enables older adults to “Choose How Keiser introduces assisted- They Age.” Strengtherapy is a proven, living Accountable Care evidence-based system that enhances solution strength, function, balance and quality With the HydroWorx 2000 Series therapy Keiser has responded to the challenges of life. It is available at ActiveRx Active pool, the whole pool floor is a variable- and opportunities posed by healthcare Aging Centers in , California, speed treadmill reform by creating “Growing Stronger: , Texas, Michigan and Illinois. the power to live your life,” an Account- Notes Matt Essex, Active Rx founder New rehab center features able Care business solution for assisted and CEO, “Strengtherapy facilitates HydroWorx pool living providers. Developed by indus- the kind of long-term and meaningful HydroWorx has recently announced that try experts Khristine Rogers and Kay lifestyle changes that can have a positive Genesis HealthCare installed a Hydro- Van Norman, Growing Stronger deliv- impact on the independence and au- Worx 2000 Series therapy pool at Power- ers an evidence-based strength training tonomy of older adults.” Learn more at Back Rehabilitation, its recently opened intervention complete with outcomes, www.activerx.com. short-term rehabilitation center in Voor- programming, and strategic alliances to hees, New Jersey. Created by Genesis as help assisted living operators and REITs NuStep reboots website a mid-level solution aimed at Boomers demonstrate how they can reduce hospital The recently redesigned NuStep website who temporarily require skilled facilities readmissions and prevent and manage features a clean, fresh design; improved following an injury, PowerBack features costly health conditions such as func- navigation; and new features to enhance advanced therapeutic technologies, tional disability, chronic disease and the end-user’s experience. The goal of including the HydroWorx 2000. This falls. For further information about aquatic therapy pool includes a move- Growing Stronger, refer to http://keiser. able floor and variable depth options; com/education/accountable-care. Continued on page 20

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www.thorlo.com ©THOR•LO, Inc. The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc 19 NEWS from ICAA Preferred Business Partners Continued from page 18

the site is to provide key information on Interactive foot-pain tool based VIRTUAL programs can extend health and wellness to transform lives. boosts IPFH website traffic group-fitness scheduling into off-peak In addition to the new look and feel, the A free, interactive foot-pain self-assess- hours. Programs include, among others, site features new content addressed to ment tool, included in the relaunch of LES MILLS BODYFLOW, a yoga fusion professionals in a variety of settings in- the Institute for Preventive Foot Health’s workout designed to build flexibility, cluding cardiac rehab, senior living, and website in April 2012, has increased functional strength and well-being. To physical therapy, to name a few. Because traffic to the site more than tenfold, learn more about Les Mills, visit www. NuStep also has a large market of home according to site analytics. “Visits have lesmills.com. users, content also includes topics such soared from an average of 75 to more as active living and joint care. To view than 1,600 daily,” says IPFH president the new website, go to www.nustep.com. Lynn Thorneberg. “We are pleased to be raising awareness about foot health, and helping people learn more through this tool and all of our new content, includ- ing the effects on the feet of diabetes and other disorders.” To find out more information, go to www.ipfh.org.

Med-Fit debuts Nautilus Truss System Med‐Fit Systems, manufacturer of Nautilus commercial products, has COLLAGE’s approach involves senior launched a new line of suspension train- coaching to support older clients in devel- ing systems. The patent‐pending oping an individualized Vitality Plan Nautilus Truss System was designed to COLLAGE aligns coaching, At its upcoming MBF Conferences, YogaFit be fully customizable, used either sepa- individualized plans and will offer senior training among its yoga rately or in conjunction with Nautilus assessments teacher trainings functional pulley stations. This product provides a heavy duty, stable truss for The face of COLLAGE is changing in Conferences feature YogaFit any type of suspension training, while 2013. The primary will be on teacher trainings allowing for Nautilus’s patented EVO the senior coaching conversation and development of a person-directed Vital- YogaFit Training Systems Worldwide pulley stations to be attached at one or ity Plan. With the coach’s support, the will hold Mind Body Fitness (MBF) both ends. The compact and customiz- individual develops a plan designed to Conferences from September 12 to 15 in able system can range from 5’ to 30’, in inspire and achieve a meaningful and ac- Palm Springs, California, and October as small as 1.5’ increments. The Truss tive life. It focuses on the older adult and 31 to November 3 in Atlanta, Georgia. System carries a 15-year frame warranty. his/her development of a life goal, sup- A yoga-fitness education school, Check out www.medfitsystems.com for porting goals and action steps. Informa- YogaFit has more than 500 teacher train- information. tion is gathered and entered into Web- ings and 10 MBF Conferences scheduled based software that uses evidence-based across North America in 2013. The Palm Les Mills reveals fitness assessment tools―the self-administered Springs and Atlanta conferences—open innovation at expo Lifestyle Survey and the Health and to instructors, teacher trainees and Group-exercise provider Les Mills Social Check-up. All are tracked and yoga enthusiasts—will feature numer- debuted a new offering at the IHRSA used to benchmark and measure healthy ous yoga teacher trainings, including 2013 trade show in Las Vegas, Nevada, aging outcomes. Refer to www.collage restorative therapeutics, healing physi- called LES MILLS VIRTUAL. Health aging.org for information. cal and emotional trauma, and seniors clubs and wellness centers can use this training. Participants can extend their service to have Les Mills’ top trainers knowledge and offer more classes for age deliver fitness classes to members at any 50-plus adults. Register online at www. time of the day. Combining technology yogafit.com/events/mind-body-fitness- and high-definition film with Les Mills’ conferences. programming and music, the video-

20 The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc

Return on investment

Why retirement communities invest in new wellness centers

For three retirement the lives of current residents but also communities, the strategy draw in new residents. to invest in building new centers for fitness and The idea of independent living for older wellness returned in adults has changed quite dramatically in resident satisfaction, higher recent years, according to Michael Grust, occupancy and marketing president and CEO of Senior Resource power Group in Solana Beach, California, a re- tirement community developer. Trends by Marion Webb have been moving away from the old institutional models, in which residents It’s no accident that retirement com- were treated more like patients, and to- munities are pouring hundreds of thou- ward resort-style communities that pro- sands—even millions—of dollars into mote active, healthy living. constructing or upgrading their well- ness facilities to incorporate the latest Today’s older adults are much more equipment, therapy pools, outdoor and discriminating than were their predeces- indoor classes and meditation gardens. sors when it comes to lifestyle options, That’s because many communities have and the age-qualified housing industry come to believe that well-designed fit- ness centers will not only help improve Continued on page 24

22 The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc An outdoor courtyard was a feature of the new fitness center at Friendship Village of Bloomington for outdoor and social space. Credit: Dana Wheelock. Image courtesy of Friendship Village of Bloomington Why retirement communities invest in new wellness centers Continued from page 22

in the local community, Parkshore car- ried out an aggressive marketing and advertising campaign, including hosting an open house, throughout the construc- tion process. The result: “We had 30 open independent living apartments at the beginning of 2012, and within nine months of opening the fitness facility, all apartments were full,” Collins said.

SilverCrest hasn’t let Parkshore’s success be an isolated one, as it now operates large fitness facilities at two more of its seven properties: Summit Place Senior Community in Eden Prairie, Minnesota, and Walnut Ridge in Clive, Iowa. Built in 2003, Summit Place was the first property constructed by SilverCrest. Its new 9,000-sq.-ft. wellness center in- cludes a multipurpose warm-water pool, Residents take advantage of the new fitness center at Rockwood South Hill. Image a special therapy pool, locker rooms courtesy of Rockwood Retirement Communities and an exercise area with weights, sta- tionary bikes and treadmills. Walnut knows it must heed their calls for new Attracting the next Ridge offers similar facilities plus a large models of living. generation aerobics room in its new 11,000-sq.-ft. Communities no longer see promoting wellness center. Another SilverCrest “These are the healthiest and fittest physical activity and having state-of- property currently under construction seniors in history, and they reject tra- the-art fitness facilities as steps taken in Maple Grove, Minnesota, will house ditional definitions of retirement,” says merely to satisfy health-conscious resi- a 9,000-sq.-ft. wellness center, which is Grust. “This trend is certain to continue dents. These facilities are key marketing expected to cost $2 million to build. in the years ahead, as the fiercely inde- tools for attracting younger residents pendent Baby Boomers reach retirement into independent living communities. Collins said SilverCrest strives to give age.” residents the fitness amenities and ac- Jack Collins, vice president of marketing tivities they want—from therapy pools Parkshore Senior Living in Saint Louis and development at SilverCrest Proper- to outdoor activities and massage and Park, Minnesota; Rockwood Retirement ties, LLC, said his company had this rehabilitation services. The resort-style Communities in Spokane, Washington; strategy in mind in early 2012 when it offerings have helped SilverCrest attract and Friendship Village in Bloomington, decided to invest US$1 million to con- the 70-to-80-year-old demographic the Minnesota, are three of the many retire- struct a new 8,000-sq.-ft. fitness facility company had targeted, enticing them to ment communities that have recently at Parkshore Senior Living in Saint Louis move out of their homes and into Silver- chosen to construct or upgrade fitness Park, Minnesota. “We were struggling Crest’s independent living communities. and wellness centers. Managers of these with occupancy in our independent liv- three properties have agreed to share ing community and knew that a new “I think it’s a big part of why people de- their insights into why their communi- fitness facility would give us the added cided to move and downsize from their ties chose to make the investment, how value we needed,” Collins said. homes to everything they want and need to ensure the investment is worthwhile, at one site,” Collins said. and even provide some tips about how The new facility includes a multipur- their communities raised the necessary pose warm-water pool, an exercise area Brenda Jurich, wellness director at Rock- funds or found creative ways to recoup with multiple fitness stations, men’s and wood Retirement Communities in Spo- their investment and maintain the women’s locker rooms and showers. To kane, Washington, also thinks upgraded facilities. spread the word about the new center Continued on page 26

24 The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc Discover your community

Active Aging Week September 22–28, 2013

ICAA’s Active Aging Week® invites older adults and the organizations that serve them to discover their communities in the last full week of September. Whether as an individual or organization, you can get involved in this health promotion event. Choose how you define “community”—places, people, or both—and offer activities and events on this theme to enrich people’s experiences.

Promote and publicize your involvement to raise awareness of active aging, a philosophy that celebrates older adults as full participants in society. And be sure to share three key messages with the older adults you reach: stay active, stay healthy, stay engaged.

Join us! Make a difference.

To become an Active Aging Week host site, and to download free campaign support materials, visit www. icaa.cc/aaw.htm

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Sponsors

ICAA-AAW ad (2013).indd 1 13-06-11 5:04 PM Why retirement communities invest in new wellness centers Continued from page 24

The fitness and social space for the Friendship Village of Bloomington fitness center is positioned above an underground garage to compensate for the loss of a parking lot. Image courtesy of Friendship Village of Bloomington fitness areas can be a big draw. Knowing South Hill in Spokane, said spending warm colors in the entry ways, and bright that Rockwood residents were tired of US$95,000 on fitness equipment and and vibrant colors in the fitness areas— old fitness equipment and insufficient another $120,000 on renovations that created a welcoming atmosphere it lacked space, Jurich persuaded Rockwood to include furnishings, flooring and light- before. “We rebranded the whole area build a new 2,500-sq.-ft. fitness facility. ing was a worthwhile investment for the Rich Plaza,” Gorton said. “It wasn’t an future. “It (the facility) shows well on attractive area before, but now it is.” “The fitness program was about 11 years tours and impresses people with the level strong, and we had two little exercise of quality equipment, and the quality Rockwood chose to invest in renovating areas that served a large community,” of our fitness programs—and together the fitness space even though a newer Jurich said. Even working with such with our wellness director—really helps facility will be coming soon. The com- restrictions, she had successfully grown to draw new residents,” Gorton said. munity plans to invest $56 million to the fitness program to a point that 70% construct a new tower with 65 addition- of residents were participating. But, she He added, “I’m really new to this indus- al assisted-living apartments and a new said, “The new Baby Boomers who were try, but wellness and fitness seems to be fitness facility. But during the construc- moving in weren’t happy with the equip- a huge part of the camaraderie of resi- tion, current residents get to enjoy the ment.” And she realized that dissatisfac- dents. We are very proud of it for mar- new fitness equipment and learn how to tion could lead fewer people to even keting purposes, and the whole campus use it. And Rockwood believes that the consider moving in to Rockwood. feels good about it.” revitalized fitness center will help it fill that new tower. Andrew Gorton, executive direc- Gorton said the fitness facility’s make- tor of resident services at Rockwood over—which includes wood-like flooring, Continued on page 28

26 The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc measure

what you manage

Use the ICAA/ProMatura Wellness Benchmarks to measure your wellness program’s ROI. To plan for tomorrow, the national benchmarks will define the industry, and how your community can attain competitive positioning.

It took over three years to develop the ICAA/ProMatura Wellness Benchmarks. Right now, retirement communities can join this industrywide effort to move wellness outcomes from isolated or anecdotal reports to solid numbers.

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ICAA-Benchmark ad-2.indd 1 12-11-19 3:13 PM Why retirement communities invest in new wellness centers Continued from page 26

Collins said SilverCrest puts a high - phasis on wellness and fitness for good reason. “It will keep people healthier, improve their quality of life and helps with retention.”

According to Collins, Meyer and Gorton, to fully capitalize on invest- ment into fitness centers and maximize their benefits to current residents, com- munities have to understand their resi- dents’ special needs and desires and the latest research on active aging. In other words, communities need to invest in facilities and equipment that will entice their residents to get involved in physi- cal activities that will provide the most benefits.

All three men agreed that the key to en- ticing residents to use the centers lies in providing a variety of programming and To insure use of the fitness center, a lounge area, meeting room, card area and snack bar equipment—from group fitness classes are next to the gym, exercise room and pool at Friendship Village of Bloomington. Image and various pool activities that can help courtesy of Friendship Village of Bloomington foster socialization, to user-friendly strength-training machines. As at Rockwood, it was a wellness direc- center also includes a therapy suite for tor who laid the groundwork for a new massage and aromatherapy; a café; a Collins said SilverCrest has opted for fitness facility at Friendship Village of resource suite for health and fitness in- a line of strength-training equipment Bloomington in Bloomington, Minne- formation; and an enclosed courtyard that’s specifically designed for the needs sota. “The community was built in 1979, with a fireplace to host outdoor classes of aging adults; it is very user-friendly, so it was getting older,” Karen Lloyd, and foster social gatherings. nonintimidating and comes with pre- director of wellness programs, said of programmed settings. Residents can the fitness area. “[Management] started Rick Meyer, executive director at work with a fitness director to develop looking at trends and new continuing Friendship Village, said the facility— an individualized program using the care retirement communities and re- which the company invested US$7.2 machines. alized they were getting behind.” million to construct—has been a huge marketing success. “Families are sold on Gorton said Rockwood’s wellness di- Though the new fitness center was part it, more residents use it, and we won the rector also favors a line of equipment of a 2001 plan, it would take another 10 citation award from the Environments designed for older adults. “We knew the years before Friendship Village enjoyed for Aging,” he said, speaking of the 2012 product would work well with our resi- the reality: an 18,000-sq.-ft. facility with Environments for Aging’s annual design dents, because it’s specifically made for all the basics and a lot more. The new competition. people who need accommodations,” he center features an exercise studio with said. “They are smooth-action and high- adjustable lighting to allow residents a Strengthening the current quality and very safe to use.” place for activities ranging from peace- generation ful meditation to high-energy workouts; While state-of-the-art fitness centers can In addition to the machines, group exer- a cardio and strength-training area; and help communities attract new residents, cise classes and activities are big draws. a separate area where they can consult they can also help current residents stay Rockwood residents can participate in with a personal trainer. Recreational healthier and more independent, mean- everything from seated classes to yoga activities include an indoor golf simula- ing they can remain in the community and stability ball classes. At Friendship tor and a nine-hole putting green. The longer. Village, residents can enjoy a wide range

28 The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc of fun recreational activities from golf- while the new wellness centers at Sum- instructor-guided therapy and rehabili- ing to water activities in a saltwater mit Place and Walnut Ridge include tation to both residents and the outside pool to playing Nintendo Wii games both warm-water pools and therapy medical community. indoors. pools. Key components of a Big draws at Friendship Village and in The multipurpose warm-water pools al- successful program some SilverCrest communities include low residents to swim laps or participate Building a state-of-the-art facility cer- the pools, which are very popular with in water aerobics classes. “The multi- tainly gets people’s attention, but the key residents. “Some people were resistant to purpose pool stays at 90°,” Collins said. to making any wellness program success- the pool (at first),” said Meyer of Friend- “It’s our most popular feature, because ful is getting it right from the start, the ship Village, which has a saltwater and people can go there at any time and managers said. Their key components therapy pool. But he’s discovered a sim- swim laps or walk in the pool or take for success include hiring the right staff, ple truth to making any aquatic program therapy classes, water aerobics and tai utilizing a consultant, doing careful successful: “When you have a dynamic chi classes.” research, exercising due diligence, and instructor, people will come.” getting support and leadership from The therapy pools can include an inte- residents. Collins said SilverCrest made a strategic grated treadmill on a platform that can decision 10 years ago to incorporate be lowered to depths between two and Residents are more likely to support the warm-water pools and special therapy six feet. Collins said he believes that the idea of a new or upgraded fitness facil- pools into new or upgraded wellness US$240,000 therapy-pool price tag has ity if they understand how it will benefit centers wherever possible. Parkshore’s been has been a worthwhile investment new facility offers the warm-water pool, because it offers a place for personal and Continued on page 30

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The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc 29 Why retirement communities invest in new wellness centers Continued from page 29

Providing the right equipment and add- marketing tool to get people from the ing the right facilities is also an impor- outside to come to us for therapy and to tant part of maximizing an investment get exposure,” Collins said. into a fitness center. Rockwood financed its new fitness fa- Utilizing creative financing cility mostly through the Rockwood avenues Residents’ Foundation, a nonprofit or- In the down economy, some retirement ganization designed to fund amenities communities opted to put their con- and help residents whose resources are struction plans on hold, but recently, the depleted through no fault of their own. more favorable financing environment “The foundation paid for the equipment has allowed some to flex their budgetary ($95,000), and we also had a massive muscles. storage cleanup to hold a garage sale,” Gorton said. Residents get to use the Collins said Parkshore, a 285-apartment equipment for free, and there hasn’t community, raised the roughly US$1.5- been an increase in monthly service fees. million funds needed to build the fit- Employees pay $24 a month to use the ness center through private investments facility and pool. and existing owners. “There wasn’t an increase in their rent just because of the Gorton expects the $56 million required The pool at Walnut Ridge Senior fitness center,” Collins explained when to fund the new independent living Community is sized to allow lap asked whether the construction costs community, which will include a fitness swimming as well as group activities. were offset by higher monthly rates for area, will be raised through bond financ- Image courtesy of SilverCrest Properties, residents. He declined to give more de- ing. Rockwood is among the retirement LLC tails on the financing but said Parkshore communities that have decided to take offsets some costs by selling $50 month- advantage of the current financing envi- them. All the managers agreed that hir- ly fitness memberships to people 55 and ronment, which should help it complete ing a highly qualified fitness director is older who live outside the community. the new tower by 2015. “When we start- one of the most important steps a com- ed this project, we thought it would be munity can take to get residents inter- As for other SilverCrest properties, further down the road, but with the new ested in fitness—and ready to support a Collins said that the $2.5-million fitness favorable financing environment, we new facility. facility at Summit Place in Eden Prairie decided to get it started,” Gorton said. was part of the community’s overall Meyer said hiring a fitness professional budget and that the project was funded At Friendship Village, residents em- who taught residents about the founda- through private equity holders and gov- barked on a capital campaign to raise tion of fitness and how functional fitness ernment financing. The fitness facility at US$2.5 million of the total $7.2 million could help them stay independent lon- Walnut Ridge (in Clive, Iowa) was also that it cost to build the project—a way ger really helped in getting Friendship part of its overall construction budget. of keeping down their ongoing costs. Village residents excited about the new “They chose to raise that money rather fitness facility. That community buy-in SilverCrest has also entered into part- than us charging them for the extra cost was needed to make the investment in nership agreements with local medical in the monthly service fees,” Meyer said. the new fitness center and program a groups to provide therapeutic and re- success. habilitation services for patients at the To help residents, Friendship Village Summit Place and Walnut Ridge pool hired a fundraising expert to guide them He credits fitness director Mia Bremer facilities, contracting with Park Nicolett through the process. It took them about for helping to get that buy-in. “We gave Health Services, a big medical provider two years to raise the $2.5 million, but residents what they wanted, and when in Minneapolis, to use the facilities at Meyer said doing the work up front will we both saw the same advantages in bet- Summit Place. At Walnut Ridge, the save residents money and stress in the ter health and fitness, residents started company contracted with health pro- long run. “We wanted our residents to coming,” Meyer said. “She (Bremer) vider Mercy Therapy, whose therapists stay independent and healthy and not grew the program and made it an experi- also occupy an office at the facility. “It stress them by pushing fees too high,” he ence for them.” helps pay for the facility and is a good said. “Every year we look at the budget,

30 The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc so increases in labor, food and supplies to attract existing and new residents,” Resources are calculated to what raises residents’ Collins said. rates—for the last three years, the an- Friendship Village of Bloomington nual rate increase has been below 3%.” Assessing the outcomes www.friendshipvillagemn.com When asked to analyze the success of Friendship Village also markets fitness the new or renovated fitness facilities, Parkshore Senior Community center memberships to their waiting list all three managers said the projects have www.parkshoreseniorcampus.com for $50 a month per person. To manage definitely met the objectives of their ongoing costs and identify and analyze communities and even exceeded expec- Rockwood Retirement operating costs, the facility has isolated tations in some cases. Communities meters for measuring electric, gas and http://rockwoodretirement.org water. “We found out what this building For Meyer, Friendship Village’s new costs just to manage it,” Meyer said. “To state-of-the-art building has gone be- Summit Place Senior Community www.summitplaceseniorcampus.com pay for the costs of chemical supplies, yond expectations in several ways, in- increased labor and all utilities is about cluding the quality of architecture and Walnut Ridge Senior Community $100,000 a year.” the ways it can be used for multiple pur- www.walnutridgeatclive.com/node/22 poses. He is pleased to see that partici- Tackling the challenges pation rates have grown since the new All three managers said they had to fitness center opened and believes it has overcome challenges in order to com- been invaluable in terms of marketing to independence, said Collins. He added plete the construction projects at their the community. that the investment pays off in attracting communities. more Boomers. “It’s a crown jewel on the campus,” At Friendship Village, the greatest chal- Meyer said. “It’s essential to attract the “It provides a better quality of life for lenge was available space. Meyer said the vital, purpose-driven seniors we desire people, if they exercise,” Collins said. fitness facility had to be built strategi- for our community. They are active and “They will be healthier, live longer, and cally between two existing independent- engaged at any age—whether they are there is a high likelihood it can reduce living wings. When residents in one of 75 or 85. It’s the person who wants to their pain by getting therapy and the the adjacent buildings expressed concern continue to grow and learn and stay so- exercise in the warm-water pools,” he about the proximity of the new structure, cial and physically active.” added. the architect carefully designed the roof- top of the fitness center so it would not Gorton said Rockwood’s goals were All three agree with the senior commu- overshadow the apartments and created to improve the fitness area and allow nity planners who say that constructing a courtyard visible from the facing units. people to enjoy new fitness equipment or renovating a fitness facility is one of Today, the happy residents in the adja- now rather than making them wait until the best investments retirement com- cent buildings continue to enjoy sunlight a new fitness facility is completed. “We munities can make. And experiences and look out on green space. called it a bridge to the summit,” Gorton at Rockwood, Friendship Village, and said. SilverCrest communities demonstrate At Rockwood, one hurdle was to get res- how state-of-the-art facilities can play a idents, especially newcomers, comfort- He expects that the newer facility now large role in maintaining the health and able with the new equipment. Gorton in the works will go even further in well-being of existing residents while said the machines can be intimidating meeting the demands of the growing also attracting the younger, more health- initially, but he praised the fitness direc- number of residents who want to live at conscious residents of the future. tor for creating a well-designed orienta- Rockwood while offering current resi- tion program to put people at ease. “The dents more fitness opportunities. “The Marion Webb is an award-winning busi- orientation took a lot of time and effort habit is already in place,” he said. “We ness journalist with more than 15 years of to make people comfortable,” Gorton are just enhancing the facility our resi- experience covering a wide range of topics said. “You have to be open to answering dents are using.” for print and online publications, includ- a lot of questions.” ing the San Diego Business Journal, SilverCrest believes fitness facilities at Physiciansnewsnetwork.com, Club SilverCrest’s Collins said his company its communities help differentiate them Business International magazine and carefully evaluates whether a com- from their competitors, which helps the Bloomberg News. She is also an ACE- munity is big enough to support a new properties maintain a high level of oc- certified personal trainer, a group fitness fitness center, believing a minimum of cupancy. Not only will the investment instructor and an All-American triathlete. 180 apartments are needed for the proj- pay off in increased occupancy rates, but She combines her passion for fitness and ect to be feasible. “You have to have the increased fitness levels can help keep health as a freelance writer and editor right size community to support a fit- existing residents healthier longer, al- and also works as an independent fitness ness facility, and you need the right staff lowing them more years of functional trainer. Visit TrainWithMarion.com.

The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc 31 Development trends

Capitalizing on wellness market trends

In the ‘new normal’ for the increases for quality environments for post-recession senior living older adults. industry, renovations as well as larger projects can As senior living communities strive to position a community to provide enhanced products and services, provide expected amenities create exceptional experiences, and tran- that maintain residents’ scend market expectations, community active lifestyles leaders are acknowledging that the time to begin making capital improvements by Gene Guszkowski, AIA is now.

The economic downturn has hit the The question is—where construction and development industry to start? hard, and new construction projects Any new development that will be eco- in the senior living industry have suf- nomically feasible and also contribute to fered accordingly. However, with each its residents’ wellness must begin with passing day of this slow recovery, some a strategic plan. Many communities people become frailer and more forget- are currently reaching out to a variety ful, while others begin to proactively of professionals with expertise in de- search for ways they can maintain an velopment, financing, feasibility and active lifestyle even while preparing for marketing to assist them in reposition- the uncertainty of the future. In short, recession or no recession, the demand Continued on page 34

32 The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc The nontraditional rehabilitation setting at The Retreat, Immanuel Lutheran Communities, includes a ceiling-mounted lift for restorative care in a high-end, spacious environment. Credit: Gibeon Photography Capitalizing on wellness market trends Continued from page 32

Natural light and open space help make the new fitness and wellness center at East Ridge Retirement Village a welcoming environment. Credit: Miami In Focus, Inc. ing their facilities. Together they are current residents but also prove more balance between minimizing staff- creating strategic plans to help existing attractive to potential residents. To sur- ing hours and maximizing care given senior living communities reach the vi- vive and thrive in today’s business atmo- to residents. The growing market sion they aspire to achieve. To hit their sphere, providers must determine how to demand for resident-centered care target, some communities might need address the following challenges: exacerbates the issue, forcing a kind to take the “Big Gulp” and proceed with of decentralization of resources that a complete repositioning of their cam- • Delivering the promise. The core adds increased pressure on staffing pus, which may entail an expenditure of of the senior living industry is still efficiencies. US$30–$50 million. Others may be bet- the promise made to residents and • Creating resident-centric plans ter served to pursue “Bite Size” options their families that a community will that keep an eye toward future that incorporate various microstrategies provide the best care possible and generations. Quality of care and to improve their communities’ services enhance residents’ quality of life. strategies to enhance residents’ qual- and amenities. The need to deliver on that promise ity of life are clear differentiators that never dissipates, especially in a busi- distinguish communities from each In either case, providers have found ness where successful word of mouth other. If a community has 150–300 that in the “new normal” they need to means everything and consumers can residents, it will have 150–300 indi- strengthen core businesses while ex- pursue a growing number of choices. viduals with unique interests, needs or ploring ways to increase their revenue • Maximizing efficienciesand cus- care plans, which requires the facili- streams. Well-planned, well-designed tomer service. Communities that ties and amenities to support all communities can help providers meet offer assisted living or continuing care those residents. Yet these facili- those challenges by providing features are service-intensive businesses that ties and amenities must be flexible that not only enhance the well-being of require providers to strike a delicate enough so that future generations

34 The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc of users can adapt them to different spond to ever-increasing physical well- Is it time for a change? needs and expectations. ness expectations. • Maintaining a serious focus on wellness. One issue that keeps execu- Some communities have underutilized How will your community know tive directors up at night is “back space available on campus, which gives when it’s time for a change? Answer- door” attrition—falls and other mis- planners the opportunity to either re- haps that catapult otherwise healthy purpose the space or add much-needed ing these five important questions residents into a quick decline that features that will promote the wellness can help you decide. forces them to relocate to more of residents. One such community, East cost-intensive assisted living and Ridge Retirement Village in Cutler Bay, long-term care communities. The , transformed an underutilized 1. Is your community falling behind move toward designing and creating open-air pavilion into a state-of-the-art the competition? wellness-based centers is a proactive fitness and wellness center. 2. Does your community have a mas- strategy to help maintain the health of existing residents and create a The Big Gulp Strategy at East Ridge has ter plan for the future? “draw” for potential new residents. been slowed by the recession, so the pro- 3. Are you concerned about attrition vider searched for Bite-Sized microstrat- of your independent living popu- Determined leaders at forward-thinking egies to sustain resident enthusiasm for senior living communities have dem- upcoming improvements. Strong resident lation due to wellness concerns? onstrated their commitment to address demand for better wellness and fitness 4. Do you have a dedicated fitness these challenges by implementing strat- opportunities on campus led to the component on your campus? egies that best suit the needs of their innovative, adaptive reuse of a 4,100- residents, as well as the needs of their sq.-ft. building that originally enclosed 5. Are you updating your rehab com- larger communities. Designing and man- an 800-sq.-ft., “old-school” beauty ponent to position your organiza- aging facilities with an eye toward well- parlor. tion to serve your community? ness can help address all the challenges listed above by helping residents remain By renovating the entire structure, East healthier and live longer. In addition, Ridge was able to provide a wide vari- the look and feel of facilities designed ety of wellness and fitness amenities in greets you at the door, and a nearby to focus on wellness can differentiate a a beautiful new environment that has consultation room allows residents the community from its competition and set the tone for other improvements opportunity to create a fitness plan that provide unique marketing opportunities. the campus will undertake. The beauty meets their individual needs. When you parlor has been transformed into a salon step in the entryway, you can quickly Some of the providers described here with a contemporary décor and now fea- view the variety of activities that await have undertaken Big Gulp projects, tures massage and nail services. you: aerobic and strength-training ma- while others have instigated Bite Size chines, an aerobic dance studio, and a renovations. But all are managing to While it was a challenge to fit all of the Wii activity center that is the center- raise the bar in the area of wellness even project program requirements into the piece of this new amenity. while operating in today’s uncertain eco- existing footprint, the design team was nomic climate. able to accommodate the community’s The exterior of the structure has been needs by incorporating unused space un- transformed to introduce a new Key A Bite-Size repurpose/ der an existing overhang. Steel exterior West design theme, which is an impor- renovation roll-up doors were replaced with glass tant component of the more extensive, East Ridge Retirement French doors, providing visual access to campus-wide Big Gulp that the com- Village, Cutler Bay, Florida the outdoors from numerous viewing munity will soon undertake. Signature Nothing could be more pertinent to angles. This access to natural light adds details of this Key West theme include quality of life in a senior living environ- to the energy and vibrancy of the rede- floor-to-ceiling shuttered windows, col- ment than physical wellness. When signed space. onnades, picket fences, metal roofs and properly managed, it minimizes attri- pastel colors that will give the 50-year- tion, creates healthier residents and The fully enclosed space now provides old campus a fresh new feel. extends life. Progressive providers have all of the amenities you would expect to been exploring innovative ways to re- find in a modern health club. A coach Continued on page 36

The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc 35 Capitalizing on wellness market trends Continued from page 35

Activities of everyday living are practiced in the kitchen at The Retreat, Immanuel Lutheran Communities, as part of occupational therapy. Credit: Gibeon Photography

The community response to the new tinuing care retirement communities construction cost savings. These savings wellness center and the refreshing new (CCRCs) in the post-recession years. can then be applied to important shared esthetic has been overwhelmingly posi- Conceived during the depths of the amenities such as a wellness center. tive. This Bite-Size project allowed the economic downturn, the community is The Miralea wellness center is a good community to recycle a tired structure designed to meet the parameters of the example of how new communities are into a Village centerpiece that is enjoy- new normal. meeting customer expectations. able to residents and attractive to mem- bers of the larger community. The design mantra of the new normal The main component of this wellness is to “do more with less.” In short, that center is the pool. The current standard The Big Gulp of new means finding ways to simplify, so that seems to be a 20’ x 40’ pool designed construction money can be saved to create more stim- to meet a variety of aquatic interests, Miralea, Louisville, Kentucky ulating community spaces that benefit including lap swimming and aerobic Miralea, recently completed on the all residents. New communities typically activities. Often there is a small whirl- historic campus of the Masonic Home offer fewer apartment varieties in order pool adjacent to the primary pool. These of Kentucky, represents design trends to create greater repetition and economy pools are accessed through nicely ap- that have become prevalent among con- of scale, which results in significant pointed lockers that are intended to have

36 The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc a country club feel. Discussion contin- can also serve as an introduction to the ues in the industry about whether lifts, senior living community and become a Defining wellness stairs or ramps are the best entryways to sales tool to attract future residents. the pool, but a key component from a The term wellness might cause many safety standpoint is an office that gives Immanuel Lutheran Communities, people to think of health-club images. the Director of Fitness and Wellness which has served the senior living mar- However, the senior living industry good visual and physical access to the ketplace in scenic Kalispell, Montana, pool in case of an emergency. Typically for more than 50 years, developed a new has long been using a much broader a minimum of 6,000-sq.-ft. is needed to rehab component known as The Retreat. definition of the term, and most pro- effectively enclose the pool, lockers and The rehab center is another example of a viders are seeking to achieve the “Six the necessary mechanical equipment Bite-Sized, wellness-inspired microstrat- Dimensions of Wellness” as articu- components. egy—and a first step toward implement- lated by Bill Hettler, MD, cofounder ing a new master plan to reinvent long- of the National Wellness Institute Like the East Ridge Wellness Center, term care on this campus. other key components to a forward- (NWI). thinking wellness center include areas The Retreat features a freestanding, that accommodate workouts, counseling 16-resident rehabilitation cottage and a In a holistic approach to wellness, the and socializing, much like what is found 2,500-sq.-ft. therapy pavilion. The new dimensions are: occupational, social, in a modern health club. The industry building combines cutting-edge prac- intellectual, spiritual, emotional and norm seems to be leaning toward sepa- tices in both rehabilitation and person- physical wellness. The International rate aerobic and dance studios of 400 sq. centered care to create a unique facility ft. or more, and similarly sized areas for that is a real architectural experience set Council on Active Aging® has added a aerobic and strength-training machines. against the breathtaking backdrop of seventh dimension: environment. Many communities also feature massage Glacier National Park. Voluminous therapy areas, counseling rooms and spaces and finishes inspired by the clas- lounges or socializing areas that have sic lodge hotels found in the national room provide just a few of the options built-in televisions and offer juice or parks offer residential and hospitality for social interaction and entertain- energy bars. touches that make this cottage and ther- ment. These opportunities for guests to apy center the antithesis of the typical choose how they can spend their time In most cases, these components are rehab facility. throughout the day support their sense directly attached to the independent- of independence, which is important in living common areas. However, at Nature-inspired products—such as achieving overall wellness. Guests also Miralea—and other similar communi- stacked cultured stone, aged and dis- have chances to maintain connections ties where the new building is included tressed wood planks, wall coverings with with their family and friends at home in a large campus-like environment—a tree-branch designs, natural granite and as shared computer terminals—similar separate exterior entry to the wellness forged iron—reflect the Montana lodge to those you might find in a short-term center has been erected to create direct flavor. Clean lines and soft furnishing residential hotel—allow guests to stay access for those who may live in other edges, a rich color palette, heavily tex- connected with the world. buildings on campus. tured and patterned drapery, and upscale lighting add to the luxurious feel of the For further guest comfort and staff con- A Bite-Sized addition community. Adding to the atmosphere venience, each private guest room in- The Retreat, Immanuel of hospitality, residents are referred to as cludes a private bath as well as a ceiling- Lutheran Communities, guests, and many of them have described lift system to help transport nonambula- Kalispell, Montana their stay at The Retreat as a vacation. tory guests to the toilet and shower. Providers around the United States are either enhancing or creating dedicated The rehabilitation cottage includes The Retreat also includes: rehabilitation units to help them capture smaller-scale, intimate spaces that additional revenue and increase the provide options for guests to use their • flexible dining options, such as a profitability of their long-term care en- nontherapy time to pursue their own snack bar for grab-and-go meals vironments. These units can support cur- interests. A bath suite, beauty salon and rent residents and also serve the greater barbershop provide spa-inspired ameni- community. A positive rehab experience ties, while a theater and video gaming Continued on page 38

The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc 37 Capitalizing on wellness market trends Continued from page 37

• opportunities for guests to engage in spaces that allow residents to incorpo- Resources the food preparation process rate the activities, services and programs Why do • abundant sources of natural light that foster wellness. These elements can • outdoor spaces be further refined with an eye toward East Ridge Retirement Village • unobtrusive staff support areas specific community needs, wants and my feet trends based on the influence of market www.eastridgeatcutlerbay.com The design team for The Retreat was sectors and geographic locations. One hurt? consistently challenged to transcend the can imagine a future where the integra- stereotypical therapy facility in which tion of these wellness dimensions will Miralea the ceiling usually features areas of be seamlessly combined in project www.miralea.com acoustic tiles and fluorescent lights. And planning. it succeeded by creating a facility with abundant natural light and spaces tall Today, many older (Silent Generation) The Retreat at Buffalo Hill enough to allow for majestic views of the and middle-age (Boomers) adults enjoy Flathead Valley. a lifestyle that includes visits to health Immanuel Lutheran Communities clubs, salon and spa treatments, and www.ilcorp.org At the same time, a wooden trellis moving about within a bustling com- What can I do makes the ceiling appear lower in order munity. They want to be able to travel to embrace guests during therapy. The to destinations to enjoy arts and culture trellis adds more than beauty to the and to take advantage of opportunities supporting diverse physical wellness and to help prevent therapy area—it disguises the track for a for socialization at spots like the local healthy eating options. This type of de- harness system and is supported by large coffee shop or a bistro. And these adults sign allows cross-pollination of the well- foot problems? columns that serve as cleverly disguised will most likely be looking for similar ness dimensions to occur naturally. storage cupboards for miscellaneous kinds of stimulation, connectivity, equipment—the perfect combination of and opportunities when they begin to Ready to take the Big Gulp or tackle form and function. The trellis combined think about selecting a senior living Small Bites? A well-planned community with a landscape mural, stonework, and community. should consider its residents and its lo- a palette of warm, comforting earth cal market as it develops its definition tones creates an inspiring space to pro- Senior community planners need to of wellness. The good news is that with mote healing and wellness. think about how they can provide these research, careful planning, and a collab- lifestyle facilities and opportunities, orative team effort, a variety of wellness The objective at the therapy pavilion whether they are clustered together components can be integrated into a is to help guests achieve rehabilitation or strategically placed throughout a community—even within the param- How can I stay goals quickly by providing “better ways campus, and how to implement designs eters of a post-recession, “new normal” to get better,” including spaces for one- that enhance residents’ wellness. For ex- budget. on-one therapy as well as private therapy ample, to cluster amenities, a health club active longer? treatment rooms. A large, more public, could provide locker rooms as well as Gene Guszkowski, AIA, is a senior physical therapy gym offers a fitness- aerobic areas adjacent to strength- principal at AG Architecture (http:// center atmosphere, and an apartment training equipment. A pool or whirlpool agarch.com) in Wauwatosa, Wisconsin. allows guests to practice activities of area could be included in this nucleus Immersed in the design profession since daily living in a realistic environment. In and located inside or outdoors depend- 1973, Guszkowski is committed to the se- addition to the physical therapy compo- ing on the community’s geographic nior living industry and serves as a vision- nent with the ceiling lift and a harness location. ary leader throughout the design stages of over the treadmill and parallel bars, an any project. Whether guiding the design aquatic therapy pool includes an un- A salon environment with massage of a senior living community, multifamily derwater treadmill and two underwater therapy will provide another level of development or student housing project, he cameras to analyze movement. services that is a critical piece of this ensures that a sense of community is inte- physical wellness component. Healthy gral in every design. Planning with wellness food choices at a nearby bistro or dining All these answers in mind venue could complete this environment. Images courtesy of AG Architecture Well-planned additions or renovations Combined, these spaces would provide of senior living communities can create opportunities for socialization while and much more...

©IPFH 38 The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc Why do my feet hurt?

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So you want a wellness center. But is it feasible?

Before you call the architect, occupancy difficulties, you should know ask seven important that the success of a community more questions to explore the strongly correlates with elements related feasibility of a new wellness to its employees and how it is managed center. Advance planning will than to the amenities and physical plant. help ensure a center that is If you have occupancy issues, adding a well-designed, well-used and wellness center may not necessarily cure appreciated the problem.

by Margaret A. Wylde, PhD However, a wellness center can certainly be a very attractive feature for people Just about every community touts its considering moving to a community and wellness center, regardless of the size, can play a large role in the satisfaction features, services, amount of program- of residents. So it’s essential for a com- ming or use. Now your community is munity to determine if a wellness center considering adding one. The first ques- would be a benefit for its residents and tion to ask is, “Why do you want a well- its marketing efforts and what type of ness center?” Are your residents clamor- center potential users want. A compre- ing for it? Do you believe a new center hensive feasibility study can help a com- is essential to compete in the future? Do munity make the right decisions. you feel a bit hammered by the competi- tion because they have a nice, new well- Seven questions bring focus ness center and you don’t? It is essential to answer the following questions about the wellness center It is important to remember that a well- before you begin to determine its ness center is not a magic bullet that will feasibility: keep your community filled and your residents happy. In fact, if you are having Continued on page 42

40 The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc

So you want a wellness center. But is it feasible? Continued from page 40

1. Is this part of a new community, drive time, but the market draw area for More likely Somewhat an addition to a community, or a a fitness center may be no more than a to move, less likely to renovation? five- to 10-minute drive. Research has 41% move, 4% 2. What are your budgetary and/or shown that proximity to a person’s home physical plant constraints? is critical to capturing new fitness center 3. Who is your intended market: resi- members. You should also consider how dents, nonresidents, both? many spas and fitness centers the pro- 4. What is your community type: con- spective member will pass in that drive tinuing care retirement community time and how many of your target mar- (CCRC); combined independent liv- ket may no longer drive. ing, assisted living and/or memory care; freestanding independent liv- One CCRC constructed a large, well- ing; or freestanding assisted living? equipped and beautiful wellness center, 5. Will residents with different care level expecting it would attract a high level requirements share the same center? of participation among the more than 6. Which elements of wellness will the 3,000 nonresidents in the market area, center address? including people in the target age group 7. Will you include a spa, rehabilitation within a 30-minute drive of the commu- center or health center in the same nity. The feasibility consultant, who was space? Somewhat Much more also the designer for the wellness center, more likely to likely to used aggressive criteria that focused on Your answers to these questions will help move, 39% move, 15% where leads for the community lived, you determine the best mix of features. without considering drive time. After three years, fewer than 50 nonresident Constraints. There are many elements Figure 1. Impact of wellness center on members were using the wellness center, of a wellness center that you might likelihood of moving to the community resulting in a very small revenue stream. like to have, but have you considered among leads in market area of a CCRC Unfortunately, the expense of the center whether you have sufficient space or the in Northeast. Source: ProMatura Group was a significant financial burden to the budget to develop, maintain and staff community. these spaces? Before you begin, know what you have to work with. Type of community. Before planning a If you plan to open the center to non- wellness center, you must consider your Target market. Will you limit the use of residents, is your goal simply to attract community type because clientele dif- the center to residents, or will you use it future residents, or do you expect use by fer, even among the same care level seg- as a tool to attract nonresidents? As an nonresidents will generate revenue to ment. For example, independent living example, in a study for a CCRC in the support the center? Either way, you need residents in entrance-fee continuing care Northeast, more than half the prospects to determine the criteria for member- retirement communities have fewer limi- we surveyed said a wellness center might ship for nonresidents: Will they have to tations, are more likely to be married influence their decision to move to the be of a particular age? Will they have to and are slightly younger than residents community (see Figure 1 on this page). have sufficient economic resources to be in rental CCRCs, freestanding indepen- a prospective resident? dent living and/or combined indepen- If you are planning to use the wellness dent and assisted living communities.1 center more for marketing purposes If you expect to use nonresident mem- These differences impact use of wellness than to generate a substantive revenue berships to generate a revenue stream, programs and should be factored into stream, your feasibility analysis can fo- you need to conduct a separate feasibil- the design of a wellness center. cus on your residents and your lead base. ity analysis to project demand from If the center is to serve a community the target market (age- and income- Planners should know that residents in with more than one care segment (such qualified) in the market draw area for a entrance-fee CCRCs are more likely to as independent living and assisted liv- fitness center—not the market draw area exercise and participate in some activi- ing), will it be used by both groups? If for your retirement community. The ties than residents of other types of in- so, the study needs to include data about market draw area for residents of your dependent living communities (refer to prospects from each group. community may encompass a 30-minute Table 1 on page 43).

42 The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc Mean number of hours per week spent in exercise and other activities among all independent living residents by type of community Community type

Entrance-fee All Rental CCRC Combined IL/AL Freestanding IL CCRC

Outdoor exercise 4.2 4.5 3.0 4.1 4.1

Indoor exercise 3.9 3.8 3.7 4.0 4.1

Group activities, programs or events 5.1 4.7 6.4 5.2 5.0 (excluding exercise)

Volunteering within 3.5 3.9 2.4 3.2 3.0 retirement community

Table 1. Participation. Mean number of hours per week spent in exercise and other activities among all independent living residents by type of community. Source: American Seniors Housing Association and ProMatura Group

What will be included in the What are their attitudes about a “well- can be incorporated with other quantita- wellness center? ness” program? Before you start your ar- tive research you are completing to learn Components of wellness centers vary chitectural plans for the center, you can what prospective customers want and widely. A community may want to in- save time and money by researching the what they will pay for their residence, clude multiple dimensions of wellness potential level of use for any facilities amenities and services. (e.g., physical, intellectual, emotional, or services you are contemplating. Re- purpose-oriented or occupational, social search, in this instance, refers to statisti- A key step is assessing all competition and spiritual). Additions might be a spa, cally valid, quantitative research. If you in the market. What are the competi- rehabilitation center and health center. are spending more than a few thousand tive threats to your proposed wellness The latter may include preventive, alter- dollars on your project, focus groups will center? These might be fitness or well- native and general medicine. not be sufficiently robust to provide reli- ness centers within a short drive time of able information. your target market of nonresidents; new, It is important to assess preferences for state-of-the-art centers with amenities and the perceived use of all elements If you are renovating a space or adding and equipment in the vicinity that your of the center. Some people may prefer to a community, you can survey your community might not be able to afford; private areas for such personal activi- residents and individuals on your lead or modest community-oriented centers, ties as a massage, therapy or a medical list to learn what equipment they would such as a YMCA, that may be more af- appointment, while others want use or activities they would partici- fordable and also serve as social centers areas large enough for group fitness pate in, and determine the additional for members. classes. amount they would be willing to pay in their monthly fees for the amenities Next, focus on the users and program- What will people want, use and services. In order to obtain reliable ming. What will draw nonresidents to and pay for? data, you should get input from every your center? How many users can you What does your target market want; resident. expect? What equipment would they what will they use; and what will they use, which programs would they partici- pay to live in a community that has ev- If you are planning a new community, erything you think should be included? research concerning a wellness center Continued on page 44

The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc 43 So you want a wellness center. But is it feasible? Continued from page 43

Percentage of all residents and only those independent living residents in good or excellent health who do NOT participate in exercise, activities or volunteering Good or excellent health without any physical limitations Residents do not by type of community All participate Entrance-fee CCRC Combined IL/AL Freestanding IL

Outdoor exercise 55% 34% 51% 57%

Indoor exercise 30% 21% 27% 35%

Group activities, programs or events 35% 29% 32% 41% (excluding exercise)

Volunteering within 65% 36% 63% 73% retirement community

Table 2. No participation. Percentage of all residents and only those independent living residents in good or excellent health who do not participate in exercise, activities or volunteering. Source: American Seniors Housing Association and ProMatura Group pate in and how often? Be realistic when The research also found that about 30% of study includes an on-the-ground as- considering your market. of residents did not participate in any sessment of location, site, market area, indoor exercise; 55% did not exercise competition and any economic and de- These questions are relatively easy to outdoors; 35% did not participate in mographic elements that might impact address, but you will need to provide group events or activities/programs; the proposed new or renovated center. supplemental information to get the and 65% did not volunteer within the The key elements of value to developers/ best results. Many potential users may community (view Table 2 on this page). owners are to help determine: not know about tai chi, aromatherapy, Participation varied across the commu- recumbent bicycles, spin class, chair nities among those who were in good or • whether the proposed project is a exercise, or brain fitness. Use pictures, excellent health and who did not have “go” or “no go” based on a cost/ descriptions and lists of benefits of every any physical limitations. benefit analysis aspect you test in order to obtain reliable • how much a center will cost results. Residents of entrance-fee CCRCs were • whether it will improve satisfaction significantly more likely to participate in • whether residents and prospective What is the expected use? exercise, activities, events and volunteer- residents are willing to pay the ad- It may be difficult for people to esti- ing than residents of combined indepen- ditional amounts needed to cover the mate how much time they might spend dent and assisted living communities or increased costs of providing more participating in wellness programs, so freestanding independent living com- amenities and services turning to published research may help munities. Participation also varied de- • whether it will increase market you make more accurate assessments. A pending on the opportunities and space share comprehensive study conducted by Pro- available at each community. • the right level of services and ameni- Matura Group for the American Seniors ties (some people will expect a state- Housing Association found that among Value of a feasibility study of-the-art center, while others will be 2,863 independent living residents sur- A feasibility study ensures you are build- happy with a good-quality but more veyed, the amount of time they spent ing the correct product at the optimal modest building [i.e., don’t build a exercising, on average, was eight hours size and helps you predict whether a luxury-level center when a pleasant, per week—four hours outdoors, four sufficient number will use the wellness community-oriented facility will best hours indoors (see Table 1 on page 43). center and see the value in it. This type suit your market])

44 The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc For architects/space designers, a feasi- A written survey gauges the receptivity Whatever method is used, the research bility study can: among the target market. These surveys should be designed to determine wheth- are mailed to age- and income-qualified er prospective users would be willing • define what to include households in the market area and ide- to pay additional fees or a membership • provide an estimate of the number ally include a conjoint analysis study. fee for wellness options, and if so, how who will use each element Conjoint analysis is a research method much. Other findings from the research • provide an estimate of the level of use that best simulates the purchase deci- should include what proportion of in- relative to product type and to the sions (trade-offs) consumers make when tended users exercise independently or right size of spaces considering a major purchase (in this participate in group exercise; what their • define the spaces case, membership to a wellness center). favorite programs are; and how much • provide estimates of additional fees The study includes photos and descrip- emphasis they place on maintaining users are willing to pay for more ele- tions of equipment and amenities simi- their health and fitness. ments, amenities and opportunities lar to those the wellness center would offer and asks consumers to select those Ready to move forward Critical components of a they would prefer (or, as importantly, After taking the time to conduct proper feasibility study those they do not want or would not research into the feasibility of build- The results of a full feasibility study use), as well as what they would pay for ing or upgrading a wellness center, you should define the target market; provide their preferred amenities. now know what your residents and an estimate of the number of users that consumers want and what they are able can be expected; and yield a complete, A research seminar involves a large and willing to pay for their preferences. concise description of the elements to group meeting (typically about 60–120 Armed with those results, you can begin include in the wellness center. participants). Photos and descriptions assessing the next steps in your wellness of wellness center spaces, equipment, center plan with greater confidence that The target market should be analyzed programs and activities are shown to you have the specific information to help relative to: participants—typically in a PowerPoint ensure success. presentation. Opinions are obtained • user markets, including residents from participants’ questions and subse- Margaret Wylde, PhD, is president and and nonresidents quent discussions and by means of an CEO of ProMatura Group, LLC (www. • type of community audience response system (electronic promatura.com), which she founded • size of community (today and in voting by remote devices), which allows in 1984. She serves on the board of direc- the future) participants to vote on the options pre- tors of the American Seniors Housing • level of frailty of residents/ sented throughout the seminar. Association and as chair of the Urban nonresidents Land Institute’s Senior Housing Council. • impact of location of the proposed Written surveys may be filled out by Wylde is codeveloper of the ICAA/ center on its use (for residents/ participants during the presentation to ProMatura Wellness Benchmarks and a nonresidents) obtain additional information and ex- faculty member at the Erickson School • the number and nature of competitive panded comments. A conjoint analysis at the University of Maryland in the wellness/fitness properties to a new, study (a statistical method to measure Executive Development program for the renovated or expanded wellness how people value different attributes age-qualified housing industry. She has center of a product) is completed to measure written five books and dozens of technical • whether the center is to be used to specifically what participants want and papers and articles for trade and business attract new residents and/or generate what they are willing to pay for their publications and scholarly journals. revenue preferences. This type of study also re- veals price elasticity. Reference Value of surveying prospective users If a community is considering construct- American Seniors Housing Association. (2013). Discovering the preferences of potential ing a new wellness center, a research How Today’s Residents of Independent Living Compare to Residents of 2001. Research by users is critical to success, so how do you seminar or a printed survey with pro- ProMatura Group. Available to ASHA members find that out? The most cost-effective spective users will provide specific infor- only at http://www.seniorshousing.org/product_ and reliable method is to conduct re- mation on who would use the center, the details.php?PID=45. search with consumers who are most equipment or programs they would use, likely to participate in the wellness cen- and what their preferences are relative ter, whether they are current residents of to cost, if applicable. If a community is a community or potential customers. looking to renovate or expand its well- ness center, an in-house written survey Consumer research can be conducted or a research seminar with residents and using written surveys or a research those on the community’s lead list are seminar. the best options.

The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc 45 Development trends

The future of active-aging adult centers

To appeal to the next current center operators as they look to- generation of Boomers, ward the future. Last year seven veteran ‘senior centers’ must adapt managers responsible for facilities con- and access innovative design structed over the last 35 years met for a concepts to transform into roundtable discussion. What follows are active-aging centers several of the most pressing issues and concerns based on those conversations. by Craig Bouck Issue: Customers and identity As the youngest Baby Boomers turn 50 How will we attract Boomers? The next year, the population group that key to remaining relevant to the next has driven culture and commerce in the generation of aging adults is to under- United States for the past six decades is stand how society’s perception of aging redefining what it means to grow old. To continues to shift. For decades, senior appeal to this influential group, “senior centers have been associated with purely centers” are now referred to as “active- passive activities—classes, games, arts aging centers” or “Boomer centers.” and crafts, and productions for music and drama. Senior centers have been However, focusing only on the change in for seniors, and we believed that being name might cause us to miss what really a senior meant someone who no longer makes these centers unique from others has an “active” lifestyle. But campaigns in the community. Are these simply age- like ICAA’s Changing the Way We Age® restricted community recreation centers, are helping older adults understand how or is there an opportunity for a truly they can continue to make significant new paradigm in recreation facilities? As contributions to society—going back we look at the issues and concerns sur- to work if they wish, gaining new rounding this issue, one fact definitely knowledge, learning new activities and must be addressed: In order to remain being physically active. Aging Boomers relevant to the Boomer generation, want to associate with active pursuits as active-aging center designs must adapt long as possible. and change. In response, operators catering to older The first step toward new, relevant adults have made efforts to rebrand their active-aging centers is understanding facilities and services, often completely some of the issues and concerns facing Continued on page 48

46 The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc

The future of active-aging adult centers Continued from page 46

Older adults use the warm-water therapy pool at the J. Leonard Levy Family Wellness Center at Shalom Park in Aurora, Colorado, as a low-impact form of exercise and physical therapy. Image courtesy of Barker Rinker Seacat Architecture removing the word senior from their vo- rectly influence other factors, including maintain body strength and balance and cabulary. Many facilities have changed cost of living, access to healthcare and reducing the risk of injury. their name to “adult center” to lose the transportation, housing quality and cost, senior center stigma even while main- safety, work opportunities, and quality Varying levels of hearing loss may occur taining their intended clientele focus. leisure and recreational amenities. as people age. Because of this change, Centers now need spaces for technology the acoustical quality of a room directly classrooms, fitness centers, gymnasiums, The most important step in keeping affects a person’s experience. In addition walking tracks, warm-water swimming retired people in the community is spe- to installing sound-absorbing acousti- pools as well as wellness and therapy cifically adapting facilities and oppor- cal treatments that reduce reverberation rooms. tunities to cater to today’s aging-adult and sound distortion, many facilities population. are installing induction hearing loop How do we keep “retired” people in systems, which magnetically transmit the community? When retired people What special accommodations must sound to hearing aids. Intelligibility [the leave the community, it not only loses we have? As reluctant as Boomers may degree to which speech can be under- potential customers and tax revenue, but be to accept the physical changes of stood] is greatly increased because the also a potential labor force and accu- aging, providing a few special accom- distance between the speaker and the mulated knowledge—commonly called modations in adult centers can increase listener(s) is bridged and background a “brain drain.” Many factors influence their enjoyment and help remove par- environmental noise is reduced. a person’s decision about where to live ticipation barriers. Appropriate fitness after retirement. Some factors, like equipment can help support an attitude Issue: Where is the proximity to family and climate, are out of being fit, not first. That is, equipment second place? of the control of community planners; should be designed less for training The home is the “first place,” and for however, community leaders can di- for competition and more for helping many people who are retired, “second

48 The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc places” are informal meeting places for tivity that has equal benefit to all, like a Issue: Stand-alone vs. social interaction that become anchors lounge area, is a community benefit, and integrated facilities of their community life. Second places the cost would be shared by the entire Should active-aging adult centers be can be barber shops, hair salons, bars, community as a subsidy. An activity with built as stand-alone facilities or be inte- restaurants, libraries, parks and— a personal benefit, like a yoga class, is grated into multigenerational recreation hopefully—adult centers. For the an individualized benefit, and the cost centers? An intergenerational center next-generation active-aging center to would be borne solely by the participants. provides spaces for both youth and older become truly relevant, it should strive adults, with a priority system for utiliz- to become a second place—a place for Issue: New priorities––times ing the space. No one approach will engaging social activity. and activities work for all communities, but financial It used to be that centers could schedule pressures are driving communities to- How can centers achieve this goal? Start activities geared toward older adults ward a potentially more cost-effective with the overall look and feel of the fa- during the center’s “off ” or “slow” hours. integrated approach. Significant savings cility, which should create a warm, wel- Times have changed, and many older can be achieved when centers share ex- coming and comfortable atmosphere— adults today are busy working or volun- penses for land, site development, and a place you want to be. A visitor’s first teering during the day and need facili- utility services. Additionally, ongoing impression should include a friendly ties to be open longer hours in the eve- operational costs can be reduced by face, and the center must offer a variety nings and weekends. In addition, shifts sharing utilities, staffing, security, main- of spaces both indoors and out that in- in preferences mean Boomers are no tenance and advertising. vite informal gathering and interaction. longer filling existing passive recreation These inviting spaces could be living spaces, so these need to be converted to Sharing space, however, can also have rooms, sunrooms, libraries, porches, active recreation areas to meet the grow- disadvantages. If youth programs gener- patios and garden spaces. A center might ing demand for those types of activities. ate more revenue, then older-adult pro- consider adding small social areas out- Older adults have many options for their grams may lose out and have less access side of fitness rooms—classrooms and time, and they are much less dependent to spaces and equipment. locker rooms where people can meet on the senior center for offers of trips, before and after activities. performances and group activities. Envision the future active- aging center Issue: Funding sources shift Adult centers need to rethink what types Now that the issues have been identified, Traditionally, senior centers have been of activities they offer and when they of- the next step in envisioning a new gen- supported primarily by tax dollars. At fer them to appeal to the new priorities eration of active-aging adult centers is to the same time, many older adults, espe- of their Boomer clientele. imagine facilities with spaces designed cially those on fixed incomes, histori- to be relevant and vital to aging adults. cally resist tax increases. Demographics Issue: Ages spread across suggest that as we move into an unprec- generations Distance-learning facilities edented era with the largest population While their clients are often lumped into Continuing education has always been of aging adults in history seeking ser- a single category called “seniors,” the an important focus of adult centers. vices, we will also have fewer Boomers in active-aging service provider will have Course offerings, however, have gener- the workforce to provide the necessary a customer base ranging in age from 50 ally been limited to the expertise avail- tax income. The result is likely to be less to more than 90 years old. Satisfying a able locally within each community. If emphasis on income tax revenue and a group with an age spread this wide re- an adult center happens to be in a large greater emphasis on property and sales quires a greater segregation of activities, metropolitan area or in a college town, taxes to support active-aging centers. which means more offerings are needed. direct access to excellent instructors may Limited resources, however, often mean not be an issue. But the next best thing is The net effect of funding pressures and these additional activities must be of- a distance-learning classroom. extraordinary demand may be a funda- fered without additional funding, staff mental shift to a pay-for-service model or space. Unfortunately, this reality These are simply classrooms or multi- in lieu of free (or heavily discounted) means people at both ends of the age purpose rooms outfitted with special au- services to cover operational expenses. spectrum tend to get squeezed out and dio, video and computer equipment that In this model, the cost of an activity will have fewer appropriate activities. Serv- enables interactive participation with an increase with an increase in personal ing the most may necessitate not serving benefit. In other words, a space or ac- everyone. Continued on page 50

The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc 49 The future of active-aging adult centers Continued from page 49

together and periodically transform an underutilized lounge, library or reading room into a vibrant social area.

Internet access, tech support In 2012 the Pew Research Center re- ported that, for the first time, half of American adults ages 65 and older are going online. Additionally, one-third of users ages 65 and older use social net- working, and 69% have mobile phones.1 Can an active-aging adult center ever replace the local Starbucks as the go-to cyber café with free Wi-Fi? Maybe not, but it seems safe to say that this trend will continue and suggests that our next generation of older adults will be more connected than ever before, expecting to have the same free access to the Internet at their center that they experience daily in the retail world.

Adult centers can borrow other ideas from the retail world, as well. In another 2012 report, the Pew Research Center noted that among adults ages 50 and over, 37% use e-readers, 28% have tab- lets and 47% own smartphones.2 This The second place outside the home where older adults congregate was realized at the Eagle presents an opportunity to help support View Adult Center in Brighton, Colorado, with a living room atmosphere, library, plenty of older adults who have growing interest seating and exit onto a porch. Image courtesy of Barker Rinker Seacat Architecture in mobile, content-rich devices. Per- haps the next generation of centers will off-site instructor. Offerings can include ticipants to research, create and share include a mobile device bar, not unlike training sessions, lectures, workshops, digital data. the service at an Apple™ retail art classes, or any kind of educational outlet. The difference is that this support gathering. These kinds of computer set- Living Libraries bar would be staffed by older adults. ups also bring center users the potential In the spirit of sharing, active-aging to interact with groups of people from centers can become a host for Living Empathetic peer volunteers can offer around the world. Libraries. Older adults have a lifetime of advice on devices, how-to lessons, and accumulated knowledge and experiences recommendations on applications and Collaboration space which largely go untapped, especially content. If it is located strategically, the Staying active for many older adults after they retire. Started in Denmark in bar can double as a serving or gathering may include working, volunteering, 2000, the Living Library concept is an area for social events when not in use as mentoring or consulting. If they are do- opportunity to connect people who want a mobile device help center. ing this independently, they often need information on a particular topic with space for collaboration with others. The human resources in their community. Digital equipment, experiences active-aging adult center can become a Participants publish interests, beliefs or Every day it seems there are new gadgets place that fosters this collaboration by experiences they are willing to share and and software applications that make providing special rooms outfitted with offer to be “checked out” by community recording, editing and publishing digital tables, chairs, marker boards and a large, members for 30-minute conversations. creations easier and more intuitive. That flat-panel monitor. Multiple outlets and A center that offers this type of pro- being said, many of the self-directed inputs for laptops or tablets allow par- gram could bring multiple generations and -produced movies and songs are

50 The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc crude and low quality. This is often into the pool walls allow personalized Resources due in equal parts to inferior recording control of hydrotherapy jets. equipment, overly simplistic software and lack of training. One solution to Gymnasiums and fitness rooms are also Living Library attract users interested in improving evolving and adapting to the shifting The Human Library Organization their digital skills is for adult centers to needs of older adults. No longer are full- http://humanlibrary.org/ create a digital multimedia lab. Outfit- length basketball courts necessary or ted with good-quality video cameras, even desirable. While many older adults Virtual active-aging center sound recording equipment, software are still passionate about competitive Selfhelp Community Services, Inc. and computers, such a space will become sports, smaller courts are more forgiving www.selfhelp.net/virtual-senior- the digital version of the traditional arts to aging knees and shoulder joints. center and crafts room. Well-designed multipurpose gymna- Another technology-driven innovation siums accommodate a wide variety of your community and keep them actively is the virtual active-aging center. Origi- activities, including basketball, volley- engaged. nally a demonstration project between ball, pickleball and indoor soccer. Nets Microsoft and Selfhelp Community lowered from the ceiling accommodate Craig Bouck is president and CEO of Services, Inc., the virtual active-aging golf and batting practice. Combining Barker Rinker Seacat Architecture (www. center includes easy-to-use video confer- all these activities into a single space brsarch.com) in Denver, Colorado. Bouck encing equipment installed in residences can lead to a confusing array of court is a frequent speaker and author in the of homebound adults and in local adult lines. Fortunately, innovative flooring recreation design industry. For nearly 20 centers. The mobile units are then posi- manufacturers are experimenting with years, he has worked with recreation pro- tioned in various classrooms throughout new court flooring products that include fessionals to design value-driven projects the day, enabling the adults to partici- embedded LED lights to allow court that solve problems, create opportunities pate interactively with fitness and educa- lines to be switched off and on depend- and build community. Barker Rinker tional classes, all from home. ing on the sport being played. This helps Seacat Architecture has been involved decrease confusion while still accommo- in more than 180 community recreation Pools, gyms dating a full list of activities. projects across the United States, providing Specialized fitness areas continue to feasibility studies, conceptual designs and evolve to meet the needs of active-aging Innovative design concepts award-winning architectural and interior clientele. One of the most significant for the next generations design services. changes has been in the evolution of Active-aging centers must be designed warm-water exercise pools. to attract the Baby Boomers and help References keep them in the community. Beyond Originally conceived as a place for adapting to accommodate physical 1. Zickuhr, K., & Madden, M. (2012). Older physical therapy, warm-water pools have adults and internet use: For the first time, changes, it will be necessary to consider half of adults 65 and older are online. [report] grown in size and features to offer much technological advances that will influ- Washington, DC: Pew Research Center’s In- more variety to older adults who are ence the amenity spaces in your centers. ternet & American Life Project. Available at interested in incorporating water into From aquatic recreation to virtual learn- http://www.pewinternet.org/Reports/2012/ their personal exercise programs, which Older-adults-and-internet-use/Summary-of- ing classrooms, this generation of aging findings.aspx. is attractive because the buoyant quality adults will rely more than ever before of water reduces wear and tear on joints. on innovative resources as a necessity in 2. Rainie, L. (2012). Tablet and E-book Reader Common now are water current chan- their lives. Ownership Nearly Double Over the Holiday nels that offer exercise opportunities to Gift-Giving Period. [report] Washington, DC: Pew Research Center’s Internet & American walk both with and against a variable In order to plan for these solutions, adult Life Project. Available at http://pewinternet. current, and group-exercise areas for center operators must consider funding org/Reports/2012/E-readers-and-tablets.aspx. water aerobics and movement classes. and demographic issues to stay ahead Emerging in these pools are areas for of the curve when planning new facili- water exercise equipment, including ties or upgrades to existing ones. With treadmills and bicycles, and water work- proper planning and coordination with out stations equipped with resistive the right design team, it is possible to exercise bands. Individual benches built attract this influential group of people to

The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc 51 Equipment

Building a business case for equipping your center

To maintain their active but today over 31% of ICAA members lives, older adults need the have developed and built stand-alone benefits of exercise. Choosing fitness centers, while 32.9% have built the equipment that fits stand-alone wellness centers.1 their goals helps them stay independent longer and helps ICAA wanted to know why, so it asked your organization maintain a its members. Out of 695 who responded competitive advantage to the survey, 92.8% said the number one reason for building these centers by Colin Milner was to increase the life satisfaction of their customers. Attracting new custom- To build or not to build. That used to ers was the rationale for 82.7% of the be the question. At least when it came respondents; 72% said it was the right to developing fitness and wellness thing to do; 61.3% built to meet cus- centers for older adults. However, the tomer demands; and 55.1% expected the International Council on Active Aging’s centers to increase retention rates.1 research shows that is no longer the case, as—after eight years of renovations, ex- This growth in fitness centers and the pansions and new developments—82% shift in focus have not been lost on com- of the respondents to an ICAA survey panies that supply fitness products and now have at least a fitness room at their accessories; indeed, the active-aging retirement community, senior center, industry continues to attract a growing corporation, hotel, hospital or other number of new product providers. But setting.1 do they have the right product for your market? In the past, fitness centers were often tucked away in small, obscure corners, Continued on page 54

52 The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc 53 Building a business case for equipping your center Continued from page 52

This article provides you a starting point • Look at each manufacturer’s market- Strength-training equipment in your search to answer this question. ing materials to see if older models An inactive lifestyle, and its long-term Your answer, as you will see, must come are shown using the products in its impact, is destroying our ability to main- from the questions you ask. So, let’s start literature. Does the company speak tain a high quality of life. One of the there. about inclusive features, or quote major culprits is loss of strength, which research about older adults using its is prevalent in the inactive population. The evaluation process products? These are a few of the signs Almost half (46%) of adults ages 80 and Whether replacing existing equipment that can tell you if an organization is over are unable to lift or carry even 10 or equipping newly renovated, expanded truly committed to meeting the needs lbs.3 That’s a bowling ball. How will they or developed fitness or wellness centers, of the older-adult market. carry their groceries, garbage, luggage, 58.1% of ICAA survey respondents ex- or their grandchild? How will they live pect to purchase fitness products over If possible, you should try the product on their own? Offering the right tools to the next two years, collectively spending or service yourself before purchasing it, help your users restore strength is a vital hundreds of millions of dollars.1 and you need to consider how you will piece of the puzzle that will allow them train your staff to use any specialized to achieve greater functionality. But before you spend your first dime, take equipment. Here are some other factors a moment to evaluate your needs. Start by to consider when it comes to product In an effort to address this problem, reflecting on who will be using the equip- decisions: 21.2% of ICAA survey respondents have ment. There is nothing worse than invest- purchased strength equipment over the ing in products that don’t get used. Review • customer service, technical support last two years,4 and 26.8% of members the needs and goals of your customers, and reputation of any company you say they intend to buy strength equip- based on their physical and cognitive abili- deal with ment over the next two years.1 In ad- ties. To help with this process, review and • whether your organization has previ- dition, another 11.8% of respondents reflect on ICAA’s Five Levels of Function ously conducted business with the plan to buy pulley systems over the (see Figure 1 on page 55). company next two years,1 up from 8.9% in 2010.4 • whether the sales rep is knowledge- And 50.7% say they will buy handheld Once you have honestly calculated the able about the needs of your custom- strength equipment, such as dumbbells, needs, goals and abilities of the people ers and your organization bands and tubing,1 up from 49% in who will be using your center, you can • the availability of a comprehensive 2010.4 begin to evaluate your equipment op- warranty tions. Here are five steps that will help: • the availability of a discount What are your strength equipment options? • Consider what you know about clients’ After carefully considering all these fac- All you have to do is walk the trade show needs, goals and abilities, physical and tors, you are more likely to equip your halls of any fitness show to realize you cognitive, and evaluate products based center with fitness tools that meet the have a wide choice of equipment de- on their needs, not your own. needs and goals of your customer—both signed to restore or maintain strength in • Find out what a manufacturer has today’s and tomorrow’s. your customers. These tools range from done to make new or revised products kettlebells and medicine balls to barbells customer-friendly and more acces- What to buy? and weight machines. sible for your chosen market. Think You’ve chosen your target user and put inclusive. in place a process to evaluate your equip- Outlined here are a few of the categories • Ask for names of communities or or- ment choices. Now it’s time to do your you can find to meet your customers’ ganizations that use your chosen tools research into the equipment itself. As needs and goals. in a setting and with an audience you do, keep in mind that you should similar to yours. provide ways for your users to address Stackless strength training. Many • Have a small group of clients try all the areas outlined in the US Depart- weightless resistance tools are available these potential tools at a local fitness ment of Health and Human Services’ for use with the older population. These store or fitness trade show. Make sure “Physical Activity Guidelines for Ameri- products include air-resistance technol- these clients represent the functional cans”: strength building, cardiovascular ogy, hydraulic resistance equipment, level(s) you desire to serve. Or, in an improvement, balance enhancement and and tools with resistance based on body ideal situation, have a demo product stretching.2 Let’s consider equipment for at your center. each of those activity areas. Continued on page 58

54 The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc Functional levels

Figure 1. ICAA’s functional levels

Athlete Program: Concentrate on muscular Needs: Movement that helps maintain Fitness: Exercises or participates in strength, endurance and flexibility, joint or improve physical function for basic sports activity almost every day or range of motion, balance, coordination, self-care (Basic Activities of Daily Liv- works at a physically demanding job. agility and cardiovascular endurance. ing), such as strength, range of motion, balance and coordination. Goals: Maintain or improve fitness Getting started level. Fitness: Engages in physical activity at Program: Improve hand strength and least three days a week. agility, arm strength, shoulder and hip Needs: Exercise that builds physical range of motion, quadriceps and shin reserves and provides conditioning for Goals: To live independently; manage muscles strength, and ankle strength improving performance in competition weight; improve conditions such as arthri- and range of motion. or in strenuous vocational and/or recre- tis or diabetes. ational activities. Needs ongoing assistance Needs: Exercise that helps improve Fitness: Does not engage in physical Program: General conditioning in physical function and develops fitness activity. muscular strength, endurance and flexi- and health reserves. bility; agility; cardiovascular endurance. Goals: Improve ability to perform Sport- or activity-specific conditioning. Program: Focus on increasing and build- activities of daily living. ing reserve in muscular strength, endur- Active now ance and flexibility, joint range of motion, Needs: Movement that helps maintain Fitness: Exercises at least twice a week balance, coordination and cardiovascular or improve physical function for basic and engages in physical activity most endurance. self-care, including self-feeding, bath- days of the week. ing, dressing, toileting, transferring and Needs a little help walking. Goals: Maintain or improve fitness lev- Fitness: Engages in physical activity el; manage weight; improve conditions three or fewer times per week. May have ICAA has adapted its Functional Levels such as osteoarthritis or diabetes. medical conditions and movement from the work of Waneen Spirduso, limitations. EdD (Physical Dimensions of Aging, Needs: Exercise that helps build physi- Human Kinetics) to highlight and ad- cal reserves and maintains the level of Goals: Regain strength and balance; dress our various levels of function. fitness to live an active, independent improve function and mobility; improve lifestyle. medical conditions.

The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc 55 Big ideas call for big-picture thinking. As we continue

to develop the active-aging industry, we at ICAA look

first for the needs to be filled, then for ways to use

our influence to fulfill them. Our efforts are not only transforming ideas into action changing the lives of older individuals, but also changing the way society perceives aging.

The timing has never been better to make a difference.

The first step is tojoin us.

International Council on Active Aging® 3307 Trutch Street Vancouver, BC V6L 2T3 1.866.335.9777 Phone: 604.734.4466 Fax: 604.708.4464 [email protected] Call, email or go online for a copy www.icaa.cc of our brochure.

56 The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc

ICAA 2 page Gear Ad.indd 1 12-11-09 11:30 AM Big ideas call for big-picture thinking. As we continue

to develop the active-aging industry, we at ICAA look

first for the needs to be filled, then for ways to use

our influence to fulfill them. Our efforts are not only transforming ideas into action changing the lives of older individuals, but also changing the way society perceives aging.

The timing has never been better to make a difference.

The first step is tojoin us.

International Council on Active Aging® 3307 Trutch Street Vancouver, BC V6L 2T3 1.866.335.9777 Phone: 604.734.4466 Fax: 604.708.4464 [email protected] Call, email or go online for a copy www.icaa.cc of our brochure.

ICAA 2 page Gear Ad.indd 1 12-11-09 11:30 AM Building a business case for equipping your center Continued from page 54

weight, water, cables or bands, to name side, you can always use the resistance those areas, 15.9% of ICAA survey just a few. components of outdoor fitness circuits. respondents will be adding outdoor In 2010, 40.3% of ICAA survey respon- exercise equipment in the next two Group classes can also be offered using dents offered outdoor exercise classes;4 years.1 strength products ranging from bands, in 2012, 60.2% of members offered out- springs or coils to body weight—think door areas for physical activity—and And strength training does not have pilates and suspension training. And that number does not include walking to be done on dry land; water offers a if you want to take your programs out- paths or meditation gardens. To equip variety of programming options and

Features to look for when buying fitness equipment

Recumbent bikes, Treadmills/ Balance & Inclusive (age-friendly) product features Strength ellipticals ellipticals & stretching (in alphabetical order) equipment & steppers/ stairclimbers machines upright bikes Ability to adjust machine or change resistance from X X X a seated position if necessary Adjustable seat positions X X X Adjustments that allow individuals of various body sizes to be properly positioned while exercising or X X X X stretching, helping to prevent compromising the joints Adjustments to accommodate individuals of all X X X X functional levels Clear hand, seat and pad positions and adjustments X X that are simple to locate and operate Clear indication of where to sit and where to place X X X hands and feet Commercial grade X X X X

Easy to use and adjust (e.g., pins with large knobs for X X X X those who have gripping issues) Easy-to-read display panels with large buttons and X X letters that are simple to comprehend and navigate Emergency lanyard X

Fewest moving parts for safety and ease of use X X X X

Independent arm action X X X

Instructional placards that are easy to comprehend, with simple diagrams, high-color contrast, easy-to- X X read text, and correct usage information Keypad within easy reach of the user X X X

Large seats (on seated products) X X X

58 The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc benefits, and ICAA members recognize invest in some of these products over Cable resistance equipment. Another this. More than a third—38.8%—have the next two years.4 Equipment includes area on the rise is cable columns, which full-size swimming pools, and 23.4% of- simple resistance gloves and bands, fit- come in all shapes and sizes. These fer smaller pools for exercise, while 24% ness paddles, water weights, aquatic strength-training tools can be ideal for use warm-water pools for therapy.1 tether systems, resistance pools and older adults (and also for sports perfor- more. Investments in this area are also mance and personal training clients) as Numerous products to maximize wa- trending up, as two years ago only 33% they provide unobstructed entry and ter workouts are available, and 35% of of members planned to purchase these 1 ICAA survey respondents intend to types of products. Continued on page 60

Recumbent bikes, Treadmills/ Balance & Inclusive (age-friendly) product features Strength ellipticals ellipticals & stretching (in alphabetical order) equipment & steppers/ stairclimbers machines upright bikes Long handrails X X

Low deck (step-up height) X X

Low impact on the joints X X X

Low motor housing/casing X

Low starting resistance (less than 5 lbs. on strength X X equipment)

Nonintimidating appearance and function X X X X

Nonobstructed entry and exit, especially important for individuals with a variety of functional abilities X X X X and disabilities

One-pound or small increments to increase X X X resistance

Range-of-motion adjustments to accommodate joint X X X dysfunction

Shock-absorbing deck X

Simple adjustment features that are easy to X X X X understand

Starting speed at 0.5 mph X

User-friendly; simple to understand and use X X X X

Table 1. Features to look for when buying fitness equipment. Source: International Council on Active Aging & North Carolina Office on Disability and Health. (2006, July). Age-Friendly Facilities: 99 Questions to Assess Your Competition. ICAA Developer’s Guide 2006, 1, 44–54.

The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc 59 Building a business case for equipping your center Continued from page 59

exits, an especially important feature for technology—from smart cards to key So what tools should you look at to help individuals with various functional abili- systems—into their equipment, provid- your clients achieve higher endurance ties and disabilities. As noted at the start ing you tools to assess and monitor your levels and cardiovascular capacity? The of the strength section, 11.8% of ICAA customer’s progress. As you review such section below will outline a few key cat- members intend to buy pulley systems products, keep in mind the cognitive egories you can consider to meet your over the next two years,1 up from 8.9% abilities of your customers and analyze customers’ goals and needs. in 2010.4 the progress tools for easy comprehen- sion and use. Keep in mind that your clients’ fitness Weight stacks (selectorized equip- and functioning levels will play a large ment). The backbone of the fitness and This section has offered a brief overview role in the equipment you want to con- wellness industry for many years, the of key strength-training options, which sider. For example, walking is as simple weight stack—which allows resistance will allow you to better understand your as putting one foot in front of the other, to be adjusted by moving a pin or le- equipment choices. Use Table 1 on pages yet as strength, balance and cardio ca- ver—has become more inclusive of all 58–59 to help you find the products that pacity decline, an activity that was once functional levels. Most weight stacks include the features that will best meet simple may no longer seem that way. now offer lower starting resistances and your clients’ needs, goals and abilities. So, if your clients have a very low level smaller incremental increases. Others of function, a treadmill may not be the also include seats that can move out of Cardiovascular fitness optimal choice unless you have a suspen- the way for easy wheelchair access. Still equipment sion system to keep your clients upright; others offer range-of-motion limiters. As According to the US Centers for Disease whereas, if your customers are function- with all pieces of equipment, the weight Control and Prevention (CDC), substan- ing at a high level, providing treadmills stack is a tool, and getting the most tial health benefits accrue with a moder- is a nonissue. out of this tool depends on selecting ate amount of physical activity (e.g., at machines with the features that would least 30 minutes of brisk walking daily).6 What are your cardiovascular be most appropriate for the fitness and Our challenge: Few older adults achieve equipment options? functionality levels of your users. this level. As a matter of fact, 49% of Recumbent steppers and seated people 80 and over have difficulty or are ellipticals. The recumbent stepper and Free weights. Similar to weight stacks, unable to walk a quarter of a mile. That’s elliptical offer older adults a total-body free weights have been around a long once around the track.3 workout with low-to-no stress on joints time. Traditional barbells and dumb- (including hips, knees and shoulders). bells have become more user-friendly While 62.8% of ICAA survey respon- These machines feature swivel seats since the introduction of handgrips on dents have walking paths,1 the weather for those who need to transfer from a weight plates to prevent slipping. In can reduce their customers’ ability or wheelchair and are typically easier to addition, a variety of resistance prod- willingness to use them. Think hot and enter and exit. People throughout the ucts have augmented this category in cold, wind and rain, snow and—well, you range of physical function tend to find recent years—including medicine balls, get the picture. To address the shortfall them easy to operate. bars, tubes, bands, kettlebells, and soft in participation levels, the challenges weights. Free weights increase the flex- presented by the weather, and the varied Recumbent bikes. Recumbent bikes ibility of where strength training can oc- abilities of their customers, 37.9% of offer another seated option for cardio- cur and are popular for both individual ICAA respondents intend to purchase vascular exercise. The step-through op- and group exercise. cardiovascular equipment (treadmills, tion is the hallmark of recumbent bikes, upright cycles, elliptical machines), and as is the larger seat option. Some manu- But again, this is an area where you 31.7% plan to purchase recumbent car- facturers include an additional option: should know your users. At least a quar- diovascular equipment (cycles, steppers) an upper-body training option that pro- ter of people 80 and older have difficulty in the next two years.1 vides single or dual arm movement. This using their fingers to grasp or hold small is key for someone who has less strength objects.3 Any equipment you decide to Given the fact that 82% of survey respon- in one arm—such as someone who has buy should address this problem either dents currently have a fitness room,1 most suffered a stroke—to achieve a total- by design or with add-on solutions. of these purchases will either be replace- body workout. ments for old equipment or allocated to Progress monitors. Many manufacturers members’ planned expansions, renova- Treadmills. The number one cardio- of strength equipment now incorporate tions, or new developments. vascular product purchased by ICAA

60 The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc members, treadmills are currently king ucts are used less in centers that cater to chart, as this is more applicable to an of the walk. Whether due to weather or low-functioning older adults. Why? By older-adult exerciser than heart-rate preference, walking on a treadmill can the age of 80, 41% of people have dif- training zones. If not, you may wish to be accomplished by most people; the ficulty or cannot walk up 10 stairs with- post a chart nearby. duration, incline, speed and intensity out resting.3 So, a machine that mimics become the variable factors that drive stair climbing for 10, 20, or 30 minutes Tools to promote balance usage and affect the choice of treadmill may not find a home with this group. One in three Americans ages 65 and types. Key things to look at are step-up Yes, there are another 59% of people over falls every year7—many times with height, starting speed, longer hand- over 80 who can use these products, devastating consequences. Needless to rails, emergency lanyard and ease depending on their abilities,3 but there say, reducing falls is an immensely im- of use. are other choices that might make more portant issue to the older population. sense for this population. The elliptical According to a research study of women Upright bikes. Most, if not all, ma- machine can also be challenging for a ages 80 and older in New Zealand, a jor manufacturers have some form of low-functioning group, as standing for basic strength and balance program can upright exercise cycle. The ideal bike 20 or 30 minutes can seem difficult, but help reduce the number of falls by up will make it easy for an older person to the high-functioning individual, this to 40%.8 Addressing this issue, 29% of to mount the machine and get started. is not an issue. Solution: Know your ICAA survey respondents intend to add Other things to consider include how customer, and you will know if this is to their arsenal of balance training tools comfortable the seat is and how easy the right option for you. in the next 24 months.1 it is for a short person or overweight person to get on and off and use the Use Table 1 on pages 58–59 to help you A wide choice of balance training tools— machine. ensure that the type of cardiovascular from wobble boards to technology-based equipment you purchase will meet platforms or single-station units—is Stairclimbers and elliptical ma- your clients’ needs, goals and abilities, available and being used industrywide. chines. Stairclimbers and elliptical ma- both physical and cognitive. In addi- chines are two tried and true cardiovas- tion, check to see if your chosen cardio cular machines. However, these prod- equipment offers a perceived exertion Continued on page 62

Being certified by the NSCA means being Work with clients of certified by the best. varying age, fitness abilities with temporary or chronic health concerns. CSPSs work one-on-one with clients to assess, motivate, educate and train special populations.

REACH HIGHER IN YOUR CAREER

everyone stronger NSCA.com/GetCSPS

The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc 61 Building a business case for equipping your center Continued from page 61

Technology-based balance products. Many Stretching stations. These products range References technology-based options offer you the from single stations that focus on one or ability to assess your customer’s current multiple muscle groups, to single multi- 1. International Council on Active Aging. (2012). station units that provide many stretch- ICAA Wellness Industry Development Survey balance status, and the training protocol 2012: Trends in facilities, programs and ser- to help improve it. Some products do the ing options. The key benefits of these vices for older adults. Vancouver BC: Interna- basics, while others have added games types of stations are that they are raised tional Council on Active Aging. to allow customers to have fun while for easy access, offer a seated area for some stretches, are easy to understand 2. US Department of Health and Human Services. improving their balance. Products range (2008). Physical Activity Guidelines for Ameri- significantly in the amount of investment and use, and also provide a specific loca- cans. Retrieved on June 8, 2013, from http:// required. tion for this training modality. www.health.gov/paguidelines/guidelines/ default.aspx. Table 1 on pages 58–59 can help you The most important thing to consider 3. Ervin, R. B. (2006, August 23). Prevalence of when choosing any balance training tools assess whether a company has a stretch- Functional Limitations Among Adults 60 Years is how a particular piece of equipment ing tool that will work for your clients. of Age and Over: United States, 1999–2002. might help your staff deliver training pro- Because there is such a wide variety of Table 2. Advance Data From Vital and Health stretching products, not all the features Statistics, 375. Hyattsville MD: US Centers for grams to safely improve your customers’ Disease Control and Prevention, National Cen- muscle, balance and agility. The equip- in the table will apply to all products, ter for Health Statistics. ment table on pages 58–59 is designed to particularly single-station units. help you choose tools that will help your 4. International Council on Active Aging. (2010). Summary ICAA Active-Aging Industry Development customers improve their balance while Survey 2010. Vancouver BC: International taking into consideration their needs, As we age, our lack of fitness, due in Council on Active Aging. goals and abilities. most cases to a lack of activity, impairs our ability to function at the level most 5. International Council on Active Aging & Stretching tools of us would desire. By providing appro- North Carolina Office on Disability and Health. (2006, July). Age-Friendly Facilities: According to the National Institute on priate fitness and wellness equipment, 99 Questions to Assess Your Competition. Aging,9 one of the US National Insti- you offer your customers opportunities ICAA Developer’s Guide 2006, 1, 44–54. tutes of Health, stretching exercises can to improve their fitness and functional abilities, which in turn will improve 6. US Centers for Disease Control and Preven- help older adults develop more freedom tion, National Centers for Chronic Disease of movement to do the things they need their quality of life. By doing so, your Prevention and Health Promotion. Physical to do—and the things they like to do. customer will become healthier—as will Activity and Health. A Report of the US And, with 66% of people ages 80 and your business. Surgeon General. Retrieved on June 8, 2013, from http://www.cdc.gov/nccdphp/sgr/ above having some difficulty stooping, olderad.htm. crouching or kneeling,3 there are more Colin Milner is CEO of the International tools than ever being developed to help Council on Active Aging® (www.icaa.cc), 7. US Centers for Disease Control and Preven- older people become more flexible. In and a leading authority on the health tion, National Center for Injury Prevention and Control. Fact sheet. Falls Among Older Adults: 2010, 14.3% of ICAA members were and well-being of the older adult. For An Overview. Retrieved on June 8, 2013, from 4 adding dedicated stretching equipment; the past five years, the World Economic http://www.cdc.gov/HomeandRecreational this number increased to 26.8% in 2012, Forum has invited him to serve on its Safety/Falls/adultfalls.html. a significant jump in a two-year span.1 Network of Global Agenda Councils. An 8. US Centers for Disease Control and Preven- award-winning writer, Milner has au- tion, National Center for Injury Prevention and Equipment to help with stretching varies thored more than 250 articles and has Control. Growing Stronger–Strength Training from videotapes and resistance bands, been published in such journals as Global for Older Adults: Why Strength Training? to pilates tools, to stretching tables, sta- Policy. He serves as an editorial advisor to Retrieved June 8, 2013, from http://www.cdc. gov/physicalactivity/growingstronger/why/ tions or machines that allow users to ADVANCE for Long-Term Care Manage- index.html. perform this kind of exercise without ment and as a contributing blogger to the having to move to the ground. The use US Department of Health and Human 9. US National Institutes of Health, National of raised stretching tools is especially Services’ “Be Active Your Way Blog” and Institute on Aging. Exercise and Physical Activ- ity: Your Every Day Guide from the National important for those older adults with the PBS-sponsored website Next Avenue. Institute on Aging, p. 70. Retrieved June 8, a low level of function, as they are fre- Milner also contributed a chapter to the 2013, from http://www.nia.nih.gov/sites/ quently unable to get down on and up book Global Population Ageing: Peril or default/files/nia_exercise_and_physical_ off the floor. Promise? published by the Forum in 2012. activity.pdf.

62 The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc

Advertisers index

Pages 2–3 Page 19 Page 61 NuStep, Inc. THORLO National Strength and 800-322-2209 800-438-0286 Conditioning Association (NSCA) www.nustep.com/newt4r www.thorlo.com 800-815-6826 www.nsca.com/getcsps Page 5 Page 21 SwimEx, Inc. Life Fitness Page 63 800-877-7946 866-638-9301 ProMatura Group www.swimex.com www.lifefitness.com 800-201-1483 [email protected] Page 7 Page 25 HUR Health and Fitness Equipment Active Aging Week 2013 Page 101 847-729-2636 866-335-9777 International Council on Active www.hurusa.com www.icaa.cc/aaw.htm Aging (Online Buyer’s Guide) www.icaa.cc/preferredbusiness Page 9 Page 27 partners.htm Morrison Senior Living International Council on Active 800-2CLIENT (225-4368) Aging (ICAA)/ProMatura Group Page 110 www.iammorrison.com 866-335-9777 Benaroch Graphic Communication www.icaa.cc/management/ 604-856-6627 Page 11 benchmarks.htm www.benaroch.com CaptionCall 877-557-2227 Page 29 Page 111 www.captioncallprovider.com Power Systems Intel-GE Care Innovations 800-321-6975 800-450-0970 Page 13 www.powersystems.com www.careinnovations.com/jaa SCIFIT 800-278-3933 Page 39 Page 112 www.scifit.com Institute for Preventive Foot Technogym USA Corp. Health (IPFH) 800-804-0952 Page 17 877-777-IPFH (4734) [email protected] International Council on Active www.ipfh.org Aging (ICAA Preferred Business Partner Program) Pages 56–57 866-335-9777 International Council on Active www.icaa.cc Aging (ICAA) 866-335-9777 www.icaa.cc

64 The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc International Council on Active Aging Three Conference 2013 inspiring keynotes

Dr. Henry Lodge

Register now Ken Dychtwald and save $100

November 21–23, 2013 San Diego Convention Center San Diego, California

Conference partners Magic Johnson into action that possibilities come alive. ICAA offers a multilevel education and networking event to help you do just that.

Focus on application Every year, professionals who support older-adult quality of life gather at the ICAA Conference to learn, grow Population aging is transforming so- and connect with their colleagues in cieties around the world in fundamen- an inspiring, supportive atmosphere. Transform tal ways, and this wave of change will Attendees reflect the diverse roles, pro- only accelerate in months and years to fessions and settings found in active come. A more inclusive society is key to aging. Individuals come for the profes- your successfully managing this global phe- sional development—a full schedule of nomenon. Active aging, increasingly, is seminars presented by top experts and seen as vital to this framework. To fulfill leaders in the industry. And they come this role, organizations and profession- for the informal learning—the opportu- business als dedicated to active aging need new nities to meet with their peers to share implementable models to address the knowledge and solutions. challenges and opportunities of popula- tion aging. That’s why the International When you and your team attend the Council on Active Aging® (ICAA) has ICAA Conference 2013, you will expand introduced the Nine Principles of Active your knowledge of key topics such as Aging. wellness programming for older adults and staff, management and marketing, Build a solid foundation increasing participation, and program- ICAA’s Nine Principles model guides ming without walls. You will also expand implementation of active-aging strate- your frame of reference with best prac- gies. Areas of focus include: Populations, tices and case studies. People, Perceptions, Potential, Prod- ucts, Promotions, Places, Policies, and ICAA’s 2013 conference differs from Access 4 conferences for the Programs. Integrated with the seven di- past years’ events with its focus on pro- price of one mensions of wellness, it can help active- viding you with the practical tools and aging advocates build a solid foundation methods to transform ideas into action. • ICAA Conference for their efforts—and transform the Examples include practical information • Athletic Business Conference & Expo industry. to use immediately in your work; and • Medical Fitness Association forward-thinking perspectives for use in Conference Using the Nine Principles drives the planning and development. • National Alliance for Youth Sports transformation process in individual Congress organizations as well. Consider, for ex- It’s never been more important to be ample, how your products and services, able to apply information and research Learn more at www.icaa.cc marketing approaches, and environ- in your organization. The active-aging ments might change to enhance your industry is in transition. Population organization’s culture, programming, aging provides opportunities and chal- and engagement with older adults. Envi- lenges—plus a vital new role—for orga- Watch for the ICAA Conference 2013 sion the changes that would optimize nizations, professionals and the industry on Facebook and Twitter! success. as a whole. To thrive in the years to come, the industry dedicated to “Changing the All change starts with a vision. An idea. way we age®” also needs to change. Join Yet, it’s only when you transform ideas us for the ICAA Conference 2013—and start the transformation. “I know I can count on the ICAA Conference to bring passionate and charismatic speakers who are trailblazers and who are interested in sharing what they have learned with others in an authentic and accessible way. I always come away with great ideas and renewed energy.”

Lisa Kiely Director of Integrated Wellness and Community Culture/Park Springs Community Life Services Corporate Resource Consultant, Life Care Services

SOME HIGHLIGHTS FOR ATTENDEES

Stimulating keynotes. This year’s event features a trio of keynotes that are sure to inspire you. Don’t miss this opportunity to hear Dr. Henry S. Lodge, coauthor of Younger Next Year; Dr. Ken Dychtwald, Age Wave visionary; and Earvin “Magic” Johnson, CEO, National Basketball Association legend, and Dodgers owner.

Full-day workshops by expert presenters. Additional programming options offer you education and practical information to take back to your organization. Check out full-day workshops on balance, aquatics, cognitive health, and pole walking, presented by some of ICAA’s most popular presenters. All conference photos by Brian Ebner/ For details, see “Additional programming.” Optic Nerve, except where noted. Images courtesy of Athletic Business Products and services expo. ICAA partners with leading conference provider Athletic Business (AB) to provide you with access to the AB Conference & Expo. This premier event Who should attend? for the health and fitness industry showcases the changing landscape of Wellness directors health, wellness and recreation offerings Program directors Personal trainers across the levels of function. Visit the Activities directors Health educators ICAA Pavilion, located in the exhibit Executive directors Social workers hall, to stay current with the newest Administrators Chaplains innovations in technology, equipment Board members Physicians and services targeted specifically to age Sales and marketing personnel Nutritionists/dietitians 50-plus adults. This “one-stop” venue Developers and architects Therapists is where you can research products or Resident life executives Researchers services, locate new items of interest, Fitness instructors Professors and do your yearly purchasing. Be sure to stop by the ICAA booth! Visit ICAA online at www.icaa.cc for conference information 4. The networking The ICAA Conference brings together professionals across the active-aging spectrum. Learn from others who support older-adult wellness and quality of life. Meet or reconnect with professional allies and build your knowledge network. And enjoy an evening of social time and learning 1. The education at the Poster Session and ICAA Member input informs the educational Networking Reception. reasons to program at the ICAA Conference. Seminars and workshops target the 5. The credits varied dimensions, roles and solutions Attendees can register to obtain attend in active aging, aiming to meet industry continuing education units (CEUs), needs and transform ideas into action. also called continuing education credits (CECs), at the ICAA Conference. As a 2. The presenters CEU registrant, you’ll receive a log book ICAA recruits active-aging industry at the conference, which you must turn leaders and experts from diverse back- in at the ICAA registration desk once grounds as conference presenters. These the event is over. Six to eight weeks later individuals bring first-rate industry your CEU transcripts will arrive. To experience, knowledge and skills to their cover costs, the fee for the CEU program sessions. is $25 until Wednesday, November 10; 6 then $40 on-site. 3. The handouts Attendees are provided with all session 6. The trade show handouts available. At the conference, The ICAA Conference takes place you’ll receive a CD-ROM containing in conjunction with the Athletic these handouts, which you may print Business Conference & Expo, one of at any of the free stations on- the industry’s premier events in North site. The CD is also a valuable reference America. Through this partnership, you to take home and share with your can access a showcase of products and colleagues. If you want to print session services designed to support wellness, handouts in advance, you can access exercise and recreation across functional them online before the event; ICAA levels. The ICAA Pavilion spotlights will email you a link to this site. offerings created specifically for age 50- plus adults.

“I believe ICAA membership and attendance of [the ICAA Conference] is the best annual expense your organization can justify for the educational rewards and networking opportunities you are exposed to.”

Kenneth R. Paulovich, RN Director, Willis Knighton Fitness and Wellness Centers Spotlight on…

CONTINUING Continuing Education Providers “I left the ICAA Conference inspired EDUCATION UNITS and more confident about what we • ACE (American Council on Exercise) were providing for residents in our Enhance your professional • ACSM (American College of Sports community. I felt like I had a better development at the ICAA Medicine) grasp of wellness promotion, for both Conference by obtaining contin- • AFAA (Aerobics and Fitness our residents and staff, and was able uing education units (CEUs), Association of America) to refine our mission a bit more. It was also referred to as continuing • canfitpro incredibly encouraging to spend several education credits (CECs), from • Cooper Institute days with others in the senior living numerous organizations. You may • IACET (International Association of world, and felt a renewed sense of be able to receive CEUs from your Continuing Education & Training)* passion and excitement about the days association even if it is not listed • IFPA (International Fitness to come. Thank you!” among the providers below. At Professionals Association) your request, ICAA will send you a • NASM (National Academy of Sports Rachel Ostrow letter confirming your attendance Medicine) Director of Wellness Programs, Crista at ICAA Conference sessions, • NAYS (National Alliance for Youth Senior Living–Crista Shores Community which you can use to support your Sports) application for CEUs. • NSCA-CPT (National Strength & Conditioning Association) CEU registrants receive a log book • NSCA CSCS (National Strength & when checking in or registering at Conditioning Association) the conference. This book notes all • SCW Fitness Education the sessions that offer credits, along with the certifying organizations. * The National Recreation and Park After a session, the room monitor Association (NRPA) accepts IACET CEUs. will stamp your book to verify your To find out who else accepts IACET CEUs, attendance. Turn in your stamped go to www.iacet.org, click on “Continuing booklet at the ICAA registration Education Units (CEUs),” and select the desk when you leave the conference, link on the drop-down menu. then allow up to eight weeks for your CEU transcript to arrive. ** Learning units (LUs) from the American Institute of Architects will not The CEU program requires an be offered this year. AIA members may additional fee to cover the costs self-report credits as part of the institute’s charged by certifying agencies. Structured Self-Reported Program. Enroll by Wednesday, November Visit www.aia.org/education/providers/ 10, for $25, or register on-site AIAB093368 and choose “Self-Reports” to for $40. learn how. Keynote speakers

Henry S. Lodge, MD, FACP Dr. Henry S. Lodge is an associate clinical professor of medicine at Columbia University Medical Center in New York and a board certified internist practicing in Manhattan. Ranked as one of the Best Doctors in America by Best Doctors, Inc., Lodge is listed in Who’s Who in Medicine and Healthcare, Who’s Who in Science and Engineering, and Who’s Who in the World. He is the coauthor of the New York Times’ best- seller Younger Next Year, and Younger Next Year for Women, which have not only sold more than a million copies in the United States, but also been published in 20 languages around the world. In addition, Lodge hosts the PBS show Younger Next Year: The New Science of Aging, and serves as a contributing medical editor for SELF magazine and on the Medical Advisory Board of the Dr. Oz Show.

Brought to you by Atria Senior Living Ken Dychtwald, PhD Over the past 35-plus years, Ken Dychtwald has emerged as North America’s foremost visionary and original thinker regarding the lifestyle, marketing, healthcare and workforce implications of the longevity revolution. He is a psychologist, gerontologist, documentary filmmaker, entrepreneur and best-selling author of 16 books on health, wellness and aging-related issues, including Age Wave: The Challenges and Opportunities of an Aging Society. In 2007, he had his debut as a documentary filmmaker and host with the PBS special The Boomer Century: 1946–2046. Since 1986, Dychtwald has been the founding president and CEO of Age Wave, a firm created to guide Fortune 500 companies and government groups in product/service development for Boomers and mature adults. He has addressed more than two million people worldwide in speeches to corporate, association, social service, and government groups. In addition, Dychtwald’s predictions and ideas are regularly featured in leading print and electronic media worldwide.

Earvin “Magic” Johnson Earvin “Magic” Johnson is a Major League Baseball owner, a National Basketball Association Legend, a two-time Hall of Famer, an entrepreneur, a philanthropist and a motivational speaker. The business mogul has successfully parlayed his skills and tenacity on the court into the business world, propelling his company to the status of #1 Brand in Urban America. He is chairman and CEO of Magic Johnson Enterprises (MJE), which provides high-quality products and services that focus primarily on ethnically diverse and underserved urban communities through strategic alliances, investments, consulting and endorsements. Johnson also serves as chairman and founder of the Magic Johnson Foundation, where his unwavering commitment to transform Urban America continues through HIV/AIDS Awareness & Prevention Programs, Community Empowerment Centers, and the Taylor Michaels Scholarship Program. Celebrating over 20 years of success, the Magic Johnson Foundation has become one of the most recognizable philanthropic organizations around the world. Featured speakers

Preconference presenters

Debra J. Rose, PhD Debra Rose is a professor in the Kinesiology Department at California State University, Fullerton. Rose is also director of the Institute of Gerontology and the award-winning Center for Successful Aging. She serves as one of two codirectors of the Fall Prevention Center of Excellence established in Cathy Maloney-Hills, RPT 2005, and is an International Council on Cathy Maloney-Hills is an aquatic Active Aging Advisory Board Member. physical therapist working for Courage Center at Summit Place Senior Campus in Eden Prairie, Minnesota, and Heritage Park Senior Services Center in Minneapolis. Maloney-Hills is coinvestigator/author for the study and program Golden Waves Functional Water Program for Older Adults, University of Nevada, Reno. She is also a coauthor of the book YMCA Water Fitness for Health. Mary Sanders, PhD, FACSM, RCEP Mary Sanders is a clinical exercise physiologist in the Division of Wellness and Weight Management, School of Medicine, and an adjunct professor in the College of Community Health Sciences, University of Nevada, Reno. An international trainer of health and fitness professionals, Sanders directs WaterFit ®/Golden Waves® and serves on the International Council on Active Aging Advisory Board. She is an associate editor of ACSM’s Health & Fitness Journal®, contributing editor to the Journal on Active Aging®, and editor/ coauthor of YMCA Water Fitness for Health. Postconference presenters

Christine Shidla Christine Shidla is the director of wellness at Summit Place Senior Campus in Eden Prairie, Minnesota. She is also a trainer and speaker for exercise for the Arthritis Foundation. Shidla received her bachelor of science degree in kinesiology, with emphasis in sports medicine, from the University of Minnesota. Peggy Buchanan, MA Tom Rutlin, BSAS Peggy Buchanan is the director Tom Rutlin, founder and president of of fitness, aquatics and physical Exerstrider Products, is considered to be therapy at Vista del Monte active “the father of Nordic walking.” Rutlin retirement community in Santa was the first to develop age-friendly Barbara, California. Buchanan also ergonomic pole-walking equipment coordinates the vitality wellness and techniques, as well as motivating programming for Front Porch, the and educational presentations aimed largest nonprofit senior service at activating older adults. He has agency in southern California, maintained a focus on working with and has sustained successful pole- senior populations for more than a walking programs for nearly a decade. Robert Winningham, PhD decade. Rob Winningham is a full professor and chair of the Psychology Division at Western Oregon University, where he manages both the Psychology and Gerontology Departments. With nearly 20 years’ experience researching applied memory issues, Winningham has conducted research for the past 15 years “The ICAA Conference gives folks on ways to enhance older adults’ mental interested in expanding the minds and functioning and quality of life. Most bodies of the maturing adult excellent new recently, he has been helping developers tools to accomplish just that.” create video games and interactive activities specifically designed to Tim E. Thiele enhance cognition. Winningham has Executive Director, Lutheran Homes of also trained thousands of professionals Oconomowoc Shorehaven Campus to offer high-quality cognitive stimulation and therapy programs. Additional programming

9:00 a.m.–4:45 p.m. HIIT the pool for function and vigor: frail to strong Higher intensity interval training (HIIT) shows promise as a “potent” and time-efficient training method for cardiovascular and skeletal muscle adaptations that in some cases may lead to better improvements in Preconference workshops health, compared to aerobic training. Wednesday, November 20, 2013 Functional activities of daily living (ADL) tasks are based on timed, 9:00 a.m.–4:00 p.m. task-specific skills. Explore how pool Fallproof method for addressing intervals offer safe and effective training balance disorders in older across the continuum, from frail adults participants to master athletes. This “hands-on” workshop will provide You’ll be able to: the tools and techniques needed to • Develop programs based on assess and intervene with older adults functionally targeted intervals for experiencing balance and gait disorders. frail to apparently healthy individuals Find out how to assess the multiple and athletes, and gain ideas about dimensions of balance, and then how to train leaders. individualize and progress exercises • Comprehend how to implement these based on assessment outcomes. Methods types of programs in a continuing for assessing and improving cognitive care retirement community setting, function in dual-task environments will so they broaden the scope of current also be introduced. pool programs rehab to fitness. “I appreciate the network of individuals You’ll be able to: • Discover some new findings about and organizations who work together to • Select and administer fall-risk effective protocols for wellness and enhance the wellness experience for older screening tools specific to different functional ADL on land that can start adults. This conference showcases their levels of fall risk; and systematically with your pool program. efforts and innovative ideas.” progress balance activities that Faculty: Mary Sanders, PhD, FACSM, address the multiple dimensions of RCEP, University of Nevada, Reno; Marge Coalman, EdD balance and mobility. Cathy Maloney-Hills, RPT, Courage Vice President, Wellness and Programs, • Integrate cognitive activities into Center at Summit Place Senior Campus, Touchmark, and ICAA Advisory Board balance training sessions to improve and Heritage Park Senior Services Member multiple components of executive Center; Christine Shidla, Director of function. Wellness, Summit Place Senior Campus. • Implement strategies aimed at CEUS awarded positively changing fall-related attitudes and behaviors. (Note: Participants should come Faculty: Debra Rose, PhD, Professor, ready to get in the pool, and bring Kinesiology Department, Director, water shoes and two bathing suits for Institute of Gerontology and Director, the day.) Center for Successful Aging, California State University, Fullerton. CEUS awarded

Sponsored by Vi 9:00 a.m.–5:30 p.m. • Develop and implement effective exercisers, which can then grow and Cognitive rehabilitation cognitive-rehabilitation enhancement attract many individuals—including and memory enhancement: programs for people of varying those who already exercise and evidence-based interventions cognitive abilities. Identify effective those who have traditionally been for older adults ways to motivate depressed, apathetic nonexercisers. Impaired memory and attention deficits and anxious individuals to participate • Maximize ongoing resident (and can affect where someone can live, how in therapy and activities that can staff) participation in physical much support they will need, and their improve their memory ability and activity while minimizing staff quality of life. Memory enhancement quality of life. involvement, overhead, and facility interventions are effective at preventing Faculty: Robert Winningham, PhD, space requirements, plus create new further decline and improving memory Professor and Chair, Psychology revenue-generating potential. abilities, while physical exercise, Division, Western Oregon University. Faculty: Tom Rutlin, BSAS, CEO and nutritional changes, and social support CEUS awarded Founder, Exerstrider Products, Inc.; interventions can improve cognitive Peggy Buchanan, MA, Director of ability and quality of life. Learn up-to- Postconference workshop Fitness, Aquatics and Physical Therapy, date information about memory, aging Saturday, November 23, 2013 Vista del Monte. and dementia. Also, explore how to CEUS awarded implement evidence-based interventions 9:00 a.m.–3:00 p.m. to slow or even reverse memory Creating “thriving” Fee: $79 per person for a preconference or problems. Exerstride Method Nordic postconference workshop You’ll be able to: Walking (EMNW) total-body • Describe the use it or lose it theory walking and pole exercise of memory and aging, and review programs in your CCRC supporting evidence. Learn basic Learn how to launch popular EMNW information about memory, why we pole-walking and pole group exercise forget, and how memory changes programs in continuing care retirement over the life span. Develop a communities and senior wellness foundational understanding of the programs. Discover how such programs neuropsychological basics regarding can sustain and increase participant memory, aging and dementia. involvement and significantly improve • Discuss the different types of participants’ balance and functional dementia, how each affects one’s independence, while creating a ability to think and make new culture of mind, body and spirit that memories and their common enhances the overall vitality of your treatments. Review the latest research community. Earn an Exerstride Method on how nutrition, physical exercise, Nordic Walking Advanced Instructor mood, and social support affect certificate, and learn how to grow your cognition and develop interventions own “grassroots” community of Nordic based on these new research findings. walkers. You’ll be able to: • Equip, fit and instruct residents competently in EMNW pole walking and other fun pole-exercise activity programs utilizing specially designed ergonomic walking poles. • Comprehend and implement the steps required to attract and train a group of pole walkers and pole Seminars at a glance Thursday, November 21, 2013

PDW, L T W, L BF, L PDW, L PDW, L B, LI A 10-year retrospective of Building bridges: rehab Socialization is the treatment The journey from ordinary Exercise walking REALLY Tai chi exercises for postural wellness research and wellness partnering for for dementia–how to create to extraordinary: program DOES improve quality of reeducation, gait training and successful outcomes winning programs evaluation and implementation life–v2.0 balance 8:00 a.m.–9:30 a.m. Cornelia C. Hodgson, C.C. Robert Thompson, Institute for Faith Overton, Tri City Wellness Hodgson Architectural Group, Jennifer Sidelinker and Rebecca David Troxel, Consultant; Roxy Kline, YMCA of the Preventive Foot Health; Tracey Center; Troyce Thome, Tai Chi LLC Tarbert, Genesis Rehab Services Marge Coalman, Touchmark Greater Twin Cities Harvey, GenCare Lifestyle for Health

ML, L MS, L BF, L ML, L PDW, L PDW, LI OP, LI The ROI of wellness Rebranding Aging The future of brain health: Motivating the motivator Resident engagement: Strong seniors strengthening Enhancing all dimensions of III–mastering ageless What’s next in cognitive anatomy of successful and stretching while seated wellness with pole exercise 9:45 a.m.–11:15 a.m. communications fitness? programming program programs

Richard Ambrosius, Positive Cynthia Green, Memory Arts, Tamara Sawicz and Andrea Maureen Hagan, GoodLife Tom Rutlin, Exerstrider A panel of senior executives Aging LLC Stacey Belt, Atria Senior Living Agazim, Vi Senior Living Fitness Products, Inc.

KEYNOTE KEYNOTE KEYNOTE KEYNOTE KEYNOTE KEYNOTE KEYNOTE 11:30 a.m.–12:45 p.m. Ken Dychtwald Ken Dychtwald Ken Dychtwald Ken Dychtwald Ken Dychtwald Ken Dychtwald Ken Dychtwald

TRADE SHOW GRAND TRADE SHOW GRAND TRADE SHOW GRAND TRADE SHOW GRAND TRADE SHOW GRAND TRADE SHOW GRAND TRADE SHOW GRAND 1:00 p.m.–6:00 p.m. OPENING OPENING OPENING OPENING OPENING OPENING OPENING

ML, L PDW, L R, L PDW, L BF, L PDW, LI Practical design considerations Employee wellness in your Successful aging through Bringing outdoors inside: iPads to paper and pencil: Become a sensation scientist for an active-aging wellness workplace proper nutrition eco-living in residential senior many, many ideas and ready- through The Body’s Way center living to-use resources for cognitive 2:45 p.m.–4:15 p.m. stimulation programs Caley Kratz, Mercy Ridge Maureen Janowski, Morrison Janet Hollander, Moving Retirement Community; Vivian Senior Living; Laurie Balsano, Tamberly Mott, Atria Senior Robert Winningham, Western Toward Health; Ken Gilbert, To be announced Smith, Vantage House Pilgrim Place/Morrison Living Oregon University EmBODYment

KEYNOTE KEYNOTE KEYNOTE KEYNOTE KEYNOTE KEYNOTE KEYNOTE Henry Lodge Henry Lodge Henry Lodge Henry Lodge Henry Lodge Henry Lodge Henry Lodge (includes presentation of ICAA (includes presentation of ICAA (includes presentation of ICAA (includes presentation of ICAA (includes presentation of ICAA (includes presentation of ICAA (includes presentation of ICAA Innovators Awards) Innovators Awards) Innovators Awards) Innovators Awards) Innovators Awards) Innovators Awards) Innovators Awards) 4:30 p.m.–6:00 p.m.

Brought to you by Atria Brought to you by Atria Brought to you by Atria Brought to you by Atria Brought to you by Atria Brought to you by Atria Brought to you by Atria Senior Living Senior Living Senior Living Senior Living Senior Living Senior Living Senior Living

AB RECEPTION AB RECEPTION AB RECEPTION AB RECEPTION AB RECEPTION AB RECEPTION AB RECEPTION 8:00 p.m.–11:00 p.m. Stingaree Stingaree Stingaree Stingaree Stingaree Stingaree Stingaree COLOR B Balance OP Outdoor programs L Lecture KEY FOR BF Brain fitness PDW Program design for wellness LI Lecture/Interactive TOPIC ML Management and leadership R Research AREAS MS Marketing and sales TW Therapy to wellness

PDW, L T W, L BF, L PDW, L PDW, L B, LI A 10-year retrospective of Building bridges: rehab Socialization is the treatment The journey from ordinary Exercise walking REALLY Tai chi exercises for postural wellness research and wellness partnering for for dementia–how to create to extraordinary: program DOES improve quality of reeducation, gait training and successful outcomes winning programs evaluation and implementation life–v2.0 balance 8:00 a.m.–9:30 a.m. Cornelia C. Hodgson, C.C. Robert Thompson, Institute for Faith Overton, Tri City Wellness Hodgson Architectural Group, Jennifer Sidelinker and Rebecca David Troxel, Consultant; Roxy Kline, YMCA of the Preventive Foot Health; Tracey Center; Troyce Thome, Tai Chi LLC Tarbert, Genesis Rehab Services Marge Coalman, Touchmark Greater Twin Cities Harvey, GenCare Lifestyle for Health

ML, L MS, L BF, L ML, L PDW, L PDW, LI OP, LI The ROI of wellness Rebranding Aging The future of brain health: Motivating the motivator Resident engagement: Strong seniors strengthening Enhancing all dimensions of III–mastering ageless What’s next in cognitive anatomy of successful and stretching while seated wellness with pole exercise 9:45 a.m.–11:15 a.m. communications fitness? programming program programs

Richard Ambrosius, Positive Cynthia Green, Memory Arts, Tamara Sawicz and Andrea Maureen Hagan, GoodLife Tom Rutlin, Exerstrider A panel of senior executives Aging LLC Stacey Belt, Atria Senior Living Agazim, Vi Senior Living Fitness Products, Inc.

KEYNOTE KEYNOTE KEYNOTE KEYNOTE KEYNOTE KEYNOTE KEYNOTE 11:30 a.m.–12:45 p.m. Ken Dychtwald Ken Dychtwald Ken Dychtwald Ken Dychtwald Ken Dychtwald Ken Dychtwald Ken Dychtwald

TRADE SHOW GRAND TRADE SHOW GRAND TRADE SHOW GRAND TRADE SHOW GRAND TRADE SHOW GRAND TRADE SHOW GRAND TRADE SHOW GRAND 1:00 p.m.–6:00 p.m. OPENING OPENING OPENING OPENING OPENING OPENING OPENING

ML, L PDW, L R, L PDW, L BF, L PDW, LI Practical design considerations Employee wellness in your Successful aging through Bringing outdoors inside: iPads to paper and pencil: Become a sensation scientist for an active-aging wellness workplace proper nutrition eco-living in residential senior many, many ideas and ready- through The Body’s Way center living to-use resources for cognitive 2:45 p.m.–4:15 p.m. stimulation programs Caley Kratz, Mercy Ridge Maureen Janowski, Morrison Janet Hollander, Moving Retirement Community; Vivian Senior Living; Laurie Balsano, Tamberly Mott, Atria Senior Robert Winningham, Western Toward Health; Ken Gilbert, To be announced Smith, Vantage House Pilgrim Place/Morrison Living Oregon University EmBODYment

KEYNOTE KEYNOTE KEYNOTE KEYNOTE KEYNOTE KEYNOTE KEYNOTE Henry Lodge Henry Lodge Henry Lodge Henry Lodge Henry Lodge Henry Lodge Henry Lodge (includes presentation of ICAA (includes presentation of ICAA (includes presentation of ICAA (includes presentation of ICAA (includes presentation of ICAA (includes presentation of ICAA (includes presentation of ICAA Innovators Awards) Innovators Awards) Innovators Awards) Innovators Awards) Innovators Awards) Innovators Awards) Innovators Awards) 4:30 p.m.–6:00 p.m.

Brought to you by Atria Brought to you by Atria Brought to you by Atria Brought to you by Atria Brought to you by Atria Brought to you by Atria Brought to you by Atria Senior Living Senior Living Senior Living Senior Living Senior Living Senior Living Senior Living

AB RECEPTION AB RECEPTION AB RECEPTION AB RECEPTION AB RECEPTION AB RECEPTION AB RECEPTION 8:00 p.m.–11:00 p.m. Stingaree Stingaree Stingaree Stingaree Stingaree Stingaree Stingaree Seminars at a glance Friday, November 22, 2013

EARLY-MORNING EARLY-MORNING EARLY-MORNING EARLY-MORNING EARLY-MORNING EARLY-MORNING EARLY-MORNING 6:30 a.m.–8:30 a.m. WORKOUT WORKOUT WORKOUT WORKOUT WORKOUT WORKOUT WORKOUT

PDW, LI B, LI Ageless athletes: Can you Effectively create, implement BEAT that? and market your balance program 6:45 a.m.–8:15 a.m. Barbara Fish, Heritage Community of Kalamazoo; Jennifer Dagati, Drum Beat Justin Margut and Sandy Reid, University Bethany Village

BF, L R, L MS, L PDW, L PDW, L PDW, LI OP, LI Brain health fairs: bringing Can’t face another workday? Beyond Woodstock: profitably Creating innovative wellness Innovative ideas from proven Transforming and improving Take your brain for a walk better cognitive fitness to your You may have compassion engage the Web’s most valuable programming throughout the programs physical function with frail 8:30 a.m.–10:00 a.m. community fatigue consumers continuum of care elders

Cynthia Green, Memory Arts, James Huysman, WellMed Gina Formica and Jennifer Patricia Ryan, International Betsy Best-Martini, Recreation Peggy Buchanan, Vista del LLC Charitable Foundation David Weigelt, Immersion Active Conway, Liberty Lutheran Council on Active Aging Consultation Monte

R, L T W, L ML, L PDW, L PDW, LI PDW, LI OP, LI Exercise as medicine: Keep moving: from rehab to Accountable Care–leveraging SEXcessful aging: sex, BOSU mobility and stability Off the rocker: movement that WALK for life: walk preserving function by wellness and showcasing your exercise intimacy and aging for the active aging motivates! more=live better 10:15 a.m.–11:45 a.m. functioning and wellness programs Rebecca Chaplin, Land-of-Sky Lawrence Biscontini, FG2000; Cammy Dennis and Jessica Mark Kelly, American Council Marge Coalman and Lori Kay Van Norman, Brilliant Regional Council, Area Agency Bernadette O’Brien, YMCA Pinkowski, On Top of the World Jolene Moore, Covenant on Exercise McCormick, Touchmark Aging on Aging Wayne, New Jersey Communities, Inc. Retirement Communities

KEYNOTE KEYNOTE KEYNOTE KEYNOTE KEYNOTE KEYNOTE KEYNOTE 12:00 p.m.–1:00 p.m. Earvin “Magic” Johnson Earvin “Magic” Johnson Earvin “Magic” Johnson Earvin “Magic” Johnson Earvin “Magic” Johnson Earvin “Magic” Johnson Earvin “Magic” Johnson

1:00 p.m.–5:00 p.m. TRADE SHOW TRADE SHOW TRADE SHOW TRADE SHOW TRADE SHOW TRADE SHOW TRADE SHOW

PDW, L R, L ML, L ML, L PDW/LI BF, L Transforming the expressive How to connect optimally Appreciative Inquiry 101 Leveraging the wellness- Core stability for a healthy Brain boosters arts: wellness, team-building, with age 50+ adults and rehabilitation partnership for back for all levels of function marketing and fundraising promote behavior change for enhanced outcomes 4:00 p.m.–5:30 p.m. healthy, fit and happy living Cindy Bradshaw, National Rita Lopienski, Plymouth Place Michael Mantell, American Certification Council for Activity Denise Durham, Select Maureen Hagan, GoodLife Terry Eckmann, Minot State Senior Living Council on Exercise Professionals (NCCAP) Rehabilitation, Inc. Fitness University

POSTER SESSION POSTER SESSION POSTER SESSION POSTER SESSION POSTER SESSION POSTER SESSION POSTER SESSION 6:00 p.m.–7:00 p.m. Multiple presenters Multiple presenters Multiple presenters Multiple presenters Multiple presenters Multiple presenters Multiple presenters

ICAA NETWORKING ICAA NETWORKING ICAA NETWORKING ICAA NETWORKING ICAA NETWORKING ICAA NETWORKING ICAA NETWORKING 6:30 p.m.–8:30 p.m. RECEPTION RECEPTION RECEPTION RECEPTION RECEPTION RECEPTION RECEPTION Omni San Diego Hotel Omni San Diego Hotel Omni San Diego Hotel Omni San Diego Hotel Omni San Diego Hotel Omni San Diego Hotel Omni San Diego Hotel COLOR B Balance OP Outdoor programs L Lecture KEY FOR BF Brain fitness PDW Program design for wellness LI Lecture/Interactive TOPIC ML Management and leadership R Research AREAS MS Marketing and sales TW Therapy to wellness

EARLY-MORNING EARLY-MORNING EARLY-MORNING EARLY-MORNING EARLY-MORNING EARLY-MORNING EARLY-MORNING 6:30 a.m.–8:30 a.m. WORKOUT WORKOUT WORKOUT WORKOUT WORKOUT WORKOUT WORKOUT

PDW, LI B, LI Ageless athletes: Can you Effectively create, implement BEAT that? and market your balance program 6:45 a.m.–8:15 a.m. Barbara Fish, Heritage Community of Kalamazoo; Jennifer Dagati, Drum Beat Justin Margut and Sandy Reid, University Bethany Village

BF, L R, L MS, L PDW, L PDW, L PDW, LI OP, LI Brain health fairs: bringing Can’t face another workday? Beyond Woodstock: profitably Creating innovative wellness Innovative ideas from proven Transforming and improving Take your brain for a walk better cognitive fitness to your You may have compassion engage the Web’s most valuable programming throughout the programs physical function with frail 8:30 a.m.–10:00 a.m. community fatigue consumers continuum of care elders

Cynthia Green, Memory Arts, James Huysman, WellMed Gina Formica and Jennifer Patricia Ryan, International Betsy Best-Martini, Recreation Peggy Buchanan, Vista del LLC Charitable Foundation David Weigelt, Immersion Active Conway, Liberty Lutheran Council on Active Aging Consultation Monte

R, L T W, L ML, L PDW, L PDW, LI PDW, LI OP, LI Exercise as medicine: Keep moving: from rehab to Accountable Care–leveraging SEXcessful aging: sex, BOSU mobility and stability Off the rocker: movement that WALK for life: walk preserving function by wellness and showcasing your exercise intimacy and aging for the active aging motivates! more=live better 10:15 a.m.–11:45 a.m. functioning and wellness programs Rebecca Chaplin, Land-of-Sky Lawrence Biscontini, FG2000; Cammy Dennis and Jessica Mark Kelly, American Council Marge Coalman and Lori Kay Van Norman, Brilliant Regional Council, Area Agency Bernadette O’Brien, YMCA Pinkowski, On Top of the World Jolene Moore, Covenant on Exercise McCormick, Touchmark Aging on Aging Wayne, New Jersey Communities, Inc. Retirement Communities

KEYNOTE KEYNOTE KEYNOTE KEYNOTE KEYNOTE KEYNOTE KEYNOTE 12:00 p.m.–1:00 p.m. Earvin “Magic” Johnson Earvin “Magic” Johnson Earvin “Magic” Johnson Earvin “Magic” Johnson Earvin “Magic” Johnson Earvin “Magic” Johnson Earvin “Magic” Johnson

1:00 p.m.–5:00 p.m. TRADE SHOW TRADE SHOW TRADE SHOW TRADE SHOW TRADE SHOW TRADE SHOW TRADE SHOW

PDW, L R, L ML, L ML, L PDW/LI BF, L Transforming the expressive How to connect optimally Appreciative Inquiry 101 Leveraging the wellness- Core stability for a healthy Brain boosters arts: wellness, team-building, with age 50+ adults and rehabilitation partnership for back for all levels of function marketing and fundraising promote behavior change for enhanced outcomes 4:00 p.m.–5:30 p.m. healthy, fit and happy living Cindy Bradshaw, National Rita Lopienski, Plymouth Place Michael Mantell, American Certification Council for Activity Denise Durham, Select Maureen Hagan, GoodLife Terry Eckmann, Minot State Senior Living Council on Exercise Professionals (NCCAP) Rehabilitation, Inc. Fitness University

POSTER SESSION POSTER SESSION POSTER SESSION POSTER SESSION POSTER SESSION POSTER SESSION POSTER SESSION 6:00 p.m.–7:00 p.m. Multiple presenters Multiple presenters Multiple presenters Multiple presenters Multiple presenters Multiple presenters Multiple presenters

ICAA NETWORKING ICAA NETWORKING ICAA NETWORKING ICAA NETWORKING ICAA NETWORKING ICAA NETWORKING ICAA NETWORKING 6:30 p.m.–8:30 p.m. RECEPTION RECEPTION RECEPTION RECEPTION RECEPTION RECEPTION RECEPTION Omni San Diego Hotel Omni San Diego Hotel Omni San Diego Hotel Omni San Diego Hotel Omni San Diego Hotel Omni San Diego Hotel Omni San Diego Hotel Seminars at a glance Saturday, November 23, 2013

PDW, LI Conductorcise: a fresh, always new, joyous 6:45 a.m.– brain and body 8:15 a.m. stimulator

David Dworkin, Conductorcise

ML, L PDW, LI PDW, L PDW, LI PDW, LI Senior centers: Mudras, music Aquatics benefits Joy dance Preserving alive, well and and meditation people with function in frail ready for the Parkinson’s adults Terry Eckmann, future disease Minot State University

8:30 a.m.– B, LI 10:00 a.m. Exercises to remain safe on Christine Shidla, your feet Summit Place Cammy Dennis Senior Campus; and Jessica Luanne Lawrence Cathy Maloney- Cindy Kozacek, Pinkowski, On Whitmarsh, Kerby Biscontini, Hills, Courage Healthways/ Top of the World Centre FG2000 Center SilverSneakers Communities, Inc.

T W, L ML, L PDW, L PDW, LI PDW, LI Inspiring Placing a value R3: Reenergize, Functional fitness Ten moves that participation on your worth revamp, solutions we lose: keep through engaging restructure them and dodge programs and your wellness disability 10:15 a.m.– Cindy Bradshaw, challenges programming 11:45 a.m. National Certification Council for Patricia Activity VanGalen, Lauren Kriz, Professionals Jackie Halbin, Debra Atkinson, Excellence In RehabCare (NCCAP) Lakeview Village Voice for Fitness Conditioning

This schedule is subject to change.

COLOR B Balance OP Outdoor programs L Lecture KEY FOR BF Brain fitness PDW Program design for wellness LI Lecture/Interactive TOPIC ML Management and leadership R Research AREAS MS Marketing and sales TW Therapy to wellness Schedule at a glance

Start transforming ideas into action by building your knowledge, skills and professional network at the ICAA Conference 2013. You may also attend educational sessions offered concurrently by Athletic Business, the Medical Fitness Association, and the National Alliance for Youth Sports at no additional charge.

Tuesday, November 19 4:00 p.m.–6:00 p.m. Registration

Wednesday, November 20 7:00 a.m.–6:00 p.m. Registration Times vary Preconference workshops Note: See “Additional programming” for details.

Space is limited, so register early to avoid disappointment. Each preconference workshop costs an additional $79 per registrant. Aquatics workshop sponsored by Vi

Thursday, November 21 7:00 a.m.–5:00 p.m. Registration Note: Trade show-only registration open until 6:00 p.m. 8:00 a.m.–11:15 a.m. Educational seminars 11:30 a.m.–12:45 p.m. Keynote: Ken Dychtwald 1:00 p.m.–6:00 p.m. Trade show grand opening 2:45 p.m.–4:15 p.m. Educational seminars 4:30 p.m.–6:00 p.m. Keynote: Henry S. Lodge, MD Sponsored by Atria Senior Living 8:00 p.m.–11:00 p.m. AB all-conference welcome reception

Note: Full-conference attendees receive a $5 off lunch coupon usable in the exhibit hall on Thursday or Friday during exhibit hours only.

Friday, November 22 6:30 a.m.–8:30 a.m. Early-morning workout 6:45 a.m.–8:15 a.m. Educational seminars 7:30 a.m.–5:00 p.m. Registration Note: Trade show-only registration opens at 6:15 a.m. 8:30 a.m.–11:45 a.m. Educational seminars “The ICAA Conference is, by far, the 12:00 p.m.–1:00 p.m. Keynote: Earvin “Magic” Johnson most informative, appropriate and fun 1:00 p.m.–5:00 p.m. Trade show conference that I have ever attended. 4:00 p.m.–5:30 p.m. Educational seminars It is refreshing to be with others from 6:00 p.m.–7:00 p.m. ICAA Poster Session (at Networking Reception site) around the world who speak the 6:30 p.m.–8:30 p.m. ICAA Networking Reception Sponsored by the language of healthy aging!” International Council on Active Aging®

Rebecca Chaplin Saturday, November 23 Health Promotion Specialist, Area Agency 6:45 a.m.–8:15 a.m. Educational seminar on Aging for the Land-of-Sky Regional 7:45 a.m.–12:00 p.m. Registration Council 8:30 a.m.–11:45 a.m. Educational seminars 9:00 a.m.–3:00 p.m. Postconference workshop Note: See “Additional programming” for details.

Space is limited for the postconference workshop, which costs an additional $79 per registrant. Register now to avoid disappointment! Sessions

You’ll be able to: • Build bridges between rehab and wellness by integrating wellness concepts throughout rehabilitation, offering evidence-based programs in wellness, and using common objective measures across the rehab- and-wellness spectrum to promote common language. COLOR KEY FOR TOPIC AREAS Thursday, November 21, 2013 • Describe an effective rehab-wellness 8:00 a.m.–9:30 a.m. continuum and best practices for B Balance communication and partnership BF Brain fitness PDW A 10-year retrospective of between rehab and wellness ML Management and leadership wellness research professionals. MS Marketing and sales Explore how senior living communities • Comprehend the rehab professional’s OP Outdoor programs have embraced wellness over the past role in health promotion and wellness PDW Program design for wellness decade, based on three research studies. through evidence and support from R Research Also, find out how senior living wellness professional organizations/scope TW Therapy to wellness and healthcare system patient-centered of practice definitions and national approaches are merging and strongly initiatives. coming to the forefront. Lecture. Faculty: Jennifer Sidelinker, PT, GCS, You’ll be able to: Clinical Manager, and Rebecca Tarbert, • Assess where your organization fits on PT, Clinical Specialist, Genesis Rehab the continuum of incorporating whole- Services. Equipment at the ICAA Conference person wellness in communities, based CEUs awarded 2013 is brought to you by Power on this evidence-based design. Systems. • Gain practical ideas for all aspects BF Socialization is the treatment of community life, based on this for dementia–how to create winning evidence-based design of how other programs communities have incorporated Touchmark’s Dementia Care program whole-person wellness. teaches staff the importance of building • Gain insight into future trends, relationships with residents with including person-centered trends Alzheimer’s disease and other dementia. rooted in Planetree principles, and Staff are trained in the Best Friends how they may impact your current model developed by Virginia Bell and and future wellness programming David Troxel. Discover key building initiatives. blocks in an excellent dementia program. Faculty: Cornelia C. Hodgson, BA, Lecture. BArch, AIA, President, C.C. Hodgson You’ll be able to: Architectural Group, LLC. • Name three ways to create a CEUs awarded therapeutic environment for individuals with dementia. TW Building bridges: rehab and • Describe the difference between wellness partnering for successful structured and unstructured activities. outcomes • Describe the Best Friends model of Learn rehab-and-wellness-partnership dementia care. best practices to create a continuum of Faculty: David Troxel, MPH, care that supports successful outcomes Consultant; Marge Coalman, EdD, for older adults at all functional levels and Vice President, Wellness Programming, in all wellness domains. Cases, examples Touchmark. and illustrations will be provided on CEUs awarded many levels. Lecture. PDW The journey from ordinary to extraordinary: program evaluation and implementation Do the programs you offer provide an experience for your participants that is the best part of their day? Explore ways to refresh existing programs, inspire participant leadership, ensure high-quality program experiences, and transform the ordinary into extraordinary. Lecture. You’ll be able to: • Identify areas of opportunity for improvement of existing programs at your facility. • Tackle issues and concerns confidently with the tips and tools provided. • Monitor existing and new programs to maintain high quality, and add elements that will inspire and delight participants. Faculty: Roxy Kline, Director of Healthy Photo: Julie Milner Living and Active Older Adult Expert Team Leader, YMCA of the Greater Twin Cities. B Tai chi exercises for postural “This conference is like a breath of fresh CEUs awarded reeducation, gait training and balance air! It provides cutting-edge material Discover how to use tai chi movements and validation on whole-person PDW Exercise walking REALLY to address three areas of concern found wellness. The passion for improving the DOES improve quality of life–v2.0 to increase the risk of falling in aging lives of the older adult is tangible.” Exercise walking participants may adults: lack of postural stability, gait complain that it’s no fun and their feet dysfunctions and declining balance. Kristin McCoach hurt. A program to improve quality of life Exercises are progressive and can meet Fitness Coordinator, Pine Run can succeed and achieve positive results. individuals at their level of mobility. Community Learn all about feet, while an updated Lecture/Interactive. case study of GenCare Lifestyle’s Walking You’ll be able to: Partners shows how to replicate its • Integrate tai chi techniques and experience. Lecture. principles into group exercise You’ll be able to: programs. • Explain why feet can, and so often do, • Identify and implement specific tai chi easily fall into disrepair as they age. techniques to meet individual client • Apply preventive foot-health practices needs. that will reduce the probability of pain • Teach exercises that encourage the and dysfunction. mind-body connection necessary to • Organize and implement an effective reduce the risk of falling. exercise walking program. Faculty: Faith Overton, PTA, Tri City Faculty: Robert Thompson, CPed, Wellness Center; Troyce Thome, Master Executive Director, Institute for Trainer for the Arthritis Foundation, Tai Preventive Foot Health; Tracey Harvey, Chi for Health. BS, Consumer Relations/Vitality CEUs awarded Director, GenCare Lifestyle. CEUs awarded Sessions

art advertising and marketing Faculty: Stacey Belt, CTRS, National communications and positioning Engage Life Innovation Director, Atria strategies. Senior Living. • Learn how to refine marketing CEUs awarded communications materials, improve brand positioning and lead generation, PDW Resident engagement: and complement cultural change anatomy of successful programming initiatives. Leave with a roadmap of how to success- Faculty: G. Richard Ambrosius, MA, fully increase resident engagement Thursday, November 21, 2013 Principal, Positive Aging. by implementing resident-run 9:45 a.m.–11:15 a.m. CEUs awarded programming. Examples will be outlined to demonstrate how to successfully ML The ROI of wellness BF The future of brain health: encourage residents and provide them Does investment in the wellness What’s next in cognitive fitness? the tools to become program leaders. infrastructure (staff, buildings, outdoor Learn why an integrated brain-health Lecture. features, program) bring a return to approach that engages across physical, You’ll be able to: older adults served, and meet business intellectual and emotional health • Create successful resident-run objectives? Join a panel of executives dimensions is essential for effective programming; learn to “Grow your as they explain how they identified the intervention. Discover next generation resident leaders” as outlined by specific strategic need to invest in wellness, what interventions you can use with broad resident-programming examples and they did, and how they evaluate the applications to different settings, client testimonials. return. Lecture. populations, and budgets. Lecture. • Market your community programming You’ll be able to: You’ll be able to: effectively, leverage collaborative • Identify three reasons for investing • Comprehend how to apply an interdepartmental relationships, in property renovation or new integrated wellness model of brain and create internal excitement for development. health to your services. programming goals. • Quantify the resources needed to • Gain mastery of the emerging • Enhance resident ownership of deliver a robust wellness program. generation of brain health products the whole-person wellness model; • List the measures used to evaluate to better serve your clients. comprehend how engaged residents return on investment. • Plan for future brain health services partner with community programming Faculty: Panel of senior executives, in your organization or community efforts to empower individuals to moderated by Patricia Ryan, MS, Vice based on the review of next generation self-awareness. President of Education, International interventions during the session. Faculty: Tamara Sawicz, BA, Lifestyle Council on Active Aging. Faculty: Cynthia Green, PhD, President, Director, and Andrea Agazim, Lifestyle CEUs awarded Memory Arts, LLC. Director, Vi Senior Living. CEUs awarded CEUs awarded MS Rebranding Aging III– mastering ageless communications ML Motivating the motivator PDW Strong seniors strengthening Explore examples and best practices from As professionals, we often are energizer, and stretching while seated program entries to ICAA’s 2013 Rebranding Aging promoter, and motivator to clients. Are Chair fitness is not only a safe and Awards, and national ad campaigns. you sometimes stuck on how to motivate effective way to train older adults, but it’s Discover techniques and approaches others to engage in life? Gain tools to also a fun way to engage this population to improve positioning and marketing refresh and reenergize your efforts, to be in exercise on a daily basis. Experience a communication materials, increase more effective in your presentation to practical chair workout and learn how to lead generation and strengthen brands. clients and motivate others. Lecture. create a complete chair exercise program Lecture. You’ll be able to: as well. Lecture/Interactive. You’ll be able to: • Identify ways to energize yourself on You’ll be able to: • Improve the quality and effectiveness a daily basis to be most productive. • Learn essential sitting exercises that of sales and marketing materials. • Implement motivating tactics to target core muscles for improving • Recognize why recommended clients served in your organization. sitting and standing posture, balance approaches are likely to improve • Inspire clients to be their best and and joint stability. results, and review state-of-the- continue to learn and grow. • Learn range-of-motion exercises that Thursday, November 21, 2013 • Design features that are long-term mimic activities of daily living, and 11:30 a.m.–12:45 p.m. viable for active older adults. improve circulation, strength and • Foster and capitalize on the social flexibility. aspects of adopting and pursuing an • Learn how to teach a safe, effective and Keynote active-aging lifestyle. fun group chair class for all levels of How to prosper from the longevity Faculty: To be announced. ability. revolution CEUs awarded Faculty: Maureen Hagan, PT, Vice For the first time in history, four President of Operations, GoodLife generations of active adults are PDW Employee wellness in your Fitness, and Education Director, simultaneously participating in workplace canfitpro. the workforce, in programs and at A successful workplace wellness program CEUs awarded facilities. Each generation has its own reduces corporate costs while creating lifestyle, values, attitudes about work healthier, happier work environments. OP Enhancing all dimensions of and money, means of connecting and Learn about two successful programs wellness with pole exercise programs communicating, health/fitness concerns, with high employee satisfaction and Discover how to safely and com- role models and marketplace preferences. participation. Gain examples of whole- prehensively instruct participants in How do you manage and motivate each person wellness to carry over in the pole walking and exercise programs, generation? In this special presentation, workplace. Lecture. as well as ways to engage them in fun, Dr. Ken Dychtwald will share actionable You’ll be able to: simple and holistic assignments designed insights about what makes each cohort • Identify the benefits of an employee to enhance the multidimensional tick and effective ways to reach out to, wellness program. wellness of everyone involved. Lecture/ and connect with, Millennials, Gen Xers, • Develop an employee wellness Interactive. Boomers and the Silent Generation. program for your workplace. You’ll be able to: Dychtwald will also share his vision of • Implement a successful employee • Fit and instruct participants in pole how fitness, health and healthcare will wellness program. walking and other pole exercise be transforming in the years ahead—and Faculty: Caley Kratz, MS, Wellness programs utilizing specially designed how to prosper from it. Coordinator, Mercy Ridge Retirement ergonomic poles. Faculty: Ken Dychtwald, PhD, President Community; Vivian Smith, MS, Fitness • Attract and train a “seed group” to and CEO, Age Wave; psychologist, Coordinator, Vantage House. Nordic walking and pole exercise gerontologist and bestselling author. CEUs awarded programs, which can then grow CEUs awarded organically and spread throughout (Note: Includes presentation of Athletic R Successful aging through proper a community/center to successfully Business Facility of Merit awards.) nutrition attract individuals who have Learn the facts, not the hype, about new traditionally been exercise averse. advances in the field of nutrition that • Maximize resident/client participa- Thursday, November 21, 2013 will make a difference for older adults. tion in activities that enhance 2:45 p.m.–4:15 p.m. Discover how healthy eating contributes all dimensions of wellness, while to overall wellness and an improved minimizing a need for dedicated staff ML Practical design considerations quality of life as we age. Lecture. involvement and facilities allocation. for an active-aging wellness center You’ll be able to: Faculty: Tom Rutlin, CEO and Founder, Wellness needs are increasingly a central • Discuss new research on the key Exerstrider Products, Inc. part of older adults’ lives. “Wellness” nutrients needed for healthy living by CEUs awarded includes much more than exercise; the older adult. nutrition, health education, “mental • Outline practical advice on healthy fitness,” and massage and other body eating to prevent disease. work play a role. Learn how to address • Make changes in the diets of older this important area of senior living from adults to make a positive impact on the facility design perspective. Lecture. quality of life. You’ll be able to: • Describe current trends in wellness education, training and equipment for active older-adult wellness facilities. Sessions

You’ll be able to: Thursday, November 21, 2013 • Learn the latest research on cognitive 4:30 p.m.–6:00 p.m. stimulation for older adults, what cognitive abilities are affected by the aging process and what types of Keynote activities could exercise those affected Engaging with life: the emerging abilities. biology of cognitive health • Use readily available apps to deliver Our understanding of the mechanisms cognitive stimulation programs on of cognitive health and aging is rapidly Faculty: Maureen Janowski, RD, LD, tablet PCs. expanding. The key to optimal brain Director of Clinical Support, Morrison • Deliver at least 15 cognitively stim- health at all ages turns out to be the Senior Living; Laurie Balsano, BSc, RD, ulating activities in groups or via paper way we structure and live our lives. Regional Clinical Nutrition Manager, and pencil. In the United States, the new BRAIN Pilgrim Place/Morrison. Faculty: Robert Winningham, PhD, initiative has made neuroscience the top CEUs awarded Professor and Chair of Psychology, research priority, and we are all eager Western Oregon University. to understand what the future of brain PDW Bringing outdoors inside: CEUs awarded science holds. From its world-class School eco-living in residential senior living of Public Health, to two recent Nobel Review research and current studies in PDW Become a sensation scientist Prizes in the basic molecular science of Eco-Psychology to grasp how indoor through The Body’s Way the brain, Columbia University has been living promotes depression/anxiety. Move the body through the systemic at the forefront of this field. Dr. Henry Explore how nature and the environment approach of the Nia Technique. Choose Lodge, a medical professor at Columbia, impact mental, physical and spiritual to move from sensations of pleasure, will give us an inside look at the next wellness, plus ways to incorporate nature letting go of pain/discomfort. Create the generation of cognitive science, and into programming in residential settings. experience of ultimate functional fitness the implications for our lives and our Lecture. through awareness of stability, mobility, industry. You’ll be able to: flexibility, agility and strength.Lecture/ Faculty: Henry S. Lodge, MD, FACP, • Comprehend theories in Applied Interactive. Associate Clinical Professor of Medicine, Organic Psychology (Eco-Psychology). You’ll be able to: Columbia University Medical Center, and • Comprehend how bringing nature • Employ awareness of physical Board Certified Internist; coauthor of the indoors can improve mental, physical, sensation to create comfortable, New York Times’ bestselling Younger Next and spiritual wellness. dynamic and integrated exercise of Year series of books. • Develop strategies for incorporating body-mind-spirit. CEUS awarded outdoor-nature experiences for older • List the five sensations used in the Nia (Note: Includes presentation of ICAA adults in residential settings. Technique. Innovators Awards.) Faculty: Tamberly Mott, PhD, • Apply the tools of a sensation scientist MA, LMFT, Divisional Engage Life to everyday life situations, using fitness Innovation Director, Atria Senior Living. techniques for health and well-being. CEUs awarded Faculty: Janet Hollander, BA, Owner, Moving Toward Health; Ken Gilbert, Brought to you by Atria Senior Living BF iPads to paper and pencil: many, MA, Owner, EmBODYment. many ideas and ready-to-use resources CEUs awarded for cognitive stimulation programs Friday, November 22, 2013 Discover new ideas to start or 6:45 a.m.–8:15 a.m. reinvigorate a cognitive and brain exercise program. Explore cognitive PDW Ageless athletes: Can you stimulation activities and inexpensive BEAT that? “apps” that can be used on computer Experience rhythm and movement while tablets. Gain ideas/resources to help older drumming on a fitness ball. Ageless adults exercise attention, concentration, athletes can participate in cardio- inhibition, word fluency, and spatial drumming regardless of capabilities and abilities. Lecture. talent. Create an experience through Friday, November 22, 2013 drumming, rhythm and movement for 8:30 a.m.–10:00 a.m. specific older-adult groups and prepare a class design. Lecture/Interactive. BF Brain health fairs: bringing You’ll be able to: better cognitive fitness to your • Engage a group or an individual in a community unique rhythmical exercise cardio- A health fair model offers a high-touch, drum program for older adults, with experiential event for bringing new specific benefits for individuals with experiences in brain wellness to older Alzheimer’s disease. adults. Learn how to plan and run a • Demonstrate basic cardio-drumming successful, scalable brain-health fair choreography routines to music in that showcases your programs as well. both seated and standing positions for Detailed examples will be presented. healthy older adults to individuals in Lecture. long-term and memory care. You’ll be able to: • Comprehend cardio-drumming as a • Comprehend the integrated balance of the mind, body and spirit in health components essential to action; practice techniques to facilitate a comprehensive brain-wellness a drum circle to engage all people and program. create a meaningful experience. • Hold a brain health fair in your Faculty: Barbara Fish, BS, Senior community or center. Wellness Manager, Heritage Community • Use the brain-health fair model to of Kalamazoo; Jennifer Dagati, Owner, highlight your existing programs that Drum Beat University. are brain healthy. CEUs awarded Faculty: Cynthia Green, PhD, President, Memory Arts, LLC. B Effectively create, implement and CEUs awarded “ICAA is an excellent resource for anyone market your balance program working with older adults. I haven’t Discover how to market a balance class R Can’t face another workday? You had the opportunity to attend the ICAA for older adults using various tests and may have compassion fatigue Conference until this year, but I have statistical data showing individual Professional caregivers, who provide always heard great things about it. I must participant improvement. Take home service to older adults and their say that it exceeded my expectations, and I balance and confidence tests used to pre- caregivers, are vulnerable to compassion look forward to attending next year.” test participants to determine ability level fatigue and caregiver burnout. Find out and post-test, to track outcomes. Lecture/ how to prevent falling victim to this Donna Evans Interactive. dangerous duo and stay at your best while Wellness Director, White Oak Estates You’ll be able to: providing service and care. Lecture. Retirement Community • Market a balance class to older adults. You’ll be able to: • Use balance testing protocols. • Define and identify “compassion • Gain progressive syllabi for three levels fatigue,” and its triggers and warn- of classes (beginner, intermediate and ing signs. advanced). • Apply self-intervention techniques and Faculty: Justin Margut, BS, Wellness solutions before reaching the break- Specialist, and Sandy Reid, AA ing point. (Associate of Arts), Wellness Director, • Adopt a plan for personal self-care. Bethany Village. Faculty: James Huysman, PsyD, CEUs awarded LCSW, Consultant, WellMed Charitable Foundation. CEUs awarded Sessions

• Implement an evaluation tool that Faculty: Betsy Best-Martini, MS, helps staff determine residents’ CTRS, Geriatric Recreational Therapist, functional capacity to participate in Recreation Consultation. fitness programs. CEUs awarded Faculty: Gina Formica, DPT, Director of Wellness, and Jennifer Conway, OP Take your brain for a walk MS, CSCS, RCEP, Resident Wellness Add a cognitive stimulating component Coordinator, Liberty Lutheran. to your fitness walking program to help CEUs awarded participants enhance concentration and MS Beyond Woodstock: profitably memory. Learn to add mindful exercise engage the Web’s most valuable PDW Innovative ideas from proven to muscular activity, decreasing the risk consumers programs of falling while exploring how to exercise Hear how one digital agency redefined A new angle can turn a competent different parts of the brain. Lecture/ what it means to engage Boomers and program into a great success. Join the Interactive. older adults online. MOE (Meaningful recipients of the 2013 ICAA Innovators You’ll be able to: Online Engagement) combines deep Awards as they explain how they created • Comprehend how exercise enhances understanding of human behavior, innovative programs that benefitted their cognitive stimulation. word-of-mouth marketing tactics, and clients and took the wellness program or • Learn how to start and sustain a analytics to deliver trusted, profitable initiative to a new level. Leave with ideas cognitively stimulating walking relationships. Lecture. and tactics Lecture. program to enhance memory ability. You’ll be able to: You’ll be able to: • Add fun and easy-to-do brain games to • Comprehend how and where older • Identify characteristics of effective your walking programs. adults engage online and how today’s programs for older adults. Faculty: Peggy Buchanan, MA, Director marketing needs to be approached • Name at least three programs that are of Fitness, Aquatics and Physical Therapy, differently. successful in increasing participation Vista del Monte. • Implement a behavioral approach to among older adults. CEUs awarded online marketing campaigns. • List methods of promoting new • Leverage your brand to market to programs to build participation. Friday, November 22, 2013 Boomers and older adults who are Faculty: Patricia Ryan, MS, Vice 10:15 a.m.–11:45 a.m. looking to age in place. President of Education, International Faculty: David Weigelt, Cofounder and Council on Active Aging. R Exercise as medicine: preserving President, Immersion Active. CEUs awarded function by functioning CEUs awarded Using exercise to counter age-related PDW Transforming and improving dysfunction is not new. What is new PDW Creating innovative wellness physical function with frail elders is manipulating it to tap into several programming throughout the Many frail elders do not benefit from modalities simultaneously. Explore how continuum of care physical wellness programs due to their functional exercise takes on new meaning Wellness leaders often struggle to complex and individual special needs. by introducing cognitive processes and create programs that engage residents Learn specific exercises and fun ways to fun, engaging multiplanar, multi-joint throughout the continuum of care. Gain engage the frailest client while enhancing movement games. Lecture. a map for class formatting, educational their functional fitness through evidence- You’ll be able to: criterion and competency expectations based practices. Lecture/Interactive. • Comprehend various theories on for staff conducting programs to help You’ll be able to: aging, and how exercise directly them create a comprehensive wellness • Define “frailty” and modify exercises impacts and retards the aging process. program. Lecture. according to participants’ remaining • Recognize how many of the “side You’ll be able to: abilities and strengths. effects” of exercise—including stress • Create a structured map for fitness • Learn three characteristics and safety and strain management, self-efficacy, programming for residents throughout tips for exercising with a few specific self-esteem, social interactions the continuum of care. diagnoses. and cerebral blood flow—work to • Implement a comprehensive staff • Demonstrate at least five exercises that counter mental and psychoemotional education program to ensure are safe and effective in improving deterioration. competency at all fitness levels. function. • Practice some simple exercises that showcase what you offer. Frame exercise are not only are fun and engaging to and wellness programs as solutions that clients, but work the entire body in reduce healthcare costs. Lecture. a functional way. These movement You’ll be able to: experiences can be easily regressed or • Design a narrative to articulate how progressed. your exercise and wellness programs Faculty: Mark P. Kelly, PhD, CSCS, are a viable strategy to help hospitals Exercise Physiologist, American Council reduce readmissions. on Exercise. • Discuss the areas of healthcare reform CEUs awarded that are relevant to your senior living site (i.e., assisted living, independent TW Keep moving: from rehab living, continuing care retirement to wellness community). Benefit from Touchmark’s lessons • Identify the programs and resources learned from developing a program in a you already have in place that can continuing care retirement community help reduce hospital admissions and and working with rehab professionals, readmissions, and showcase senior “Excellent opportunity for all staff to including relationship-building ideas, living as the senior wellness experts in refresh, connect, share, learn and take and safety precautions and techniques. the community. home new concepts.” Learn about the company’s overall Faculty: Kay Van Norman, MS, philosophy for having qualified pro- President, Brilliant Aging. Beverly Kannengieszer fessionals to provide these programs. CEUs awarded Director of Active Living, Medford Leas Lecture. You’ll be able to: • Identify and develop strategies to build and maintain relationships with all key stakeholders. • Learn safety precautions for working with clients that have several diagnoses, including joint replacement, chronic disease, and balance deficits; and develop appropriate classes and other related services. • Comprehend and replicate best practices regarding program leaders, measurable goals and outcomes, marketing, and liability. Faculty: Marge Coalman, EdD, Vice President, Wellness Programming, and Lori McCormick, BSPT, Fitness Specialist, Touchmark. CEUs awarded

ML Accountable Care–leveraging and showcasing your exercise and wellness programs Discover how to leverage healthy aging programs and resources to help local healthcare systems meet Accountable Care goals. Increase referrals by developing marketing narratives that Sessions

• Comprehend that differences in age, • Learn specific racewalking technique. ability and agility are common to this • Share teaching techniques and training market, and that instructors may have methods. to relinquish a desire to maintain class Faculty: Jolene Moore, MEd, Director conformity. of Wellness, Covenant Retirement • Utilize the unique qualities of the Communities, and World and American BOSU Balance Trainer to offer Age Group Record Holder, Racewalking. exercises in mobility and stability to CEUs awarded improve wellness for the active aging. PDW SEXcessful aging: sex, Faculty: Lawrence Biscontini, MA, Friday, November 22, 2013 intimacy and aging Mindful Movement Specialist, FG2000; 12:00 p.m.–1:00 p.m. Sexuality is a vital piece of the healthy Bernadette O’Brien, MA, Mindful aging puzzle. Explore physical and Movement Motivator, YMCA Wayne, emotional benefits and risks to sexuality New Jersey Keynote in later years, expand the conventional CEUs awarded Magic Johnson knows a thing or two definition of sex, and provide adaptive about success. As the floor leader of the suggestions for physical limitations. PDW Off the rocker: movement National Basketball Association’s Los Understand older adults’ cultural that motivates! Angeles Lakers, Johnson racked up three influences around sexuality.Lecture. Develop “ageless workouts” by fusing MVP awards, five NBA Championships You’ll be able to: basic movement patterns with simple and 12 All-Star appearances. In 1992 he • List three benefits and two risks to equipment. Upbeat music and movement added a gold medal to his resume as a sexual activity during the later years. inspire everyone “off their rocker” to member of America’s “Dream Team.” • List three adaptive techniques/ challenge endurance, strength and Building Magic Johnson Enterprises, strategies for those with physical flexibility, while blending elements of a business empire with a net worth limitations to enjoy sexuality. balance and reinforcing motor patterns. of roughly $700 million, according • Create a strategy statement to culti- Lecture/Interactive. to Forbes, didn’t happen overnight, vate a sex-positive dialogue in your You’ll be able to: however. As chairman and CEO, Johnson workplace or community. • Intergrate balls, hula hoops, and owns movie theaters, restaurants and Faculty: Rebecca Chaplin, MA, LS, noodles into exercises for older adults. gyms, and early in 2012, he pulled off his Aging Program Specialist, Land-of-Sky • Lead exercises in a group setting that biggest deal yet as his group of investors Regional Council, Area Agency on are both seated and standing. bought the Los Angeles Dodgers. For all Aging. • Incorporate both static and dynamic of his successes, there have been plenty of CEUs awarded balance exercises into an older-adult missteps. When times are tough, Johnson group fitness class. turns to lessons he learned on the court. PDW BOSU mobility and stability Faculty: Cammy Dennis, BBA, Fitness “There’s winning and there’s losing, and for the active aging Director, and Jessica Pinkowski, CPT, in life you have to know they both will Help older adults build functional Group Fitness Coordinator, On Top of happen,” he says. “But what’s never been strength, face fear of falling with gait the World Communities, Inc. acceptable to me is quitting.” training, learn ways to get up/down, CEUs awarded Faculty: Earvin “Magic” Johnson, and move more effectively through the CEO, NBA Legend, and Dodgers Owner. kinetic chain. Clients should have the OP WALK for life: walk more= CEUs awarded ability to perform movements, with live better effort, on the floor or BOSU Balance Research shows the association between Trainer. Learn modifications for different faster walking and longer life span. Learn Friday, November 22, 2013 functional levels and options without the the research-based health benefits of 4:00 p.m.–5:30 p.m. BOSU. Lecture/Interactive. walking (both physical and cognitive). You’ll be able to: Also, take away usable racewalking PDW Transforming the expressive • Provide mobility and stability “games” techniques/training strategies and arts: wellness, team-building, (kinesthetic challenges and drills) for modifications to use.Lecture/Interactive. marketing and fundraising improved functionality, reaction, fall You’ll be able to: Learn why and how to develop innovative prevention, coordination, range of • Demonstrate the health benefits of performing arts groups that can create a motion, and overall self-efficacy. walking and walking fast. culture of team-building, renew energy and interest, and attract future clients. Examples include older adults teaching/ creating art to exhibit, and developing dance and drama classes with purpose to perform. Lecture. You’ll be able to: • Identify the wellness benefits of performing arts programming. • Discover how the expressive arts can be used as a tool for marketing and fundraising. • Comprehend how expressive arts will enhance community team- building efforts. Faculty: Rita Lopienski, MA, Life Enrichment Director, Plymouth Place Senior Living. CEUs awarded

R How to connect optimally with age 50+ adults and promote behavior change for healthy, fit and happy living Photo: Julie Milner Gain the latest tools to effectively connect and comfortably relate with ML Appreciative Inquiry 101 “A fantastic educational and networking Traditionalists and Baby Boomers. Explore Appreciative Inquiry (AI), a experience. A great variety of topics from Discover psychological/behavioral positive-oriented approach to individual which to choose from very knowledgeable profiles, unique needs/mindset, person- and organizational change. The principles presenters. Lots of ideas to motivate active centered communication skills, and behind AI build on strengths, rather than aging.” rapport-building strategies. Learn key just focusing on faults and weakness. factors for promoting exercise and Develop tools to inspire and advocate for Deb Porcelli, MS, OTR/L wellness. Lecture. positive change. Lecture. Director of Therapy Services, Waverly You’ll be able to: You’ll be able to: Heights, LTD • Utilize an understanding of the • Develop tools to consciously focus psychological and behavioral profiles on empowering employees. of Traditionalists and Boomers to • Direct your energies toward the readily promote adherence in physical- positive terminology. fitness dimensions of health. • Identify in your own life the areas • Demonstrate advanced rapport/ that can improve through AI. connection building behaviors with Faculty: Cindy L. Bradshaw, MS, ACC, Traditionalists and Boomers. Executive Director, National Certification • Use improved relationship-building Council for Activity Professionals skills to grow your practice, and (NCCAP). increase participation in senior living CEUs awarded communities, seniors centers, wellness and fitness clubs, parks, and other ML Leveraging the wellness- community services. rehabilitation partnership for Michael Mantell, PhD, Senior Faculty: enhanced outcomes Fitness Consultant for Behavioral Explore the benefits of integrated Sciences, American Council on Exercise. wellness and rehabilitation programs in CEUs awarded supporting active aging in senior living communities. Learn ways in which Sessions

• Develop a progressive core-condition- Saturday, November 23, 2013 ing exercise program that will help 6:45 a.m.– 8:15 a.m. build a healthy back and lower risk for pain and injury for any body. PDW Conductorcise: a fresh, always • Discuss the latest trends in pro- new, joyous brain and body stimulator gramming and equipment utilized Discover a fresh approach to listening in core and back conditioning to great music and ways of moving for programs. older adults who may not have moved Faculty: Maureen Hagan, PT, Vice in months. This workout stimulates wellness and therapy professionals can President of Operations, GoodLife brains and bodies. Explore how to listen leverage their partnership to enhance a Fitness, and Education Director, to music and what builds brain cells. community’s wellness program across all canfitpro. Learn why joy is a must for any program. dimensions. Lecture. CEUs awarded Lecture/Interactive. You’ll be able to: You’ll be able to: • Define components of whole- BF Brain boosters • Comprehend how to listen to music person wellness in senior living As the aging population grows, research- and how you can stimulate the brains communities, a multidimensional, ers are exploring best practices for better of older adults. interdependent model that promotes brain health throughout the life span. • Practice ways for older adults to move self-responsibility for wellness in all Identify 25 brain boosters and learn safely using not only the classics, but dimensions of life. how they contribute to improving brain world music as well as popular works. • Formulate specific approaches to function. Participate in and take home • Use this joyous workout to encourage facilitating communication between easy-to-implement activities. Lecture. individuals to return to programs. wellness and therapy providers to You’ll be able to: Faculty: David Dworkin, Owner and increase client participation. • Comprehend cognitive domains of a Conductor, Conductorcise. • Utilize wellness-program assessment brain-healthy lifestyle. CEUs awarded tools as well as outline approaches • Identify 25 brain boosters and learn to measuring outcomes for the how they affect brain health. Saturday, November 23, 2013 rehabilitation program component • Participate in 10 brain-boosting 8:30 a.m.–10:00 a.m. of a whole-person wellness program activities that you can use with older partnership. adults. ML Senior centers: alive, well and Faculty: Denise Durham, PT, MBA, Faculty: Terry Eckmann, PhD, ready for the future Regional Vice President, Select Professor, Minot State University. Find out what action plans have led to Rehabilitation, Inc. CEUs awarded the Kerby Centre’s success in engaging CEUs awarded Boomers while continuing to meet older Friday, November 22, 2013 adults’ social, educational and fitness PDW Core stability for a healthy 6:00 p.m.–7:00 p.m. goals. Learn about the center’s success in back for all levels of function building partnerships, and why not-for- A healthy back gets people of all ages profits are vital components for successful through their daily lives safely and Poster session: programs, best aging. Lecture. efficiently. For healthy backs, core practices and research You’ll be able to: strength and stability training are where The posters in this session present an • Realize the benefit of building and conditioning programs must focus. excellent opportunity for you to see sustaining partnerships. Learn how to structure and teach a a visual representation of successful • Recognize why it is important to ensure back workout with progressions for all programs and best practices, as well as programming and services meet the functional levels. Lecture/Interactive. applied research. Meet and talk with wishes and needs of older adults. You’ll be able to: presenters, ask questions, and join others • Comprehend how engaging with • Review the anatomy of the inner and with similar interests. Mix education and diverse populations will enhance outer units that comprise the core, networking in an informal environment, quality of life for all older adults, and and discuss where traditional exercise and leave with a bag full of good ideas. will sustain the future of senior centers. training and rehabilitation focus their Faculty: Multiple presenters. Faculty: Luanne Whitmarsh, RSW, attention. CPCA, CEO, Kerby Centre. CEUs awarded PDW Mudras, music and meditation Mudras are yoga postures done with the hands to increase stamina, promote success, and increase healing with specific finger placements, benefitting both joints and mental outlook. Learn simple hand and eye mudras you can use immediately. Music and meditation will complement the mudras. Lecture/Interactive. You’ll be able to: • Comprehend the purpose of eye and hand mudras. • Practice with eye and hand mudras for a variety of purposes. • Combine music with the mudras and light, unconventional meditation for a seated work-in. Faculty: Lawrence Biscontini, MA, Mindful Movement Specialist, FG2000. CEUs awarded before, during or after lunch and other Faculty: Cammy Dennis, BBA, Fitness activities. Learn how and why joy dances Director, and Jessica Pinkowski, CPT, PDW Aquatics benefits people with can help create a culture of joy. Lecture/ Group Fitness Coordinator, On Top of Parkinson’s disease Interactive. the World Communities, Inc. Explore how water’s buoyancy supports You’ll be able to: CEUs awarded the exerciser, allowing people with • Identify key benefits of dance. Parkinson’s disease to use larger, exag- • Perform simple dances that can be B Exercises to remain safe on gerated movements, and practice balance done in a chair. your feet and coordination skills without the fear • Perform simple dances that can be Explore a group fitness class that of falling. Then, learn how you can done in a group or individually. combines physical therapy principles share these benefits with your clients. Faculty: Terry Eckmann, PhD, and functional specific movement Lecture. Professor, Minot State University. to implement balance technique You’ll be able to: CEUs awarded and “righting reaction” training in • Define and understand Parkinson’s community-based settings. This session disease and common symptoms. PDW Preserving function in will focus on meeting the needs of all • Identify the benefits and barriers of frail adults capabilities. Lecture/Interactive. exercise in the water for clients with Movement is very important for frail You’ll be able to: Parkinson’s disease. older adults, and highly specific to • Learn two quick and easy assessment • Select exercises that maximize the preserving and restoring function. tests (Timed Up and Go, Functional properties of the water and creatively Explore movement that supports basic Reach Test) to measure outcomes challenge clients with Parkinson’s and advanced activities of daily living. of your class programming if pro- disease. Engage frail adults in exercise specific viding pre- and post-assessment Faculty: Christine Shidla, BS, Director to promoting personal success, fun and opportunities. of Wellness, Summit Place Senior independence. Lecture/Interactive. • Learn a choreographed group-exercise Campus; Cathy Maloney-Hills, RPT, You’ll be able to: class with movement strategies specific Courage Center. • Define frailty. to improving “righting reactions” of CEUs awarded • Implement exercises that support residents in retirement communities or activities of daily living, specifically other community-based settings. PDW Joy dance impacting stability, mobility, range • Learn progressions to meet the needs Music and dance lift mood and increase of motion and strength. of all levels of function, from unsteady joy. Either seated or standing, joy dances • Comprehend the physical and older adults to the more actively aging are easy to do anywhere. Use them as psychological ramifications of adult, all who need skill development an activity class or as instant energizers frailty. activity to prevent falls. Sessions

You’ll be able to: You’ll be able to: • Develop tools to take back control of • Perform assessments that help you your attitude regarding what you are help clients more. worth. • Interpret what you see and what you • Use tools to determine an actual dollar need to do about it. amount that you contribute to your • Solve tricky older-adult mobility facility each month. challenges and obstacles to exercise. • Develop a list of local resources that Faculty: Debra Atkinson, MS, CSCS, will contribute to your overall value. Voice for Fitness. Faculty: Cindy Kozacek, Senior Fitness Faculty: Cindy L. Bradshaw, MS, ACC, CEUs awarded Programs Consultant, Healthways/ Executive Director, National Certification SilverSneakers. Council for Activity Professionals PDW Ten moves that we lose: keep CEUs awarded (NCCAP). them and dodge disability CEUs awarded Identify the 10 key movements necessary Saturday, November 23, 2013 for total body mobility and independence 10:15 a.m.–11:45 a.m. PDW R3: Reenergize, revamp, within the largest environment possible. restructure your wellness Raise the bar for your aging clients or TW Inspiring participation through programming patients. Train with specificity for what engaging programs and challenges Learn tips and techniques to create they “want to be able to do”. Lecture/ Simplify the process of creating a “fresh” programs that appeal to members Interactive. wellness challenge, and gain steps and keep them coming back for more! You’ll be able to: for implementation and tools for Leave with a method to assess programs, • Identify 10 fundamental movements measurement. Learn how to determine increase participation, motivate mem- (patterns) that form the foundation common goals, audience, budgets, bers (residents and staff), implement for physical independence and pursuit etc. Leave able to create a wellness assessments, track progress, and organize of hobbies and recreation. challenge specific to resident needs and procedures. Lecture. • Design progressions and regressions organizational goals. Lecture. You’ll be able to: for each. You’ll be able to: • Market your programming to • Map 7–14-day training plans that • Evaluate the needs of residents/ all ability levels and include all incorporate these movements via members and create a program or dimensions of whole-person wellness. individual training, group exercise, challenge to meet those needs. • Implement assessment programs and physical labor, hobbies and recreation. • Comprehend the tools to evaluate the ways to track the progress of clients. Faculty: Patricia VanGalen, MS, program/challenge at the conclusion • Increase the productivity of wellness Excellence In Conditioning. and make adjustments for future staff and keep them motivated to CEUs awarded programs. promote your programs and activities. • Comprehend how to develop interest Faculty: Jackie Halbin, BS, Living Well and successfully implement a new Manager, Lakeview Village. program for maximum participation. CEUs awarded Faculty: Lauren Kriz, MA, National Wellness Director, RehabCare. PDW Functional fitness solutions CEUs awarded Systematically approach pain-free movement solutions through proper “I am always professionally energized after ML Placing a value on your worth assessments, interpretation and the conference. In a dynamic profession, Your energy, confidence and attitude are application of corrective exercises. Earn you need dynamic presentations. Thank the currency others transact with. What the trust of clients with the message you!” are you worth, really? How much do you that movement should not hurt. Assess, save your facility in staffing hours and interpret, correct and clean up all before Jean O’Leary resources? Share with administration any vigorous exercise begins. Lecture/ Madison School and Community the bottom line, the literal value of your Interactive. Recreation activity department, in numbers and resources. Lecture. Spotlight on…

INFORMAL LEARNING ICAA Networking Reception ICAA Poster Presentations: AND NETWORKING Friday, November 22, 2013 programs, best practices 6:30 p.m.–8:30 p.m. and research Connect with your active-aging Omni San Diego Hotel Friday, November 22, 2013 colleagues at the multilevel ICAA 675 L Street, San Diego, California 6:00 p.m.–7:00 p.m. Conference. Whether they are (at the ICAA Networking Reception researchers, practitioners or Prepare for a fun, high-energy evening site) executives, or work in wellness, with your active-aging colleagues. marketing or development, attendees ICAA’s Networking Reception is the Selected by a committee of peer and presenters alike share your place to meet or catch up with ICAA reviewers, these posters offer passion for healthy, vital aging. members and allies at the conference. visual representations of successful You can build or revitalize your Enjoy the lively exchange of ideas as programs and best practices, as well knowledge network with these you mix with attendees, presenters, as applied research, that contribute dynamic, dedicated professionals. exhibitors and staff; you’ll leave with to older-adult wellness. Meet and contacts and insights aplenty. Tasty light talk with presenters, ask questions, Attendees at past ICAA Conferences refreshments will be served. Cash bar. and join others with similar interests. always mention the great ideas, Mix education and networking in energy and inspiration they gain an informal environment, and leave from being with their peers. Among with a bag full of good ideas. the not-to-miss experiences are ICAA’s Networking Reception and Sponsored by the International Poster Presentations, which provide Council on Active Aging® informal learning and networking opportunities. “ICAA gave me a great opportunity to reach out into the wellness community and meet fellow leaders in the craft. The networking opportunities will provide us with many ways to share ideas and help each other through difficult issues we may face.”

Stephie Mullis Assistant Wellness Director, Kisco Senior Living Travel information

Hilton San Diego Bayfront Address: 1 Park Boulevard Location: 0.2 miles from convention center Rates: $209 per night

Omni San Diego Hotel Address: 675 L Street Location: 0.8 miles from convention center Rates: $195 per night

San Diego Marriott Gaslamp Quarter Address: 660 K Street Location: 2.0 blocks from convention center Rates: $189 per night

Wyndham San Diego Bayside (Holiday Inn on the Bay) Address: 1355 North Harbor Drive Location: 1.4 miles from convention center Rates: $133 per night

All reservations need to be made through the official housing provider.

Book with the Official Housing HOTELS “Attending the annual ICAA Conference Provider: Travel Planners is like coming home. It is a wonderfully For the fourth year, ICAA has desi- welcoming atmosphere, with knowledgeable The conference takes place at the San gnated Travel Planners as the official and generous speakers …. It is an excellent Diego Convention Center, 111 West housing provider for the conference. environment for learning and development!” Harbor Drive, San Diego, California. Travel Planners has a great reputation The trade show will be located in and works with 130 conventions Terry Fay Halls F–H. and events per year. ICAA selected Corporate Director of Resident Programs, Travel Planners because many of our Senior Lifestyle Corporation The following hotels have room blocks conference exhibitors and attendees for the conference: have received faxes, emails and phone calls from companies offering hotel Embassy Suites San Diego Bay rooms for the event—and these outside Address: 601 Pacific Highway travel agencies are not endorsed by or Location: 0.8 miles from convention in any way affiliated with the ICAA center Conference. Book with Travel Planners Rates: $169 per night to receive these exclusive benefits: Hampton Inn San Diego Downtown • Travel Planners’ low rates beat those Address: 1531 Pacific Highway you’ll find on the Internet or by Location: 1.4 miles from convention calling the hotel directly. center • No prepayment! Book today, then Rates: $149 per night pay the hotel directly upon your departure. • Update or even cancel hotel reser- vations with no fees or penalties. • Receive immediate confirmations— no waiting or wondering. • There are no service fees to make your reservations.

Go to www.icaa.cc/conferenceand events/travel.htm to book your room. Prefer to book via telephone? Agents are ready to take your calls Monday through Friday, 9 a.m.–7 p.m. ET, at 800-221-3531 or 212-532-1660. Your reservations are rate-assured!

TRANSPORTATION

Air travel/car rental HB Travel can offer special convention airfares for ICAA Conference attendees, plus will check at the time of reservations for any special sales that may provide lower fares. Corporate car rental rates are also available through the agency. For details, contact Laura Whiteman toll- free at 800-668-4112 (8 a.m.–5:30 p.m. PDT, Monday to Friday) or email laura@ Photo: Julie Milner hbtravel.com. Please mention ICAA in your communication. San Diego Trolley INTERNATIONAL TRAVELERS The San Diego Trolley operates daily Shuttle buses from throughout downtown to the The ICAA Conference and the Shuttle buses will be available to convention center. Fares are $2.50 one- Athletic Business Conference & Expo take participants between the San way, or $5 for a day pass. The Trolley are registered with the Visa Services Diego Convention Center and all has two stops directly in front of the Office and are now listed under the hotels (except hotels adjacent to the Convention Center at Harbor Drive/ United States Department of State– convention center). First Avenue and Harbor Drive/Fifth Intranet Listing for Conferences in Avenue. A map of Trolley routes is the United States. This list does not available at www.sdmts.com/trolley/ expedite or waive visa procedures, trolley.asp. but serves as a communication tool for Department of State Embassies Maps and directions for the San and Consulates Worldwide. More Diego Convention Center are information is available at http:// available online at www.visitsandiego. athleticbusinessconference.com/hotel- com/attendees/maps.cfm. travel/international.aspx. Frequently asked questions

Q. Are the full-day workshops included in the registration fee? A. No, there is an additional per- person cost of $79 to participate in any preconference or postconference workshop. Space is limited, however. Register early to avoid disappointment.

Q. How do I earn continuing education units for the classes I attend? A. You can earn credits by enrolling in the CEU program. To cover costs, a $25 fee will be charged until Wednesday, November 10, then $40 on-site. At the conference, you’ll receive a log book of sessions that offer credits, plus the certifying organizations. The room monitor will stamp your book after a session to verify your attendance. Turn in your stamped booklet at the ICAA registration desk when you leave the conference, and allow up to eight weeks for your CEU transcript to arrive.

Q. What will I find at the trade show? A. The AB Expo is a premier trade show for the health and fitness industry. It showcases products and services aimed at wellness, sports, exercise “ICAA is the foremost leader in older- Q. What does the ICAA Conference and recreation, as well as support and adult health and wellness. It provides fee include? educational services. At this expo, you’ll excellent educational material, A. Registration fees include educational find options for physical activity and maintains the highest standards in seminars, ICAA Networking Reception, exercise across the levels of function. the industry, is forward thinking and Athletic Business (AB) all-conference Explore offerings created specifically has gained the respect of all of us who reception, keynote sessions, early- with the age 50-plus adult in mind treasure what we do in the active-aging morning workout, conference CD, and at the ICAA Pavilion, also located in field. Thank you, ICAA!” exhibit hall entry. the exhibit hall. ICAA’s “one-stop” venue is where you can research new Lori Michiel, NASM-CPT Q. Can I attend sessions offered at technologies, equipment and services Fifty Plus Fitness the AB Conference & Expo and the to support multidimensional wellness other meetings that take place in for older adults, plus meet providers partnership with AB? committed to active aging. A. As an ICAA attendee, you may attend any educational seminars at the AB and Medical Fitness Association conferences, as well as the National Alliance for Youth Sports Congress, at no additional charge. You can access four conferences for the price of one. Q. How do I receive session handouts? Q. Can I register now and pay later? A. You’ll receive a CD-ROM at the A. Yes. You can register online or by fax ICAA Conference containing all or phone, with payment to follow. Your handouts available prior to the event. options are to call us with your credit On-site printing stations will be card information, or to mail a check. available for your use at no cost. In If payment does not arrive within 30 addition, you can download and print days, your registration will be cancelled. handouts before you leave home, if you After November 10, if you plan to wish. Watch for a link from ICAA to a pay by check, please indicate on your dedicated website. Handouts will not be form that you will pay by check on-site. online after the event. Payment must be received prior to or at the conference for your registration to Spotlight on… Q. How do I become an ICAA remain valid. member? A. You can become an ICAA member Q. I don’t have a formal job title, when you register and receive 10% off but the form says “required.” What DINING IN SAN DIEGO one-year ICAA membership dues when should I do? you register by the November 4 early- A. If you don’t have a title, please use Questions about food and where to bird deadline. This is a one-time offer a description of your job. For example, eat are among those most common- for first-time members only. Fill out the wellness activity leader or personal ly asked by ICAA Conference optional membership section on the trainer or administrator. attendees. The San Diego Convention conference registration form when you Center is located right across from go to www.icaa.cc/registrationForm.asp. Q. When will I receive confirmation the historic Gaslamp Quarter, a See the ICAA website for membership of my registration? trendy dining and entertainment options and benefits. A. You’ll receive email confirmation of district featuring more than 100 registration within one week of ICAA’s restaurants and cafés. The handy and Q. We’re sending several people to the receipt of your conference registration. informative guide Visit San Diego conference. How do we register? Please contact us if you do not hear back features a multitude of restaurant A. Sending more than one person to within an appropriate amount of time. listings, as well as information about the conference maximizes the impact of the city’s transit system, shopping, your investment. To qualify for a group Q. If I can’t attend the conference, nightlife, and more. Go to www. discount, you must all register for the can someone else from my company visitsandiego.com/attendees/ ICAA Conference at the same time and go in my place? delegateguide.cfm to view the guide make one payment for the total fees. A. If you need to cancel your regi- online or to request a free print copy Visit www.icaa.cc/registrationForm. stration, please submit your request (allow four weeks for delivery). asp to complete one online application in writing. A $100 cancellation fee Information is also available online form per person, then pay by PayPal. will apply. After November 10, no at www.visitsandiego.com and Alternatively, download a registration cancellations are permitted, but you can www.gaslamp.org. form to copy and complete for each transfer your registration to another person. Fax all the forms together to delegate or to a future year. 604-708-4464, and indicate payment by check or credit card. Or call ICAA Q. Is there a dress code for the toll-free at 866-335-9777 to register conference? by phone. A. Conference dress is casual. We recommend you wear comfortable walking shoes and bring a sweater or jacket. Meeting rooms are air- conditioned and often chilly. “If you want to meet the challenges of On or before After today and prepare for the future, [the November 4 November 4 ICAA Conference] is an opportunity to ICAA members achieve this objective.” 1st registrant $439 $539 Don Streeper 2nd and 3rd registrants $389 $489 Recreation Coordinator, Petaluma 4th and more registrants $199 $299 Senior Center Nonmembers 1st registrant $439 $539 2nd and 3rd registrants $389 $489 4th and more registrants $199 $299 Note: All registration fees are in US dollars.

Special offer: Receive 10% off an Individual or Organization membership (14 locations or less) when you join ICAA and register for the ICAA Conference at the same time Conference before November 4, 2013. This offer is available to first-time members only, and cannot be combined with any other offers. registration Conference registration includes: educational seminars at four conferences • welcome receptions • keynote sessions • early-morning workouts • conference CD • entry to exhibit hall. It does not include preconference workshops ($79 each) or continuing education unit registration ($25 when enrolled before November 10, $40 on-site). Ask about our group rate! Cancellation policy: Please submit your cancellation request in writing. A $100 fee will apply. After November 10, 2013, no cancellations are permitted, but you can transfer your registration to another attendee or a future year.

Group discount: To receive a group discount, all attendees from the same organi- zation must register at the same time and pay with one check or credit card. If adding another attendee to a group that is already registered, call ICAA at 866-335- 9777 or 604-734-4466. Register now and save $100 Dress code: Conference dress is casual. We recommend you wear comfortable walking shoes and bring a sweater or jacket. Meeting rooms are air-conditioned and To register often chilly.

• Call toll-free 866-335-9777 Photo release: ICAA occasionally uses photographs and videos of conference attendees in promotional and educational materials. By virtue of your attendance, • Visit www.icaa.cc you automatically agree to usage of your likeness in such materials.

Register for the ICAA Conference 2013 by calling toll-free 866-335-9777 (North America only) or 604-734-4466. Or visit www.icaa.cc/registrationForm. asp to register online. You may also download PDF forms from this webpage to complete and return via fax or mail.

3307 Trutch Street Conference partners Vancouver, BC V6L 2T3 1.866.335.9777 Tel: 604.734.4466 Fax: 604.708.4464 www.icaa.cc Are you looking for products and services?

Find the right ones for you through ICAA’s Online Buyer’s Guide. As some of the largest suppliers of products and services to senior living communities, fitness clubs, community centers and other organizations serving older adults, ICAA’s Preferred Business Partners are industry leaders. Their products and services represent excellent value to customers. And, in many cases, these offerings are available to ICAA members at preferred discounts.

For more information, check out ICAA’s Online Buyer’s Guide at www.icaa.cc/ preferredbusinesspartners.htm

To learn how to become a preferred partner, email [email protected]

International Council on Active Aging® 3307 Trutch Street, Vancouver BC V6L 2T3 Canada Toll-free: 866-335-9777 Tel: 604-734-4466 Fax: 604-708-4464

ICAA-PBP ad.indd 1 13-05-18 2:52 PM ICAA PREFERRED BUSINESS PARTNERS

International Council on Active Aging® At NuStep, Inc., customer satisfaction is (ICAA) members gain access to companies our highest priority. Our customer com- interested in doing business with them, and mitment and quality guides us in delivering in supporting the active-aging industry, our brand’s core promise: assuring users the ActiveRx through the ICAA’s Preferred Business Part- opportunity for life transformation with 4921 South Alma School Road, Suite 4 ner Program. The support of the following every NuStep experience. Chandler AZ 85248 companies enables ICAA to provide members Tel: 480-840-1460 with programs and services. ICAA encour- Fax: 888-665-2512 ages its members to support these vendors in [email protected] turn, and to take advantage of the additional www.activerx.com savings they offer members on products and THOR•LO, Inc. services. 2210 Newton Drive ActiveRx delivers wellness-orientated re- Statesville NC 28677 habilitation services through physical and Premier Preferred Business Toll-free: 800-438-0286 strength therapy. Our medically supervised Partners Tel: 704-872-6522 system focuses on building strength, en- Fax: 704-838-7006 hancing physical function, preventing falls, [email protected] and promoting lifelong active aging. All www.thorlo.com services are evidence-based, best-practice Institute for Preventive Foot Health approaches. (IPFH) THOR•LO designs and manufactures in- 1519 West Front Street novative sock products for active living and Statesville NC 28677 aging. The company is a founding sponsor Toll-free: 877-777-IPFH (4734) of the Institute for Preventive Foot Health. Tel: 205-276-3030 Aegis Therapies Fax: 205-982-7931 Preferred Business Partners 7160 Dallas Parkway, Suite 400 [email protected] Plano TX 75024 www.ipfh.org Toll-free: 877-823-8375 [email protected] Focusing on preventive foot health, IPFH www.aegistherapies.com helps individuals achieve more, more sig- ACP – Accelerated Care Plus nificant and more enthusiastic participa- Aegis Therapies provides skilled therapy 4850 Joule Street, Suite A-1 tion in all of life’s activities, no matter what and wellness services across the United Reno NV 89502 their age—in short, to enjoy greater quality States. EnerG by Aegis provides a mul- Toll-free: 800-350-1100 of life. tidimensional approach to wellness that Fax: 800-350-1102 produces both improved clinical outcomes [email protected] for participants and improved operational www.acplus.com success for organizations. NuStep, Inc. ACP combines progressive medical technology with evidence-based clinical 5111 Venture Drive, Suite 1 BalanceGym, LLC protocols and on-site therapist training. Ann Arbor MI 48108 990 17th Avenue South The company partners with over 4,500 Toll-free: 800-322-2209 Naples FL 34102 SNFs, ALFs, ILFs, outpatient clinics, Tel: 734-769-3939 Toll-free: 888-522-BGYM (2496) hospitals and other post-acute therapy Fax: 734-769-8180 Fax: 888-670-6791 providers throughout the United States. [email protected] [email protected] www.nustep.com www.thebalancegym.com

102 The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc ICAA PREFERRED BUSINESS PARTNERS

The BalanceGym Exercise and Rehabilita- The ChairMaster brings well-balanced tion Station is designed to provide standing wellness and fitness into daily life. support for people engaged in group or Converting a functional chair into a individual weight-bearing exercise, stretch- BTE recumbent bike, strength-training tool ing and rehabilitation programs. 7455-L New Ridge Road and yoga/balance device, the ChairMaster Hanover MD 21076 makes fitness accessible to anyone and Toll-free: 800-331-8845 improves people’s lives. Tel: 410-850-0333 Ball Dynamics International, LLC Fax: 410-850-5244 14215 Mead Street [email protected] Longmont CO 80504 www.btetech.com Toll-free: 800-752-2255 COLLAGE, The Art & Science of Tel: 970-535-9090 BTE’s expertise is human physical Healthy Aging Fax: 877-223-2962 performance evaluation and treatment. Kendal Outreach, LLC [email protected] Our rehabilitation equipment provides 1107 East Baltimore Pike www.fitball.com advanced evidence-based solutions for Kennett Square PA 19348 clinics, hospitals and private practices. Tel: 610-335-1283 The FitBALL Active Aging product line With BTE, therapists can achieve better Fax: 610-335-1288 includes professional-quality tools for patient and clinic outcomes. [email protected] strengthening all major muscle groups www.collageaging.org including core and pelvic floor muscles. The FitBALL Active Aging category also COLLAGE is a consortium of aging ser- focuses on balance training, flexibility, and vices organizations (including continuing Active Sitting. CaptionCall care, moderate-rate, and subsidized hous- 4215 South Riverboat Road ing/home/community-based agencies) Salt Lake City UT 84123 using an evidence-based assessment tool Toll-free: 877-557-2227 and person-centered process to advance BOSU, a division of Hedstrom Fitness Fax: 801-262-3182 healthy aging and improve outcomes of 1 Hedstrom Drive www.captioncallprovider.com older adults living independently. Ashland OH 44805 Toll-free: 800-810-6528 CaptionCall is an innovative telephone for Tel: 419-289-9310 people with hearing loss. It quickly displays Fax: 419-281-3485 captions of what callers say on a large, easy- [email protected] to-read screen, so your hearing-impaired www.bosu.com clients can use the phone again with Conductorcise, LLC confidence. PO Box 248 BOSU believes that balance is the Bedford Hills NY 10507 foundation of all human performance. Tel: 914-244-3803 We offer products and programming that Fax: 914-244-3878 [email protected] encourage thoughtful and effective physical Cascade Health and Fitness, LLC www.conductorcise.com training to help prevent unnecessary falls 17270 Woodinville-Redmond Road NE, and injuries while making training fun. Suite 702 Conductorcise is a joyous, physical pro- Woodinville WA 98072 gram that uses the magic of classical music Tel: 425-402-4062 to prompt brain and physical stimulation Fax: 425-402-4063 and engagement of all levels. A flexible, fun [email protected] way to improve mind, body and spirit. www.chairmaster.com

Continued on page 104

The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc 103 ICAA PREFERRED BUSINESS PARTNERS

Flynn Construction Management General Contracting, Inc., offers free preconstruction services, which include site Cornell Communications, Inc. surveys, budget preparation, landlord lease Elizabeth Arden Red Door Spa 7915 North 81st Street negotiation advice, and drawing analysis, 300 Main Street, 8th Floor Milwaukee WI 53223 in order to save clients both their valuable Stamford CT 06901 Toll-free: 800-558-8957 time and money. Tel: 203-905-1700 Tel: 414-351-4660 Fax: 203-905-1738 Fax: 414-351-4657 [email protected] [email protected] www.reddoorspas.com www.cornell.com Greenfields Outdoor Fitness, Inc. 2625 South Orange Avenue Celebrating more than 100 years of beauty Cornell has provided emergency call Santa Ana CA 92707 expertise, the iconic Red Door Spa offers systems for over 40 years. We have wired Toll-free: 888-315-9037 signature spa and salon services, specialty and wireless products available in basic Fax: 866-308-9719 treatments and wellness recommendations visual or with two-way voice capability to [email protected] delivered with impeccable guest service and meet the specific needs of your residents or www.greenfieldsfitness.com technical expertise. clients. By providing distinctive and well-planned outdoor fitness settings that are accessible Exerstrider Products, Inc. for active older adults, Greenfields offers DINOFLEX–Recycled Rubber Surfaces PO Box 6714 several levels of activities that are both PO Box 3309, 5590 46th Avenue SE Madison WI 53716-0714 physical and social in nature, including Salmon Arm BC V1E 4S1 Canada Toll-free: 888-285-7392 strength, cardio and flexibility training. Toll-free: 877-713-1899 Tel: 608-223-9321 Tel: 250-832-7780 Fax: 608-223-9320 Fax: 250-832-7788 [email protected] [email protected] www.exerstrider.com Healthways www.dinoflex.com 1445 South Spectrum Boulevard, Developed by pole walking pioneer and Suite 100 DINOFLEX manufactures recycled rubber fitness authority Tom Rutlin, Exerstrider Chandler AZ 85286 indoor flooring and outdoor surfacing prod- fitness walking poles allow walkers of any Toll-free: 888-423-4632 ucts designed for gyms, libraries, decks, pa- age or ability to turn walking into a total www.silversneakers.com tios, walkways, and many other applications. fitness/total body exercise. SilverSneakers, a product of Healthways, is an evidence-based program, proven to reduce healthcare costs through a unique Earl Swensson Associates, Inc. blend of fitness, fun and friends. 2100 West End Avenue, Suite 1200 Flynn Construction Management Nashville TN 37203 General Contracting, Inc. Tel: 615-329-9445 600 Penn Avenue Fax: 615-329-9482 Wilkinsburg PA 15221 [email protected] Toll-free: 800-434-7759 Heritage Healthcare, Inc. www.esarch.com Tel: 412-243-2483 Fax: 412-243-7925 536 Old Howell Road Greenville SC 29615 The 52-year-old architecture firm of Earl [email protected] Toll-free: 877-508-3237, ext. 112 Swensson Associates (ESa) provides www.flynn-construction.com Tel: 864-244-3626 global design services in architecture, in- Fax: 877-508-8714 terior design, master planning and space [email protected] planning for senior living and medical www.heritage-healthcare.com projects.

104 The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc ICAA PREFERRED BUSINESS PARTNERS

Founded in 1999, Heritage Healthcare Care Innovations creates technology-based is an independently owned provider of solutions to give people confidence to live therapy management services to long-term independently, wherever they are. We deliver care, assisted living and continuing care ICAA/ProMatura Wellness Benchmarks products and services to support current and retirement communities. 3307 Trutch Street future care models in disease management, Vancouver BC V6L 2T3 Canada independent living and assistive technologies. Toll-free: 866-335-9777 Tel: 604-734-4466 Fax: 604-708-4464 [email protected] Interactive Health Partner HUR Health and Fitness Equipment www.icaa.cc/management/benchmarks.htm 3019 Commercial Avenue 785 West 1700 South, Suite 1 Salt Lake City UT 84104 Northbrook IL 60062 The ICAA/ProMatura Wellness Toll-free: 877-654-3837 Toll-free: 866-729-2636 Benchmarks is a free, Web-based business Tel: 801-973-9993, Option 3 Tel: 847-729-2636 reporting tool to track wellness program Fax: 801-973-9923 Fax: 847-509-4500 outcomes in retirement communities. [email protected] [email protected] Enter information, track resident www.interactivehealthpartner.com www.hurusa.com participation and satisfaction, and gen- erate on-demand reports. HUR, a leader in falls prevention and The Interactive Health Partner Wellness incontinence, offers computerized balance Program addresses fall prevention with as- testing and training systems, strength train- sessments, outcomes tracking and exercise ing equipment for older adults and physical prescription in an easy-to-use, comprehen- therapy, and specialty wheelchair accessible sive online system. strength machines. Infinity Rehab 25117 SW Parkway, Suite D Wilsonville OR 97070 Toll-free: 888-757-3422 It’s Never 2 Late HydroWor x Tel: 503-570-3665 Fax: 503-570-9155 7330 South Alton Way, Suite O 1420 Stoneridge Drive Centennial CO 80112 Middletown PA 17057 [email protected] www.infinityrehab.com Tel: 303-806-0797 Toll-free: 800-753-9633 Fax: 303-789-1533 Tel: 717-902-1923 Infinity Rehab provides outpatient [email protected] Fax: 717-902-1933 www.in2l.com [email protected] rehabilitation services to older adults www.hydroworx.com residing in retirement communities utilizing our Aging In Motion-Successfully It’s Never 2 Late builds computers resi- (AIMS) program. This proactive program dents enjoy. Intuitive systems empower in- HydroWorx, a premier manufacturer of dividuals to connect, engage and enjoy life aquatic rehabilitation, fitness and wellness helps communities maintain residents’ strength, mobility and vitality. with dignity through the benefits of today’s products, offers innovation in every pool technology for therapy and activity use. with fully adjustable floor, underwater treadmill and options to fit every applica- tion and budget. Intel-GE Care Innovations 3721 Douglas Boulevard, Suite 100 Roseville CA 95661 Toll-free: 800-450-0970 Fax: 916-772-3137 [email protected] www.careinnovations.com

Continued on page 106

The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc 105 ICAA PREFERRED BUSINESS PARTNERS

Les Mills, a New Zealand-headquartered Linked Senior, Inc., is a resident-engage- company, is a leading global provider ment solution provider helping senior of choreographed group-fitness classes care leaders improve the quality of life distributed to health clubs, wellness centers of their residents. Its vision is to enhance JumpSport, Inc. and other facilities. Equipped with a the quality of life in senior communities. 2055 South 7th Street, Suite A management system and science proven San Jose CA 95112-6011 results. Toll-free: 877-507-1399 Tel: 408-213-2551 Fax: 408-213-2930 Masterpiece Living Life Fitness [email protected] 11360 North Jog Road, Suite 102 5100 River Road www.fitnesstrampoline.com Palm Beach Gardens FL 33418 Schiller Park IL 60176 Tel: 561-624-8797 Toll-free: 800-634-8637 JumpSport products combine innova- Fax: 561-624-8037 Tel: 847-288-3300 tion, safety, quality and fun. Our Fitness [email protected] Fax: 847-288-3796 Trampolines develop balance, stamina and www.mymasterpieceliving.com strength, while promoting cardio health [email protected] www.lifefitness.com and weight loss. Patented low-impact elas- Masterpiece Living partners with commu- tic suspension reduces stress on the joints nities to maximize the potential of older Life Fitness offers an extensive selection and back. adults. The multispecialty group provides of cardio and strength-training products. tools for lifestyle evaluation, feedback and From designing floor plans to offering flex- coaching; and leads a movement for a more ible financing solutions, we make it easy to enlightened national public policy. Keiser create a perfect solution. 2470 South Cherry Avenue Fresno CA 93706 Toll-free: 800-888-7009 Matrix Fitness LifeTrail Advanced Wellness System Tel: 559-256-8000 1610 Landmark Drive by Playworld Systems Fax: 559-256-8100 Cottage Grove WI 53527 1000 Buffalo Road [email protected] Toll-free: 866-693-4863 Lewisburg PA 17837-9795 www.keiser.com Tel: 608-839-1240 Toll-free: 800-233-8404 Fax: 608-839-8687 Tel: 570-522-9800 Keiser AIR series and Infinity Series [email protected] Fax: 570-522-3030 exercise equipment feature pneumatic www.matrixfitness.com technology—which means users are [email protected] www.playworldsystems.com “pumping air” and placing less stress on Matrix Fitness Systems is the commercial joints and connective tissue. division of Johnson Health Tech Co. Ltd., Based on functional fitness, LifeTrail a leading fitness equipment manufacturer. Advanced Wellness System has been spe- Matrix delivers durable commercial fitness cifically developed for age 50-plus adults. products, with low total cost of ownership. It features 21 activities, 100-plus exercises, Les Mills West Coast and is customizable to fit your needs. 235 Montgomery Street, Suite 950 San Francisco CA 94612 Toll-free: 888-841-5374 Tel: 415-733-0280 Fax: 415-391-1827 Linked Senior, Inc. [email protected] 920 U Street NW www.lesmills.com Washington DC 20001 Toll-free: 888-577-1889 Fax: 202-280-1270 [email protected] www.linkedsenior.com

106 The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc ICAA PREFERRED BUSINESS PARTNERS

Moving Toward Health offers training to establish multilevel fitness programming. Performance Health Systems, Chair Masters and The Nia Technique Med-Fit Systems, Inc./Manufacturer of bioDensity System workshops for staff and clients include Nautilus Commercial Products 401 Huehl Road, Suite 2A balance, strength, agility, bone density, 543 East Alvarado Road Northbrook IL 60062 and brain growth. Quality core program Fallbrook CA 92028 Tel: 847-656-3001 without outsourcing. Toll-free: 800-831-7665 Fax: 847-656-3004 Tel: 760-451-3445 [email protected] Fax: 760-451-8995 www.biodensity.com [email protected] www.medfitsystems.com bioDensity, a technology of Performance National Institute for Fitness and Health Systems, facilitates safe, fast and Med-Fit Systems, Inc., is a 23-year-old Sport (NIFS) effective self-loading of the musculoskeletal physical therapy and senior care products 250 University Boulevard system, aiding in improving and main- provider. We supply strength and cardio- Indianapolis IN 46202 taining muscle strength, bone health and vascular equipment, balance products and Tel: 317-274-3432 ext. 208 energy. programming that are effective and safe for Fax: 317-252-0738 this market. [email protected] www.nifs.org PhysioStep MDX Recumbent NIFS provides comprehensive manage- Elliptical Cross Trainer/HealthCare Morrison Management Specialists ment of your fitness and wellness program. International, Inc. 5801 Peachtree Dunwoody Road NE Our staff deliver customized best-practice PO Box 1509 Atlanta GA 30342 programs and services that elevate resident Langley WA 98260 Toll-free: 800-225-4368 engagement. We also specialize in design Toll-free: 800-398-9121 Tel: 404-845-3330 and equipment layout of community Tel: 360-321-7090 Fax: 404-845-3333 fitness spaces. Fax: 360-321-7091 [email protected] [email protected] www.iammorrison.com www.hcifitness.com

Morrison specializes in the senior living National Strength and Conditioning At HealthCare International, our goal is to industry, providing exceptional hospitality Association (NSCA) provide high-quality and affordable prod- experiences across the United States. The 1885 Bob Johnson Drive ucts for health, wellness, fitness and active company’s vision is simple: Great people Colorado Springs CO 80906 aging. Our products include the Physio- will deliver great service and great results. Toll-free: 800-815-6826 Step Recumbent Elliptical, PhysioTrainer Tel: 719-632-6722 UBE, H2O Fitness, Monark Ergometers Fax: 719-632-6367 and h/p/cosmos Treadmills. [email protected] www.nsca.com

Moving Toward Health Fitness professionals with the NSCA’s Pool Boy 36555 Star Road Certified Special Population Specialist 55169 CR 3 Pleasant Hill OR 97455 (CSPS) credential are regarded as experts Elkhart IN 46514 Tel: 541-729-2894 on delivering research-based programs Toll-free: 866-778-7665 [email protected] to work with clients with varying health Tel: 574-266-1035 www.movingtowardhealth.com conditions, fitness abilities and age groups. Fax: 574-266-6083 [email protected] www.poolboyproducts.com

Continued on page 108

The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc 107 ICAA PREFERRED BUSINESS PARTNERS

The Pool Boy Powered Reel provides a fast and convenient way to uncover and cover your pool. The Pool Boy design offers ef- fortless operation by one person. Eliminate SofSURFACES, Inc. hand cranking and tugging on solar 4393 Discovery Line blankets. Rejuvenate Salon & Spa Petrolia ON N0N 1R0 Canada 2107 Gunn Highway, Suite 108 Toll-free: 800-263-2363 Odessa FL 33556 Tel: 519-882-8799 Toll-free: 877-792-1366 Fax: 519-882-2697 Power Systems Tel: 813-792-1366 [email protected] PO Box 51030 Fax : 813-792-0608 www.sofsurfaces.com Knoxville TN 37950-1030 [email protected] Toll-free: 800-321-6975 www.rejuvenatesalonandspas.com SofSURFACES is a manufacturer of Tel: 865-769-8223 indoor and outdoor surfacing products Fax: 800-298-2057 Rejuvenate Salon & Spa is a multiservice made from recycled rubber. Our products [email protected] spa and wellness solution for senior are designed for durability, injury www.powersystems.com communities. Founders Abby and Tim reduction and visual appeal. SofTILE Germain have been privileged to represent is marketed internationally through a Power Systems is a leading supplier of over 80 luxurious senior communities in network of qualified dealers. fitness and sports performance training five states since 1996. equipment. We offer over 2,400 innova- tive products and training solutions, plus SportsArt award-winning customer service, for cus- 19510 144th Avenue NE, Suite A-1 tomers such as health clubs and universi- SCIFIT Woodinville WA 98072 ties, among others. 5151 South 110 East Avenue Tulsa OK 74146 Toll-free: 800-709-1400 Toll-free: 800-278-3933 Tel: 425-481-9479 Tel: 918-359-2000 Fax: 425-488-8155 Precor, Inc. Fax: 918-359-2012 [email protected] 20031 142nd Avenue NE [email protected] www.sportsartamerica.com Woodinville WA 98072 www.scifit.com Toll-free: 800-786-8404 SportsArt Fitness offers a full line of fitness Tel: 425-486-9292 SCIFIT offers an extensive range of equipment that is comfortable, easy to use Fax: 425-482-3888 comfortable, safe, age-friendly cardio and and highly adjustable to meet the needs of [email protected] strength equipment. SCIFIT equipment active adults. www.precor.com and programs provide opportunities for people of all ages to stay active. Precor, a leading brand in fitness, offers car- dio, strength and entertainment equipment SPRI Products that helps users live beyond their limits. 1769 Northwind Boulevard Precor equipment is simple to operate and Libertyville IL 60048 offers a smooth, fluid experience. SNAG Golf, Inc. Toll-free: 800-222-7774 14843 Highway 10 Tel: 847-680-7774 Tahlequah OK 74464 Fax: 303-648-5418 Tel: 918-453-9993 [email protected] [email protected] www.spri.com www.snagpros.com

SNAG (“Starting New at Golf ”) is a first-touch development program for new learners of all ages. It is an easy and fun way to learn golf, and is readily adaptable to nontraditional venues.

108 The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc ICAA PREFERRED BUSINESS PARTNERS

SPRI helps people enjoy a healthier, hap- WaterFit offers educational courses (via pier, active lifestyle. SPRI offers simple, correspondence or on-site workshops) effective exercise products for all fitness based on current health and medical fitness levels. Exclusive 15% discount for all Technogym USA science and practice. WaterFit also supplies ICAA members/subscribers (refer to code: 700 Route 46 East equipment for water exercise comfort, pro- ICAADISCOUNT). Fairfield NJ 07004 gression and safety. Toll-free: 800-804-0952 Tel: 206-623-1488 Fax: 206-623-1898 Starcraft Bus Sales [email protected] 13385 Yorba Avenue www.technogym.com/us YogaFit Training Systems Worldwide Chino CA 91710 2321 Torrance Boulevard Toll-free: 888-993-5032 At Technogym, The Wellness Company, Torrence CA 90501 Tel: 909-993-5031 we create, design and manufacture innova- Tel: 310-320-0110, ext. 228 Fax: 909-465-5529 tive solutions to foster the physical and (Marina Kolaric) [email protected] psychological well-being of people, and Fax: 310-320-1277 www.starcraftbussales.com enhance quality of life through physical [email protected] activity. www.yogafit.com Starcraft Bus Sales specializes in provid- ing ADA [Americans with Disabilities YogaFit is a leading yoga fitness educa- Act] and wheelchair-equipped buses tion school, with over 200,000 instructors TurboSonic USA and minivans for retirement, assisted- trained on six continents. YogaFit hosts PO Box 1277 living and long-term care communities. Mind Body Fitness (MBF) Conferences, 1020 Wasco Street, Suite D Organizations can count on Starcraft teacher trainings and retreats worldwide, Hood River OR 97031 for superior quality, construction and all open to instructors, teacher trainees and Toll-free: 877-664-7245 durability. yoga enthusiasts. Tel: 541-436-0870 Fax: 541-436-0877 [email protected] www.turbosonicusa.com SwimEx, Inc. 846 Airport Road With one 10-minute session daily, Fall River MA 02720 TurboSonic’s sound-activated whole-body Toll-free: 800-877-7946 vibration exercise unit stimulates cells and Tel: 508-646-1600 all muscle groups, improving strength, en- Fax: 508-675-0525 durance and range of motion. TurboSonic [email protected] exercise benefits all fitness levels, especially www.swimex.com older adults with disabilities.

SwimEx pools offer an exercise environ- Want more information? ment that’s gentle on joints, and takes up little space. The pools feature an adjustable WaterFit paddlewheel water current that is smooth To learn about the benefits of and nonturbulent for clients’ exercise rou- c/o Desert Southwest Fitness tines or swimming strokes. 602 East Roger Road becoming an ICAA Preferred Tucson AZ 85705 Toll-free: 800-873-6759 Business Partner, call ICAA Tel: 520-292-0011 toll-free at 866.335.9777. Fax: 520-292-0066 [email protected] www.dswfitness.com

The Journal on Active Aging/Special developer’s issue June 2013 www.icaa.cc 109 powered by crowded markets demand confidence Max used to worry a lot about falling

Intel-GE Care Innovations™ QuietCare® learns the activity patterns of community residents and fl ags anomalies. Care providers can identify risks and potential events sooner—such as winning falling—while Max can enjoy life with his privacy strategies and independence intact. At Care Innovations™, we design all of our products to improve the confi dence of those who use them. Because confi dence is a powerful thing. One way to maintain a competitive advantage is to stand out from your competitors. We can help. careinnovations.com/JAA Let Benaroch Graphic Communication provide you with the creative tools to promote and enhance your

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[email protected] The Care Innovations™ QuietCare® system is not an emergency response or alarm system and is not intended for providing medical care. Data from the QuietCare® system should not be www. benaroch.com relied on as medical advice or clinical diagnosis. Copyright © 2012 Intel-GE Care Innovations LLC. All rights reserved. Care Innovations, the Care Innovations logo, and the Caring Icon logo are trademarks of Intel-GE Care Innovations LLC. QuietCare is a registered trademark of Intel-GE Care Innovations LLC. Intel and the Intel corporate logo are trademarks of Intel Corporation in the United States and/or other countries, used under license. GE and the GE Monogram are trademarks of General Electric Company in the United States and/or other countries, used under license.

Jacob's ad-1.indd 1 12-04-09 5:22 PM R2_Max-CareInnovation-ICAA.indd 1 5/15/12 3:57 PM powered by confidence Max used to worry a lot about falling

Intel-GE Care Innovations™ QuietCare® learns the activity patterns of community residents and fl ags anomalies. Care providers can identify risks and potential events sooner—such as falling—while Max can enjoy life with his privacy and independence intact. At Care Innovations™, we design all of our products to improve the confi dence of those who use them. Because confi dence is a powerful thing.

careinnovations.com/JAA

Intel-GE Care Innovations™ QuietCare®

Identify potentially urgent issues with advanced wireless motion sensor technology.

The Care Innovations™ QuietCare® system is not an emergency response or alarm system and is not intended for providing medical care. Data from the QuietCare® system should not be relied on as medical advice or clinical diagnosis. Copyright © 2012 Intel-GE Care Innovations LLC. All rights reserved. Care Innovations, the Care Innovations logo, and the Caring Icon logo are trademarks of Intel-GE Care Innovations LLC. QuietCare is a registered trademark of Intel-GE Care Innovations LLC. Intel and the Intel corporate logo are trademarks of Intel Corporation in the United States and/or other countries, used under license. GE and the GE Monogram are trademarks of General Electric CompanyThe inJournal the United on States Active and/or Aging/Special other countries, developer’s used under license. issue June 2013 www.icaa.cc 111

R2_Max-CareInnovation-ICAA.indd 1 5/15/12 3:57 PM Convergent movement

Technogym® Global Partner External rotation

Extension Abduction

S_AC_AGING_ICAA_20110504_TR.indd 1 4-05-2011 16:53:06