Webinars

Conversations with Carmen: Upcoming events


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When

August 23, 2016

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All shows are broadcast at

1 pm Central time (2 pm Eastern, 12 pm Mountain and 11 am Pacific)

 

** REGISTRATION DEADLINE: 3 hours prior to broadcast. **

 

COST:  $99 PER SITE (per show)

Fit as many people as you can around

your computer monitor, or project it

on the wall and fill a room.



Join our very own culture change pundit Carmen Bowman, MHS, on her monthly web talk show. Actually, it's even better than a talk show because you too can join the conversation by asking questions of Carmen and her guests. Carmen's smart look at culture change focuses on a wide variety of topics. She brings an insider's view of regulations, and reports on little changes happening in government, in attitude, in practice. Each month she will share culture change news and updates, amusing and heartwarming stories, and interview a guest on a relevant and timely topic. Check back regularly as we announce the topics for 2016.

 

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AUGUST 23, 2016:

TOPIC: Inspiring Environments for Mobility
GUEST: Lorraine Hiatt, PhD
Environmental Gerontologist, Planning, Research and Design for Aging


With a flair for design for aging, environmental gerontologist Lorianne Hiatt will get us focused on what mobility is and why it matters to older adults. She will share best practice in assessment of individual mobility as well as of one’s life space with inclusion of direct care givers/partners and the resident him/herself. Be challenged to be creative in using whatever exists in your environment as well as new ideas to encourage movement every day. Learn considerations for persons living with dementia, ways to mitigate risk, and take a look at the MDS data points for personal movement, life-space mobility and reimbursement potential.

 


COMING UP - - - - -

 

SEPTEMBER 16:  GETTING RESIDENTS OUT OF WHEELED CHAIRS with Diana Waugh

 

STAY TUNED FOR MORE OF THE 2016 LINEUP 

 


PREVIOUS SHOWS

Most of the shows below can be viewed at your workplace for the same $99 cost.

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JULY 22, 2016:

TOPIC: What Kind of Culture Does Your Language Create?
PRESENTER: Host Carmen Bowman

It is not news that the language of institutional care could use some work. Even CMS notes a needed language change by encouraging the elimination of labels such as “feeder” in its interpretive guidance for Tag F241 Dignity.  Do these institutional words still abide in your culture? Facility, beds, frontline, work the floor, toileting, non-compliant, behaviors, difficult, activities, dietary, resident, elope, expire? Have you personally and community-wide adopted language that is softer, more normal, dignified? The best news? Changing language costs no money. Yes, changing language is a no-cost practice that does wonders to shift from an institutional culture to a home/natural/normal culture instead. Join us to learn more about the unintended consequences of traditional institutional language; word replacements to consider; and ideas on how to change language. Join our host Carmen Bowman as she shares from the paper she co-authored The Power of Language to Create Culture..


 

JUNE 17, 2016:

TOPIC: Reducing Unnecessary Wheelchair Use
Guest: Leslie Jarema, LNHA, Director of Health Services, The Forest at Duke CCRC

Approximately two-thirds of nursing home residents are in wheelchairs the majority of the time. Although not talked about much, the negative, iatrogenic consequences of overuse of wheelchairs are many: accelerated loss of muscle mass, pressure sores, significant discomfort and physical strain from operating chairs which increase risks for falling, injuries from falls, depression and pneumonia. Older people's health, mobility and self-image can suffer from too much time in wheelchairs. They are treated as less able, even spoken to differently, promoting a cycle of helplessness. The Forest at Duke is part of a movement that gives priority to the well-being of residents and their caregivers - above the functions of the nursing home or convenience of the staff. Join us and our guest Leslie Jerema to learn how she led her community to use wheel chairs for transport only and helps residents be as active as possible.


 

MAY 20, 2016:

TOPIC: Improving Mobility the Advancing Excellence Way
Guest: Carol Benner, Advancing Excellence Campaign

For years we have talked about preventing and reducing falls, searching for the right solution. We even tied people to their chairs to keep them from falling, not yet realizing that the key to preventing falls is to improve mobility. Then we “alarmed” them, which only resulted in increased immobility. Mobility is the key to maintaining both physical health and quality of life. The Advancing Excellence Campaign has selected Mobility as one of its nine goals. With an expert panel, it has prepared a full set of quality improvement tools to help assess, measure and improve mobility for nursing home residents. In this conversation, we’ll focus on:
·   What mobility is
·   Why maintaining/improving mobility is important
·   How to measure mobility using an evidence-based tool
·   How to incorporate mobility in your QAPI efforts
·   How to use a root cause analysis to help you identify areas for improvement


 

April 22, 2016

TOPIC:  Dignity-Based Approach to Incontinence

GUEST: Susan Fry, Retired Culture Change Nurse Leader

 

Guest Susan Fry will report out on a multisite research study regarding a dignity-based approach to incontinence management. Join us to hear both the change steps and the exciting improved outcomes realized:
• Disturbing residents less often increases comfort and dignity and respects natural sleep patterns, which improves alertness, appetite and nutrition while reducing confusion.
• Reducing the risk for falls by supporting residents to sleep naturally through the night without the need to get up to use the bathroom.
• Higher quality products keep skin dryer and promote skin health.
• Better leakage protection encourages resident confidence and security.
• Individualized care respects residents’ dignity and voiding patterns, and improves the level of participation in daily activities.


 

MARCH 18, 2016

TOPIC:  Alarms: The New Deficient Practice? Replacing Alarms with Better Practices

Presented by Carmen Bowman, co-author of  "Alarms: The New Deficient Practice? Eliminating Alarms and Preventing Falls by Engaging with …. Life"

Join the discussion to ponder the use of alarms. Could it be that alarms actually fit CMS’ definition of “convenience,” which is not to be a reason for restraints at Tag F221? Hear how the use of alarms could be deficient practice on/for at least seven tags. Although no research shows that alarms prevent falls and there is evidence that alarms cause people physical and psychological harm, they are still used widely. Eliminating alarms has actually reduced falls in the homes that have done so, committing to the better practices of

  • proactively checking in with residents
  • focusing on mobility
  • anticipating needs and
  • engaging residents with real life
  • Based on the book Eliminating Alarms and Preventing Falls by Engaging with … Life co-authored by hostess Carmen Bowman, published by Action Pact.

 

FEBRUARY 19, 2016

TOPIC:  Facing Risk: Care Planning for Resident Choice

GUEST:  Karen Schoeneman, Retired Deputy Director CMS Division of Nursing Homes

Are you holding back on offering true choice to residents, even though you want to - for fear of deficiencies being cited, possible legal action or other negative outcomes? We challenge you to think again. It is possible to hone our skills in order to honor resident choice.


Everyone deserves the right to:
- Eat food that might be considered a choking risk, 

- Go outside when one wants to

- Decline "alarming" alarms, etc.


Karen Schoeneman, a member of the steering committee of the Rothschild Person-Centered Care Planning Task Force, will teach the six steps of the new "Care Planning for Resident Choice" process, as well as the CMS requirements that mandate homes to honor resident choice.


 

FEBRUARY 5, 2016

TOPIC:  The ROI of Using the Regulations to Promote Highest Practicable Quality of Life

GUEST:  Ray Rusin, Retired Director, Rhode Island Survey Agency

Meeting basic needs should be a given. When they are, one can reach their highest practicable level of well-being.  Yet health systems -- including the survey process -- tend to stratify efforts on the bottom tiers, focusing mostly on safety.  Culture change outcomes are in our favor: improved quality of life and clinical outcomes, higher profit and better regulatory compliance. Learn how to use the existing and proposed regulations to promote highest practicable quality of life.  Achieve the best ROI by having a thorough understanding of the CMS regulations.


 

NOVEMBER 20, 2015

TOPIC:  I NEED A VACATION... and SO DO YOUR RESIDENTS!

GUEST: Jon Jordan, Wesley Life Wellness Director

 

Ever get the feeling that you just have to get away from it all? Most of us plan and anticipate taking that much-needed vacation. Do you know who probably needs that getaway more than anyone else? The residents in nursing homes, that's who. In Action Pact's continued quest to create normal lives for elders everywhere, guest host Glenn Blacklock will visit with Wesley Life Wellness Director Jon Jordan about their highly successful annual vacation trip for residents. Join us and learn more new ways to grow rampant normalcy for those you care for.


 

OCTOBER 16, 2015

TOPIC:  Using Mobility and Individualized Approaches to Reduce the Risk of Falling

Guest: Jo A. Taylor, BSN, MPH, Quality Improvement Specialist


Move from the traditional culture of functional decline to a culture of individualized care that reduces the risk of falling.  An individualized culture replaces restraints, alarms, and antipsychotics with better practices such as resident-focused care instead of schedule-focused, including the encouragment of resident self-care. Most importantly, learn how to bring mobility to the forefront of life for residents with an environment for mobility that includes direct caregiver support (not just therapy), exercise activities and increased walking rather than wheelchair use. Start to turn the tides from excess safety to improved well-being. After all, as our expert guest Jo Taylor points it, older adults define their well-being by their functional status.


 

SEPTEMBER 18 & OCTOBER 1, 2015

TOPIC:  RAMPANT NORMALCY

Guest: Glenn Blacklock, NHA, Action Pact Consultant


Nationally known for successfully bringing normal life pursuits to nursing home residents, Glenn will share how to accomplish this, from his dual perspective as a recreation therapist and innovative administrator. He challenges what it means to be “frail.” Hear how residents have ventured out of the community to climb trees, navigate rivers, go boating, fishing, motorcycling; and also ventured inside the community, engaging their talents and pursuing wellness. Glenn encourages others to look at their home and community through residents’ eyes – where a good life every day is within their reach. Invite your whole team to do this together; it can’t be limited to one department anymore. Consider moving away from traditional “activity programming” to engaging residents with real life and what the Pioneer Network calls “rampant normalcy” -- all day, every day!


 

AUGUST 14, 2015

TOPIC:  The New CMS Draft Regulations -- Comments due Sept. 14, 2015

Guest: Glenn Blacklock, NHA, Action Pact Consultant


If you don't have time to read the 403-page document, tune in to this broadcast.  You'll not only get the highlights, but also be able to contribute ideas about what to give comment on. Glenn Blacklock, an innovative NHA and culture change consultant, along with hostess Carmen Bowman, former CMS Policy Analyst, surveyor and culture change consultant, will share ideas regarding CMS proposed changes. They will also discuss ideas to encourage CMS to consider: in the realm of culture change practices, and especially more dignified/less institutional language throughout the regulations.  After briefly mentioning being familiar with culture change, CMS states, “While CMS is engaged in the issues around long stay nursing home residents, we do not have enough verifiable information to propose specific changes to the regulations specifically applicable to long-stay situations at this time. We solicit comments on how the requirements could acknowledge the special needs of the long stay resident. In addition, because we also received comments regarding the need to specifically address the needs of short stay residents, we solicit comments on how the requirements could acknowledge the special needs of short stay residents."


 

JULY 17, 2015

TOPIC:  Leveraging Collective Wisdom to Surpass QAPI

GUEST:  Kelly O'Neill, Program Manager Stratis Health, MN QIO


Are you leveraging the collective wisdom of residents, family members and team members to create a culture of continuous quality improvement? QAPI is about making improvements, making residents lives better and staff lives better. Learn practical actions you can take to engage residents and staff in QAPI in meaningful ways. This information is based on lessons learned from the national QAPI demonstration project and the National Nursing Home Quality Care Collaborative.


 

JUNE 19, 2015

TOPIC:  The Artifacts of Culture Change

GUEST:  Karen Schoeneman, Consultant, Retired CMS

 

The Artifacts of Culture Change measurement tool was funded and released by CMS in 2006. Designed to be used by communities to document concrete changes and reflect a move from institution to home, this tool will be described and explained in detail by its developers. Has your community implemented all 66 practices reflected in the tool? Learn how to use the Artifacts tool, how it has been used in grant projects around the country, and share your ideas for an Artifacts 2.0, now being considered. Most importantly, identify and implement practices you may not have considered in your journey to transform culture.


 

MAY 15, 2015

TOPIC:  With a Little Help From Our Friends: Creating Community as We Grow Older

GUEST:  Beth Baker, Author/Journalist


For her first book, Old Age in a New Age, award-winning journalist Beth Baker studied and wrote about the culture change movement. Now she has studied and written about the innovative ways to live people are devising as they approach retirement -- options that ensure they are surrounded by a circle of friends, family, and neighbors. Based on visits and interviews at many communities around the country, Beth Baker weaves a rich tapestry of grassroots alternatives such as cohousing, house sharing, a mobile home cooperative, a senior artists colony and neighbors helping neighbors in "villages" or "naturally occurring retirement communities." Times they are a changing; be aware of all the creative options.


 

APRIL 17, 2015

TOPIC: Alarms: The New Deficient Practice?  Eliminating Alarms and Preventing Falls by

Engaging with Life

GUEST: Carmen Bowman, co-author of new book with same title published by Action Pact

SPECIAL GUEST HOST: Glenn Blacklock, LNHA, Action Pact Consultant

 

Alarms – an idea whose time has come and gone. We’ll demonstrate that alarm use is now deficient practice at seven regulatory requirements. Although no research shows that alarms prevent falls, and there is evidence that alarms cause people physical and psychological harm, they are still widely used. Eliminating alarms has actually reduced falls in the homes that have done so, but what else have they done to reduce falls? Employ your creativity as we design ways to engage each individual with life according to his/her daily routine, personal preferences and ability. The results may astonish you. Eliminate alarms and prevent falls with new approaches. Based on the recent book of the same title, co-authored by our presenter and published by Action Pact.


 

MARCH 20, 2015

TOPIC: Promoting Sleep IS Good Nursing Care

GUEST: Marilyn Oelfke, RN, LNHA, Action Pact Consultant

 

How many of us like to sleep? Do you love not having to set your alarm? In your community, is sleep honored? There are SO many benefits to being well rested: better mood, less depression and anxiety, increased alertness, even fewer falls. When medication administration and night checks with residents happen according to residents' schedules, patterns and needs, there are many benefits. Open dining can accommodate various sleep patterns and by supporting people's natural sleep schedules, we honor individual circadian rhythms, which diminishes stress (what we used to call “behaviors”) for residents. We provide health care, yet deprive people of sleep -- one of the healthiest natural functions for body and mind. Sleep is an important component of quality of care and quality of life, which are not only great ideas but also federal requirements.

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FEBRUARY 20, 2015

GUEST:  LaVrene Norton, Executive Lead, Action Pact

TOPIC:  Conflict, the Fuel of Change

 

While we often wish conflict would go away, that’s usually because conflict scares us.  This quick course will discuss the brilliance of embracing conflict.  Participants will be encouraged to begin a personal journey of learning the skills of gentle conflict provocation as well as conflict management and conflict resolution.  Examples will be provided from family life as well as from the workplace.  The desired outcome for this event is that the participants will recognize the importance of growing conflict skills in culture changing organizations.  Why? So that residents can continue to grow and live a good life, filled with the delights and pleasures of normal conflict; and that employees can learn skills that not only makes their care environments hum with new energy, but that they can take home and nurture happiness through conflict in their families as well!

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JANUARY 16, 2015

GUEST:  Linda Bump, RD, LNHA

TOPIC:  The Deep Seated Issue of Choice: Practical Steps to Transform Dining

 

- Learn practical ways to maximize autonomy and individualization in dining.

- Honor residents' food and beverage preferences through cost-effective choice and accessibility.

- Understand the importance of personal choice and pleasurable dining experience in defining quality of life.

Carmen's conversation with Linda Bump will include discussion of the New Dining Practice Standards, as well as tapping into Linda's expertise for practical application. Linda served on the Pioneer Network Task Forces that developed the New Dining Practice Standards and Toolkit. She also authored and presented the white paper, “The Deep Seated Issue of Choice,” for the CMS/Pioneer Network Creating Home II national symposium on Culture Change and the Food and Dining Requirements. Hostess Carmen Bowman facilitated the CMS/Pioneer Network symposium and subsequent new Standards and Toolkit Task Forces.

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NOVEMBER 14, 2014

TOPIC:  Creating the 1st Healthy Living Community... Because we belong together!

GUEST:  Steve Shields, CEO Action Pact

Action Pact is partnering with Liberty Hospital and Healthy Living Centers of America to build the nation’s first healthy living community in Liberty, MO specifically designed to integrate primary, acute and post-acute healthcare services within an inter-generational living community. The project will be anchored by a healthy living center designed to serve as the hub for healthcare integration. Designed as a village within the Liberty Clinic, the development will be both mixed-use and pedestrian-oriented, and will include restaurants, retail, medical and traditional office space, a short-term stay recovery hotel, assisted living and independent living and homes for people of all ages.  Be inspired.  Reject the old way.  Reject what culture change leader Carter Catlett Williams calls ‘ghettos of old age or single age culture . . . because we belong together.”

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OCTOBER 17, 2014

TOPIC: Understanding the Culture in Culture Change:

Why organizational design is important

GUEST:   LaVrene Norton, MSW, Action Pact Founder and Executive Leader

 

A leadership culture can be paternalistic authoritarian, participative management or shared. Learn from one of the foremost culture change leaders of organizational design how to:

Rethink: Shared Vision becomes the Future Pull
Restructure: Shared leadership and Self-led Teams
Renew: High Involvement
Relearn: Growth and Learning as Central to All Work
Redesign: Environmental Cues
Reaffirm: Growth and Learning as Central to the Daily Life of the People we Serve

 

 

SEPTEMBER 19, 2014

TOPIC: The Affordability of the Household Model

GUEST:  Martin Dickmann, CFO Action Pact Development

 

Is the Household Model financially viable?  Like institutional nursing homes, no two Households are alike.  There isn’t a one-size-fits-all solution that works financially for every organization.  We'll identify the key Household Model financial drivers and how to navigate them to create a financially sustainable solution.  While no Household solution is universal, all organizations can afford to implement a solution customized for them.  We will explore the framework for success!

 

AUGUST 15, 2014

TOPIC: Highest Practicable Level of Well-being Applied to Dining

GUEST:  Linda Bump, RD, LNHA,

Action Pact Consultant, first administrator of the Household Model

Using Lowenburg’s classic review of Maslow’s theory of human maturation as applied to food habits, Linda will explain how food use progresses from eating for existence to eating for self-actualization or highest practicable level of well-being as required by Tag 279. Looking at the theory and the regulatory requirement can contribute to our understanding of the successful outcomes experienced by culture-changed facilities. Residents move from “getting food” in a traditional institutional facility (consider the use of the terms ‘feeding’ and ‘feeders’) to eating for self-actualization, quality of life and highest practicable level of well-being in the transformed community focused on self-directed living.

 

JULY 18, 2014

TOPIC: Highest Practicable Level of Well-being applied to Systems: Survey and Institutions

GUEST:  Ray Rusin, Rhode Island State Survey Agency Director,

Founding President of RI Generations Culture Change Coalition

Did you know that Maslow’s theory of hierarchy of needs and the regulatory requirement for highest practicable level of well-being both apply to systems, too?  Health systems, including the survey process, tend to stratify efforts on the bottom tiers, focusing mostly on safety while simultaneously preventing people living and working in the systems from reaching their highest practicable level of well-being. Join us in thinking and talking this through with the only leader in the culture change movement who is also a regulator!

 

JUNE 20, 2014

TOPIC: Highest Practicable Level of Well-being is required by Regulation

GUEST:  LaVrene Norton, MSW, Action Pact Founder and Executive Leader, with

Carmen Bowman, Edu-Catering, Regulator turned Educator, Hostess of Conversations with Carmen

LaVrene Norton was one of the leaders of the culture change movement who identified the seven essential domains of well-being in 2002. Together LaVrene and hostess Carmen Bowman will “take it up a notch” by showing how CMS nursing home regulations require that the highest practicable level of well-being be maintained or attained for each person and how the domains of growth, comfort, security, identity, autonomy, connectedness, meaning and joy are not only what really matter to people but are also embedded in regulatory requirements.

 

MAY 16, 2014

TOPIC: Dementia Beyond Disease

GUEST: AL POWER, MD, Board-certified Geriatrician, Eden Educator, Author of Dementia beyond Drugs and Dementia beyond Disease

In 2002, leaders of the culture change movement identified seven essential domains of well-being. Dr. Power has now turned his attention to these domains of well-being authoring his second book Dementia beyond Disease soon to be published by HPP. Hear Dr. Power on this Action Pact webinar first confront widely accepted and prevailing disease-based care practices that actually erode individual well-being. Then discover the many ways how well-being can be emphasized and enhanced in people living with dementia.

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APRIL 18, 2014

TOPIC: Hearing the Voice of Persons Living With Dementia

GUEST: MEGAN HANNAN, MS -- Action Pact Consultant, Developer of PersonFirst®, author of Becoming Who They Were

Hear the voice of the person living with dementia. When we hear their voice, we can understand them, honor their choice and help fulfill their needs. The five human needs of identity, inclusion, attachment, comfort, and occupation will be used as a lens to guide our view.  Finessing our ability to hear their voice and honor their choice can only contribute to the worthy goal of reducing anti-psychotics.

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MARCH 21, 2014

TOPIC:  MUSIC: Quickening People Living with Dementia to be "Alive Inside" Again

GUEST:  DAN COHEN, MS -- Founder and Executive Director of Music & Memory

 

Kant called music the “quickening art.” Be inspired by the founder of Music & Memory how you can easily use music to help people living with dementia to be “alive inside” again. Since we now know it is within our power to stimulate a person’s brain, to quicken their spirit, and to bring joy, how can we not do it? Music also affords the side-effect benefit of movement, something many institutionalized elders, and all of us, need. Rooted in neuroscience research, the results are described as “nothing short of miraculous” and certainly contribute to efforts to reduce anti-psychotics.

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February 21, 2014

Topic:  The Validation® Method: A Tried and True Method of reducing Anti-psychotics

Guest: Naomi Feil, MSW, SCSW

Treat yourself to learning from developer Naomi Feil about the Validation® method, which provides a means for successfully communicating with persons with dementia -- something desperately needed by them, their caregivers and family members.  Validation replaces the outmoded and person-devaluing methods of sympathy, redirection, diversion, reality orientation, and the therapeutic lie.  Validation teaches how to “exquisitely listen,” empathize, “move into” the disoriented person’s world and validate feelings.  Using Validation boosts self-esteem, builds trust and rapport and often assists the person to no longer need to resort to the past by creating a warm and welcoming present.  Naomi will also touch on the valuable tool of Validation groups in which members not only “rise to the occasion” of their individual roles, but their intuitive wisdom often spills out to help one another.

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January 17, 2014

Topic:  Good Care Should be a Given

Guest: Maricel Glova, RN

Action Pact Consultant, experienced DON

   Quality of life includes quality of care.  In your community, do residents get to the bathroom when they need to? Better yet are residents' bathroom needs anticipated?  In addition to the obvious benefits, this also leads to preventing falls. Is mouth care happening regularly every day? Are medications administered according to residents' schedules? And is sleep honored according to the person's circadian rhythm? Hear strategies for the varying stages of culture -- from traditional to households -- for ensuring that good care is a given. Only then can a resident achieve highest practicable well-being. This is not only a great idea but also a federal requirement.

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Shows in our 2013 series on eliminating alarms:

 

Friday, May 17, 2013

Topic: A QAPI and Compliance Approach to Eliminating Alarms and Preventing Falls

Guest: Matt Younger

Administrator, Section for Long-Term Care Regulation, Missouri Dept. of Health & Senior Services

* * * * * * * * * * * * * * * * *

 

Friday, June 21, 2013

Topic:  How Oakview Terrace has been Alarm Free for 6 years

Guest: Theresa Laufmann, RN

Co-DON Oakview Terrace, SD – an alarm-free home for 6 years

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Friday, July 19, 2013

Topic:  Regulatory Support for the Elimination of Alarms

Guest: Diana Weiland, RN

Public Health Advisor for the Office of Licensure and Certification

* * * * * * * * * * * * * * * * *

 

Friday, Aug. 16, 2013

Topic: The Key to Alarm Elimination and Proactive Prevention of Falls: Relationships

Guest: Leslie Pedtke

Administrator Aviston Countryside Manor and developer of Through the Looking Glass staff experience of living in a nursing home

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Friday, Sept. 20, 2013

Topic: Eliminating Alarms and Proactively Preventing Falls by Engaging with Life

Guest: Jennifer Crimmins,

Administrator Friendship Haven, Fort Dodge, Iowa

* * * * * * * * * * * * * * * * *

 

Friday, October 18, 2013

Topic:  The Benefits Beyond Reducing Falls by Eliminating Alarms

Guest: Theresa Laufmann, RN

Co-DON Oakview Terrace, SD – an alarm-free home for 6 years

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Friday, Nov. 15, 2013

Topic: Personalized Med Pass

Guest: Marilyn Oelfke, RN,

Action Pact Consultant, retired administrator Perham Living

 

** If you are interested in viewing any of these shows, please contact Marsha Poulsen

by phone or email: 414-258-3649 or marsha.poulsen@actionpact.com **

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Carmen's sessions are held the third Friday of every month at 12 noon Mountain time (11 am Pacific, 1 pm Central and 2 pm Eastern) and run about an hour each. To sign up, just click on the "To Register"  button and pay online with your credit card through Paypal.  Be sure to provide a valid email address so you can receive instructions on how to join the webinar. You can also register by calling our offices at (414) 258-3649.

 



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