Conversations with Carmen: Upcoming events

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Call our offices at (414) 258-3649.


April 17,  2015



Information on future shows coming soon.


All shows are broadcast at

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


** REGISTRATION DEADLINE: 10 AM Central time the day of webinar. **


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 2015.


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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.


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

Learn more here

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.


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!


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.


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.”



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

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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

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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

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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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Contact LaVrene Norton

at 414.258.3649

or Steve Shields

at 785.313.4059




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