Conversations with Carmen: Upcoming events
Call Marsha Poulsen at (414) 258-3649.
JULY 27, 2018
REGISTER HERE (coming soon)
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 new topics.
* * *
JULY 27, 2018
TOPIC: The Community Developer
GUEST: Barry Barkan, Live Oak, Pioneer of the Pioneer Network
Details coming soon.
STAY TUNED FOR MORE OF THE 2018 LINEUP
Most of the shows listed below can be viewed at your workplace for the same $99 cost.
JUNE 8, 2018
TOPIC: The Value of Hosting a Kids Day Camp
GUEST: Beth Irtz, Administrator Shalom Park
Learn how a day camp can easily be made part of life in your community, from lessons learned in three day camps during the summer of 2017. Outcomes for both youth and residents were so powerful that you may wonder why every nursing home doesn’t host a summer day camp!
Guest Beth Irtz and Hostess Carmen Bowman received a CO CMP grant to offer the camps. Together they will share how you can make such a meaningful week happen in your community.
MAY 11, 2018
TOPIC: BLACK BALLOONS OR A RAINBOW OF COLORS: How Our Perceptions of Aging Affect the Care We Provide
GUEST PRESENTER: PENNY COOK, MSW; President/CEO of the Pioneer Network
We’ve all done it—sent an “over the hill” card to someone, purchased “anti-aging” products, refused to say our age and maybe even given the dreadful black balloons on a milestone birth celebration. It’s part of our culture, right? It’s meant to be funny. It helps us cope with the fact we’re getting older. But how does it really affect us? More importantly, how does it affect the care and support we provide to Elders? In this conversation we’ll explore how our own perceptions of getting older as well as those of the general society affect our long-term care system as well as our specific care practices. Let’s be the change we want to see!
APRIL 13, 2018
TOPIC: COGNITIVE HEALTH and RESIDENT ENGAGEMENT
PRESENTED BY: MEGAN HANNAN - Action Pact Consultant, Developer of PersonFirst® program
We have been exploring resident health and well-being holistically, and in March we were inspired by The Transformative Power of Purpose, when we learned about and heard from residents of Rockport Healthcare Services' 70 communities in California who serve the homeless in their respective communities every month. In keeping with our theme, the show in April will look at the connection between engagement and cognitive health. Megan will share the most current research in cognitive science, brain health and engagement. We’ll discuss types of engagement and suggestions for ensuring meaningful engagement, as well as outcomes of engagement on well-being, quality of life and staff satisfaction.
MARCH 9, 2018
TOPIC: The Transformative Power of Purpose: Residents Serving their Communities
PRESENTED BY: Matthew Lysobey, MPH, LNHA, Rockport Chief Community Integration Officer; Peggy Fraricks resident founder, and Bonnie Jacobs, CTRS, Rockport VP Recreation and Social Services
Residents of 80 nursing and assisted living homes regularly prepare meals and serve the homeless in their communities. We are impressed. Matthew Lysobey, developer of A Heart to Serve; Peggy Fraricks, resident founder and participant for 15 years, and Bonnie Jacobs, operational leader, will explain how Rockport Healthcare Services offers residents of their 80 homes the opportunity to volunteer on teams that give back to their communities. Regardless of their physical and cognitive challenges, all willing participants have a role in preparing and serving at the local homeless shelter, resulting in a renewed sense of purpose within themselves. Purpose reduces depression and symptoms of chronic conditions, and a National Institutes of Health study reveals that “having greater purpose in one’s life reduced the symptoms and progress of Alzheimer’s disease and other forms of dementia.” Wow -- with those results why wouldn’t every nursing home and assisted living community do this? Moreover, it takes a home even beyond compliance with CMS’ new focus on interaction in the community in the requirements and Critical Element Pathway for Activities.
SPECIAL OFFER: PURCHASE ACCESS TO THE RECORDING OF THIS SHOW AT 50% OFF
WRITE TO MARSHA POULSEN FOR DETAILS
FEBRUARY 9, 2018
TOPIC: Even When Care and Compliance are Nearly Perfect, What Kind of Life are Residents Living?
And - The Artifacts of Living Well
PRESENTED BY: Sonya Barsness, Gerontologist, Consultant, Blogger
Imagine a nursing home that has “good care.” It has good outcomes. Maybe even the care truly reflects the individualized needs and preferences of people who are living there. But beyond the day to day services that are provided, how are people living? Are their days revolved around care? Or does their care support them to live well? Let’s talk about more than care, and more than care plans. Join us to be pushed to the next level as we discuss LIVING plans and the idea of Artifacts of Living Well.
JANUARY 12, 2018
TOPIC: RESIDENT CHOICE BEYOND REGULATION: Sunny Hill’s Resident Staff-Hiring Committee
PRESENTED BY: Becky Haldorson, MS, LNHA, Administrator & Jamie Wesley, Resident of Sunny Hill
Since 2007, Sunny Hill Nursing Home of Will County's residents have served on an employee hiring committee, hiring their own care givers. Managers review applications and conduct initial interviews but then applicants must meet with the resident committee which votes to accept or reject each applicant. Of almost 400 potential employees interviewed, the committee said no to approximately 50 and their opinion was honored. Learn how you too could honor resident choice to this degree. Administrator Becky Haldorson and resident Jamie Wesley, who serves on the committee, will share lessons learned, how to do this successfully and, in the end, inspire your community to live up to “this is your home now” - going beyond new CMS requirements for increased resident choice
NOVEMBER 17, 2017
TOPIC: PHASE 2 CMS REQUIREMENTS: Are You Ready?
PRESENTED BY Carmen Bowman, Host
Phase 2 of the new CMS requirements are to be in place by Nov. 28, 2017. In this quick, one hour review, we will look at most Phase 2 requirements in detail. Let this be a moment for your team to gain a solid understanding of what is required and together assess your community’s compliance. Culture change wins, and practices that contribute to compliance will be highlighted.
OCTOBER 20, 2017
TOPIC: Improving the Dining Experience for Residents; Honoring Choice, Exceeding Regulations
GUEST: Suzanne Quiring, RD, CDM, SuzyQ Menu Concepts
Want to provide a great dining experience, preferences and choice and be in compliance with new CMS requirements? Learn how to work within budget & time restrictions, tackle cold food, high food waste, endless food preference list issues and how to move away from tray and pre-plate service to self-determined meal delivery that honors resident choice while saving money. Photos, real examples and many ideas will be shared to help communities implement practical culture change ideas with the confidence of the literature, best practices and federal requirements to back them up.
SEPTEMBER 15, 2017
TOPIC: WHAT LIVING LIKE A RESIDENT CAN TEACH LTC STAFF – The Power of Empathy to Transform Care
GUEST: LESLIE PEDTKE, LNHA,
Educator for Quality Improvement, King Management Company
What happens when real caregivers become “real” residents? How will their experiences change how they think about being a resident? How will the care they provide to residents change in the future?
Through the Looking Glass is an experience developed at Aviston Countryside Manor in IL. Staff members move into the nursing home, live the role of real diagnoses and accept daily “challenges” residents experience every day.
From learning the importance of communicating more with residents to encouraging meaning and purpose, the resulting insights of these caregivers sensitized other staff members – new and veteran – to practical and effective ways to immediately improve daily care and life for residents.
Hear the incredible outcomes such as the now required Elder Shadowing - all newly-hired staff live with a resident for 24 hours before they are able to begin their new job - the Resident Hiring Committee and Pedkte's new book with the same title.
AUGUST 28, 2017
TOPIC: CULTURE CHANGE OUTCOMES
GUEST: ANGIE MCALLISTER, Director of Cultural Change, Signature Heathcare
Signature HealthCare is an organization that has committed to a changed culture in many ways. Join us for an immersive look at Signature HealthCare’s recently published research - and even more recent unpublished research - revealing positive outcomes in all aspects: satisfaction of residents, families and staff, decreased turnover, financial and clinical.
JULY 28, 2017
TOPIC: CULTURE CHANGE IS QAPI: The Webinar
PRESENTED BY: CARMEN BOWMAN (switching roles for the day), Author, Consultant, Regulator turned Educator
GUEST HOST: GLENN BLACKLOCK, NHA, Action Pact Consultant
Hopefully you recognize that the QAPI requirement is a gift from the government
- Are you utilizing QAPI to its fullest potential?
- Do you focus on being proactive and preventative?
- Have you taught your staff and colleagues how to “be your own surveyor”?
- Do you personally know the regulations -- the new regulations?
Your community is held accountable to them. Common culture change practices are the key to QAPI; in other words, Culture Change is QAPI.
JUNE 16, 2017
TOPIC: THE HIDDEN RESTRAINT: Secured Living Environments
GUEST SPEAKER: DR. AL POWER, Eden Board Member, Author "Dementia beyond Drugs"
and "Dementia beyond Disease"
When looking at the CMS definition of a restraint, it can be viewed that locked doors also fit the definition. And yet they are almost a given in "memory care" environments. Is that something we must accept, or is it possible for people living with dementia to live in unlocked environments? This webinar will discuss the steps that organizations can begin to take to support everyone's human right to be able to walk and move about their home freely.
MAY 19, 2017
TOPIC: THE NEW CMS DINING REGULATIONS
GUEST SPEAKER: DIANE HALL, RD, LNHA, Author of "The Inside Scoop on Informed Choice"
Now is the time to be a VOICE for CHOICE in your community’s food and nutrition services. Those of you who have lobbied for change to a more person-centered focus now have something tangible to back you up. Person-directed dining is no longer a nice idea. It’s a mandate. The new CMS requirements can be the megaphone that you will use to make person-directed dining a reality in your community. We will explore these CMS changes in food and nutrition services and explain their intent. We will also discuss the top three dining citations and what you can do to avoid them.
APRIL 14, 2017
TOPIC: FROM ANNOYANCES TO CONFLICT: What might miscommunication be costing your organization?
GUEST SPEAKER: RAY RUSIN, Quality Training Associates, Certified Workplace Conflict Mediator, retired RI Survey Agency Director
Day-to-day petty annoyances are experienced by each of us and are a fact of life. Without a strategic focus on recognizing and dealing with natural annoyances early, many grow into costly conflict events negatively impacting residents’ quality of care and quality of life. We will discuss how ordinary annoyances interrupt the smooth operation of any organization, how to best prepare team members for coping with annoyances and ways to wisely handle any resulting conflicts. Find out what conflict may be costing your organization.
Pre-webinar prep work includes access to the Mediation Training Institute Cost of Conflict Tool which Ray will refer to. Link will be sent to you in confirmation email. You should enter in basic information regarding an actual conflict situation you are handling.
MARCH 3, 2017
TOPIC: THE PERSONFIRST® PROCESS: PART 3 IN OUR SERIES ON DEMENTIA CARE & CMS
GUEST SPEAKER: MEGAN HANNAN, Action Pact Consultant
PersonFirst® is a proven train-the-trainer process for creating and sustaining a culture of person-directed life. Although its goal is to include anyone, it focuses especially on how to engage those living with dementia. In a PersonFirst® culture, people who live with dementia are valued as unique individuals who still have a need for purpose; to bring meaning to their lives and those around them. As we learn to recognize and nurture the identity of the person hidden behind the fog of dementia, a new vitality takes hold within the organization as those with cognitive loss come out of the shadows and join the care home’s circle of community and sharing. PersonFirst®, a nationally-recognized benchmark for person-centered culture, meets the CMS required guideline for a program to support person-centered service for those living with dementia. Join us and learn how PersonFirst® can take your dementia care culture to the next level.
JANUARY 6, 2017 and FEBRUARY 10, 2017
TOPIC: The New CMS Dementia Care Focused Survey, Parts 1 & 2 – Create a Proactive, Preventive Culture
PRESENTED BY: CARMEN BOWMAN, Host of "Conversations With Carmen," Regulator turned Educator
GUEST HOST: MEGAN HANNAN, Action Pact Consultant
This CMS survey ascertains a community’s compliance with Care and Services for a Resident with Dementia, Unnecessary Drugs, Assessment and Care Planning. Become familiar with the survey, surveyor worksheets and how both have been integrated into the survey process. Most importantly, ensure you know best practices both recognized by CMS and the culture change movement. Learn to view “behaviors” as communication; recognize dementia-related communications; be individual-centered, not institution-centered as CMS requires; offer meaningful engagement by all staff all day to reduce antipsychotics. It’s time to create a proactive, preventive, individualized, resident-focused dementia care culture.
NOVEMBER 18, 2016
TOPIC: Vibrant Living for Men, Compliance for Communities
GUEST: Glenn Blacklock, LNHA, Action Pact Consultant
Known nationally for his work bringing normal life pursuits to nursing home residents, Glenn will guide us in exploring options to help men live more vibrant and satisfying lives. As we know, men tend to get “lost in the shuffle” in the myriad of activity offerings that often seem to be geared toward women. We will discuss how meaningful engagement can’t just be left to activity/recreational professionals anymore. When all individuals in a community share their passions and interests, relationships flourish and spontaneity happens. As we all rethink what we can make happen for men, they often find new purpose and meaning in their lives, and their once-vibrant spirits will rise again. And although we are focusing well-deserved attention on men's needs here, the principles discussed apply to everyone.
* The discussion will include the new CMS regulation for Activities which goes into effect Nov. 28, 2016.
OCTOBER 21, 2016:
TOPIC: THE ALL-NEW CMS REGULATIONS - A First Look
PRESENTED BY: Carmen Bowman
With GUEST HOST: Glenn Blacklock, Action Pact Consultant
Last summer this same duo discussed the 403-page document of CMS’ proposed changes. A year later, trusting that CMS will follow through with the promised September release of the new regulations, they are seizing this opportunity to review the all-new CMS Regulations.
SEPTEMBER 16, 2016:
TOPIC: Getting Residents out of Wheeled Chairs
GUEST: Diana Waugh, BSN, RN, CDP | Waugh Consulting, LLC
We all know that wheels were put on chairs for transportation. That certainly makes sense and provides people with any limitation on their ability to get from point A to point B. How is it then that individuals who reside in many communities dedicated to caring, spend the vast majority of their time awake sitting in a wheeled chair? Something has gone awry with the application of a very specialized piece of equipment. Wheeled chairs were never meant as seating devices. But then we all know that. We can also state all of the negative effects of having people sitting in a wheeled chair… but there are still way too many people doing just that. There’s a mismatch between what we know and what we practice. We will look at the underlying change in belief that must occur to move to a new culture where wheeled chairs become simply a mode of transportation, and are unoccupied most of the time.
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.
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.
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 email@example.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.
Learn more about our services
Contact LaVrene Norton
or Steve Shields