Meeting at the Crossroads Intensives

Pioneer Network's 10th National Conference

Conference Intensives: Monday, August 9th

Pioneer Network Conference Intensives are a one-day or half day conference in themselves. Experienced guides who can demonstrate with hands-on practical approaches will get to the heart and soul of the subject matter, while giving you the nuts and bolts that you can take home and use immediately. These Conference Intensives are designed especially for YOU – the Pioneer attendee. Be ready for a day of interactive intense learning experience

Full Day Intensives: 8:30 am – 4:30 pm

(INT-1) Getting Started: Mapping the Course of Culture Change

This intensive is designed to provide practical assistance to formal and informal leaders across care settings who are in n the beginning steps of cultural transformation. Veteran culture change professionals will lead a daylong process to explore the steps of tying personal values to care practices and workforce and organizational redesign. Begin the process of de-institutionalizing services and individualizing care.

Your guides will share realistic and resourceful suggestions that you can use immediately to practice the values in your organization and create the environment where your elders can live their best lives. In addition to exploring actual, first-hand culture change experience, this workshop will draw upon exercises and tools developed by leaders in the culture change movement.

This intensive is designed to provide practical assistance to individuals in large multi-facility corporations or stand-alone homes.

Lead Guides:
Anna Ortigara, Director of Communications & Outreach THE GREEN HOUSE® Project & Pioneer Network Board Member
Joanne Rader, Owner, Rader Consulting & Pioneer Network Board Member

(INT-2) Sustaining Culture Change – A Pioneer Network Pre-Conference Intensive

Not only is change difficult, but it turns out that sustaining that change can be even more of a challenge. In fact some descriptors of culture change define it as the sustained changes made within a culture, or what actually sticks. Join this experienced team of guides, and the experienced and committed participants to eek out the most important elements of sustaining change. Come away with an individualized plan to sustain change that you care deeply about in your world. This energizing session will utilize real case examples from participants; small group work; stories, references and resources to delve deeply into what is, has, and can sustain change.

Lead Guides:
Megan Hannan, Change Leader, Action Pact & Pioneer Network Board Member
Jeanne Heid-Grubman, Administrator. The Holmstad
Cheryl Lacy, Therapeutic Programs Consultant, Golden Living

(INT-3) The Teresian House Story

Teresian House Center for the Elderly in Albany New York has sustained culture change for over ten years. Processes and tools will be presented that can be adapted to any facility at any stage in culture change. This interactive presentation will be particularly beneficial to those bringing a group of people from different disciplines. On hand to answer questions will be at least one person representing each discipline that makes up the neighborhood teams. They will be your tour guides throughout a day that is designed to be motivational, informative, and fun.

At the end of this session, participants will be able to:

Explain the process of developing an Organizational chart with the residents at the top.
Explain importance of having multidisciplinary Neighborhood teams.
Make a list of Universal Duties that would work for their Facility
Tailor a preadmission questionnaire for their facility,
Develop a plan of care from the preadmission information,
Decide what to implement from the dining with dignity program
Assess what Artifacts of Culture Change can be started right away in their facility

Lead Guides:
Sister Pauline Brecanier, Administrator
Collen Foro, Resident Centered Care Coordinator
Laura Pelletier, Resident Centered Care Coordinator

(INT-4) Stability and Beyond: A Nursing Home Leaders' Guide to High Performance

Session attendees will engage in exercises and discussion, and receive practical strategies they can immediately implement to achieve sustained stability, improve care, and achieve high performance. In this session, attendees will explore leadership practices that promote high staff engagement and integrate quality improvement, workforce development, and culture change. This session provides a person-centered approach to hiring, attendance, and supervision, using quality improvement practices to move beyond stability to high performance and person-centered care. Share practical, proven "how-tos" to stabilize your workforce, nurture top performers, support "steady eddies," and improve your home's performance.

Lead Guides:
David Farrell, Director of Quality Improvement, SNF Management & Pioneer Network Board Member
Cathie Brady, Co-Founder, B&F Consulting
Barbara Frank, Co-Founder, B&F Consulting & Pioneer Network Board Member

(INT-5) How Can We Radically Transform Activities in Long Term Care?

Think and Do in this inter-active workshop based on lessons learned at a "think tank" held at the University of Wisconsin-Milwaukee, Center on Age and Community in 2009.
Here's what we'll do:

Describe the problem (s) in our own terms, from our own experiences.
Create a working definition of "meaningful"
Identify and participate in "meaningful" exercises ourselves.
Define what a "meaningful" activity looks/feels like.
Identify 10 specific reasons why we aren't doing what's right
Identify 10 specific ways to change those 10 specific reasons.
Enchant 10 commonly practiced activities in long-term care settings.
Expand these activities into on-going, partnered projects.
Identify (if we haven't already) additional resources to enlist in helping the cause.

Lead Guide:
Anne Basting, Executive Director, UW-Milwaukee Center on Age and Community

(INT-6) Leadership Excellence: The Exceptional Long Term Care Leaders Self Assessment System

Leadership Excellence is founded on the recognition of the critical role played by leaders within long term care organizations. It is designed to champion the highest levels of leadership performance. The system, taught during a day-long, intensive self assessment workshop, is a guide for benchmarking your leadership achievement and providing a course for career-long professional development.

The Exceptional Long Term Care Leader:

Leads with integrity, knowledge, passion, and compassion to enhance an environment of shared values;
Models excellence, advocacy, and innovation;
Champions and inspires the provision of quality service that exceeds customer expectations; and
Is a trusted steward of human and facility resources.

Leadership Excellence is designed for long term care professionals who have recently promoted into a leadership role or for leaders who are looking to better understand their leadership strengths and weaknesses.

Lead Guides:
Demi Haffenreffer, President, Haffenreffer Associates
Teresa Eyet, Education Manager, American Health Care Association

(INT-7) Beyond Care: Exploring the Glorious Adventure of the Spirit

Meaningful change begins within individual hearts. In order to serve as agents of opportunity for elders, we must first glimpse our own potential and be able to conceive how we would like to evolve as we age. Participants in this full-day program will witness Pioneer Network Convener Carter Catlett Williams' 86-year journey as documented in her book, "Glorious Adventure," and will take home a clear vision of what is possible, both personally and professionally.

One of the core principles of the Pioneer Network and culture change is "Respond to spirit, as well as mind and body," yet we often get caught up in efforts to transform care of the mind and body without considering the dimensions and needs of the spirit in aging. Through the guidance of Bill Keane, Wendy Lustbader and Carter Williams, this unique intensive will give participants an experiential acquaintance with the potential for freedom and self-discovery in later life.
*All attendees will receive a complimentary copy of the book, Glorious Adventure.

Guides:
Bill Keane, Project Guide, THE GREEN HOUSE® Project
Wendy Lustbader, Affiliate Associate Professor. University of Washington
Carter Catlett Williams, Pioneer Network Convener

(INT-8) The Role of the Nurse in a Person-Directed Culture

The principles and goals of the culture change movement are compatible with the core tenets of the nursing profession, which calls upon nurses to respect the dignity, worth, and uniqueness of each individual. In spite of these shared values, the role of the nurse in culture change has not been well defined and nurses working in transforming organizations often report confusion and dissatisfaction with the change process. This intensive will explore the role of the nurse in growing person directed homes including neighborhood and household models. Together, we will explore options and best practices for engaging your nurses in shaping their role in the person-directed culture.

Lead Guides:
Sue Misiorski, National Director of Training and Organizational Development, PHI & Pioneer Network Board Member
Christy Allman, Director of Nursing at Westminster-Thurber Community
Al Power, St. John's Home & University of Rochester

(INT-9) Meeting at the Crossroads of Research and Practice: Problem-Solving and Generating Knowledge

Culture change innovation is a product of creative research advancements, committed leadership, and continual enhancements in practice. Yet, often organizations work in silos, inventing their own "wheels" without realizing the adaptable evidence-based practices developed at the crossroads of research and practice. Providers, researchers and stakeholders are invited to participate in an open dialogue to advance our understanding of each perspective and to strengthen informed collaboration between research and practice that helps to transform long-term care settings from institutional models to those that are more supportive of person-centered living.

The day will begin by highlighting the importance of the spectrum of activities in culture change research from traditional data-driven investigations to more practical problem-solving at the provider level and asks: How does practice and research benefit from collaboration? Next, the session will explore what practice needs from the research community from the perspective of various stakeholders including researchers, practitioners, policymakers, funders, consumers and others. Following this discussion, the session will highlight resources developed at the crossroads of research and practice that help providers to make informed decisions and/or measure the implementation, quality and financial impact of culture change transformation. Finally, we will build a "Research in Practice Agenda" with the goal of promoting relationships between researchers and providers, as well as, highlighting opportunities for providers to take an active role in "practical research."

Facilitator:
Amy Elliot, Policy Analyst/Grants Administrator, Pioneer Network

Guides thus far include:
Leslie A. Grant, Associate Professor and Director of the Center for Aging Services Management, University of Minnesota School of Public Health
Lois J. Cutler, Director Graduate Studies Gerontology Minor Division of Health Policy & Management School of Public Health University of Minnesota
Donna Jo Kopp, RN Researcher, UW-Madison, Center for Health Systems Research and Analysis, Quality Analyst, Long Term Care Institute

(INT-10) Get On The Bus For Change: Culture Change Within Adult Day Services (ADS)

Board the bus to visit the first adult day center to have all key staff trained in the Eden Alternative Approach and that continually strives to create culture change in a community-based setting. Explore innovative ways to weave culture change into the daily fabric of ADS programs and services to better support person directed care. Visit with participants, families, care partners and national ADS leaders (former National Adult Day Services Association board members) to discuss and explore the impact of culture change on their lives.

NOTE: This includes a 90 minute bus trip to Richmond, Indiana. The bus will be leaving at 8:00 am from the Host Hotel. This session is limited to 45 people.

Guides:
Marilyn Hartle, Partner & Co-founder, Jentle Harts
LaDonna Jensen, Partner & Co-founder, Jentle Harts
Susan Rheem, Consultant & Board Member of the National Adult Day Services Association
Joanna Hensley, Director, Hand to Hand Adult Day Center

(INT-11) Conversations at the Crossroads: The Collective Wisdom of Coalitions

This interactive intensive will bring together the collective wisdom of state culture change coalitions on topics including funding and long-term sustainability, working with providers to begin or continue their culture change journey, educating and involving consumers, working with the state survey agency and involving the continuum of long-term care settings. There are currently 34 coalitions and new coalitions are forming. Join with your coalition colleagues as we "meet at the crossroads" and realize the breadth of our collective wisdom in advancing culture change in America.

Lead Guides:
Lynda Crandall, Chair, Coalitions Committee, Pioneer Network Board Member
Cean Eppelheimer, Michigan Alliance for Person-Centered Communities
Julie Ballard, Missouri Coalition Celebrating Care Continuum Change (MC5)
Cathy Lieblich, Special Projects & Coalitions Coordinator, Pioneer Network

Half Day Intensives: 1:00 pm – 4:30 pm

For the first time we are offering half day intensives. We have two wonderful sessions led by seasoned Pioneer guides. Come join them for 3 ½ hours of intense learning.

(INT-12) Eliminating Restraints including Alarms by Engaging the Whole Person

Join the discussion to take a step back and think about why we use restraints and "less restrictive devices," including alarms. Are they working? Restraints including alarms are undignified and harmful while they don't really even eliminate falls. Believe it or not, eliminating all restraints has had more of an impact on reducing falls. So, what is the real issue? Together, for our residents, let's figure out how to help them truly become "well known" going beyond our traditional "assessment process." Engage yourself and your creativity as we think of ways for all staff to engage the whole person

Lead Guides:
Carmen Bowman, Owner, Edu-Catering
Theresa Laufmann, Co-Director of Nursing, Oakview Terrace Nursing Home

(INT-13) The Long-Term Care Improvement Guide: Practical Guidance for Culture Change Through the Eyes of Residents, Staff and Leaders

In 2009, Planetree and the Picker Institute partnered to develop the Long-Term Care Improvement Guide, a practical resource that will support continuing care communities in their culture change efforts. The development of the Long-Term Care Improvement Guide follows on the heels of the widely-used Patient-Centered Care Improvement Guide, released by Planetree and Picker in October 2008, this time with a focus on the long-term care experience – from the perspectives of long- and short-term residents, their family, staff and leadership. Informed by these various perspectives, ultimately the Long-Term Care Improvement Guide will present a number of low-cost, high impact innovations with the potential to make an immediate difference for patients/residents and staff. Unique among culture change resources currently available, the Long-Term Care Improvement Guide will be framed around what emerged in focus groups as priorities for residents themselves. In addition, the Guide will tackle the nuances of culture change across the long-term care continuum, inclusive of skilled nursing homes, independent and assisted living communities, and rehabilitation centers. The Guide will be released on October 5, 2010 at the Culture Change Leadership Summit in Denver, Colorado, and will subsequently be made available as a free on-line download. This session will provide a preview of the Guide, including the findings from an analysis of focus groups with residents as well as key strategies for realizing and maintaining a resident-centered approach that have emerged during site visits to continuing care communities with well-established resident-centered cultures and meetings with leaders in our field.

Lead Guide:
Heidi Gil, Planetree Continuing Care Director, Planetree

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