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Massachusetts Culture Change Coalition

Contact Information 
Denise DeSimone
617.558.0202, x226

Website: No website at this time


The Massachusetts Culture Change Coalition (MCCC) was launched in 2005, shortly after the St. Louis Accord. Founding organizational members included our two long term care state trade associations, long term providers, the State Ombudsman, MA Department of Public Health and the quality improvement organization (QIO). The Coalition's mission is to "advance initiatives to create person centered care within long-term care and aging services" in support of our mission to nurture the human spirit and promote a living environment where older adults, persons with disabilities and their caregivers will thrive." MCCC and our state QIO act as the LANE for the Advancing Excellence Campaign.

Organizational Structure
MCCC's membership is organizational, comprised of individuals representing providers, consumer advocates, state and federal government, social workers and the QIO. An appointed steering committee shares responsibility for convening meetings, reviewing applications from prospective members and otherwise facilitating the Coalition's work.

Administrative support and funding associated with the development of a strategic plan for MCCC have been provided in-kind by the two state long term care associations, with other MCCC members contributing significant time to develop and host regional forums.
MCCC has received MA Department of Public Health and CMP funding to support two statewide educational conferences, and publish and distribute multi-audience newsletters. In addition, MCCC participated in the Pioneer Network's project funded by the Picker Institute to test strategies to optimize consumer involvement in culture change.

2014 Accomplishments
  • The development and distribution of an online survey to all Massachusetts nursing homes to assess provider implementation and progress associated with culture change practices in care, dining, the physical environment, activities and staffing. The survey also solicited feedback on interest and preferences regarding participating in the Coalition and related activities. Over 80 nursing homes completed the survey, providing MCCC with a better sense of where providers are at in their culture change journey and how we can best engage their interest and participation.
  • Based on the priorities expressed by providers that participated in the survey, Coalition members planned and hosted four regional forums this past summer on eliminating personal alarms. The forums were both very well attended and received, and elicited suggestions for topics (dining practices, end of life care) and offers to host future forums. One of our primary goals for 2015 is to build on the interest generated through the forums by developing regional "offshoots" of MCCC led by established culture change coalition leaders in their respective region. As time, attention and lack of resources compete with the best of intentions, we believe that local meetings would enable more people to actively engage in Coalition planning and activities and strengthen our efforts going forward.