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Conference Intensives





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Monday, August 12, 2013
8:30 am – 4:30pm

Pioneer Network Conference Intensives are an all-day deep dive into one topic. Experienced facilitators, 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.

The day begins at 8:30am and ends at 4:30pm, there will be two breaks and an hour lunch break.

 INTENSIVE 1
Getting Started On Your Culture Change Journey

This session is designed to provide practical assistance to formal and informal leaders across care settings who are in the beginning steps of cultural transformation. Veteran culture change professionals will lead this introduction 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, or jump start the work you've done but that may have slid backward. 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.

Guides: 
Susan Misiorski, BSN, Director of PHI Coaching and Consulting Services
Joanne Rader, RN, MN, PMHNP, Rader Consulting
 INTENSIVE 2
Falling into Culture Change: A Blueprint for a Fall Prevention Program

The cost of a resident fall in a skilled nursing facility costs on average $9,100 to $13,500, according to the CDC. In 2008 Empira, a Minnesota consortium of older adult service providers, applied for and received a MN Department of Human Services' Performance Incentive Payment Program funding to prevent and reduce resident falls in fifteen of their skilled nursing facilities. The Empira fall prevention program is a combination of nationally recognized evidence-based, fall prevention practices and practical applications from the most recent research findings. Empira, however, challenged many of the standards of practice for reducing falls. Learn their program outcomes from becoming skilled nursing facilities that are now alarm-free, restraint-free, corrected bed heights (no low beds) no floor mats and the cautionary use of gripper socks. This is not a "nursing-only" program. It required the skills, knowledge and participation of all employees.

At the completion of their 3-year program, Empira's skilled nursing facilities collectively achieved considerable reduction in the prevalence of resident falls. These findings are also coupled with a significant decrease in the number of recurrent falls and falls with injuries.

Empira will provide an overview to the implementation of a comprehensive fall prevention program. A key to the success of this fall prevention program was the ability for all staff to conduct a post-fall root cause analysis. They were able to analyze the internal, external and system conditions and operations, which may have contributed to resident falls. Interventions that were used as a result of the post-fall root cause analyses will be discussed as well as the outcomes that were learned from this program. The intensive will conclude highlighting the practices and actions taken by facilities that continue to sustain this program.

Guides:
Sue Ann Guildermann, RN, BA, MA, Director of Education, Empira
Melinda Jaeger, BS, PT, Rehab Specialist, Empira
Cindy Morris, BS, MBA, LNH, Executive Director, Empira

 INTENSIVE 3
SOFTEN the Assessment Process

Frustrated with how institutional and awkward the assessment process is? Would you like to offer better for your residents? Learn how all professionals can strive to get to know someone "over coffee instead of over a form" and truly welcome people to their new home helping them through what might be the most traumatic event of their lives. Softening our practice and putting the resident back in the driver's seat of their life fits perfectly with the MDS 3.0 and its focus on resident voice and choice. Ideas shared come from the Action Pact workbook and training DVD with the same title co-authored by our guide. Ideas are for all professionals of all disciplines to soften all our assessment processes with softer practices such as:
  • Support Simple Pleasures
  • Offer Options
  • Foster Friendships
  • Tie-in to Tasks
  • Equalize Everyone
  • Normalize Now
Guide: Carmen Bowman, Author, Consultant, Regulator turned Educator, Edu-Catering

 INTENSIVE 4
The Leader's Role in Times of Transition in Healthcare

Today, organizations are coming together to answer the call for Accountable Care Organizations that can provide a seamless flow of services to those needing them. For many, this involves merging into larger organizations or developing relationships with organizations where there may be a clash of cultural norms or values. In these occurrences, the leader's role is crucial in assuring a smooth transition or merger. This session will guide participants in exploring and expanding their role in a successful transition that engages staff and maximizes the positive qualities of the partnering organizations.

Guides:
Kathy McCollett, Organizational Change Consultant, PHI
Cean Eppelheimer, Organizational Change Consultant, PHI

 INTENSIVE 5
The Role Of The Nurse in a Person-Directed Culture

The possible roles for nurses to support and advance person-directed, relationship-based cultures will be compared and explored. Nurses have the opportunity to serve as Care Role Models, Gerontological Nurse Experts, and Leaders. These roles support and empower direct care staff and Elders to live meaningful lives of power and growth. This first part will do a deep dive both on the components of person-directed care and on the skills related to the first three roles. The nurse has the opportunity to evaluate the more traditional 'charge nurse' functions and move towards an empowered team-building frame of practice. This session will be highly interactive exercises applying the core skills for each role.

Guides:
Anna Ortigara RN, MS, FAAN, Resource Development Director, THE GREEN HOUSE® Project and Pioneer Network Board Member
Lynda Crandall, RN, GNP Lynda Crandall Consulting and Pioneer Network Board President

 INTENSIVE 6
From Philosophy to Practice: Creating Deep & Sustainable Elder-Directed Care

Having a shared philosophy can support your organization's commitment to Elder-directed care. All stakeholders must develop a deep understanding of the "why" behind the "how" to fully embrace change. Through story and eye-opening insights, Dr. Bill Thomas, founder of ChangingAging.org, The Eden Alternative, and the Green House Model, will frame the "why" of change by highlighting the underlying philosophy, language, principles, and beliefs that drive a sustainable culture change journey. From here, participants will build on this knowledge by exploring the "how" of change, as it impacts the full continuum of care. Facilitated by Nancy Fox, Chief Life Enhancement Officer at Vivage Quality Health Partners, and supported by Chris Perna, Carol Ende, Laura Beck, and Denise Hyde of The Eden Alternative, this portion of the intensive will engage participants in an interactive exploration of successful practices designed to support lasting change wherever Elders live. Pairing the "why" and "how" of change within your educational mission ensures the development of creative, highly collaborative, and deeply committed care partner teams.

Guides:
Dr. Bill Thomas, Changing Aging, Founder of The Eden Alternative and The Green House Project and Co-founder of Pioneer Network
Nancy Fox, Chief Life Enhancement Officer, Vivage
Chris Perna, CEO, The Eden Alternative
Carol Ende, Leader of Growth and Transformation, The Eden Alternative
Denise Hyde, Community Builder, The Eden Alternative

 INTENSIVE 7
The Recipe for Self-led Teams

The Action Pact team is delighted to bring this highly interactive experience to the Pioneers. They will provide the recipe for self-led teams. A variety of team activities, assessment tools and helpful handouts will point the way. Don't expect to sit still!
Necessary ingredients include:
  • Seeking and receiving direction from the residents
  • Sharing leadership (vision and commitment, high involvement, code of conduct)
  • Building skills in the Learning Circle
  • Doing real work as a team
  • Making decisions
  • Growing trust over time (talk, reflect, decide, act, review - PDCA )
  • Respecting and resolving conflict
Guides:
The Action Pact Team: LaVrene Norton, Megan Hannan, Linda Bump, Glenn Blacklock and Coletta Hummel

 INTENSIVE 8
New Possibilities for Meaningful Leisure Experiences

Leisure provides a natural space for being and human flourishing, yet there is increasing pressure towards the 'medicalization' of leisure. Under this mandate, leisure, something that was once part of one's essence, becomes a clinical intervention or therapy. A second common approach reduces leisure to diversional activities often lacking in meaning or purpose. Such approaches not only threaten the leisure experience, but also undermine one's sense of self-determination and personhood. Based on a four-year participatory action research project conducted through the Murray Alzheimer Research and Education Program that brought together persons living with dementia, family members, recreation professionals, Alzheimer Society staff, and researchers, we describe what leisure means for persons living with dementia and highlight the need to liberate it from institutional culture. Taking us well beyond functional outcomes and diversion, we discovered leisure experiences provide meaningful opportunities for: being me, being with, making a difference, growing and developing, having fun, finding balance, and seeking freedom. In this session, we invite participants to engage with these themes as they consider current service delivery approaches and imagine new possibilities within residential and community settings working with Elders. We will also provide participants with resources developed through our action research process to help organizations operationalize a new, person- and relationship-centered approach to supporting all people – Elders, family members and staff alike – in fostering meaningful leisure experiences and nurturing the human spirit..

Guides:
Jennifer Carson, PhD Candidate, University of Waterloo, and Director of Program Development and Education, Schlegel Villages
Sherry Dupuis, PhD, Director, Murray Alzheimer Research and Education Program, University of Waterloo
Colleen Whyte, PhD Candidate, University of Waterloo, and Lecturer, Brock University

 INTENSIVE 9
Leadership: Promoting Staff Engagement for Maximizing QAPI and Minimizing Anti-psychotic Medications

Leaders' most important responsibility is to bring out the best in staff so that organizations can perform at their best. Learn how to maximize QAPI by activating staff in performance improvement for individualized care and how to use residents' customary routines to reduce "off-label" use of anti-psychotic medications. Tap into your staff's passion and wisdom as you use quality improvement processes among staff closest to your residents to individualize care and improve outcomes. This highly interactive session will provide the how-to for operationalizing key leadership and organizational practices for staff engagement in day-to-day care, including consistent assignment, huddles, CNA involvement in care planning and neighborhood based QI. When staff works well together in every day care, they have regular forums for critical thinking to operationalize customary routines, prevent declines, and reduce unnecessary hospitalizations, alarms, and anti-psychotic medications.

Guides:
Cathie Brady, Co-Owner, B&F Consulting
David Farrell, Director, THE GREEN HOUSE® Project and Pioneer Network Board Member
Barbara Frank, Co-Owner, B&F Consulting, Pioneer Network Board Member

 INTENSIVE 10
Our Prophetic Call: Living The Mission In The Ministry Of Service To Our Own Members

We women religious have spent our lives in service to others in the spirit of our call to prophetic witness. As we engage in the ministry of service to our own, that same call to prophetic witness still compels us. This Intensive will explore two major areas in this context: 1) how Congregational mission statements, directional statements and other major documents point its members to a prophetic stance regarding aging and aging services, and 2) how these same documents provide grounding for pragmatic yet mission-driven care of our frail elderly members.

Guides:
Imelda Maurer, cdp Founder, Director, Caring for Our Own
Jon Julie Sullivan, SNDdeN, Coordinator, Advocate, Sisters of Notre Dame de Namur, Ipswich, MA
Christa Hojlo, Ph.D. Director, VA Community Living
Carmen Bowman, MSH,ACC Owner, Edu-Catering

 INTENSIVE 11
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. Do you mean acquaintance?

*All attendees will receive a complimentary copy of the book, Glorious Adventure.

Guides:
Bill Keane, Consultant in Aging
Wendy Lustbader, Affiliate Associate Professor, University of Washington
and virtually Carter Catlett Williams, Pioneer Network Convener 

 INTENSIVE 12
Listen to the Waves, Feel the Sun and Breeze on your Face

People have a physiologic and psychological response to the natural environment. When interviewed about nature, healthy elders and people with dementia talk about the importance of being able to be in and experience nature. Interaction with nature allows them opportunities to socialize, feel part of the larger community, find a sense of well-being, improves their mood and quality of life, gives them meaning and peace, relaxation, and provides physiological stress and pain mediation. The findings from qualitative and quantitative studies demonstrate these and other positive outcomes. Studies have been done in populations of elders in different stages and conditions in life; those with dementia living at home, in assisted living, and in long term care. Staff who support residents or patients in acute and long term care situations also report benefits for their residents and themselves. There is a gaining body of knowledge about the positive health related benefits of being exposed to nature in many physiological and psychological systems. CMS adopted newly revised minimum data standards (MDS 3.0) for long-term care residents requiring that, "Individualized plans of care that include focus on quality of life as well as physical, spiritual, & psychological needs". This means that plans need to help the resident to reach to maintain the highest practicable level of physical, mental, and psychosocial well-being. Activities that include elements of nature provide options that address these physical, spiritual, psychological, and social needs, (indicators of well-being and quality of life) as well as affecting behavioral and psychological symptoms of dementia (BPSD). Many tools exist that assist care providers in developing person-centered activities that account for retained abilities and interests that can be nature-based. Providing the opportunities in nature allow choices that provide a sense of meaning and import to involved residents. The nature-based activities may be active, passive, and interactive, providing individualized opportunities for stimulating different senses, needs, and responses like group gardening activities that promote socialization, or more passive relaxing activities like solitary bird watching or flower arranging.

This intensive will discuss the evidence base behind nature based interventions, the
complexities of assessing and tailoring individual, person centered nature-based interventions, and what garden design characteristics that can and should be included as well as the features to avoid, or that are potentially harmful.

These concepts will be illustrated through an exemplar case study that not only provides a template for success, but a look at the potential outcomes and benefits for residents of long-term care.

Polly Youngren, RN,ADON- Geriatric Nursing Leadership Academy Fellow 2010-21011, Making Oregon Vital for Elders member.
Ann Bossen, RN-PhD candidate-University of Iowa
Pam Catlin, Horticulture Therapist-Adult Care Services Inc, Prescott Arizona

 INTENSIVE 13
Techniques for Person-Centered Oral Hygiene Care: Mouth Care Without a Battle

This intensive, hands-on session is designed to develop within facility staff the capability of establishing an evidence-based, person-centered quality initiative in mouth care that will help you become recognized as an innovator in this neglected area of personal care. Our training focuses on mouth care for persons with severe cognitive, behavioral and physical challenges, but its techniques apply to all nursing home residents. It is designed to empower facility staff to turn mouth care from a challenging, often onerous task to a special, personalized service that residents and staff look forward to having performed.

The intensive will consist of the following: (1) Overview of new evidence on the link between oral health and both health outcomes such as pneumonia and quality of life; (2) didactic training and hands on practice involving basic mouth care skills and supplies, including a variety of new techniques and products; (3) didactic training and case discussions on managing behavioral challenges that occur during mouth care; (4) didactic training on oral health assessment, including (a) assessment for conditions that require immediate dental referral and (b) screening and monitoring by nursing assistants and nurse supervisors; and (5) issues in implementing and sustaining quality mouth care at the facility level, including supervision, support, and quality monitoring.

Guides:
Philip Sloane, MD, MPH (geriatrician)
Patricia Poole, RDH, MS, LPN (dental hygienist)
Ann Louise Barrick, PhD (psychologist)
Sheryl Zimmerman, PhD (gerontologist and evaluator)

 INTENSIVE 14
Sustaining Culture Change at Providence Mount St. Vincent
NOTE: This is a Site Visit to Providence Mount St. Vincent, which is 30 minutes away from our Conference Hotel. You will be boarding the bus at 8:00am. This session will be offered on Monday and Thursday.

In 1924, the Sisters of Providence established St. Vincent's Home for the Aged atop nearly the highest hill in Seattle over-looking Elliott Bay. Nearly 90 years later, Providence Mount St. Vincent is widely regarded nationally and internationally for early and leading innovation over the last 20 years in developing resident and person-centered care delivery and philosophy. On a campus spanning 4 city blocks, Providence Mount St. Vincent offers nearly 400 adults a home each year during the transition from independence to increasing reliance on the services and support of others.

Join us for a site intensive-day, modeled like your favorite progressive dinner. Following a kick off gathering with a key note speaker and site tour, you'll progress through courses in each of the following areas: Intergenerational Learning Child Care Center, Assisted Living, Short-Stay Rehabilitation, Long Stay Skilled Nursing and our Adult Day PACE program.

Guides:
Tom Mitchell, Administrator
Panel members: 
Tim SlingerKathryn Anderson, Debra Waldron, Charlene Boyd and Albert Angkico
and Team Members, Residents and Participants of Providence Mount St. Vincent Community 

 INTENSIVE 15
Cultural Competency, Co-location and Community: a Tour of Three Person-Centered Assisted Living Residences
NOTE: This session will be offered on Monday and Thursday. Both are limited to 10 participants.

Hop in our van and tour three innovative assisted living residences in Seattle: Legacy House, Nikkei Manor and Buchanan Place. We'll have dim sum for lunch in the International District between site visits.

Guides:
Nora Gibson, MSW Executive Director, Full Life Care
Paula J. Tomlinson, CALA, FACHCA Director of Senior Services Seattle Chinatown International District Preservation and Development Authority (SCIDpda)
Lisa Waisath, Manager, Nikkei Manor