13th Annual VOICE Accord

November 13 & 14, 2017

The Desmond Hotel
1 Liberty Boulevard
Malvern, PA 19355

ACCORD Downloads

Following are handouts for some of the ACCORD sessions. Please feel free to download to your laptop or mobile device, or print a copy for your reference. The first letter of the file corresponds to the session (see Session Descriptions below). The keynote presentations are marked VOICE Keynote (and the date).

Continuing Education Information

Price per person includes handouts, refreshments and lunch. CEUs approved as of the publication of this brochure include NASW-PA and PRPS-PA. Pending CEUs include NAB (PCHA,ALA, RN are all covered under NAB CEU approval) and NCCAP.

A request for approval has been submitted to the State Board of Examiners of Nursing Home Administrators for 8 CEU hours.

A request for approval has been submitted to NCCAP (National Certification Council for Activity Professionals) for 8 hours.

Approval has been given by the Pennsylvania Recreation and Park Society (PRPS) for 8 hours=.8 CEUs

“NASW-PA Chapter is a co-sponsor of this workshop. 8 CEs will be awarded for completion of this course. NASW has been designated as a pre-approved provider of professional continuing education for social workers (Section 47.36), Marriage and Family Therapist (Section 48.36) and Professional Counselors (Section 49.36) by the PA State Board of Social Workers, Marriage and Family Therapists and Professional Counselors.”

Nursing CEUS: as stated in section 21.132, 133, 134 rules and regulations “The Board will accept hours of CE as designated by approved provider, so long as each hour is at least 50 minutes of activity, and ½ hours is at least 30 minutes of activity.” VOICE is an approved provider.

 

Hotel Reservations

The Desmond Hotel and Conference Center

610-296-9800

$124.00/single – $124/double- $139.00/triple- $154.00/quad

Hotel Registration Deadline: October 29, 2017

 

2017 ACCORD SESSION DESCRIPTIONS

Monday, November 13, 2017

Keynote: Dr. G. Allen Power, M.D. “A Well-Being Approach to Dementia”

Participants will be able to explain the limitations of our current biomedical view of dementia. Describe an “experiential” model of dementia and compare the traditional view. Understand a primary goal of wellbeing and list 7 key domains. Explain three types of transformation critical to new approaches to dementia and review examples of how the well-being approach has helped organizations to significantly reduce or eliminate antipsychotic use.

Breakout Sessions

A. Person Directed Care Journey Laura Roy, NHA

The journey to a person-centered culture is much more than changing the environment or initiating new programs. Transforming culture requires a profound systemic change in how we think and do our work. This session will explore transformational and revolutionary change from an old institutional, top-down, and staff-centric way of thinking to a person-centered way of life where the voice of the elder is truly heard and honored. It will explore the fundamental principles of a person centered culture and essentials for success. Passavant Community will share some of their journey including how they ignited the culture in a traditional environment and honored the residents’ voices. By attending this session, attendees will be able to: Articu-late what person centered care is and what a person centered culture looks like. Articulate the fundamental principles of a person centered culture. Articulate essential strategies for success and will leave with practical tips for transforming their culture.

B. Updates on Regulatory Compliance Jacci Rowe, DHS Director Charlie Schlagel, DOH Life Safety Code Administrator

Attendees will learn about “best practices” in assisted living residences and personal care homes to help best service their residents and achieve compliance with state regulations in their individual home or resi-dence. Attendees will also be able to ask questions of regulators and discuss mutual regulatory concerns. Attendees will hear from Mr. Schlagel on the most cited life safety code violations in the nursing home setting and how to avoid the typical pitfalls that communities have.

C. How to Make Culture Change Fit with QAPI Karen Schoeneman, BA, MPA

CMS has mandated that all nursing homes have their QAPI plans in place by 11/28/17, but CMS has grant-ed two more years to get the QAPI system up and running. At this key time for QAPI, this presentation will cover the QAPI principles (Elements) and what CMS expects homes to focus on (things that are serious, are prevalent, are adverse events, and importantly for this lecture, quality of life and resident choice). Many homes are engaging in or thinking of starting culture change projects and they may be thinking culture change must go to the back burner in favor of QAPI mandates. That is not true, since the QAPI system mandates quality of life as well as quality of care. As one of the CMS leads in the development of QAPI,

I am positioned to explain this CMS mandate and how culture change fits with QAPI. Participants will be able to describe the elements of QAPI and how it relates to culture change. Learners will be able to de-scribe the difference between a care planning issue and a QAPI issue. Learners will be able to list at least four culture change projects that could become QAPI PIPs.

D. Wellness and Brain Health

Theresa Perry, MBA, BS in Nutrition, Certified in Brain Wellness, Registered and Licensed Dietitian

Wellness is vital to overall health and life satisfaction whether you are 20 or 80. Learn how to help your residents maximize their strengths and explore new opportunities to achieve their wellness goals. Partici-pants will hear how in two years Acts Retirement-Life Communities developed a thriving wellness culture. The presenter will share the steps that this large organization took to create a sustainable program of well-ness endeavors. Follow along on Acts’ journey as they continue to engage their residents and staff under the dimensions of body, mind and spirit. Attendees will be able to explain the process of developing a wellness culture. They will be able to identify the missing element in their wellness cultures in their communities and determine the required changes to the community’s current programming and transition to a culture of wellness.

Tuesday, November 14, 2017

Keynote: Dr. G. Allen Power, M.D. “A Well-Being Approach to Dementia”

In this session, Dr. Power will briefly review his three-pillar approach to viewing dementia, as many attendees will not have been present for the first day keynote. He will then describe several basics of a well-being approach. Topics will include language usage, communication and facilitation skills, and a brief overview of the physical environment. Dr. Power will then give concrete examples of simple ways to operationalize the various domains of well-being described. He will finish with an overview of his approach to decoding distress, including his well-being tool. Attendees will be able to explain 5 basic skills for successful communication and understanding. Give simple examples of operationalizing at least three of the seven domains of well-being described and outline the medical, environmental and experiential approaches to distress.

Breakout Sessions

E. Alzheimer’s Advocacy: How to Use your Story to Raise Awareness and Get Results

Elsie Buyers Viehman M. Ed: Trained Facilitator of Caregiver Support Group; Trained Volunteer Ambassador to US Congressmen

Presenter will give a brief history of the Alzheimer’s Association and its milestones in advocating for re-search funding, policy development and implementation, caregiver support and public education. They will be introduced to the National and Pennsylvania State Plans and current policy priorities. Through sharing and listening to the experiences of the group, participants will help each other generate compelling, personalized messages to give to elected officials, colleagues, the media and family and friends in order to advance those priorities. Learn how you can add your voice to the fight to find a cure for the most expensive and feared disease in America. By attending this session, attendees will be able to: Succinctly explain the difference between Alzheimer’s and dementia to anyone. Describe both the National and State Alzheimer’s Preparedness Plan and note where you see your particular work challenges addressed in each. Write an elevator speech using your particular experiences to illustrate the need for legislative or training changes that would benefit your program.

F. Person Directed Care Journey Laura Roy, NHA.

The journey to a person centered culture is much more than changing the environment or initiating new programs. Transforming culture requires a profound systemic change in how we think and do our work. This session will explore transformational and revolutionary change from an old institutional, top-down, and staff-centric way of thinking to a person-centered way of life where the voice of the elder is truly heard and

honored. It will explore the fundamental principles of a person centered culture and essentials for success. Passavant Community will share some of their journey including how they ignited the culture in a traditional environment and honored the residents’ voices. By attending this session, attendees will be able to: Articu-late what person centered care is and what a person centered culture looks like. Articulate the fundamental principles of a person centered culture. Articulate essential strategies for success and will leave with practical tips for transforming their culture.

G. Co-Treatment Interventions for Individuals with Cognitive Impairment Kristie Jo King, MSW and Mike Belfy, CTRS, BS

This session will focus on a unique style of interventions for individuals with cognitive impairment in a skilled nursing facility. The unique perspective of a Social Worker and Recreational Therapist have combined to produce positive outcomes for individuals with Dementia. The target population for these groups are those that often fall through the cracks or struggle with behaviors. Social Work and Recreational Therapy collaboration may be unique, but is a natural fit. We will discuss group make-up, share data collected, demonstrate a sample program, and have an open discussion of our reasoning on why our collaboration is effective.

H. Enabling Gardens Debbie McKee, A.A. Certified Activity Director, Certification in Behavior Management and Dementia Care, and Jill Connelly, RDN, LDN Enabling Gardens provide horticultural experiences for people of all ages and abilities. The garden fea-tures an accessible path and plants that offer sensory stimulation such as color, textures and fragrance. The immense contributions that gardens make to our culture & psychological well-being impact the lives of our residents on a daily basis. A visit to a garden is a visual experience, a universal one where verbal communication is not needed to interact. In a garden the eyes, heart, and spirit do all the translating for us. As we age it is important to keep our senses as keen as possible, as they tell us about the world we live in. Creating a sensory garden can help us re-engage with senses that may be underused, while adapting to a healthier way of life. Attendees will be able to identify the therapeutic benefits of an Enabling Gardening Program. Participants will be able to identify functional adaptive equipment and gardening skills. Attendees will be able to express understanding of the concepts of Four Season Gardening.

I. Positive Approach to Care: Hand-Under-Hand™ Eileen Joseph, LCSW, CSW-G, CPT, PAC Certified Trainer of Trainers

This valuable technique developed by Teepa Snow changes everything. Learn why “how you approach” a person matters and the value of making connection FIRST when working with dementia. Leveraging a life time of someone’s “skill” and hard wired ability, Hand-Under-Hand™ technique teaches a best care prac-tice in Care Partnering. Teepa encourages learners to “Do With” and not “Do To” those who are living with dementia for a better experience for all involved. Attendees will be able to: Describe changes in visual processing that impact a person’s ability to initiate interactions and respond to efforts to PPA – Positive Physical Approach™ – discuss the rationale that supports each step of the PPA process, demonstrating each step. Talk thru/walk thru with audience answering and doing the steps, encouraging experiential process (6 steps) in pairs. Instruct and demonstrate HAND UNDER HAND™ technique while reviewing possible uses with people living with dementia.

J. Making the Invisible Visible: Doing the Work to Better Serve LGBT Elders Rabbi Steelman, MPP

There is a growing awareness among healthcare providers and policy makers that LGBT elders are an underserved, largely invisible and vulnerable population. In 2014, the Madlyn and Leonard Abramson Center for Jewish Life formed an LGBT Task Force as part of its LGBT Initiative. Come learn about the Center’s journey to better serve members of the LGBT community. The speaker will provide an introduction

to sexual orientation and gender identity by going over key concepts and terms. Helpful strategies for how organizations and providers can better serve LGBT individuals will be discussed including participating in the Healthcare Equality Index (HEI) survey. The speaker will discuss the Center’s journey to become an HEI Leader for 2015, 2016 and 2017. Participants will also be invited to engage in thoughtful discussions about challenges and opportunities inherent in the on-going, never ending work to become more inclusive and welcoming to LGBT individuals and families in the providing of healthcare.

K. From Food Police to Food Coach: Improved Nutritional Outcomes with Resident Directed Choice Cara Hillenbrand, RDM and Candace Plows, CDM

Liberalized diets and demands for improved clinical outcomes and decreased re-hospitalization rates is today’s long term care reality. To obtain this we need to abandon the old mindset that we know what’s best for residents and need to tell them what to do. Instead of being the food police we need to work with resi-dents and become their coach. Assisting, encouraging and promoting positive change by showing residents “WIFM”, “what’s in it for me”. This means setting goals with residents and compromising on small changes that lead to big results. This session will focus on best practices to provide a multidisciplinary approach to improved nutritional outcomes while honoring resident choice. The focus is on resident education and in-formed decision making with novel approaches to dining practices. Learn what one community did to improve outcomes and liberalize diets while still maintaining a lower than average re-hospitalization rate for CHF and other targeted diagnosis. Learn how to incorporate the QAPI process and root cause analysis to improve outcomes and demonstrate documented results.

L. Power of Engagement: Creating Meaningful Connections through Technology Jack York, B.S. and Carrie Chiusano, BA, AA and Certified Director of Recreation

All of us, regardless of age, strive to stay meaningfully engaged in life. We all get there in different ways, whether it’s through friend and family connections, spirituality, music, games, travel, etc. Engagement is how we stay relevant. Senior Living communities can find it difficult to provide meaningful engagement for residents dealing physical and cognitive decline, particularly those living with dementia. This session, geared towards non-technical individuals, looks at how technology can provide an ideal solution. The pre-senter will examine a variety of technologies, both current and future, that help people stay engaged and connected regardless of where they are in the wellness continuum. Examples of how these technologies are being deployed in senior living will be provided and outcome-based research proving their validity will be examined. Today these experiences are considered innovative, tomorrow they will be demanded.

M. The Foundation for Implementing Preference-Based, Person-Centered Care in Nursing Communities Victoria Crumbie, MS, CTRS and Karen Eshraghi, MSW

Learn how to implement preference based, person-centered care in your nursing community using the Preferences for Everyday Living Inventory (PELI) instrument. The speakers will provide the background on the PELI and present evidence-based research supporting the use of the PELI in nursing communities. Participants will be instructed on how to conduct PELI interviews with residents and their family mem-bers. Helpful strategies for integrating preference information into resident care plans, measuring prefer-ence fulfillment and implementing preferences into care will be highlighted. By attending this session, attendees will be able to: Describe the regulatory expectations related to person centered care. Articulate the benefit of assessing resident preferences and leveraging information for improved quality of care. Conduct a preference interview with residents and their family members. Integrate resident preference interview information into personalized care plans and care.