04/14/19

MEMBERS PRESENT: Tara-Lynne Bixenman, Lee Ann Deckard, Laurie Loughlin, Kort Nygard, Janet Pully, Shelly Spinnato, Shara Stodola, Stephanie White

GUESTS – Carol Mace – State Government Liaison

TEAC requested the State Government Liaison’s presence at this meeting because discussion topics included the State of Tennessee.

 

Laurie convened the meeting at 11:15 a.m.

This meeting was unusual in that all present, other than Board members and the State Government Liaison, were either brand new to TEAC or current members who have just changed positions. Therefore, introductions and explanations were longer than usual, and we did not do the customary “Show and Tell”, where members talk about recent culture change activities at their facilities and share current successes or help each other with things problematic.

Tara-Lynne is now the Director of Nursing (DON) at McKendree Village Retirement Community in Hermitage.

Shara is now the DON at Imperial Healthcare in Madison. Janet is the Administrator there, and Shelly is the Social Worker.

Stephanie is the Social Worker and Activities Director at Hartsville Convalescent Center, and Lee Ann, her intern, is a student at Middle Tennessee State University.

Laurie gave a brief overview of the Eden Alterative and TEAC.

Carol explained our funding and grant review process. She has compiled the grant proposal packets, and the review is scheduled for 5/18-19/11.

Kort gave a presentation entitled “Managing Difficult Behaviors in Long-term Care: Non-pharmaceutical Approaches”, which took us to the end of the meeting.

Kort adjourned the meeting at 1:45 p.m.

Mark Your Calendar:

1. TEF BOARD OF DIRECTORS MEETING – Thursday, 05/05/11, 7:00 p.m. at Allium Restaurant, 501 Main Street, Nashville
2. TEAC MEMBERSHIP MEETING – Thursday, 06/02/11, 11:00 a.m. – 1:30 p.m.
3. TEF BOARD OF DIRECTORS MEETING – Thursday, 07/07/11, 7:00 p.m.
4. TEAC MEMBERSHIP MEETING – Thursday, 08/04/11, 11:00 a.m. – 1:30 p.m.
5. TEF BOARD OF DIRECTORS MEETING – Thursday, 09/01/11, 7:00 p.m.
6. TEAC MEMBERSHIP MEETING – Thursday, 10/06/11, 11:00 a.m. – 1:30 p.m.
7. TEF BOARD OF DIRECTORS MEETING – Thursday, 11/03/11, 7:00 p.m.
8. TEAC MEMBERSHIP MEETING – Thursday, 12/01/11, 11:00 a.m. – 1:30 p.m.

Submitted by Laurie Loughlin

06/02/19

MEMBERS PRESENT: Laurie Loughlin, Debbie Meredith, Sally Pitt, Ronnie Steinberg, Linda Williams

GUESTS – Carol Mace – State Government Liaison

TEAC requested the State Government Liaison’s presence at this meeting because discussion topics included the State of Tennessee.

Laurie convened the meeting at 11:15 a.m.

Sally was our guest speaker for this session, and her topic was The Role of Ombudsmen in Long-term Care. She passed out brochures and fliers that are put up in long-term care facilities notifying residents of their rights and advising them how to contact the Tennessee Ombudsman Program if they become victims of abuse, neglect or exploitation. She stressed that, when contacted about a complaint, her office first encourages the facility to resolve the problem within its own community; if that fails, then the Ombudsman becomes involved. With the exception of 2 paid employees, the program is completely staffed by volunteers.

After examining the fliers and brochures, Debbie, who designs the literature for Bordeaux Long-Term Care and Knowles Home Assisted Living & Adult Day Service and TEAC, advised the group that san serif fonts are easier to read for seniors and those with optical challenges. Her favorite fonts to use in publications for them are: Calibri, Tahoma and Verdana.

In addition to her presentation, Sally advised the group that, due to newly passed legislation, persons enrolled in TennCare who are under 65 years of age will now have to show diagnosis of a physical disease to receive services. Dementia will not qualify, and this could seriously affect many persons in long-term care and also those who receive home and community based services.

During a recent trip to Ithaca, New York, Ronnie met with Dr. Bill Thomas and shared her hope to find funding for a national study comparing satisfaction levels at Eden vs. non-Eden homes and also private vs. public facilities to find out what the differences are and where the satisfaction difference is greatest. He recommended some funding sources.

Carol told the members that, while she is still presenting evidence of TEF/TEAC’s grant worthiness to the Tennessee Department of Health, at this point she is not optimistic that the state will fund us during the 2011/2012 fiscal year. However, there is still some hope.

Linda reported that Dr. Ming Wang recently came to Ivy Crest Assisted Living to speak about lasik eye surgery and the importance of eye care. When the fire alarm went off falsely during his speech, he was not fazed and just kept going.

Laurie just returned from visiting her 88-year old aunt, who resides in an assisted living home in Phoenix. It is an unmarked, regular house in a subdivision, with 7 residents whose care requirements range from assisted living to hospice. The Arizona Department of Health sends a medical team bi-monthly to assess the health needs of each resident. Laurie was very impressed by the caring, competent staff. And one of the residents, a veteran who suffers from terrible seizures, resides with his own cat, who can predict when he is about to suffer one.

Laurie adjourned the meeting at 1:35 p.m.

Mark Your Calendar:

1. TEF BOARD OF DIRECTORS MEETING – Thursday, 07/07/11, 7:00 p.m. at Los Maracas Restaurant, 2704 Gallatin Pike, Nashville, (615) 227-8000.
2. TEAC MEMBERSHIP MEETING – Thursday, 08/04/11, 11:00 a.m. – 1:30 p.m.
3. TEF BOARD OF DIRECTORS MEETING – Thursday, 09/01/11, 7:00 p.m.
4. TEAC MEMBERSHIP MEETING – Thursday, 10/06/11, 11:00 a.m. – 1:30 p.m.
5. TEF BOARD OF DIRECTORS MEETING – Thursday, 11/03/11, 7:00 p.m.
6. TEAC MEMBERSHIP MEETING – Thursday, 12/01/11, 11:00 a.m. – 1:30 p.m.

Submitted by Laurie Loughlin

08/04/19

MEMBERS PRESENT: Meredith Burrus, Stephanie Gibbs, Laurie Loughlin, Debbie Meredith, Tiresa Parker

GUESTS – Carol Mace – State Government Liaison
Marissa Childers, RN, CCM, MA – Manager of Care Management, United Healthcare

TEAC requested the State Government Liaison’s presence at this meeting because discussion topics included the State of Tennessee.

 

Laurie convened the meeting at 11:00 a.m.

Stephanie and Marissa were our featured speakers for this meeting. Documents relevant to their presentation about UnitedHealthcare’s CHOICES program can be found at http://www.tn.gov/tenncare/CHOICES/.

Tiresa is Middle Tennessee’s new QIO (Quality Improvement Officer). She announced that QSource signed a new federal contract effective 08/1/11and is currently recruiting people for 4 projects therein:
1) Reducing Use of Physical Restraints – 28 of Tennessee’s 320 nursing homes currently have upwards of 5% use of restraints; the goal is to reduce usage to under 3% in all facilities.
2) Pressure Ulcers – 44 of Tennessee’s 320 nursing homes have pressure ulcer rates over 11%; the goal is to reduce that to fewer than 6% in all facilities.
The facilities participating in 1) and 2) will be different from those in previous studies on these topics.
3) Care Transition – 55 of the state’s nursing homes currently have over 3% hospital readmissions within 30 days; 27 nursing homes have over 11% readmissions in that period; the goal is decrease the number of hospital readmissions.
4) Prevention of Adverse Drug Effects in the Vulnerable Population – Tiresa will be leading this study, which will focus on 100 patients in each of 2 communities.

Meredith, who is the Education Coordinator of the Eden Alternative, stated that a 20-page online brochure is being developed to outline upcoming educational offerings for all levels of care including long-term care facilities, hospitals, hospice, home health and Eden at Home. In addition, the Eden Alternative will be unveiling 3 new self-taught training kits for Registered Homes. There will be networking webinars for the Registry. And she will be summarizing the benefits for organizations that may be interested in having their own Eden Educator on staff, which will not be limited to the Registry.

Debbie reported proudly that Kent Irwin, a building operations mechanic for Bordeaux Long Term Care, is the Nashville District’s winner of THCA’s (Tennessee Health Care Association) “Caregiver of the Year” award which will be presented to him at THCA’s upcoming annual meeting. He is therefore in the running for statewide “Caregiver of the Year”, which will be announced this fall. With the approval of Interim Administrator Shri Mishra, Debbie is conducting customer service trainings at Bordeaux to help increase elder satisfaction and let residents define quality. She is hoping to expand her program.

Laurie adjourned the meeting at 1:10 p.m.

Mark Your Calendar:

1. TEF BOARD OF DIRECTORS MEETING – Thursday, 09/01/11, 7:00 p.m., at Ellendales Restaurant, 2739 Old Elm Hill Pike, Nashville, (615) 884-0171
2. TEAC MEMBERSHIP MEETING – Thursday, 10/06/11, 11:00 a.m. – 1:30 p.m.
3. TEF BOARD OF DIRECTORS MEETING – Thursday, 11/03/11, 7:00 p.m.
4. TEAC MEMBERSHIP MEETING – Thursday, 12/01/11, 11:00 a.m. – 1:30 p.m.

 

Submitted by Laurie Loughlin

10/06/19

MEMBERS PRESENT: Meredith Burrus, Laurie Loughlin, Linda Williams

 

Laurie convened the meeting at 11:10 a.m.

2011 is the 20th anniversary of the Eden Alternative. Our speaker was Meredith Burrus, Eden Education Coordinator and a member of the TEAC Board of Directors. Meredith explained the many new educational offerings being developed, some of which are available now on the Eden Home Office website, www.edenalt.org. She has provided descriptions and direct links to them in an e-mail which Laurie will send out separately.

Meredith discussed another culture change coalition, Culture Change Network of Georgia and suggested that members visit www.culturechangega.org, the website of the Culture Change Network of Georgia, and sign up for their newsletter because this organization sends an e-newsletter with stories of culture change happenings and progress around the country for the entire continuum of care.

The Eden Alternative has many benefits and opportunities for Eden Registered Homes such as a trio of educational programs designed to introduce and deepen the understanding of the Eden Alternative Principles and to further the growth of teams. Your organization can choose to use one or all three curriculums. Each comes with a kit of supplies and fully scripted trainer’s manual. You can learn more about these new tools on this promotional flyer. They are a great fit with Milestones 2 and 3 in the Path to Mastery and could bring new energy to you education efforts. There is also a variety of offerings available through PHI, an organization whose motto, “Quality care through quality jobs”, speaks to their mission of improving the lives of people who need care by improving the lives of the workers who provide that care. If you would like more information on these offerings or how you can join the Eden Registry, contact Meredith at education@edenalt.org. She is excited about attending the LeadingAge Annual Meeting and IAHSA Global Ageing Conference in Washington, D.C. on 10/16/11.

Linda spoke about Ivy Crest’s first Fall Festival which included a chili cook-off, carnival games, a haunted courtyard and a hayride for residents and their families.

Laurie adjourned the meeting at 1:10 p.m.

Quote of the meeting: “It’s by way of networking and collaboratives that we move forward.” – Meredith Burrus

Mark Your Calendar:

1. TEF BOARD OF DIRECTORS MEETING – Thursday, 11/03/11, 7:00 p.m. at Ellendales Restaurant, 2739 Old Elm Hill Pike, Nashville 37214, (615) 884-0171
2. TEAC MEMBERSHIP MEETING – Thursday, 12/01/11, 11:00 a.m. – 1:30 p.m.
3. DR. THOMAS COMES TO TENNESSEE – Thursday, 12/08/11 – Details TBD

 

Submitted by Laurie Loughlin

 

12/01/19

MEMBERS PRESENT: Meredith Burrus, Deborah Lively, Laurie Loughlin, Debbie Meredith

Laurie convened the meeting at 10:10 a.m.

The sole focus of this meeting was to develop an outline for proposed uses of Federal CMP (Civil Monetary Penalty) funds for inclusion in a teleconference taking place between Tennessee Department of Health officials and CMS (Centers for Medicare and Medicaid) officials at noon.

The members suggested that there be 2 “pots” of money to be used as follows:

1) FOR THE STATE OF TENNESSEE to train some surveyors who will then train the remaining surveyors on an ongoing basis so that all will become knowledgeable about culture change;

2) FOR FACILITIES AND ORGANIZATIONS who can apply for grants in amounts depending on their needs in 2 categories:

a) Education – Investing the bulk in long-term care employees who provide direct care to residents is the best way to promote culture change. Depending on the efficacy for each individual facility and organization, staff could be sent to culture change trainings off-site or educators/consultants could bring trainings on-site.

b) Implementations of Culture Change – Investing the remainder in various improvements individual to each facility and organization which will enhance the quality of life for long-term care residents and promote culture change on a continuing basis with follow-up.

Laurie adjourned the meeting at 11:40 a.m. and brought a sheet containing the above information up to Carol Mace, our State Government Liaison, so that it would be available during the teleconference with CMS.

Mark Your Calendar:

1. TEF BOARD OF DIRECTORS MEETING – Thursday, 01/05/12, at 7:00 p.m., at Ellendales Restaurant, 2739 Old Elm Hill Pike, Nashville 37214, (615) 884-0171

 

Submitted by Laurie Loughlin