THE PIONEER EXCHANGE

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Colorado

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by joe angelelli
Posted on Tue Sep 12, 2006 at 06:17:27 PM EST

Check out the Colorado Culture Change Coalition website HERE.

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The Colorado Culture Change Coalition May 2002 - present

The Beginning
In April of 2002, a Pioneer Network workshop was held collaboratively at the Colorado health department collaboratively with the Denver ombudsmen program, state ombudsmen program, the Colorado Association of Homes and Service for the Aging, the Colorado Health Care Association, Pinon Management, Elms Haven nursing home and HIS of Pueblo. Participants indicated they wished to continue their interest in culture change and Pinon offered to be a meeting site.

Later that week, a local ombudsman walked out of a session at the American Society of Aging conference presented by the Pennsylvania Culture Change Coalition, our former state ombudsman said, “that would make us the Colorado Culture Change Coalition (CCCC) and a surveyor said, “lets call this our first meeting.” The first official meeting was held in May of 2002, we’ve had monthly meetings since, have never had less than 40 participants and have had up to 125.

Structure
The initial structure followed the model of the Pennsylvania Culture Change Coalition. A coordinating committee provided leadership until a board was elected in January of 2003. Monthly meetings have been held with agenda, program, committee reports and minutes. Current committees are Operations, Outreach, Finance, Pubic Policy, Development and Newcomers. Communication with participants has been maintained through e-mail contact of those attending meetings. A brochure has been developed and distributed and a web site established: www.coculturechange.org. By-laws and articles of incorporation have been written and an application is pending for a designated 501C3 status.

Mission Statement
The CCCC seeks to transform the culture throughout the long- term care continuum by affirming the dignity and value of each individual who lives and works in these settings. The coalition developed the following goals: to strengthen collaborative partnerships among all stakeholders; to establish a statewide network of culture change resources; to identify and work to change certain conditions that undermine the delivery of care; and to promote the values, principles and practices of the culture change movement throughout Colorado through the identification and dissemination of innovative models of care and facility management.

Programs
The format for the monthly meetings usually consists of a culture change presentation by members of the Coalition followed by committee meetings and the Board meeting. The CCCC tries to feature a Colorado home in a Culture Change in Action session during each meeting. Topics for meetings have included, culture change in death and dying, developing a mission statement, leadership, the September 2002 CMS satellite broadcast, community meetings, enhanced dining, bathing, dignified language, resident assessable computer technology, workforce issues, pain management, Green House project, Eden Alternative and Medicaid cuts. Special sessions have been held with outside speakers such as Pioneer leaders Joanne Rader of Bathing without a Battle, Steve Shields of Meadowlark Hills in Manhattan, KS, LaVrene Norton of Action Pact, Judith Rabig of the Green House Project and Nancy Fox of the Eden Alternative. A special invitational event was presented to a group of legislators, provider executives and other stakeholders with Steve Shields in October 2003. This proved to be catalyst for interest and attention from legislators and executives to promote culture change.

Participants and Supporters
The CCCC has enjoyed a vast array of participants. Besides nursing home participants, we have assisted living, adult day program, home health, hospice and various housing groups attending. The CCCC has had support from the Colorado Health Care Association, Colorado Association of Homes and Services for the Aging, state and local ombudsmen, Colorado Foundation for Medical Care, the Health Facilities and Emergency Medical Services Division, the Center for Medicare and Medicaid Services Denver Region, Denver Regional Council of Governments, Rainbow Bridge, Its Never 2 Late, Pinon Management and more.

Challenges
A major challenge will be to maintain momentum and interest. Time is needed for strategic planning. This is difficult for people to add to their schedules. Picking up the clerical issues of attendance, notification as well as meeting preparation is problematic without staff. Increasingly, persons in the community look to the coalition for expertise and training. Meetings have taken place in Denver but there is interest state-wide. We are emphasizing, especially with newcomers, that culture change is not just a list of things to do but fundamental transformation.

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