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On The Brink is a podcast where the goal is to help you better "see, feel and think" about your business, your job, your personal life and your purpose. There will be great interviews and conversations with people who are deeply involved in change—consultants, change agents, managers transforming their teams, entrepreneurs just starting out and CEOs running well-established companies.
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Elevate Eldercare

Center for Innovation

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Let’s Elevate Eldercare Together! Every great eldercare community has a unique story, and there are many paths toward providing high-quality, person-directed services and supports for older adults. That’s why we launched “Elevate Eldercare”: to bring together thought leaders, activists, and advocates in the field of aging services and give them a space where thoughtful discourse and diverse perspectives flow freely. Join Susan Ryan, Alex Spanko, and other GHP team members every Wednesday for ...
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The Discomfort Practice explores the value of discomfort in shaping who we are, how we are in the world and how discomfort can be a catalyst for positive social evolution. Betsy speaks to leaders, activists, athletes, creatives and others about comfort zones, having a conscious ‘discomfort practice,’ and the superpowers that lie on the other side of discomfort. Come get uncomfortable with Betsy... You can follow Betsy on: Instagram https://www.instagram.com/thebetsyreed/ Twitter https://twit ...
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From a very young age, Paddy Moore learned the value of speaking her mind and advocating for those facing discrimination and exclusion, and she turned those lessons into a lifetime of fighting for others – whether it was creating anti-poverty programs under the federal Office of Economic Opportunity, working to de-institutionalize care for people l…
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Esther Aguilera is one of the 102 amazing women leaders in our new book, Women Mean Business: Over 500 Insights from Extraordinary Leaders to Spark Your Success, In a world where success is often portrayed as a linear path, Esther Aguilera's journey stands out. Born to Mexican immigrants, she defied the odds and rose to significant positions in Was…
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You can’t fix what you can’t measure, and for too many years, advocates and officials have attempted to reform the nursing home system without an accurate accounting of multiple metrics – including the flow of money and the track records of owners. CFI strategic advisor Anne Montgomery joins the podcast to discuss her efforts to bring greater trans…
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Welcome to On the Brink with Andi Simon, the podcast where we delve into the stories, insights and wisdom of remarkable individuals who are trailblazing paths in the corporate world. I’m thrilled to have you join us today as we embark on a transformative journey with none other than Sandra Quince, an exemplary woman executive whose journey is nothi…
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When Jennilie Brewster first started inquiring about volunteering at the Coler nursing campus on New York City’s Roosevelt Island, she never imagined that her work with the residents would have a national impact. Brewster – a writer, painter, and film producer – joins the podcast to discuss her work with OPEN DOORS NYC and the Reality Poets, a grou…
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Hear how we can all embrace the notion of productization, not fear it Today I bring to you an exceptional businesswoman and innovator whom I would also call a futurist, Eisha Tierney Armstrong. Eisha specializes in helping B2B companies transform their customized services into more scalable products. In other words, she helps them productize, which…
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The topic of responsibly integrating technology into eldercare communities is so rich and complex that we needed two episodes with Joe Velderman, vice president of innovation at Cypress Living in Fort Myers, Fla. to capture it all. Velderman returns to dive into the specific tech solutions that his organization has adopted across its life plan comm…
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Marvell Adams, Jr. not only talks the talk when it comes to fostering diversity, equity, and inclusion in eldercare – he walks the walk, holding multiple roles across the eldercare spectrum where he brings people of all ages, races, socioeconomic backgrounds, and points of view together to move the sector forward. Adams, who serves on the Center fo…
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Hear how to answer the question: Why should your customers care? I always say, in my coaching or our leadership academies or my workshops, the more ideas you have, the more likely you will have big ones. And they come at the intersections. Big ideas are actually already in your head waiting for those a-ha moments where you might say, Wow, I’m onto …
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Reminiscent of the ageist discourse around the “silver tsunami,” the concept of people aging without the support of children or a spouse – once referred to as “elder orphans” – is far too often discussed as a problem, and not a wonderful opportunity to enjoy a new phase of life with friends, neighbors, and other people who bring us joy. Sara Geber …
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She was absolutely determined to succeed. Hear how you can be too! I always want to bring interesting people to On the Brink with Andi Simon. You will love this interview with Maryles Casto. Her journey has been extraordinary, largely because of her ability to listen carefully, understand people’s needs, and create solutions that are part of her pe…
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The idea that structural racism has a direct impact on all facets of American life – including the experiences of elders in care settings – shouldn’t be a controversial statement in 2024, but far too often, the question of equity and race-conscious policymaking gets wrapped up into a broader political discourse. Shekinah Fashaw-Walters, an assistan…
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Curiosity is contagious. Curiosity can be learned. So be curious! Sometimes, we meet people who make us pause for a moment and ask how we are building the life that we want to live. It is not about mimicking their lives. It is about understanding how they have stopped what they’re doing and begun reflecting on whether this was a life they wanted. T…
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Naomi Feil, who originally developed the Validation method of supporting and communicating with people living with dementia, died this past December 24 at the age of 91. This week, we’re celebrating Naomi’s life with her daughter – and fellow champion for the dignity of people living with dementia – Vicki de Klerk-Rubin, executive director of the V…
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Hear how when you allow life to unfold, you find that miracles happen I first interviewed Dr. Srikumar Rao in July 2023 and was so deeply inspired by the wisdoms he shared with us that I wanted to have him back so he could teach us more. And he does. The title of his new book is Modern Wisdom, Ancient Roots, in which he offers solid tools we can us…
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Tetyana Shippee first became fascinated with the power of structural forces to shape individual lives as a grad student from Ukraine studying the sociology of addiction in the United States. That academic interest soon expanded into gerontology and elder issues – including a two-year stint living in a continuing care retirement community as part of…
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The more diverse your organization, the more successful it will be Today I bring to you a most fascinating and consequential woman leader, Melissa Andrieux. Born and bred in Queens, New York, Melissa became a prosecutor, then Queens District Attorney, then civil litigator. She is now Chief Diversity Officer at the law firm Dorf Nelson & Zauderer. S…
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Artificial intelligence is the tech buzzword of the moment, but as eldercare providers know, implementing any technology in the aging space comes with its own unique set of concerns – even solutions that don’t go as far as generating complex written narratives or autonomously analyzing resident data. At Cypress Living, a senior living and home heal…
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Learn how to escape or even avoid crushing student debt I am beyond thrilled to bring to you a remarkable young women, Bri Franklin, who co-founded the non-profit The Prosp(a)rity Project to help others avoid the massive amount of debt she incurred by attending an expensive college and being ignorant of the student loan consequences. She could have…
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Hear this incredible story of steadfast bravery and human kindness I am truly honored to bring to you today a very special guest, Panos Manias. A self-made entrepreneur who started his own industrial company in aluminium packaging materials, Panos is an inspirational and visionary businessman. But what we focus on in our interview is his personal s…
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As non-profit nursing home operators continue to shutter their doors and cede ground to for-profits, one organization in New England is helping mission-driven organizations honor their unique legacies while providing vital, centralized logistical support. Legacy Lifecare chief philanthropy officer/founding executive Barry Berman and chief operating…
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Individuals and companies frequently develop new solutions to make life easier for elders and caregivers, but not all of them have what it takes to actually make the jump from theory to widespread practice. In Australia, that’s where ARIIA – Aged Care Research & Industry Innovation Australia – comes in. Since 2021, ARIIA has funded a host of projec…
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Hear how to open yourself up to a world of infinite possibilities As you know, I like a fresh lens. That’s what we do as anthropologists. We go out and help you see what’s all around you, and sometimes you can’t see what’s right here. Today, I have a wonderful woman, Roberta Fernandez, who’s going to help you do the same thing. Together, we’re goin…
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In an eldercare field that’s populated with unseen and unsung heroes, family members of people living with dementia can often feel the most isolated and underrepresented. In the Greater Manchester area of the United Kingdom, Empowered Conversations creates safe, brave spaces for small cohorts of people on the caregiving journey to take a step away …
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In this final episode of Season 4 of The Discomfort Practice, Betsy looks back at some themes that arose over the course of the year+ it has spanned, before taking a brief hiatus to prep the launch of Season 5 in March 2024. What she found in looking back was some striking themes - the greatest of which was love. This has woven its way into many ep…
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Far too often, people – even well-meaning folks who work in the field – fail to see nursing home residents as humans capable of the same growth, creativity, and fulfillment as people living in private homes. In fact, this ageism and ableism is a major reason why our imagination around reforming communal care settings is so narrowly focused on indiv…
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Roseann and Clara Sunwoo—How Did Roseann And Clara Sunwoo Build A Successful Women’s Fashion Brand? POSTED ON JANUARY 20, 2024 Hear how a great idea and hard work made this dynamic duo succeed This is one of those amazing stories that you’ve heard 100 times but it never ceases to make me smile. Clara Sunwoo and her husband came to the United States…
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As eldercare CEOs and women of color, Anita Holt and Frances Salinas are relative rarities in a sector that’s supposed to serve people of all races and backgrounds equally. They join the podcast this week to discuss their work at their respective communities – Holt at The Forest at Duke in Durham, N.C. and Salinas at Wesley Willows in Rockford, Ill…
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Hear about perseverance, pivoting, and putting yourself out there In today’s podcast I bring you Gemma Toner, former media and telecommunications innovator and one of the 102 amazing women leaders featured in our new book, Women Mean Business: Over 500 Insights from Extraordinary Leaders to Spark Your Success, co-authored by Edie Fraser, Robyn Free…
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In this solo episode, Betsy journeys her way through a personal question at the moment: 'What am I meant to be a channel for on this earth? What is meant to come through me?' It's a very personal question, and there are no wrong answers. She talks about experimenting with being a channel for love, and how that has transformed her life in just a sho…
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Revisiting the Teaching Nursing Home was designed to pair Pennsylvania nursing homes with area schools of nursing, introducing up-and-coming nurses to careers in eldercare while also infusing age-friendly care practices into the communities’ operations. But according to Nancy Zionts, the primary investigator on the project – as well as the chief op…
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Learn how to nurture your unique gifts for a career you really love. I bring to you today Lorraine Hariton, a brilliant women with a brilliant career who shows us that success doesn’t have to come in a straight line, it can have many twists and turns. As one of the 102 women featured in our new book, Women Mean Business: Over 500 Insights from Extr…
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Robert Kramer – the founder of think tank Nexus Insights, as well as the co-founder and former CEO of the National Investment Center for Seniors Housing & Care (NIC) – returns to “Elevate Eldercare” for another stimulating discussion on the big-picture future of eldercare. As providers and advocates focus on the individual issues facing the sector,…
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In this episode, Betsy speaks to Dr. Terence Lester, an activist and scholar who focuses on bringing justice to those suffering from poverty and racism. The founder of LoveBeyondWalls.org and The Dignity Museum, he is also the author of three books: 'I See You: How Love Opens Our Eyes to Invisible People,' 'When We Stand: The Power of Seeking Justi…
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Every December, we use the last “Elevate Eldercare” episode of the year to take stock of the previous 12 months and make some predictions for the year ahead. CFI logged substantial milestones in 2023: celebrating 20 years of Green House homes, taking the modelinternational with the opening of new homes in Australia, further integrating the GHP and …
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The National Academies of Sciences, Engineering, and Medicine shook the eldercare world in April 2022 with a scathing report on the nation’s broken nursing home system. Less than two years later, the Moving Forward Nursing Home Quality Coalition – formed in the wake of the NASEM report to operationalize its conclusions – has made substantial progre…
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As we navigate a holiday season set against the backdrop of global and domestic conflict, this 2021 interview with Dr. Edith Eger feels even more vital than ever. A psychologist and a Holocaust survivor, Dr. Eger has 96 years of direct experience with navigating troubled times – both for herself and in service of others – and her ability to find li…
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Looking back at your life, at some of the things that have been difficult or even traumatic, how have those things actually been part of your path to becoming who you needed to become? And how have some of the most difficult things you might have gone through actually been divinely chosen training to create the ‘architecture’ of your life, or gain …
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It’s easy to forget that not all nursing home residents are elders – and Vincent Pierce is dedicated to making sure leaders, advocates, and the general public remember. Pierce, a resident of the Coler nursing community on Roosevelt Island in New York City, wears many hats. He’s the founder of Nursing Home Lives Matter, an advocacy group formed duri…
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Hear how a family firm can remember its roots while focusing on the future As they say, family is family and business is business. But in many cases, the two can coexist, often quite profitably. Did you know that almost 80% of the businesses in the U.S. are owned and run by families? As a corporate anthropologist, a culture change expert and a daug…
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“Unpretentious” isn’t a word you see often in marketing materials for senior living communities, but it shows up several times in the description of Northaven Senior Living in Seattle. Darlene Storti, Northaven’s executive director, joins “Elevate Eldercare” to discuss this down-to-earth assisted and independent living community for lower- and mode…
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Learn how to be your own boss and the power of saying no Those of you who are wondering whether it’s time for you to leave that corporate life and start your own business, you’re going to love my guests today, Julie Barlow and Jean-Benoit Nadeau. They’re freelance writers and translators and the authors of the new book Going Solo: Everything You Ne…
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We're trying a new thing over here and have dug out a great episode from our archives. This is a revisit of Episode 55, which is a juicy, insightful interview with Paul William Davis, an intuitive personal advisor, an entrepreneur, a best-selling author, an award-winning business growth consultant, speaker with the best Irish accent you're likely t…
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Each Thanksgiving, “Elevate Eldercare” centers gratitude by handing the mic over to the people who make Green House homes such great places to live. This year, we’re headed out west to Wyoming to meet three team members from Green House Living for Sheridan: licensed practical nurse Kiara Charlson, HR manager and education coordinator Jon Lanning, a…
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Stacey Bergmann joined the Center for Innovation this month as the new director of network and community relations – tasked with serving as the main liaison between the national organization and our local-level Green House Project and Pioneer Network partners – and today she joins the podcast to discuss her career, passions, and vision for the futu…
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This solo was recorded in November 2023, off the back of a 5-day spiritual retreat with teacher Sabrina Lynn in Ibiza, in which 22 wild souls went deep into their shadows. And healed themselves, their ancestral line and things they didn't even know they were healing for the collective. Shadow work is a term that many know and some of you might not.…
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Brian McGarry’s research at the University of Rochester has focused on the ways that financial and economic factors affect care in nursing homes — a particularly vital topic as the sector continues to debate a contentious proposed staffing mandate, which could have a significant impact on providers in the years to come. McGarry joins CFI’s Alex Spa…
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For the last three years, many eldercare organizations haven’t had the ability to truly thrive, with leaders focused squarely on surviving the many challenges facing providers up and down the care continuum. But as we head toward the end of another year, it’s a good time to take stock and make plans for the year ahead — with an eye toward moving be…
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In this episode Betsy is joined by Carlos 'Charlie' Zimbrón, Co-Founder and CEO of Fuckup Nights, as well as The Failure Institute. Betsy and Charlie say the word 'fuck' a lot cuz... clue's in the name, really. So if you enjoy 'swear words' as occasional punctuation and appreciate a free-flowing, un-edited conversation, you're gonna LOVE this one. …
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In both the public and policymaker imagination, nursing home reform is strictly a health care issue, the domain of state health departments and the federal Centers for Medicare & Medicaid Services (CMS). But the prevalence of subpar nursing homes — and lack of empowering, person-directed alternatives to an aging long-term care infrastructure — is j…
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