Nursing homes rarely garner positive attention, but COVID-19 brought the sector into the public eye like never before — bringing more negative headlines but also an unprecedented opportunity for change. Our podcast, “Elevate Eldercare,” was created in an effort to bring together thought leaders, activists, and advocates in the field of aging services to foster thoughtful discourse and diverse perspectives aimed at elevating eldercare. Join Susan Ryan, Penny Cook, Alex Spanko, and other GHP t ...
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Elevate Eldercare


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Speaking Up for Nursing Home Residents of All Ages
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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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Elevate Eldercare


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Creating “Unpretentious” Housing and Care for All Ages
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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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Elevate Eldercare


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Gathering Around the Gratitude Table 2023
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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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Elevate Eldercare


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Cross-Pollination: Sharing Person-Directed Practices Across Silos
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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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Elevate Eldercare


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Probing the Incentives that Shape Eldercare
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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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Elevate Eldercare


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Surviving vs. Thriving: Training for Long-Term Success
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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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Elevate Eldercare


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Reframing Nursing Home Reform as a Housing Issue
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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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The Heart and Soul of Person-Directed Living
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David Simpson is an accomplished musician who’s been singing since the age of 12, performing alongside music legends like the Staples Singers, Dionne Warwick, and the Drifters. He’s a visual artist who uses his drawings and paintings to lift others’ spirits and push himself to improve his craft. He’s a father, a sibling, and heart transplant recipi…
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Elevate Eldercare


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Envisioning an Eldercare System Beyond Nursing Homes
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The discourse around improving the eldercare landscape tends to focus on narrow, discrete metrics: What’s the correct number of nursing home staff hours per day? How can we reduce rehospitalizations? What types of services can be provided in the home most efficiently? Scott Townsley, professor at the University of Maryland, Baltimore County’s Erick…
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Elevate Eldercare


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Architecture as a Verb: Creating Human-Centered Aging Spaces
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Biophilic design – incorporating nature into the built environment – has grown in popularity in recent years, but the term itself may still seem daunting and strange, especially in an eldercare space where new development of nursing homes is exceedingly rare. Dr. Tuwanda Green, an adjunct instructor at Virginia Tech with more than 30 years of archi…
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Elevate Eldercare


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Finding Creative – and Social – Solutions to Top Eldercare Issues
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Faced with the workforce issues plaguing the entire eldercare sector, Goodwin Living in Northern Virginia developed a citizenship assistance program for its immigrant employees – simultaneously boosting recruitment and retention while also providing a new social outlet for residents, who help their caregivers prepare for the citizenship exam. Looki…
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Rebuilding Trust After a Complete System Failure
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In 2021, Dr. Samir Sinha was given a potentially daunting job: serving as the technical committee chair for a group tasked with establishing new, national long-term care standards in Canada in the wake of COVID-19’s devastation. Dr. Sinha, an internationally renowned geriatrician who serves as the Director of Geriatrics at Mount Sinai and the Unive…
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Elevate Eldercare


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Empowering Elders to Build Age-Friendly Communities
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Building truly age-friendly communities starts with incorporating elders’ needs, wants, and goals into civic planning. As the executive director of Age-Friendly Greater Pittsburgh, Laura Poskin works across the city to build bridges between elders and the decision-makers who can help create accessible, integrated spaces for people of all ages and a…
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This week on the show, we take a break from eldercare policy and best practices with a story of mindfulness and adventure. Previous guest Natalie Yates-Bolton – a senior lecturer in nursing at the University of Salford, Manchester in the United Kingdom – returns with her mother, Myra, for a conversation about their recent pilgrim walk through Franc…
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Elevate Eldercare


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Building Empowered and Collaborative Nurse-CNA Teams
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The relationship between nurses and certified nursing assistants (CNAs) in nursing homes can often be fraught with hierarchy and disputes over tasks and responsibilities, as well as the normal conflicts that arise in any workplace. To gain some insights into building collaborative care teams, we sat down with two leaders from an organization that’s…
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Elevate Eldercare


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Support, Guidance, Advocacy: Rethinking the Ombudsman Role
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The people who work in state long-term care ombudsman’s offices are unsung heroes for residents of nursing homes, assisted living communities, and other communal care settings, helping to amplify their voices when they aren’t being heard. This week on “Elevate Eldercare,” we dive into the present and future of the ombudsman role on both the macro a…
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Within the world of aging services, there’s perhaps no more popular concept than “aging in place.” But what exactly does that mean, and how can we make that an attainable goal for most people? To help answer that question, we turned to Christine Foster, an interior designer with a specific focus on developing new strategies and models to help elder…
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Elevate Eldercare


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A Destination, Not a Regret: Nursing Homes as Community Hubs
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oe Carella has a bold prescription for the future of eldercare, starting with reimagining nursing homes as hubs for entire communities. Instead of looking for ways to iterate on the institutional nursing home, such as through assisted and independent living, Carella challenges the sector to imagine a future where people actually want to move into a…
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Enshrining Eldercare as a Civil and Human Right
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Christopher Laxton recently retired after a 40-year career in eldercare, including the last 10 at the helm of AMDA – The Society for Post-Acute and Long-Term Care Medicine. He joins “Elevate Eldercare” to discuss his personal definition of retirement, reframing aging in the United States, and creating a world where eldercare – and health care writ …
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Elevate Eldercare


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Learning from the Past to Build a Whole-Person Health System
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When Georgetown University formed its School of Health last year, college officials deliberately left out the word “public” from the name – not as a slight against the profession, as dean Christopher King explains, but to indicate an emphasis on overall population health and wellbeing, not just traditional public-health initiatives like clean water…
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Elevate Eldercare


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Building Palliative Care Communities – Right from an App
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While researching ways to improve the end-of-life experience as part of her PhD work, Andrea Grindrod discovered something interesting: People are almost always willing to help others experiencing the death of a loved one, but rarely wanted to ask for that help themselves. So Grindrod – who has personal experience dealing with end-of-life care for …
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As a physician with an MBA and a Silicon Valley programming background, Vipan Nikore has a rare perspective on the world of health technology. Nikore, co-founder and CEO of elder tech company Homecare Hub, joins “Elevate Eldercare” to discuss the gaps that exist between health care providers and the companies that create health-focused technology –…
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Elevate Eldercare


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Celebrating 200 Episodes of Elevate Eldercare
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Join the Green House-Pioneer team for the celebratory 200th episode of “Elevate Eldercare.” What started as a pandemic-era project to stay connected with long-term care providers during extended lockdowns has evolved into a platform for voices across the care continuum. Alex Spanko moderates this conversation with the leaders who have hosted most e…
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Elevate Eldercare


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Using Tech to Kickstart Person-Directed Care in LTC
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Long-term care is notorious for lagging behind other parts of the health care continuum – including hospitals and doctors’ offices – in the adoption of technology. As co-chairs of a Moving Forward Coalition subcommittee on health information technology, Gregory Alexander and Terrence O’Malley are working to change that. Alexander, the Helen Young a…
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Elevate Eldercare


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Fighting the ‘Demographic Drought’ with Diversity, Dollars
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Under Jeannee Parker Martin’s leadership, LeadingAge California has achieved some remarkable workforce development numbers, graduating more than 1,000 students from a CNA and home health aide training program – funded by a generous $25 million state grant – in its first year alone. While not every state has California’s budget surplus, dollars are …
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Elevate Eldercare


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Using Data to Break Stereotypes Around Aging
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In his years marketing major brands like Gillette, Pepsi, and Dannon, Jeff Weiss never encountered any push to pitch products to consumers over the age of 55. Then, once he turned 55 himself, he realized that he didn’t feel like a different person just because he crossed an age milestone – he was still himself, with all the same evolving sets of de…
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Elevate Eldercare


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‘You Made Me Feel Relevant’: Telling Elders’ Tales on the Road
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When Jack York first started bringing computers into senior living communities in the 1990s, he never could have imagined the ways elders use technology to stay connected with loved ones and their interests today – particularly during the COVID-19 pandemic. But even back then, when PCs took up entire desks and internet connections required a landli…
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Elevate Eldercare


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From Aging in Place to Aging in the Right Place
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In the wake of the COVID-19 pandemic, the concept of aging in place – already the overwhelming preference for most people – received more media and political attention than ever before. But Ryan Frederick believes that the phrase, while well-meaning, is too passive and restrictive, implying that aging is something that happens to people with no age…
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Elevate Eldercare


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Prioritizing Emotional Safety in Long-Term Care
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The traditional nursing home took its design and operational cues from hospitals – a setting defined by its focus on physical health over all other considerations. Since the late 1970s, Planetree International has worked to infuse humanity back into hospitals and, increasingly, health care settings of all kinds. In the beginning, that meant fightin…
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Elevate Eldercare


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Moving Forward with Real LTC Workforce Solutions
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Last year, the groundbreaking NASEM report on nursing home quality laid out a host of recommendations for improving the broken long-term care system in the U.S. While none of those suggestions is necessarily more important than the others, the topic of improving the LTC workforce is probably the one garnering the most attention from providers and p…
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Elevate Eldercare


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The Case for Compassion in Eldercare and Beyond
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Eldercare – and U.S. health care writ large – too often is a cold, impersonal experience for the people both giving and receiving care, as ever-increasing demands for efficiency and profit turn an intimate experience into boxes to check and line items on balance sheets. Dr. Stephen Trzeciak, chief of medicine at Cooper University Health Care and co…
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When the Australia-based ACH Group agreed to become the first provider outside of the United States to fully implement the Green House model, CEO Frank Weits was taking the next step in his organization’s 70-year tradition of person-directed care – and building on his own experiences in eldercare, which began as a teenager growing up in the Netherl…
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Elevate Eldercare


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Powering Workforce Recruitment, Retention with Data
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More than 30 years ago, current Center for Innovation board chair Michele Holleran launched her eponymous data analytics firm with a focus that was considered revolutionary at the time: measuring the resident and staff satisfaction at senior living communities. Holleran’s mission is now far more mainstream, and she joins “Elevate Eldercare” to disc…
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For the first time ever, The Green House Project and Pioneer Network are hosting a single conference under the Center for Innovation banner, and we want the entire eldercare community to be there! In this week’s episode, hear CFI’s Penny Cook, Marla DeVries, and Joan Devine talk about the engaging speakers coming to Pittsburgh from July 23-26, incl…
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Elevate Eldercare


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Abilities, Not Deficits: The Montessori Approach to Dementia Care
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The Montessori approach to education empowers children to learn by doing activities that emphasize their innate abilities, not by rote or one-size-fits-all lessons. Inspired by his family’s own experiences with the Montessori method, Cameron Camp decided to apply those principles to dementia care, a field where far too often people are boiled down …
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Opening a Box of Memories: Exploring Dementia on Stage
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During the pandemic, the father-daughter team of Duncan and Erin McKellar teamed up – over Zoom, of course – to create a passion project based on their unique life experiences and skills. As both a psychiatrist specializing in the treatment of older people and the son of a woman, Lizzy, who was diagnosed with early onset dementia at age 60, Duncan …
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BONUS: Introducing the Mission Possible Podcast
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This week, please enjoy the first episode of our new podcast series, “Mission Possible,” produced in conjunction with the National Consumer Voice for Quality Long-Term Care and AMDA – The Society for Post-Acute and Long-Term Care Medicine. Each week, you’ll hear in-depth interviews and conversations about the ways that leaders can turn decades of r…
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Founders’ Perspectives: Pioneer Network’s Rose Marie Fagan
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When Rose Marie Fagan first applied for a job as a nursing home ombudsman, she had no prior experience with long-term care or health care in general – but her status as an outsider almost immediately proved to be a much bigger asset than a liability. With her fresh eyes, Fagan was able to clearly see the injustices of the era, including physical re…
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Elevate Eldercare


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Inside Key Nursing Home Policy Discussions
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Lori Smetanka of the National Consumer Voice for Quality Long-Term Care returns to “Elevate Eldercare” for an update on the key nursing home reform policies that she and other consumer advocates are watching most closely – including minimum staffing levels, ownership and investor transparency, and finally incorporating real person-centered care pri…
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Founders’ Perspectives: Pioneer Network’s Barry Barkan
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Barry Barkan played a crucial role in the formation of Pioneer Network in 1997, but his experience in eldercare goes back 20 years before that, to a fateful morning of reflection in Live Oak Park in Berkeley, Calif. Barry joins “Elevate Eldercare” and longtime colleague Penny Cook to discuss his five decades of advocacy for elders, starting with th…
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Elevate Eldercare


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Bringing Nature to Elders, One Garden at a Time
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Even as a self-described “mediocre gardener,” Orla Concannon has brought the joys of nature to thousands of elders across the country – all by bringing the garden to them. Eldergrow, Concannon’s company, started out as a graduate school project but has since grown into a successful firm with national reach, empowering elders in a variety of setting…
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As the president of the Point Roberts Circle of Care board, Galen Wood has a unique task in a unique place – providing services and supports for elders in one of the most secluded spots in the United States. The town of Point Roberts, Wash. is what geographers call a pene-exclave. Located at the end of a peninsula, Point Roberts is surrounded by wa…
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Raised in Eldercare: The Story of a 16-Year-Old CNA
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High school junior Eli Grundy has been immersed in eldercare for as long as he can remember, thanks to his parents: One of his moms is the administrator of the Spearly Center, a unique skilled nursing community in Denver, and the other works for the Alzheimer’s Association. At age 12, Eli followed in his moms’ footsteps and started as an activities…
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“Elevate Eldercare” often welcomes academic researchers from across the aging field, but Anne Basting is the first English professor to sit down behind our mics. Basting is a firm believer in the power of art and creativity as a medium of communication and connection for people living with dementia. From putting on a production of the ancient story…
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Reports to Results: Solutions for Real Change
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The new year year kicked off with another report analyzing the failures of the nursing home system during COVID-19, this time from the HHS Office of the Inspector General. But while understanding the mistakes of the past is important, the time for retrospective reports has long since passed – and policymakers have the tools to effect real change to…
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Leadership at Play: Inside the Evolution of a Green House Community
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Every Green House community is different, from the people who call it home to the surrounding neighborhood and landscape. At Londonderry Village in Palmyra, Pa., outside of Hershey, the Green House homes come with the wafting smell of chocolate, an intergenerational play park, and people-powered vehicles known as trishaws. We sit down with Londonde…
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Taking Action with the Moving Forward Coalition
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The Moving Forward Coalition launched with a clear but ambitious goal: Operationalize the host of recommendations from the National Academies of Sciences, Engineering, and Medicine’s (NASEM) 2022 report on the state of nursing home care. This week, we welcome Moving Forward leaders Alice Bonner and Isaac Longobardi to talk about the group’s mission…
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The past year brought significant momentum for real eldercare reform, and the year ahead promises even more progress toward our goal of overhauling the long-term care system in the U.S. and abroad. We’ve gathered a group of CFI leaders – CEO Susan Ryan, chief culture officer Penny Cook, strategic advisor Ann Montgomery, and communications director …
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Rethinking Geriatrics for a Person-Centered Future
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Dr. Michael Wasserman’s unique combination of professional experience makes him one of the most incisive voices in the long-term care reform space: As both a trained geriatrician and the former leader of California’s largest nursing home chain, Wasserman can speak to both the medical and financial problems baked into the eldercare system. He joins …
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Looking Back – and Forward – After a Year of Change
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It’s been a momentous year for The Green House Project and Pioneer Network, as the two organizations formally united under the new Center for Innovation banner. Three CFI leaders – CEO Susan Ryan, chief culture officer Penny Cook, and chief learning officer Marla DeVries – look back on a year that saw the culture change movement gain even more powe…
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