We need to change Denton and Elkton.  Denton is too far north to include the entire lower half of the Eastern  Shore.  It should probably become Federalsburg.  Anyone have any knowledge of that area?

I need other heads considering this.  I figure we can cover most of Maryland with 4 sites, Cumberland, Federalsburg, DC, and Elkton.  That puts 3 of the 4 sites in rural areas.  It also leaves pockets not covered within a circle, namely Hagerstown and parts of Southern Maryland.  

Being somewhat selfish, if we're going to go to 5 sites, I'd like to see that 5th one in Waldorf to serve all of Southern Maryland.  If we go to 6 sites, one somewhere in the Baltimore/Annapolis corridor would be best.  That could be Bowie.  

Remember, parking is a major factor.

QUESTION :  How many sites do we need for the conferences?

QUESTION:   What locations shall we select for the conferences?

Also have to think about day of the week and time of day.. When will we attract the most people?

Who we are going to invite? Family COuncils, nurisng home folks, OHCQ, AAAs, ombudsman, seniors, ?????

What the agenda is? What does the national picture look like? Include examples of what is going on in Maryland. How families and advocates can get involved...

How long the day will be? Long enough to make it worthwhile, but not too long

Kate and I had a good meeting lst week. I think we all want this to be great!

John Kenagy,MD,MPA,FACS, will be at TWH this Friday and the Home may choose him for their consultant for part of their striving to streamline nursing/medical services.  His program is called "Disruptive Innovations" (not the most positive name).  You can google his name and come up with information on him. He is making a name in the NH industry and he may be someone we want to watch (for good or bad).  I will keep this group posted on what's happening  

I will pursue CEU's for all conferences and therefore I believe we should invite every stakholder for each conference that would include all Admin, employees, seinors, families ETC.  All will not come but we will get a good cross section and feedback from all. And, by simply sending out notice to everyone it makes people aware that something is coming/happening and the awareness has begun. I hope we can have the conferences during the day.

To apply for CEU's I will need to submit the syllubus for the conference to get the appropriate approval and payment for participants. All this information will need to go out with the conference announcements.  

That brings up another issue.  Have we given any thought to what's next?  I think in our planning/visioning/goal setting we might want to be looking at the big picture and formulate some idea of where we are going after the conferences.  Some question's are: So we have done conferences and then what? How can we motivate people to do there best work and begin the process at their own site? What do we want to do with information we have gleened? How can we invite partiscipants to create new realtionships that will serve their purposes when they leave the conference?

Sandee

     1. Joe Angelelli--explanation of culture change in general with an overview of what is happening in culture change around the country.

     2. Carol Benner--Powerpoint program of what is happening in Maryland and the District so far as culture change programs and projects are concerned.  If she gets any info on a project in Delaware we may be able to include that also.

     3.  Showing of parts or all of the documentary "4 Phases of Transition' (I didn't look that up so it's probably wrong).  This can be done in connection with the lunch break.

     4..Sandra Merrigan-Harrison--Facilitated group discussion.  Bringing it down to a discussion level and focusing on the homes, questions, and concerns of those present at the conference.

I would imagine that some of the other groups may want a bit of time to give their perspective on this, particularly if they are contributing funds.  

SEIU-partner + funding
AARP--partner + funding  
OHCQ--partner + funds
Delmarva  (QIO)--partner but probably no funds
MD Department of Aging--partner/no funds

Possible grant foundations      
Commonwealth Fund
Harry & Jeanette Weinburg Foundation (we could try them again)

9:30 to 10 AM is the coffee time. The conference doesn't actually begin until 10.  I'm not happy about the hour either but I don't think you and I can really rationally expect people to come to a conference at a reasonable hour such as 7 PM to 1AM.    (but, if you think we could get away with it, I'm willing to try)

Is Asbury Methodist Village in Gaithersburg?  It it easy to drive to?  Not a lot of complicated directions?

Please respond:
QUESTION:  Shall we add a 7th conference to cover the Baltimore/Annapolis area better?

QUESTION:  If so, where?  Bob feels Columbia is the spot.  Other possibilities might include Laurel and Ellicott City.  Whatever, it should be in that general area.

Columbia is the mid way point in the Balitmore-Washington corridor, and will draw from Howard County, Baltimore County, Baltimore City, Northern Anne Arundel County, Montgomery County, Prince George's County, Carroll County and Frederick County.

Now let's examine where the nursing home owners and regional directors are located:

The Mid Atlantic Regional Office of HCR Manor Care is located in Rockville in Montgomery County.

The Regional Office of Genesis ElderCare is located in Towson in Baltimore County.

The headquarters of FutureCare are located in Pasadena in Northern Anne Arundel County.

The headquarters of Trans Health Care are located in Sparks in Baltimore County.

The headquarters of Sava Senior Care (formerly Mariner) are located in Owings Mills in Baltimore County,

The headquarters of Xavier Health Care Services are located in Baltimore City.

Dr. Scott Rifkin, who owns two nursing homes in Maryland and one in Delaware, lives and works in Owings Mills in Baltimore County.

The headquarters of LifeBridge Health are located in Baltimore.

The Office of Health Care Quality is located in Catonsville in Baltimore County.

Columbia should have been the very first place we ever considered to hold a conference.  If we were limited to just one conference, the ideal location would be Columbia.

Also think of where most family members and most politicians would attend.  Remember, HGO Chairman Peter Hammen is from Baltimore and HGO
Vice Chairman Marilyn Goldwater is from Montgomery County.

What else do I have to say to get this point across!!!

Bob Bronaugh, Vice Chair

What is your thinking about spacing the conferences during the year?  We could do one, for instance in Columbia first and do one in DC several months later.  

I am also concerned about weekend conferences.  I think if we can put the CEU piece together people would like a weekday rather than weekend when family activities take priority.

Sandee

I love Sandee's idea about the CEUs.  However, we have a problem here.  Even if we dangle CEUs in front of Administrators, DONs and Social Service Directors, they would not be allowed to attend without the permission of their Regional Operations Directors!!  We once had an Administrator, who we said wouldn't go to the bathroom without calling her Regional Director for permission.  Local administrators do not even have the authority to make menu changes, without calling the out of town Corporate Dietitian.  Local Business Office Managers, and even the Regional Office have no authority to go into the computer and make billing changes.  All billing changes must be done by the corporate headquarters. Unless you have worked with the corporate nursing home structure, you just don't know just how much the individual Administrator's hands are tied.  This is what makes everything so frustrating!!

The Prince George's County Ombudsman even had to get her County's permission to be on our MPT phone bank during her off hours at 9:00p.m.!!!

These people can't merely just show up at a "Culture Change" conference.  They have to get permission from their superiors!!

Sandee, I'm sure you understand why I went off the deep end, and said I opposed a conference in Washington, DC, when you saw my list of reasons why holding a conference in Columbia is so important.  The initial list of locations just about wiped out the entire Maryland nursing home industry.

Last Thurdsay evening, you got some great publicity for The Washington Home on the NBC Nightly News, when Tom Brokaw interviewed one of your current residents, Art Buchwald.  Say hello to Barrington for me.  He's an old friend, who used to be the Activities Director at Manor Care Chevy Chase.

Looking forward to working with you on this important project.

Bob

On the weekend thing, please go back and read the primary goals for this project.  It is to bring information about Culture Change to Maryland, yes, but most particularly to families, residents, family councils, legislators, and the general public.  And, it is to begin the process of giving families and residents an equal place at the table.  There are other organizations including the industry groups and our QIO, Delmarva, who are intent on bringing the movement to the attention of nursing home administrators and staffs.    Industry employees are already covered.  In fact, the entire thrust of this movement is for, with, and about them.  It's the families who have been marginalized here.  Our job is primarily people who  are NOT industry employees.  Families have jobs in other places and can't easily take a day of to attend such a conference.  To attract them, it most likely needs to be on a week-end.  Otherwise, we go to all this trouble and set up conferences that our folks are unable to get to because they have to work.  The idea of the CEUs is great but it's a carrot.  We'll offer it to anyone who can take advantage of it.  If the chain folks can't, then they can't.  They are not our primary focus.

And, Bob, forget the Redskins stuff.  This needs to get done as fast and as easily as possible.  Get yourself a portable, handheld, satelite receiver.

   1.  large enough to accommodate 30 -70 people
   2.  have kitchen facilities for serving lunch, cofffee, snacks
   3.  be easily accessible
   4.  if not FREE be sincerely CHEAP

Let's start getting regional leaders.  We have Sandee for Washington DC.  Sandee already has a location--The Washington Home.  I'm going to appoint Bob as Columbia .  Clare's sister will do Salisbury.  Pat, can you find us a place in Elkton?  Clare and I will do Waldorf.  That only leaves Cumberland and Frederick.  I'll try to contact someone in Cumberland to assist in that area.  Perhaps Otto could do Frederick?  Bob, do you have any contacts in Frederick?  

Sounds like we have sites and dates? Can someone recap?

Also -- I will be showing Almost Home twice at the GOvernor's COnference on Aging on May 2. Who is representing VOices???

I am also through the QIO setting up a coalition on Quality of Care in Nursing Homes. Voices will definetely be invited to participate as well as some of the other partners that you mention (SEIU, MHCC, Medicaid, OHCQ).

You all may want to consider including someone from the Maryland Chapter of the National Association of Directors of Nursing and a GNA (SEIU can help there).

See you soon...

carol

If the schedule is not already cast in stone, I wonder if we could think about switching Salisbury/Elkton? Travel home would be shorter when everyone is tired on Sunday evening (except for me!) and I believe Elkton is more cosmopolitan and less likely to lose a huge chunk of people if we dip into Sunday morning church time.

I'll try to schedule a similar meeting with the Delaware/Eastern Shore folk.  We'll also try for early June on that one.

Some of us must leave by 3 or 3:30 so we'll try to get all of the actual planning done before then and leave the DVDs and the Start Up packets for the end of the meeting.