2011 National Adult Day Services Conference

Presented by National Adult Day Services Association & WI Adut Day Services Association

September 22-24, 2011

Hilton City Center, Milwaukee, Wisconsin

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Fruitful Alliances: Reap the Rewards

Learn from informative sessions specifically for adult day services focused on technology, creative programming, positive aging and health and wellness practices, business strategies, funding and reimbursement, collaboration and partnership, advocacy, research and program development of practices and more.


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Thursday, September 22



  • Organizational Fitness: Are You Prepared for Person Centered Care? Lyn Geboy, PhD and Beth Meyer Arnold, RN, MS, offer a practical approach for tackling culture change. Of the many different approaches to change in long-term care, person-centered care is among the most promising due to its humane and holistic focus on the individual. There’s no question that changing culture is the right thing to do in long-term care; however, until now, there have been few accounts of how comprehensive, transformative change might begin. This interactive session will describe an innovative, multidimensional, process for understanding your “readiness” as an organization and outlines nine basic strategies for putting person-centered care in practice. Plan to join us as we all share our experiences, good and bad, and renew our confidence in making culture change a reality!


  • Opening an Adult Day Center: Is it the right business for you? by Industry Leaders. Join us for an informative workshop especially for persons exploring the possibility of opening an adult day program. Gain valuable insight into a growing industry from experienced providers. Explore the field to decide if opening an adult day center is right for you. Gather industry specific information to help build your business plan.



  • Strengthening Your Organization using Data Holly Dabelko-Schoeny, PhD, Ohio State University, Columbus, OH; Teresa Johnson, NADSA, Fuquay Varina, NC; Peter Notarstefano, Leading Age, Washington, DC. The lack of data for adult day services has been a barrier to growth of the industry in many ways. This session will introduce tools to equip adult day centers and state associations to collect data. Learn how using data can influence statewide and national efforts for increasing the visibility of adult day services in public policy, marketing and service delivery.


  • The Best Friends Approach to Dementia Care, by Sarah Price, Anthea Hibbert, Alzheimer Society of Calgary, Alberta, Canada. The Best Friends™ Approach is simple to understand and appeals to people of all ages and cultures. This interactive workshop provides hands-on care-providers and volunteers with an introduction to the Best Friends™ Approach. Using experiential activities, this lively session explores the ‘KNACK™’ – Knowledge, Nurturing, Approach, Community and Kinship – the practical learning framework of this person-centered philosophy of care developed by the Alzheimer Society of Calgary. This dynamic workshop is suitable for direct care providers, educators looking to enhance their dementia training curriculum and program managers who look to set themselves apart from their competitors.


6:00-11:00 PM “Welcome to Wisconsin” Dinner, co-sponsored by Attainment Company and WI Adult Day Services Association. Hosted by WI Adult Day Services Association at Harley-Davidson Museum®—within walking distance from the hotel. Learn more



Friday, September 23

7:30 AM Breakfast


8:00 AM – 5:00 PM Exhibits Open


8:30 AM Welcome & Opening Remarks


9:15-10:30 AM Breakout Sessions (choose 1 of 4)


  • Dementia Basics: Strategies for Success [Joint Session] by Sarah Price, Dementia Care Programs, Alberta, Canada; and Krista Scheel, Alzheimer’s Association of Southeastern Wisconsin, Milwaukee, WI. Attendees will be better able to understand the different forms of dementia and the behavioral characteristics of the most common forms of non-Alzheimer’s disease dementia. Attendees will be better able to develop and implement comprehensive care strategies based on the different forms of dementia. Understand how dementia affects a healthy brain – Warning Signs, causes & types of dementia. Recognize the effects of dementia on family caregivers. Recognize the impact of caregiving on the workplace. Demonstrate how to use the Dementia Basics™ Online learning tool for staff development. [Target Audience: Programming staff, nurses, social workers, program managers, early memory loss program coordinators, educators, human resources staff]


  • ADRC: Friend or Foe? Mike Zawadski, JD, RTZ Associates, Oakland, CA. This session will outline what an ADRC is, its history, what an Adult Day Services provider needs to know about the ADRC effort and why you should probably get to know your state’s ADRC effort early. This session will also explain additional CMS efforts launched shortly after ADRC, designed to complement the ADRC movement. Some ideas and examples will be shared of how innovative technology, as a result of person centered care, may change for family caregivers and providers. [Target Audience: Directors, Program Managers, Owners]


  • The Changing Faces of Aging: Developing and Implementing Diverse Inclusion Programs to address the Non-Traditional Needs of the Aging, Gina Green-Harris, MBA, Milwaukee Area Health Education Center. This cutting edge diversity workshop will discuss the essence of how aging in the 21st century is changing. The overarching theme is acknowledging and learning similarities and differences about cultures, openness and addressing our professional biases in a healthy atmosphere, to serve our clients. We will focus on issues such as race, gender, underserved and underrepresented populations in both urban and rural settings and how service delivery to this population. The workshop will focus on how to create programs that have content that is inclusive of the needs of these populations as one of the core components. The workshop will also discuss how to engage and culturally diversity in all programming. The workshop is conducted in a humorous and non-threatening manner. It provides participants with practical tools they can apply in their programs that will have immediate impact and culture change without disruption to service delivery. [Target Audience: Caregivers, Managers, and Administrators, Program Developers, Managers, Directors, All]


  • Transportation: The Banes and Blessings of Fruitful Alliances, by Jed Johnson, MBA, MSW, National Center on Senior Transportation, Easter Seals, Washington, DC. While the adult day services industry has always recognized the vital role transportation plays in center operations, this area has all too often not received the focus and attention it deserves. This session will begin by identifying various options providers have in supporting participants getting to/from their centers. Whether you own/operate vehicles or rely on alternative resources, “fruitful alliances” are a key to success. Tools and resources that are available to support organizations in areas such as policies/procedures, driver training, scheduling and financial tracking will be showcased. The forum will also highlight the importance of collaborations and coalition building and the reasons for the active involvement of adult day centers in these emerging processes. Funding opportunities will be identified and resources shared. Innovative examples of adult day programs will be showcased throughout. [Target Audience: organization management staff, center directors]


10:30-11:30 AM Meet Your Vendors


11:30 AM – 1:30 PM Lunch, Program Development and Next Steps for Adult Day Services, Holly Dabelko-Schoeny, PhD, and Beth Meyer-Arnold, RN, MS


1:45 – 3:00 PM Breakout Sessions (choose 1 of 4)

  • Pilot Test of “Seniors and Seizures” Training Program in Adult Day Centers, by Carol Keegan, PhD, Epilepsy Foundation, Landover, MD. The national office of the Epilepsy Foundation will conduct a pilot test of a new training manual specially designed to introduce seizure preparedness to staff at adult day centers across the country. The new training manual specially will focus on preparing adult day center staff for the rising incidence of epilepsy in older adults. Major topics will include: an introduction to the diagnosis and treatment of epilepsy, considerations in the intake and assessment of seniors with epilepsy, clinical and psycho-social issues that may affect their participation in adult day programs, and national resources on epilepsy in seniors. [Target Audience: new and experienced program staff and management]


  • Marketing: Possible strategic alliances & using other people’s resources, by Don Grimes, LTC Education Specialists, Laguna Niguel, CA. This session will offer a detailed description of the national LTC education effort conducted by the Federal Long Term Care Insurance Plan and what is says about Adult Day Care Services; possible ways Adult Day Care Services providers can leverage the Federal LTC education effort; a description of LTC education efforts conducted by state governments and Fortune 500 companies what they typically say about Adult Day Care Services; possible ways Adult Day Care Services providers can leverage LTC education efforts by states and Fortune 500 firms; listing of possible strategic partners; and address questions such as “Why would strategic partners work with you?” and “what can you offer a potential strategic partner?” [Target Audience: marketing and executive staff]


  • Are We Measuring Up? Operational and Financial Benchmarks, by Jeff Boland, Parente Beard, LLC. Presenter will discuss financial and operational benchmarks as identified by the field as key indicators of quality in an ADS organization. Decisions related to strategic and capital planning, capital financing, and investment activities, as well as management’s operating philosophy significantly affect an organization’s current financial results. Through trending of financial ratios, leaders, ADS participants and other stakeholders can see the effectiveness and impact of these decisions and help formulate future strategies. [Target Audience: leadership, management, owners, financial experts]



3:30-4:45 PM Breakout sessions (choose 1 of 4)

  • Electronic Health Record Requirements & Return on Investment with Technology, by Terry Fischler and Beth Scovill, ADS Data Systems, Stevenson, MD. With the upcoming 2014 requirement to move forward with the Electronic Health Record [EHR], by attending this session, the audience will receive answers to the top three (3) looming questions:
  1. What are the Federal requirements of the EHR that must be met by providers to be eligible for reimbursement?
  2. What is the projected cost savings associated with the technology investment?
  3. What items do I include in my budget for the initial and on-going cost of technology?

[Target Audience: Business owners, Center Directors and Managers at various levels of decision making related to the initial purchase or upgrade of a software application]


  • Preparing Caregivers for the Death of a Loved One, by Stan Goldberg, PhD, San Francisco State University, San Francisco, CA. This presentation is based on eight years of hospice experience and 30 years of communication counseling. Death isn’t like a light switch where it’s either “on” or “off.” But begins with a terminal diagnosis and continues into recovery from grieving. By discussing death early, loved ones and caregivers can engage in interactions that will ease death and reduce both the severity and duration of their grief. Seventy suggestions are presented, ranging from simple, such as sitting rather than standing when talking to a loved one in bed, to the heart-wrenching giving permission to die. Instead of using theoretical steps, all suggestions are placed on a continuum of dying: terminal diagnosis, early transition, later transition, active dying, movement of death, grieving and recovery of joy. [Target Audience: All]


  • Laugh Your Way to Good Health, by Kelly Gibson, The Ivey, Charlotte, NC. This 15-year veteran nationally certified activity director earned her Laughter Leader Certification through the World Laughter Tour almost four years ago. Laughter fitness is the top of this session where attendees will learn how to incorporate laughter into the daily routine, discover an easy way to relieve stress and relax, and leave with a good-hearted living, positive outlook to share with others. [Target Audience: All]


  • Connecting to Self, Expressing to Others: Creative Arts Programming for Persons with Dementia, by Barb Brandt, MS, LPC; Fredelyn Calla, MA, LPC; House of Welcome Adult Day Services of the North Shore Senior Center, Northfield, IL; Nancy Swanson, MA, MT-BC, Nancy Swanson Music Therapy Services; Laura Allen, MA, LPC, BC-DMT, Methodist Hospital, IL. House of Welcome Adult Day Services is a specialized dementia program established more than 25 years ago. Persons with memory loss and their families are served with specialized programming, education, case management, and support groups. Creative arts programming is an integral component of the day program and early memory loss program activities. Learn from the professionals with education and training in art therapy, dance/movement therapy, and music therapy who provide specialized activities throughout the week at the center. Understand the value of creative arts programming for persons with dementia in supporting well-being, facilitating expression, and validating personhood; learn about three creative arts modalities—art therapy, dance/movement therapy, and music therapy—and their use with persons with dementia. Discover how to implement creative arts programming in adult day centers or early memory loss programs. [Target Audience: Program and/or administrative staff interested in creative arts programming]


6:00 PM Dine-Around


Saturday, September 24


7:30 AM Breakfast

8:00 AM – 3:30 PM Exhibits Open


8:15 – 8:45 AM Welcome & Opening Remarks

8:45 – 9:45 AM Keynote, Anne Basting

10:15 – 11:30 AM Breakout Sessions (choose 1 of 4)

  • Outcome Measurements of Culture Change, by Marilyn Hartle, MSW; and LaDonna Jensen, RN; Jentle Harts Consulting, Indianapolis, IN. “Culture change” and “person-centered care” are more than just buzz words for organizations that strive to provide quality care. The concepts challenge our current perception of quality care and our fundamental care practices for people. Although the concepts of person centered care (PCC) are no longer radical they are still ill defined and hard to evidence. This session will clarify many facets involved in culture change and person centered care with possibilities for evidence collection and ways to measure outcomes. Attendees will learn how to avoid the most common pitfalls and gaps in a quality assurance plan for culture change and identify ways to use evidence and measurements collected to drive practical, dynamic action plans. [Target Audience: Persons charged with tracking/measuring outcomes of ADS program interventions; program planners; grant writers; those interested in improving insights to enhance person centered approaches to care; persons responsible for or involved in culture change initiatives]


  • Addressing Grief in ADS: Creating a Healing Environment, by Lisa Peters-Beumer, MPH, Easter Seals, Chicago, IL; Dina Donohue-Chase, BA, Northpointe Resources, Zion, IL; Dr. Sue Radke, Northpointe Resources, IL. For ADS providers, who are frequently the primary support system for individuals, it is imperative they work to create alliances, access community resources and structure environments that are grief supportive. This presentation will demonstrate how an ADS organization serving individuals with (I/DD) can mirror the framework of Easter Seals, Enhancing Community-Based Options for End-of-Life Care, as they work to create an organizational culture that fosters healing. Presenters will share their experiences reaching out to community partners, as well as tapping their existing resources to meet the individual needs of the people they support. Join us to learn practical activities that staff can do to promote expression and healing which will allow attendees to build confidence in their ability to assist individuals in their journey to healing. To support this learning resource, materials to promote organizational capacity building and direct support professional development will be shared. All materials are easily replicated and can be incorporated into a variety of ADS organizations. [Target Audience: ADS Directors, Activity Directors, Marketing/outreach personnel, Program VPs]


  • TaiChi Qigong for Seniors: A Wellness Program, by Kathleen Levac, RN, MS, Health & Wellness Enterprises, LLC, Mount Airy, NC. Tai chi Qigong for seniors is an in-demand evidence based wellness program. This program will teach a simple series designed for seniors and discuss how centers can successfully implement their own cost effective program which are very gentle on the joints while improving muscle strength, flexibility, range of motion, and balance. This simple series of movements, breathing exercises, and guided meditations can help seniors regain their vitality and energy. It stimulates the relaxation response to counter act the effects of chronic stress on the body and improves health. Ongoing research is showing how tai chi and qigong can benefit almost every chronic disease. [Target Audience: Activity Directors]


  • The Department of VA Aid & Attendance Pension: Who is Eligible & How to Apply, by Brett Marcus and Emily Schwarz, Veterans Financial, Villanova, PA. Learn from a concise overview of the four criteria which the Department of Veterans Affairs considers before approving a veteran or surviving spouse for the Aid & Attendance Pension. Also covered will be the benefit amounts, as well as how the VA determines what the claimant will be awarded. This pension is an invaluable income for many seniors and their families nationwide, as well as an excellent marketing tool for the senior living industry. While many senior living staff have heard of this government program, most do not understand it thoroughly enough to feel comfortable discussing it during a tour or new family intake. Leave with an understanding of who is eligible and how to apply. [Target Audience: Directors, Owners and Marketing Professionals]


11:45 AM – 1:30 PM Awards Luncheon & Business Meeting, Presentation of National Awards


1:45 – 3:00 PM Breakout sessions (choose 1 of 4)


  • Brave New World of Activities, by Jack York, It’s Never 2 Late, Centennial, CO; Caroline Tysseland, BS, RN, Johnson Adult Day Center, CO. This presentation showcases real word examples of how multimedia technologies, delivered through adaptive computer systems, are able to deliver quality of life benefits to adult day program participants regardless of any physical or cognitive disabilities. The systems demonstrated have been specifically designed for individuals with cognitive disabilities and little or no computer experience. The presentation focuses on practical application of how this type of technology can easily be set up in adult day programs. [Target Audience: Activity and Therapy professionals – nontechnical]


  • Advancing ADS through Federal/State Advocacy, by Peter Notarstefano, Leading Age, Washington, DC; Joan Marie Granato, Future Focus, Bayonne, NJ. From this session, understand how the use of media, social networking and other technology can help advance the public policy interest of your organization. Learn how to build lasting relationships with elected officials in order to achieve your advocacy objectives. Review and discuss the current state and federal issues that impact adult day services, and effective strategies to address these issues.  [Target Audience: Directors, managers, supervisors, leaders]


  • Learning “Lean Principles”: Work Smarter, Not Harder, by Angie Williams, Ruth Butler, Alyson Johnson-Sawyer and Thomas Stern, CarePartners, Asheville, NC. Adult Day Services are constantly asked to do more with less. The principles of lean can be applied well in the Adult Day setting to improve service delivery and to contain cost so that the ability to meet customers’ needs through new technology, improved service, better outcomes, lower cost, or ease of access can provide a distinct competitive advantage. The ability to respond quickly to integrate policy or procedure changes, incorporate new technology, anticipate opportunities, respond to trends, and meet changing customer needs is very important for our success. How resources are deployed, new procedures are implemented, staff are managed, outcomes are improved, costs are lowered, and customers are satisfied are large, daily questions. This session is part 1 of 2 in which attendees will talk about lean and how lean thinking links strategy with operations to create a repeatable system of management. [Target Audience: Directors, managers, supervisors, leaders]


  • Reaping Unexpected Rewards from Early Memory Loss Programming, by Dawn Adler,  

Look at two of Luther Manor’s Brain Health Initiative programs titled Jump Start Mental Fitness Class and Get Proactive with Brain Health. Jump Start is a four –hour, ongoing, educational and interactive program that teaches memory-enhancing techniques and helps participants understand how the brain and memory work. Each session includes educational topics, social support and physical exercise, as well as creativity and mental fitness exercises. Get Proactive with Brain Health is a six-week, educational course that focuses on risk factors for memory loss and protective measures for brain health. Each is delivered to the community in different ways. Both models have offered the community opportunities for early intervention, education and awareness of the importance of brain health. The development of these services have showcased the continuum of care and services offered at Luther Manor and have resulted in an increase in private pay revenue for the Adult Day Center as well as the use of other services within Luther Manor. Development of an Early Memory Loss Program business plan, budgeting templates, and tools for tracking statistics became necessary which will be reviewed with the session attendees. [Target Audience: Program Development Directors]


3:30 – 4:45 PM Breakout sessions (4)


  • Grow a Garden & Your Donor Base, by Herbie Krisle, Page Robbins Adult Day Care, Collierville, TN. Learn how a 7-year dream for a sensory walking garden became a reality in 2010 for Page Robbins Adult Day Care in a suburb of Memphis, TN, through significant collaborate efforts. Approximately a 1/3 acre space was transformed into a beautiful garden with pathways, gardens within gardens, lawn, water features and chimes for auditory stimulation, pavilions and benches for seating, statuary and plants and feeders/houses to attract songbirds, hummingbirds and butterflies. Covered space even allows for use in the event of a building evacuation in bad weather and plenty of space for ‘al fresco’ dining and picnics. All of this was made possible through grants and donations. Photographs and video will be used to tell this story, offer information on budget and how it was met, how participant families have been involved and how the garden will continue to “grow”. [Target Audience: Program directors, activity directors, OT and PT, if in Adult Day Health, Executive directors and development directors]


  • Rethinking Reminisce: We ALL Lose When Memories Are Lost & Forgotten, by Beth Sanders, LifeBio, Marysville, OH. Interaction will be key in this session with participants experiencing the power of sharing their own life stories with each other. They will see the change it makes in friendships by experiencing reminiscence first hand in a more personal and powerful way. We will explore the use of pictures with people with mid- to late-stage dementia as well. Engagement through all the senses will be stressed. Learn how focusing on reminiscence and life review has led to: more personalized service, more engaged family and staff, more meaningful relationships, more motivated volunteers, more innovations in memory care, more use of technology to streamline the process, more outreach to potential clients, and even attracting more donors in non-profit settings. [Target Audience: Programming/Activities Staff, Clinical Staff]


  • Learning ‘Lean Principles’: Work Smarter, Not Harder [Part 2 of 2 sessions] by Ruth Butler, Alyson Johnson-Sawyer, Thomas Stern, Angie Williams, CarePartners Adult Day Services, Asheville, NC. After gaining a thorough understanding of Lean Principles in the first presentation, the second presentation would include a mock mapping event, teaching attendees how to apply the Lean principles in real world situations. The two presentations provide new insights on operating Adult Day Centers more efficiently by adding value to the services being provided while eliminating waste. [Target Audience: Directors, supervisors, managers, leaders]


  • The Delta Blues Are Gone: Reality vs. Renaissance, by Lisa Day,BS; Adrian Brown,MS, and Kentrell Liddell, MD, Total Health Care Services Adult Day Care, Belzoni, MS. Learn how Total Health Care Services, Inc, Adult Day Care has implemented a number of quality and vital programs that combat the needs of the clients within a very depressed region known for its health disparities. Many of the programs and services provided by the facility are the only recourse for most of the participants and employees. Their holistic approach to address nutrition, socialization, therapy, transportation, and senior employment has engaged a host of partnerships to create a fruitful alliance. 


4:45 – 5:00 PM Closing Plenary Session

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