Posts

Stop calling them facilities

Why are We Still Dropping the “F-Bomb”?

If you’ve seen the movie A Christmas Story, you likely remember the scene in which 9-year-old Ralphie is helping his dad change a tire on the side of the road on a dark snowy night. Ralphie is so excited to help but he drops the lug nuts and loses them in the snow. In frustration, he yells out “Fuuuuudggge!” Ralphie then explains through narration, “…only I didn’t say fudge. I said THE word. The queen mother of all dirty words – the F-dash-dash-dash word!” Ralphie ends up being punished with a bar of soap in his mouth.

That’s how we should view the word ‘facility’. As the queen mother of all dirty words: the F-bomb.

Do you dream of living in a facility? Of course not! Facilities are cold institutions where humanity and the human spirit wither and die. Why then do we use this awful term to describe the places older people live and receive support? It denigrates residents and team members alike, yet it’s sprinkled generously throughout the narrative of senior living – by government regulators, by leaders in the field, and even by people living and working in communities.

At Christian Living Communities-Cappella Living Solutions, we’re on a mission to ban the F-bomb because, as Dr. Bill Thomas, Founder of the Eden Alternative, has said time and time again, “words make worlds”.

Our words drive our beliefs and behaviors. Call a building a facility and people will act like they live and work in a facility. Call it a community and the seeds of change are planted.

Community is a word filled with promise, with hope, and with citizenship. In a community everyone is valued and has a role to play. This is the type of culture we strive to build in each CLC-Cappella community. Yes, we provide excellent care and services, but we also purposefully create environments where each person has autonomy, a deep sense of belonging, continued growth and meaningful purpose.

It’s time to eradicate “facility” from our vocabulary and start using words that honor elderhood. So, bust out the soap, implement a “swear jar” if you want. Let’s start changing our world through the words we use.

Written by: Jill Vitale-Aussem, President and CEO of CLC-Cappella Living Solutions and Nexus Insights Fellow

Originally posted in Christian Living Communities.

Nexus Fellow

Nexus Fellow Flash Bulletin – March 2021

COVID has caused dramatic disruption in our education and healthcare systems and long term care environments. We wear masks, we distance, we stay home. So what have we learned? How can we come out stronger on the other side? Despite the massive challenges and barriers to implementation, there is a strong sense of hope on the horizon.

“Out of the tragedy of COVID, there are a lot of silver linings, a lot of good things we’re learning. Let’s seize the opportunity from the crisis so we can say we learned from it, and we won’t be here a year or two from now saying that nothing is different.” Nexus Founder & Fellow, Bob Kramer

While the pandemic has had a devastating impact on the seniors housing and long-term care industry, it’s also shed a big spotlight on this industry like never before. And that has advantages. After all, how could anyone identify a problem if they aren’t looking. People are paying attention now, and if we take this opportunity and make the changes needed, the senior living and long-term care industry will vastly improve post-pandemic.

Our Nexus Fellows are front and center. They’re experts, thinkers and entrepreneurs, bringing fresh ideas and important insights to the industry at this critical time. 

What’s the latest? Here’s a Nexus Fellow Flash Bulletin:

  • Bob Kramer, Founder and Fellow of Nexus Insights joined Jocelyn Dorsey, Becky Kurtz, Elise Eplan and Deke Cateau on a panel last month for A.G. Rhodes Living Well-Virtual to discuss the stark realities of what is happening with COVID19, aging, and in the senior housing world. “What became clear in our conversation is that, despite the overwhelming challenges and difficulty in pandemic protocols and vaccine strategies, there was a sense of hope throughout.
  • Jay Newton-Small, CEO of MemoryWell, announced $2.5 million in new Series Seed funding. The company will use this funding to scale its platform and to continue to build its predictive social determinants of health AI rating system.
  • Nexus Fellow Kelsey Mellard, CEO of Sitka, announced that Sitka has raised $14 million in Series A financing led by Venrock, with participation from existing investors Optum Ventures, Homebrew, First Round Capital, and Lifeforce Capital. This round of funding will enable Sitka to accelerate product development and expand growth with new and existing partners.
  • Jill Vitale-Aussem, president and CEO of Christian Living Communities, and Nexus Insights Fellow, was featured in a McKnight’s Senior Living piece on how the senior living industry needs to change. “We need meaningful purpose in our lives. We don’t need to live in a hotel. We need to belong…to continue growing and learning…I am a huge proponent of shifting our thinking of residents as customers, which really creates helplessness, and moving to a model of citizenship”
  • In an op-ed piece in The Dallas Morning News, Jacquelyn Kung, CEO of Senior Care Group at Activated Insights and a Nexus Insights Fellow, with Nexus Insights Founder and Fellow Bob Kramer and author Ed Frauenheim offered five practical solutions for “repairing and renewing the industry.”
  • In a recent interview, Nexus Fellow Jody Holtzman cited four important trends to consider as we embark on a rebuild of a broken industry. Three of them are driving a changing view of health: the expanding holistic view of health that started with a focus on social determinants; the growing list of non-traditional supplemental benefits reimbursed by CMS; and, the increasing centrality of the home as the locus of health, care, and connected living. These are tempered however by a counter-trend: the slow uptake and limited usage of new supplemental benefits.
  • In a recent article for the journal Health Affairs, Nexus Fellow David Grabowski, along with Charlene Harrington, Anne Montgomery, Dr. Terris King, Sc.D., and Mike Wasserman, discussed recommendations for changes to public policy that would “make ownership, management, and financing more transparent and accountable to improve US nursing home care.”
  • In his latest piece on the SmartLiving 360 blog, Nexus Fellow Ryan Frederick explains that while Zillow provides comprehensive information about homes to purchase or rent, it can’t answer the question of what happens when you lose electricity and water for days, as happened in Texas recently. Whether neighbors come together as a community to help each other through the crisis has a big impact on whether you’ve chosen the right place to live.
  • Long-term services and supports (LTSS) when provided in the community as home and community-based services (HCBS) can be a lifeline to help a person live safely at home and age with dignity. In a position paper on HCBS, A Blueprint for Reforming Medicaid Long-Term Services and Supports and Creating Good Caregiving Jobs, ATI Advisory CEO, and Nexus Fellow, Anne Tumlinson shared three recommendations for legislators and regulators to expand access to home-based care services sustainably and equitably. 
  • Sarah Thomas, CEO of Delight by Design and Nexus Fellow, was keynote speaker at the Rehab Tech Summit in February. In her speech titled, Designing the Future: Creating Your Own Path Through a Lens of Innovation, she said,  “It’s time we challenge our own views on aging. As we design products, services, spaces and communities we must design for ALL. Our designs should delight our consumers at every age. It was such a pleasure to share my professional journey that has taken me around the world changing the global perspectives on aging.”
  • Caroline Pearson recently completed a project looking at consumer experience measures for Medicare Advantage plans. The report recommendations holding plans accountable for aspects of consumer experience that are meaningful to beneficiaries and within the health plans’ control to improve. Caroline’s team at NORC continues to examine the impact of COVID-19 on older adults in seniors housing. Look for their report due out soon.
  • Dr. Bill Thomas will be featured in the 30th Annual Aging Well Conference hosted by the University of Wisconsin-Parkside Professional and Continuing Education Office on April 23 & 30. In his keynote, Dr. Thomas will deliver a multi-part interactive keynote “What if Everything we Know About Aging is Wrong?” followed by a Q&A session. In his breakout session “MAGIC:  Exploring Intergenerational Communities,” Dr. Thomas will share new concepts in Multi-Ability, Multi-Generational, Inclusive Communities that brings together people of different ages, abilities, and backgrounds.

Stay connected and engaged with our Nexus Fellows. Subscribe to our newsletter.

Events

From Customer Service to Citizen-Driven Communities – Enabling Life, Purpose and Belonging in Senior Living

Join Linked Senior and Bridge the Gap for an #ActivitiesStrong Executive Edition webinar on April 6th featuring Jill Vitale-Aussem, President and CEO of Christian Living Communities. During this Q&A session, Jill will describe why she believes that ageist beliefs in the senior living industry and society at large result in communities that are built around the idea that older adults have nothing left to give and no purpose. Jill will outline steps that activity and life enrichment professionals can take to disrupt this unhealthy model, shifting a customer service model to a model of citizenship: True community-building happens when purpose and meaningful engagement is an organization-wide effort and successful models of wellbeing are enabled by honoring Elders as contributing citizens of the community.

Participants who attend this webinar will be able to:
• Create a community for residents that is inclusive and celebrate engagement as an organization wide responsibility.
• Learn how to interact with residents not as customers but as active and contributing citizens of the community.
• Advocate for the elevation of the activities department as an essential part of the organization worthy of recognition, respect and funding

Register: https://us02web.zoom.us/webinar/register/WN_CWDJ9-cBRDW0Gozzy0Og6w