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Argentum 2016 Senior Living Executive Conference concurrent session Original session date: Wednesday, May 11, 2016, 3:30 - 4:45 PM Speakers: Dan Cohen, Executive Director, Music & Memory Kevin Coughlin, Policy Initiatives Advisor - Executives, Wisconsin Department of Health Services Jim Murphy, Executive Director, Wisconsin Assisted Living Association
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Changing Lives Through Music & MemoryDan Cohen | Music & Memory, Executive Director
Kevin Coughlin | WI DHS, Policy Initiatives Advisor-Executive
Jim Murphy | WI Assisted Living Association, Executive Director
Agenda
► The Power of Personalized Music – Dan Cohen
► Why is this an important issue for assisted
living? – Kevin Coughlin
► The Wisconsin Journey – Kevin Coughlin
► How WALA is promoting personalized music –
Jim Murphy
► Q&A
The Power of Personalized Music
The Power of Personalized Music
Dan Cohen, MSW, Executive Director
Music & Memory, Inc.
Select Participants & Include Family Members
Grab
A
Splitter
Gain
A Purpose
Family members will enjoy taking a music journey with their
loved one!
Active Seniors – Finding New Purpose
Active Seniors are finding new purpose and are proficient
in song selection for their peers - intuitive
Key Benefits for Assisted Living
► Increase in socialization enhancing relations and
engagement
► Assists with aging in place
► Reduction in number of meds dispensed saves time
► Active Seniors gain purpose
STUDENT INTERN & VOLUNTEER PROGRAMS
“Everyone at Mirador, as at the other two communities, said that this was the best health services event ever!”
Beth Wilbins, Forte Group
Music & Memory’s Vision
Music & Memory’s vision is
to have one’s favorite music
accompany them as they
move through the healthcare
system.
"We have utilized the HOSA program and the group has done a wonderful
job in assisting with the Music and Memory Program. We started out with 4
and have grown to 12 individuals on many different levels.
We have noticed that it has decreased behaviors, depression, anxiety and
increased socialization, cognition, and provided comfort to those needing
it. It’s amazing how music touches the soul and heart of an individual.”
Paula Quails - Activity Coordinator
The Vista Blue Skies of Texas-West
HOSA
Best Practices: Successful Program
► Management Enthusiasm and Support
► All-in Approach: This is a facility-wide program.
► An interdisciplinary implementation team (min 5 staff
members)
► All Staff and family familiar with the program
► Part of new employee orientation training
► The right equipment. Access to iTunes. Laptop w/CD
► Fundraising, volunteers & community awareness
► Show Alive Inside to the community
Music Availability
► Music availability is time-limited and song
selection is age-appropriate, not person specific.
► Go beyond eras or genres of music to favorite
songs by favored artists offers greater benefits to
individuals.
► Program can go virtually anywhere and be
available 24/7.
Program Benefits for Individuals & Staff
► Brings joy and enhances quality of life
► Helps to increase communication and social engagement
► Restores identity and personhood
► Antidote to boredom, isolation, pain and depression
► Stimulates participation
► Offers an alternative to pharmacologic interventions –
individuals can be their best selves
► Offers a distraction with medical treatments such as
dialysis and chemotherapy
► Reduces agitation and Alzheimer’s-related “Sundowning”
NYC Health & Hospitals Corporation
“No fights. No falls.”
Independent Survey Results
► Most respondents (83%) would favor a residential community that offered residents iPods with individualized playlists versus a similar care community that did not.
► Half of respondents would consider moving outside their city to find a care community that offered residents iPods, with 8% willing to move out of state.
► More than half of respondents would spend more money on a care community that offered residents personalized iPods.
Why is this an important issue in assisted living?
• GOA - ANTIPSYCHOTIC DRUG USE 2015
http://www.gao.gov/assets/670/668221.pdf
• We recommend that the Secretary of HHS
expand its outreach and educational efforts
aimed at reducing antipsychotic drug use among
older adults with dementia to include those
residing outside of nursing homes by updating
the National Alzheimer’s Plan.
Why is this an important issue in assisted living?
Why is this an important issue in assisted living?
Why is this an important issue in assisted living?
National Plan to Address Alzheimer’s Disease: 2015 Updatehttps://aspe.hhs.gov/sites/default/files/pdf/107031/NatlPlan2015.pdf
Strategy 2.H: Improve Care for Populations Disproportionately Affected by Alzheimer’s Disease and for Populations Facing Care Challenges
– One of the aims of the behavioral symptom management effort is to reduce use of anti-psychotics in home and community settings as called for in the 2015 General Accountability Office (GAO) report on this topic.
Strategy 3.D: Maintain the Dignity, Safety and Rights of People with Alzheimer’s Disease
– Problem solving strategies may include such actions as treating any medical conditions, evaluating any facility practices that negatively affect a resident’s health, safety or quality of life, training of facility staff on person-centered approaches, including non-pharmacological approaches which may prevent the unnecessary use of anti-psychotics.
Wisconsin’s Journey
http://www.youtube.com/watch?feature=player_embedded&v=fyZQf0p73QM
First state to lead a statewide effort of personalized music
► Civil Money Penalty grants funded three phases
of Music & Memory implementation to nursing
homes (300+).
► Grants and Collaborations to expand to assisted
living, other healthcare entities and agencies.
► Wisconsin Music & Memory Summary
https://www.dhs.wisconsin.gov/publications/p01231.pdf
M&M Sites in Wisconsin
Project Description
► Support M&M participants through
implementation of the M&M program, and
establish a process to continue this effective
approach.
► Link Wisconsin M&M certified facilities with a
research entity for an evaluation to determine
the effectiveness of M&M as an evidenced-
based practice.
What the facility or AL Community receives
► M&M certification, listing on national webpage
and Wisconsin’s webpage
► All the equipment needed to implement
personalized music
► $150 iTunes gift card
► Support and technical assistance
A monetary value of $1,500 to $2,000
The benefits to residents and staff—priceless!
What it costs facility or AL community
► No monetary investment
► Time commitment to fully participate in the
certification process and ongoing
implementation
► Time commitment to participate in the research
(evaluation) component of the Wisconsin M&M
Program
Website to support the participants
http://www.dhs.wisconsin.gov/music-memory
Wisconsin Music & Memory Mailbox
► Daily response by project leads
► Answer questions, send communication, lend
support
Monthly Webinar Support Meetings
► Answer questions related to implementation.
► Facilitate peer-to-peer support.
► Provide best practices and other technical
assistance.
► Provide communication and updates from the
research entity.
► Bring in experts in the field of dementia and
Alzheimer’s care.
Who are the “Henrys” in your community?
Promote your program in the News!
Partnership with Alzheimer’s Association Chapters
Walk to End Alzheimer’s® combined with an iPod©
donation drive for participating facilities
Partnership with Alzheimer’s Association Chapters
DHS Dementia Care System Redesign
http://www.dhs.wisconsin.gov/dementia/index.htm
Collaboration With Schools
Collaboration with high schools
• Department of Health Services and Department of
Public Instruction created Brain Health (mini unit)http://sspw.dpi.wi.gov/sites/default/files/imce/sspw/pdf/hebrainhealth.pdf
• Clark Street School Pilot, Middletonhttp://mcpasd.k12.wi.us/news/cscs-students-impress-uw-events
• Milwaukee High School of the Arts, Milwaukee
• 32 nursing homes and local high schools
• 6 assisted living communities and their local high
schools
Claude Pepper Center Video
► Scientific implications of Wisconsin Music & Memory
► Policy implications of Wisconsin Music & Memory
► Music & Memory YouTube trailer: http://claudepeppercenter.fsu.edu/music-and-memory-trailer/
National Partnership to Improve Dementia Care
► In 2012, the Centers for Medicare & Medicaid Services (CMS) launched the National Partnership to Improve Dementia Care.
► Prevalence - U.S. 17.4%; WI at 13.2% (ranks 6th)
► Goal as a nation is to reduce use of antipsychotic mediations in nursing homes by the following percentages. Chart shows how Wisconsin compares to the United States:
Goal Wisconsin U.S.– Decrease by 15% end of 2013 14.5 15.1
– Decrease by 20% end of 2014 24.8 20.1
– Decrease by 25% end of 2015 30.1 (Q3) 27.0 (Q3)
– Decrease by 30% end of 2016 TBD TBD
37
Collaboration With Other States (25)
So far: Alabama, California, Connecticut,
Colorado, Delaware, Kentucky, Illinois, Indiana,
Louisiana, Maryland, Minnesota, Nevada, New
Hampshire, New Jersey, New York, North
Carolina, Ohio, Oklahoma, Pennsylvania, Texas,
Utah, Vermont, Virginia, Washington, and West
Virginia
Collaboration with other countries
So far:
► Canada
► Australia
► Holland
Expansion – Assisted Living
Assisted Living Communities
Park Family Foundation Grant Funded Project
► Recruit 3 WCCEAL assisted living communities (ALC)
from each of the two associations (WALA and
LeadingAge). https://wcceal.chsra.wisc.edu/
► Fully fund ALC to become certified as MUSIC &
MEMORYSM (M&M) facilities.
► Fully Fund training to implement a iPad Program for
residents with dementia.
► Fully fund M&M ALC with the required equipment for an
average of 6 residents and 2 iPads.
► Evaluate implementation as well as resident and ALC
outcomes.
► Support ALCs through implementation.
41
Criteria for selection
► WCCEAL member in good standing.
► Primary client group – Alzheimer's or related
dementia.
► 25 beds or under.
► Have at least 4 residents on an antipsychotic or
antianxiety medication.
► Agree to implement the program as trained.
► Agree to participate in an evaluation.
42
What Will the Assisted Living Community Receive?
► MUSIC & MEMORY℠ certification
► Using iPads as Tools to Improve Quality of Life Training
► Average of six iPod© shuffles, headphones, and AC adapters
► One headphone splitters and a set of external speakers
► $100 iTunes © gift card
► Two iPads with apps
► Support and technical assistance
► Student volunteer program with a local high school
A monetary value over $1,500!
The benefits to residents and staff—priceless!
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Wisconsin Assisted Living Association
► Other M & M assisted living initiatives in
Wisconsin
– M3: Large insurance company sponsored 10 and 8
have expanded and purchased more equipment for
more residents.
– WALA: Launched with 6 and just getting started. All
have now been through M & M training, equipment
has been shipped and internal support group meets
by phone the first week of June.
Wisconsin Assisted Living Association
Remember The Face
Meet Mary Jean
https://www.youtube.com/watch?v=YdIgTYhw-WA
Wisconsin Assisted Living Association
Meet Karen Schacht,
COO of Sylvan Crossings
Assisted Living and Memory Care
Madison, Wisconsin
Wisconsin Assisted Living Association
► A wise man once told me that we do what we do because of
the face that makes all the difference. Can you believe this
person is in the later stages of Dementia and also has a DX of
depression?
► I am a proud promoter of the Music & Memory Program and
encourage everyone who is touched by dementia to utilize
this program.
► I have been supporting and implementing this program since
2010. Touching the lives of 100s of residents like Mary Jean
and a total of 30 communities thanks to amazing associations
like WALA and insurance companies like M3 who see the
value of the program and provide support to get the program
going in assisted living.
Wisconsin Assisted Living Association
► Thank you to Dan Cohen introducing this program and
all of his supporters for taking this program to the next
level.
► The statistics of how this improves the lives of our
residents have been shared but I would like to leave you
with the face as a lasting impression!
Question and Answer
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Question and Answer
50