Pioneer Network in Culture Change

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Pioneer Network in Culture Change

Posted on March 3, 2009

“Culture change” is the common name given to the national movement for the transformation of older adult services, based on person-directed values and practices where the voices of elders and those working with them are considered and respected. Core person-directed values are choice, dignity
respect, self-determination and purposeful living.

Culture change transformation supports the creation of both long and short-term living environments as well as community-based settings where both older adults and their caregivers are able to express choice and practice self-determination in meaningful ways at every level of daily life.

Culture change transformation may require changes in organization practices, physical environments, relationships at all levels and workforce models – leading to better outcomes for consumers and direct care workers without inflicting detrimental costs on providers.

The Pioneer Network was created in 1997 to develop cross-disciplinary partnerships, collaborations, and networks to advance culture change. Throughout its first decade, Pioneer Network has met with tremendous success in achieving these goals and advocating for a person-directed model of care that places more of the locus of control and decision making in the hands of care recipients and direct care providers. As the Pioneer Network moves into its second decade, its focus is on nationwide adoption of consumer-directed models and on supportive implementation strategies involving more professionals in the field. The following are some of leading highlights to date:

  • Formed the new National Life Safety Code (LSC) Task Force to recommend changes to the LSC that will support person-centered care in nursing homes. The recommendations will be submitted to the National Fire Protection Association for review by August 1, 2009. .
  • Working with The Hartford Institute of Geriatric Nursing (HIGN), and The Coalition for Geriatric Nursing Organizations to augment the work to date of HIGN in identifying the principles and characteristics of a nursing practice model that includes role definition and culture change competencies of all members of nursing service. Funded by The Commonwealth Fund.
  • Articulate the Case for Adoption to support the link between quality and cost efficiency/profitability outcomes at an operational level for homes practicing innovation and person-centered care.
  • Small House Webinar series will explore topics around the development, implementation and sustainability of both attached and detached smaller environments and small houses for older adults. The one-hour sessions are scheduled for March 5, 12 and 19 at 1:00 PM EST. Registration is available online only, at Funded by The Robert Wood Johnson Foundation.
  • Hosts a national conference that is a showcase for innovative thought and transformative practices on the long-term care culture change movement. Registration available for the 9th National Conference, Coming Together. Creating Community. It’s Only Natural!, August 12-14, Little Rock, AR. Go to

You can learn more by visiting their new website,