Much of the discussion regarding frailty among older
adults focuses on how to prevent decline through more targeted assessment and
biomedical interventions. This session will present perspectives from European
literature on thriving among frail older adults as a means of enhancing
outcomes for residents in PA/LTC. Eleanor McConnell, Ph.D., RN, will emphasize
how a thriving perspective aligns with ongoing trends in health care, such as
those emphasizing person-centered approaches and increased focus on social
determinants of health. Challenges and opportunities faced by PA/LTC staff and
their leaders seeking to promote resident thriving will be highlighted, such as
balancing biomedical and person-centered approaches to care and reconsidering
quality indicators and leadership models.
Eleanor McConnell, PhD, RN, is Associate Professor and
Director of the Geriatric Nursing Center of Excellence in the School of Nursing
at Duke University, a Senior Fellow of the Duke Center for the Study of Aging
and Human Development, and a Core Investigator at the Department of Veterans
Affairs Geriatric Research, Education and Clinical Center (GRECC) in Durham,
NC. Her research and clinical scholarship focuses on improving quality of life
among older adults with complex chronic illnesses, particularly among those who
are frail, and those who suffer from major neurocognitive disorders. She has
devoted her career to improving quality of life and quality of care among those
residing in LTC, and her work has been recognized through the Ewald Busse Award
from the NC Department of Health and Human Services for her impact on
state-level LTC policy. Her work is published in leading medical and nursing
journals and is co-editor of the pioneering textbook “Matteson and McConnell’s
Gerontological Nursing: Concepts and Practice,” first published by Elsevier in
(1) Define thriving as it pertains to frail older adults living PA/LTC
(2) Analyze how various long-term care staff members can affect core elements
of thriving in their daily work.
(3) Contrast quality indicators currently used in PA/LTC, and how they support
or interfere with thriving.
(4) Apply the adaptive leadership model to promoting thriving in PA/LTC.
Closing Keynote -- The Future is Not What it Used to Be! Innovating for
an Unpredictable Tomorrow
Arif Nazir, MD,
Successful innovation requires
leadership’s commitment to a culture of rapid experimentation, failure, and
iteration. In the words of Louis Gerstner, the iconic retired IBM CEO, “culture
isn’t just one aspect of the game – it is the game.” Healthcare organizations
that have historically excelled in now outdated physician-centric culture, are
faced with the challenge of implementing technological solutions for
patient-centered care delivery. Are we, the members of the PA/LTC community,
ready to embrace a new culture? Arif Nazir, MD, CMD, relied on innovation to
address a real challenge in his facility. Confronted by a dissatisfied patient
who described the health care system as worse than the local burger joint, his
team transformed the traditional care-delivery model to a new approach:
Patients as the CEO of their health. The success of this approach convinced Dr.
Nazir of the value of inventive problem solving, not only at work but also in
daily life. Dr. Nazir will highlight his experiences that shaped his
perspectives on the power of innovation. As the Chair of the Innovations
Platform Advisory Council for the Society, he will share his vision to
transform the Society culture to lead meaningful healthcare innovations.
Arif Nazir, MD, CMD, is a
Geriatrician and an Associate Professor of Clinical Medicine in the University
of Louisville. In his current role as the Chief Medical Officer for Signature
HealthCare, he oversees the delivery of innovative clinical programs in more
than 125 skilled facilities across ten states. Among many other previous roles,
Dr. Nazir provided leadership as the medical director of a unique CMS
Innovations project, OPTIMISTIC, that significantly reduced the avoidable
hospitalizations of long-stay nursing home patients in 19 Indiana facilities.
Dr. Nazir is the Vice President of the Society and also Chairs the Innovation
Platform Advisory Committee for the Society.
(1) Recognize the importance of a culture of innovation for organizations.
(2) Describe key innovations that are re-defining healthcare delivery.
(3) Strategize on how they can promote innovative thinking in their work
(4) Envision Society’s future promotion of innovation in the PA/LTC
Mary Evans, MD, CMD, Annual
Conference Planning Subcommittee Chair