Elevate Eldercare

In this episode, Susan Ryan sits down with Rachel Broudy, MD, a passionate physician, innovator, and advocate for transforming eldercare. Her extensive experience includes serving as medical director at two PACE programs and currently as medical director of Pioneer Valley Hospice and Palliative Care and eldercare faculty at Ariadne Labs.

This episode explores Dr. Broudy's journey into aging services and her groundbreaking work at Ariadne Labs, where she led the creation of a well-being framework and conversation guide for nursing homes. Developed through Ariadne's Innovation Arc process—research, design, test, and spread—this four-year project culminated in a pilot at two Mississippi nursing homes. The result? A practical, scalable toolkit that empowers staff and centers care on purpose, connection, and meaning.

Dr. Broudy also shares her work on the Living Well with Dementia Toolkit, which redefines dementia care as an adaptive, relational journey. The toolkit includes conversation and emotion cards that help families and caregivers explore emotions, relationships, and identity—helping shift how we understand and support those living with dementia.

If you're looking for inspiring ideas and practical tools to shift the culture of aging and long-term care, this episode is a must-listen.

Some links of interest:

Ariadne Labs Innovation Arc: https://www.ariadnelabs.org/about-us/ariadne-labs-arc/

Ariadne Labs Well-being Framework & Conversation Guide: https://www.ariadnelabs.org/resources/downloads/wellbeing-toolkit-conversation-guide/

Ariadne Labs Living Well with Dementia Toolkit: https://www.ariadnelabs.org/dementia-solutions/

There are few people who have the depth and breadth of knowledge about long-term services and supports than Jennie Chin Hansen, who we are honored to have as the 300th guest on today's episode.

With a rich background in nursing and a penchant for solving problems, Hansen's career spans decades of leading top healthcare organizations such as the American Geriatrics Society, AARP, and On Lok, which is the flagship/prototype for what is now known as People for All-Inclusive Care for the Elderly (PACE). She currently serves on the boards of the Medicare Advantage SCAN Health Plan and HelpAge USA. In 2019, she helped to craft the California Masterplan for Aging, now in implementation.

For this week's episode, Hansen sits down with Susan Ryan to discuss how her childhood experience as an Asian girl living in Boston shaped her career choices. She also discusses her desire to see more upstream work that focuses getting "people prepared for their own aging changes."

Finally, Hansen shares her vision for what she believes will help to not only "hold the line," but also move it with regard to ensuring economic security for older Americans.

Among Hansen's many awards are the American Academy of Nursing's Health Care Leader Award, American Society on Aging's Hall of Fame Award, and the National Council on Aging's Lifetime Achievement Award.

In 2024, she received an honorary Doctorate of Humane Letters degree from Harvard University at its commencement ceremony in May of 2024. Here is video of highlights from that event: https://youtu.be/lzDYU7sNddA?si=W0hGbEWsS8osCaRq.

Susan Ryan welcomes three trailblazers in the eldercare culture change movement to this week's episode: Joanne Rader, Charlene Boyd, and Rose Marie Fagan. Each guest has a distinct and storied history within the culture change movement, and each has taken an interesting and unique journey built on their pioneering experiences.

Joanne Rader recounts her shift from rehab nursing to transforming geriatric mental health—moving away from restraints and toward truly personcentered care. Charlene Boyd shares how she led organizational change in longterm care settings, dismantling outdated practices to put residents first. Rose Marie Fagan reflects on her journey from teaching to eldercare advocacy, culminating in the formation of the national Pioneer Network.

Together, they explore past challenges, celebrate hardwon successes, and cast a vision for continued communitydriven reform.

Collectively, they recount the wins they have accomplished along the in transforming eldercare and improving quality, including the following: eliminating restraints and realityorientation protocols transforms quality of life; perspective shifts that views elders as full participants, not passive recipients in their care; the creation of grassroots forums and persistent advocacy that gave birth to the Pioneer Network and a national movement; and change that now demands risktaking, intergenerational partnerships, and amplifying elders' voices.

In addition, they discuss their work in making "good trouble" that champions bold, disruptive ideas that advance personcentered care.

Their call to action is to join them at the Center for Innovation conference this Aug. 11 to 14 in St. Louis, Mo. Don't miss the preconference session featuring Boyd, Rader, and Fagan, as well as many other pioneers who continue to mobilize the culturechange movement: https://cfi2025.org/.

In this episode of Elevate Eldercare, Susan Ryan welcomes Mario Rubano, a passionate advocate for older adults. Mario shares his remarkable journey from a childhood steeped in intergenerational connection to a career that spans music therapy, public health, and systems change in aging services.

In his role as Regional Program Manager at OATS (Older Adults Technology Services) from AARP, Mario is focused on transforming how older adults engage with technology. OATS now has more than 500 partner sites in 37 states through its Senior Planet programming, which seeks to empower older adults to achieve meaningful change in areas like financial security, social connection, creative expression, health, and civic engagement.

In addition to diving into the operations and scale of OATs, Mario shares his vision for a future where older adults are not only tech-savvy but leaders in shaping how technology is used to promote connection, health, and purpose.

He closes with a call to action: explore Senior Planet programs, take a free class, and spread the word about OATS's mission to close the digital divide.

For more information:

OATS from AARP: https://oats.org/

Senior Planet Licensing: https://oats.org/licensing/

Tech Resources for Caregivers: https://seniorplanet.org/caregiving/

The 2025 Center for Innovation Conference registration has launched! And in today's episode, Susan Ryan talks with Joan Divine and Marla DeVries about what's in store for this auspicious event, scheduled for August 11 to 14 in St. Louis, Missouri.

Hosted by The Green House Project and Pioneer Network, this event marks a significant gathering for those committed to transforming eldercare.​

In addition to a discussion about the theme of "Mobilize the Movement," some episode highlights include the following:

• An exploration of the legacy of the Pioneer Network and its pivotal role in advocating for person-centered care and culture change in eldercare settings. • A look at the opening keynote speaker, Bob Chapman, including insights into his philosophy of "Truly Human Leadership." • A discussion about the Tech Innovation Summit and Coaching Boot Camps, both designed to equip attendees with cutting-edge tools and leadership skills.​ • A review of the opportunities for hands-on learning and connecting with professionals dedicated to eldercare innovation.​ • Site visits that enable attendees to experience, firsthand, the innovative care models at Green House Cottages and Dolan Memory Care Homes, exemplifying non-institutional, person-directed care environments.​

Link to conference website : CFI2025.org

Link to conference agenda: https://cfi2025.org/program/

Link to conference registration: https://cfi2025.org/sign-up/

In this week's episode, Susan Ryan sits down with Dr. Carol McKinley, president and CEO of Simpson, a senior living community in Bala Cynwyd, Pa.

Carol shares her journey of more than 35 years in eldercare, and how early interactions with her grandmother and father's ministry work inspired her career in social work and geriatrics.

In addition to emphasizing the importance of listening to older adults and integrating their needs into care plans, Carol discussed future advancements in home-based technology to support aging in place and reducing workforce strain.

Carol urged embracing technology and innovation to enhance caregiving, and Simpson's use of the innovative Amba program to monitor residents' wellness and improve care efficiency.

Find more details about Simpson here:

Simpson Senior | Senior Living in Pennsylvania | Senior Living Community

Inspiration comes in many forms, but in the field of aging services it appears that it most often comes from one's own experience with a loved one. Case in point: Jennifer Baker, policy director at the Moving Forward Nursing Home Quality Coalition, whose motivation to work in eldercare comes from early exposure to her great aunt and grandmother, both of whom had Alzheimer's disease.

Susan Ryan sits down with Baker for today's episode to discuss her career journey,which included a pivotal fellowship that enabled her to live in an Alzheimer's home in South Africa. This, she says, shifted her perspective from viewing patients as victims to valuing their personhood.

Baker also highlights her work on the University of Nevada, Reno Sanford Center for Aging, including launching an AmeriCorps VISTA project and a walking program for people living with dementia.

In discussing the challenges of federal funding cuts and the impact on programs and services for older adults and people with disabilities, Baker reflects on the importance of advocating for programs that support community living and the potential consequences of premature nursing home placements.

For more information about the Moving Forward Coalition: https://movingforwardcoalition.org/

Bold, visionary leaders are the ones who challenge the status quo, break down barriers, and champion quality of life for older adults. Today's guest, Karen Schoeneman, is a shining example of that kind of leadership.

This week, Susan Ryan sits down with Karen to discuss her many years of work reforming long term care, beginning with her work in social services, where her passion for resident-centered care took root. That passion fueled a remarkable 22-year career at the Centers for Medicare & Medicaid Services (CMS), where she specialized in regulatory guidance for quality of life, led survey process improvements, and helped train more than 5,000 surveyors nationwide.

As a founding member of the Pioneer Network, Karen helped to grow a national movement dedicated to transforming long-term care. She played a key role in the development of the Artifacts of Culture Change, a tool used by nursing homes and assisted living communities to assess and enhance person-centered care.

Karen's groundbreaking contributions have earned her numerous accolades, including the Picker Philanthropy Lifetime Achievement Award, the ACHCA Public Service Award, and the Pegasus Award for her work as executive producer of the CMS "Hand in Hand" training toolkit.

Though officially retired, Karen's legacy lives on through the countless people and communities she has inspired to embrace person-directed practices.

Tune in and be inspired by Karen's journey, her insights, and her unwavering dedication to culture change in eldercare.

In this episode, Susan Ryan sits down with Marcus Engel—speaker, educator, and expert in compassion science—whose powerful survival story has become a catalyst for inspiring more humane, connected workplaces. Through his work, Marcus helps organizations foster environments rooted in empathy, connection, and purpose.

With a Master's in Narrative Medicine from Columbia University and a teaching role at the University of Notre Dame, Marcus brings a unique blend of storytelling and science to the conversation. He's spoken at top healthcare institutions, universities, and even the United Nations in celebration of International Nurses Day.

In addition to exploring how Marcus' personal journey shaped his commitment to compassion, this episode examines what "narrative medicine" is and why it matters in healthcare and beyond, strategies for cultivating compassion in professional settings, and the power of staying connected to mission in high-stress environments.

Connect with Marcus Engel here: https://marcusengel.com/

In today's episode, Susan Ryan sits down with Dan Gordon, Craig Major, and Stephanie Smithson of ACH Group, creators of the first international Green House homes in Adelaide, Australia.

Based in South Australia, ACH implemented the Green House model into its newest residential care home, Healthia, in Elizabeth in 2023.

Dan, a nurse, and Craig, a healthcare manager, discuss their journeys into eldercare, and their experiences with the Green House model. Stephanie, who has 36 years of experience in eldercare, highlights the benefits of model. The project includes eight individual houses with 12 rooms each, a partnership with the local health network, and a hospital-in-the-home program.

The group explains how the homes' care model has had a powerful impact on the residents as well as the staff.

Find more details about ACH's Green House home, Healthia, here: https://achgroup.org.au/location/healthia-residential-care-home/