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 Charlene Boyd shares how she led organizational change in longterm care settings, dismantling outdated practices to put residents first.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/.