2015 Annual Report - Schmieding Center

2015 Annual Report
A program of the Donald W. Reynolds Institute on Aging and the Arkansas Aging Initiative
A program of the Donald W. Reynolds Institute on Aging and the Arkansas Aging Initiative
in partnership with Northwest Health System
in partnership with Northwest Health System
2015 Annual Report
TABLE OF CONTENTS
LETTER FROM DIRECTOR OF EDUCATION ................................................................................................... 3
DESCRIPTION AND BACKGROUND OF ORGANIZATION ........................................................................... 5
2015 SCHMIEDING CENTER STAFF .................................................................................................................. 6
2015 ORGANIZATIONAL CHART ...................................................................................................................... 7
2016 ORGANIZATIONAL CHART ...................................................................................................................... 8
SCHMIEDING EDUCATION ................................................................................................................................ 9
HEALTH PROFESSIONAL PROGRAMS ............................................................................................................ 9
PARAPROFESSIONAL EDUCATION ............................................................................................................... 11
IN-SERVICE PROGRAMS .................................................................................................................................. 19
COMMUNITY EVENTS ...................................................................................................................................... 21
UAMS MEDICAL STUDENT CLERKSHIP ....................................................................................................... 29
AGING RESOURCE CENTER REPORT ............................................................................................................ 33
RESEARCH & DEVELOPMENT ........................................................................................................................ 34
AGING SERVICES .............................................................................................................................................. 35
PARTNERSHIPS .................................................................................................................................................. 40
LEVERAGING ..................................................................................................................................................... 43
COMMUNITY ADVISORY COMMITTEE ........................................................................................................ 44
2015 FACILITY, AUDIO VISUAL AND INFORMATION SYSTEMS ............................................................ 47
OUTREACH AND PROMOTION ....................................................................................................................... 48
NORTHWEST SENIOR HEALTH CLINIC REPORT ........................................................................................ 53
OUTREACH SITE – BELLA VISTA .................................................................................................................. 55
APPENDIX A – EXAMPLES OF ARTICLES .................................................................................................... 60
APPENDIX B – EXAMPLES OF ADVERTISEMENTS .................................................................................... 68
APPENDIX C – EXAMPLES OF PROMOTIONAL FLYERS ........................................................................... 72
APPENDIX D – 2015 COMMENTS ................................................................................................................... 76
APPENDIX E – SUPPORTING DOCUMENTS .................................................................................................. 81
CNA APPROVAL................................................................................................................................................ 81
EVIDENCE BASED APPROVAL ............................................................................................................................ 82
HOME CARE SPECIALIST AGREEMENT WITH NTI .............................................................................................. 83
1
2
Letter from Director of Education
February 1, 2016
Dear Friends of the UAMS/Schmieding Center:
As I draft this introduction, I find that I have a great sense of nostalgia. The Merriam-Webster
dictionary defines “nostalgia” as a wistful or excessively sentimental yearning for return to
some past period or condition. With the following sentence the beginning of Dr. Larry D.
Wright’s career at the Schmieding Center for Senior Health and Education (SCSHE) was
marked in the 1999 Annual Report; it read “Implementation of the administrative structure
was initiated with the appointment [on] January 1, 1999, of Larry D. Wright, MD as Director
of the SCSHE.” It is my task with the 2015 Annual Report to mark the end of Dr. Wright’s
16 year journey. On October 26, 2015, our founding Executive Director, Dr. Larry D. Wright,
resigned his position with the SCSHE. It seems too simple a statement for such a
distinguished career at the Schmieding Center.
During my five years of service at the Center, I have been impressed by the passion of this
organization in pursuing the health and well-being of older adults through our education
programs, our aging services, and our clinical services. In each of these areas, Dr. Wright
embodied the best of who we were, who we are, and who we hope to be. His kindness,
compassion, skill, professionalism, and knowledge established a firm foundation for the
Schmieding Center and set a high standard of achievement that is obvious to all who
encounter our organization. I invite friends and colleagues, past and present, of the
Schmieding Foundation, the University of Arkansas for Medical Sciences, the Northwest
Health System, the Area Agency on Aging of Northwest Arkansas, and especially the staff of
the Schmieding Center, to join me in expressing sincere gratitude to Dr. Larry D. Wright for
his stellar service and outstanding contribution toward keeping older adults in northwest
Arkansas and around the world healthy, happy, and at home.
Thanks for the memories Dr. Wright!
3
Now as I look to the particulars of this report, I hope that you will take the time to review each
section. Some areas of particular accomplishment during 2015 include:







Designation of the Schmieding Home Caregiver Training Program by the Arkansas
Department of Human Services Division of Aging and Adult Services as an
intermediate level evidence based health promotion program.
Approval of our newly designed Nursing Assistant Training Program by the Arkansas
Department of Human Services Division of Medical Services Office of Long Term
Care.
The Schmieding Center became a site that is certified by the Arkansas Lifespan
Respite Coalition to offer free respite training for volunteer respite providers, family
caregivers, and community and faith-based groups.
Entered into a cooperative agreement of affiliation with Northwest Technical Institute
for acceptance of Schmieding Certified Home Care Specialists for admission into their
Practical Nursing Program.
Collaborated with LPN students and nurse educator staff from Northwest Technical
Institute to offer our first 3-day Family Caregiver Event free to the public.
Implemented our Smart Aging-Living Well series to offer information from local
experts on a variety of aging issues.
Continued growth and popularity of the Bella Vista Senior Health Fair which garnered
800 participants and over 70 vendors.
The above information, along with the rest of this report, represents the efforts of our
dedicated staff to maintain and enhance the vision of Mr. Lawrence H. Schmieding by
providing quality health education and services to northwest Arkansas communities.
Thank you for your continued support!
Sincerely,
Gary McHenry, EdD
Director of Education
4
Description and Background of Organization
The Schmieding Center for Senior Health and Education (SCSHE) was established January 1,
1999, as the first satellite Center on Aging affiliated with the Donald W. Reynolds Institute on
Aging (DWR-IOA) at the University of Arkansas for Medical Sciences (UAMS). Located in
Springdale, Arkansas, the SCSHE represents a cooperative effort by the DWR-IOA and
Northwest Health System.
From temporary quarters in 1999 to the 27,500 square foot, state-of-the-art facility at 2422
North Thompson Street in Springdale, Arkansas, the Schmieding Center for Senior Health and
Education stands as a visible tribute to the generosity of the late Lawrence H. Schmieding.
When Mr. Schmieding made the contribution in 1999, he envisioned a center that would
“improve the quality of life for older adults.”
The first twelve years of the Schmieding Center’s existence saw the development,
presentation, and refining of the Schmieding Certified Home Caregiver Training Program,
which was Mr. Schmieding’s foremost reason for his generous gift. “Educating more people
as home caregivers is important for keeping seniors happy and in their homes,” Mr.
Schmieding said. One of his favorite sayings was, “Where there’s home, there’s hope.” The
realization of his vision for educational programs as well as clinical and support services for
older adults has continued to serve residents of northwest Arkansas and beyond. His desire to
enrich the lives of others is his legacy to all who have been served by their experiences at the
Schmieding Center.
5
2015 Schmieding Center Staff
Dr. Larry Wright
Ellen Creakbaum
Lynnette Bennett
Nancy Galbraith
Dr. Gary McHenry
Brandi Schneider
Fink Holloway
Kathryn Sweetser
Margaret Christensen
Marjorie Hart
Rene’ Garcia-Oliver
Shaun Ratliff
6
Dianne Bufford
Lalanya Carson
Monique Parks
Sue Ackerman
2015 Organizational Chart
7
2016 Organizational Chart
8
Schmieding Education
In 2015, the Schmieding Center offered 113 educational programs with 2,284 attendees. This
number includes the educational programs for health professionals, paraprofessionals, inservice training events, community education, and the geriatric rotation for medical students
from UAMS.
Health Professional Programs
Many of the health professional
programs at the Schmieding Center
in 2015 were offered by video
teleconference (VTC). Thirteen
topics were presented by Arkansas
Geriatric Education Center
(AGEC) with 103 attendees.
There were 100 health professional programs without AGEC with a total of 2181 attendees.
This number includes 39 Geriatric Grand Rounds presentations with 167 attendees and the
VTCs provided by Connecting Across Professions, Palliative Care, and Internal Medicine
Grand Rounds.
In addition to the VTCs, the Schmieding Center hosted several events for health professionals.
These events featured more than one speaker and attendees were counted for each lecture they
attended. Events included:
Events Presented
Attendees
Pastoral Care Symposium
93
Medical Social Workers
83
Northwest Health Patient Safety Update
78
Hope for the Future Alzheimer’s Association
72
Circle of Life – Cultural Competency Training
47
9
Number of Health Professional Programs
140
116
120
113
108
100
81
80
80
60
40
20
1
1
0
CY2011
CY2012
CY2013
BELLA VISTA
CY2014
CY2015
SPRINGDALE
Participants of Health Professional Program
2500
2284
2000
1385
1500
1000
860
951
777
500
40
6
0
CY2011
CY2012
CY2013
BELLA VISTA
10
CY2014
SPRINGDALE
CY2015
Paraprofessional Education
The Schmieding Caregiver Training programs are nationally recognized evidence based
methods inspired to enrich the lives of older adults through empowerment, understanding and
quality home caregiver education. The Schmieding Center's mission is to improve “aging in
place” for adults in the second half of life with the provision of personalized programs of
education, services and healthcare for all stages of aging. Our classes have been offered in
both face to face and online formats from Springdale and Bella Vista.
In Home Assistant
The Schmieding In Home Assistant (IHA) course is a unique program designed to teach
students to care for an older adult in the home. This 40 hour course satisfies the training
required by Arkansas law for caregivers who are paid to provide care in the home of a person
who is 50 years of age or older. IHA training provides the caregiver with basic safety and
support skills. Training skills, taught by registered nurses, are divided into 10 modules
combining varied techniques that present material in a way that speaks to adult learner styles.
Methods include: lecture for auditory learners, hands on practice for tactile learners and video
to enhance visual and auditory learners. Graduates are prepared to work with clients who
need assistance to remain in the home. The Schmieding curriculum fulfills the training
requirements of the Arkansas Medicaid Personal Care Training Program, Rules and
Regulations for Home Health Agencies in Arkansas and Conditions of Participation: Home
Health Agencies from the Federal Register.
IHA graduates from March 2015
11
The IHA evening classes were suspended during March through September to allow the
evening instructor to collaborate with the University of Arkansas Global Campus to further
develop the Online Family Care Advocate (FCA) and Online Alzheimer’s disease and
Dementia (AD) courses.
Alzheimer’s Disease and Dementia
The Schmieding Alzheimer’s Disease and Dementia (AD) course describes the stages of
Alzheimer’s disease and various types of dementia. The course provides valuable information
about the needs and care of a person with dementia including how to manage difficult
behaviors. This interactive course includes: lecture for auditory learners and hands on
interactive exercises for tactile learners. Video, from leaders in this field of study, are
presented to enhance the curriculum content. Graduates are prepared to work with clients,
who have dementia, who require special behavioral support to remain in the home. This
Schmieding curriculum pulls practical tips recommended by the “Broyles Playbook” as
examples of dementia care.
Family Care Advocate
The Schmieding Family Care Advocate (FCA) course is a progressive program consisting of
40 hours advanced caregiver training on chronic disease management and patient advocacy.
The prerequisite for this course is prior caregiver training in IHA, AD or CNA.
FCA provides an opportunity for adult learners to develop critical thinking skills related to
caregiving. These advanced concepts may well prevent unnecessary admissions to a hospital,
nursing home or other alternative care setting. This model of care was developed to decrease
health care cost and increase quality of the life for clients who desire to “age in place” at
home. This innovative course includes: lecture for auditory learners, hands on interactive
exercises for tactile learners and research aspects to develop ongoing critical thinking
concepts. Videos are presented to engage the student and enhance the curriculum content.
Graduates are prepared to support clients, which have one or more chronic diseases, and their
families. These clients will require multi-faceted care to remain in the home. This
Schmieding FCA curriculum brings together known concepts of adult learners and focuses
them toward their caregiving goals.
12
Home Care Specialist
The Home Care Specialist class included all of
the skills learned in the 40-hour IHA class plus
helpful information on becoming a better family
care advocate and valuable information on
Alzheimer’s disease and other forms of
dementia. This class provided information about
the physical and behavioral changes during each
of the stages of dementia, plus helpful coping
skills for the caregiver.
Graduates of the August 2015
Home Care Specialist
Online In Home Assistant
The 2015 Schmieding Online In Home Assistant (OIHA) course is truly a distinct program
designed to teach students to care for an older adult in the home. This 40 hour online course
satisfies the training required by Arkansas law for caregivers who are paid to provide care in
the home of a person who is 50 years of age or older. Online IHA training provides the
caregiver with basic safety and support skills. Evidence based training skills, designed and
monitored by registered nurses, are divided into 10 modules combining varied techniques that
present material in a way that enhances online adult learner styles. Methods include: selfpaced lessons within the learning modules, video outside of the lessons to support visual and
auditory content for self-directed practice and weekly dialog, via email and/or phone with the
instructor to create a supportive learning experience. Graduates are prepared, after completing
in-person or video teleconference skills demonstration, to work with clients who need
assistance to remain in the home. The Schmieding curriculum fulfills the training
requirements of the Arkansas Medicaid Personal Care Training Program, Rules and
Regulations for Home Health Agencies in Arkansas and Conditions of Participation: Home
Health Agencies from the Federal Register.
13
The Schmieding Center’s current Home Caregiver Training courses outlined in this report - In
Home Assistant, Alzheimer’s/Dementia, Home Care Specialist and Family Care Advocate,
offer our students a variety of training options. Our development of the Online Family Care
Advocate (OFCA) and Online Alzheimer’s Disease/Dementia (OAD) courses are in line with
many colleges and other higher learning institutes allowing us to bridge the gap between
needs and access for working adult learners. Our online courses are designed with students’
literacy levels in mind. The first beta test of the OFCA course, by the nurse educators, was in
late December 2015. The OAD beta test is scheduled for the end of January 2016.
All of the online courses have potential future distribution beyond Arkansas to the national
audience. This kind of evidence based training will positively impact the impending “silver
tsunami” with compassionate Schmieding trained caregivers.
CNA Report 2015
The Schmieding Home Caregiver
Training Program curriculum
which prepared students for the
Arkansas CNA state certification
exam was newly refashioned as a
standalone CNA program. The
Arkansas Office of Long Term
Care (OLTC) Nursing Assistant
Training Curriculum was used as
a guide and the Schmieding
program was approved by the
OLTC on May 21, 2015.
Nurse Educator, Sue Ackerman, observes a
CNA student as he practices making a hospital bed.
Currently the students are responsible of completing 96 hours of training within a three week
period. The state only requires 90 hours of training which includes 15 hours of Barbara
Broyles Alzheimer’s Disease& Dementia Caregiver Training. The Schmieding Home
Caregiver Training Program has designated the remaining 6 hours to skills practice in which
students indicate they need.
All Schmieding Nurse Instructors are approved to teach the curriculum. Two long term care
facilities that participate with the Schmieding Center as clinical sites for training have been
approved as well. These two sites are Shiloh Health & Rehab in Springdale, AR and
Highland Healthcare and Rehab Center in Bella Vista, AR. Students must spend 16 hours in
the clinical arena in order to complete training. The association with these facilities has
proved beneficial for our students and has enhanced their ability to gain meaningful
employment.
14
The initial pilot class started June 12, 2015 and was filled to capacity. All 12 students
graduated. There have been two additional CNA classes with a total of 8 students – all
graduating successfully.
Out of the 20 students who have graduated, we know of 10 who have taken the state exam that
passed on their first try.
Our goal is to teach evidence based theory and skills concepts. Another goal is to allow for
sufficient skills practice time that enhances confidence especially in the clinical area.
Ultimately our students will understand how to provide professional, elder-centered care.
Thus far, with the limited amount of students testing, our program has a 100% pass rate. We
will strive to maintain this at 80% or higher which is above the state requirement of 70%.
CNA student practice taking vital signs.
15
Home Caregiver Training Program Graduates
EP
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
16
61
49
64
83
94
96
91
98
98
87
98
90
75
44
1144
PCA
4
39
30
41
50
64
64
65
56
68
60
72
62
53
41
769
HCA
0
9
8
24
18
35
34
42
41
46
55
56
52
48
27
20
515
AD
FCA
*
*
*
*
*
*
*
39
73
69
55
64
65
61
47
40
22
513
28
8
9
36
IHA
34
138
78
172
HCS
CNA OIHA Totals
8
8
20
20
29
14
14
Legend:
EP – Elder Pal
PCA – Personal Care Assistant
HCA – Home Care Assistant
AD – Alzheimer’s/Dementia Care
FCA – Family Care Advocate
IHA – In Home Assistant
HCS – Home Care Specialist
CNA – Certified Nursing Assistant
OIHA – Online In Home Assistant
Note: This table does not include students who enrolled that did not graduate.
Fifteen hours of Dementia Care became a state requirement in July 2006 for CNAs.
Forty hours of training for In Home Assistants became a state requirement in April 2014.
The Family Care Advocate and In-Home Assistant courses were introduced in 2013.
In Home Assistant replaced the Elder Pal and Personal Care Assistant courses in 2014.
16
20
109
87
129
151
193
194
237
268
281
257
290
269
237
221
235
151
3329
Continuing Education Programs for Nursing Assistants
In 2015 a different format was used for our continuing education programs: C.E. groupings.
The first series was offered July 7, 8 & 9 was about reducing stress:



Music & Pet Therapies
Stress & Exercise
Managing Caregiver Stress with Massage
Therapy.
The topics discussed on July 28, 29 & 30 focused on
Death & Dying issues:



What to Do When Your Client is Dying
Skin Care and
Helping Your Client & Family Make
Decisions at End of Life.
September CE’s were on a bit of a lighter note:



Faye Pyatt and her dog, Dwayne, demonstrate
skills used in pet therapy.
Protecting Your Back & Using a Hoyer Lift
Temperature & Pulse Review & Practice
Taking a Blood Pressure Correctly
Additional CE’s were offered in April and October:


Health Literacy for Seniors
Finding Reliable Health Information on the Internet
The total number of students who attended the above-mentioned CE’s was 40.
Although these programs were offered during different times of the day, it is very difficult for
working men and women to attend continuing education programs due to their many
responsibilities with work and family.
17
Number of Paraprofessional Programs
350
315
300
248
250
200
162
161
CY2011
CY2012
241
150
100
50
7
0
CY2013
BELLA VISTA
CY2014
CY2015
SPRINGDALE
Participants of Paraprofessional Programs
2000
1880
1792
1570
1500
1328
1282
1000
500
45
0
CY2011
CY2012
CY2013
BELLA VISTA
18
CY2014
SPRINGDALE
CY2015
In-Service Programs
The Schmieding Center continues to train the trainers who will take the Schmieding Home
Caregiver Training Program to other sites. This commitment was made to the Reynolds
Foundation:
“Because instructor qualifications, ability, knowledge, and skill are so crucial to
quality outcomes, new program instructors will undergo an extensive orientation
process to ensure understanding of the program content, expected outcomes, adult
learning principles and interactive learner centered teaching techniques.”
In 2015, Sherry White invited staff from the replication sites in Oklahoma and Fort Smith to
the Schmieding Center to receive the following training:




Review the Schmieding Method and teaching philosophy
Review teacher manuals
Observe labs
Attend lectures
The Schmieding staff also provided in service training off site. Lynette Bennett gave an in
service on “Body Mechanics and Safety Tips” to a group of 50 at Visiting Angels. Brandi
Schneider provided overviews on “Schmieding Center Service,” and “Needs and Resources
for Older Adults.”
The Schmieding Auditorium was also used for in service training programs by:







Arkansas Health Care Association Coder Training
Circle of Life Cultural Competency
Northwest Community Health Coalition
Northwest Health Senior Planning Meetings
Northwest Health Managers Meetings
Northwest Health Physicians Orientation
Waco Title to train area realtors and mortgage bankers
19
Number of In-service Programs
90
80
80
70
58
60
50
43
42
40
26
30
20
10
18
23
18
16
4
0
CY2011
CY2012
CY2013
BELLA VISTA
CY2014
SPRINGDALE
Participants of In-Service Programs
20
CY2015
Community Events
Residents of northwest Arkansas and the surrounding region had the opportunity to participate
in a variety of interesting and informative community programs. Several community events
brought large crowds to the Schmieding Center.
Morning Brew
Dianne Bufford welcomed 115 at the Morning Brew event August 6, 2015.
Senior Health Beauty Pageant
The Senior Health Beauty Pageant brought in 106 guests on September 25, 2015.
21
Participants of Springdale R.E.S.T. Volunteer Respite Training
R.E.S.T. VOLUNTEER RESPITE TRAINING
The R.E.S.T. Volunteer Respite Training project is supported, in part, under a grant from the
U.S. Department of Health & Human Services. It provides 7 ½ hours of training to anyone
desiring to provide volunteer respite care.
Some of the topics discussed include crisis intervention, universal precautions, coping
strategies for dealing with negative behaviors, confidentiality, leisure activities and more.
Schmieding staff from the replication sites around the state pose with REST
trainers at the UAMS Donald W. Reynolds Institute on Aging in Little Rock.
22
Heartsaver CPR
The Heartsaver CPR class teaches adult CPR, rescue
choking procedures, as well as how to operate an A.E.D.
(automated external defibrillator.) After completing this
three hour class, students received a two-year certification
from the American Heart Association. The class was
offered four times in 2015 in Springdale with a total of 16
attendees.
Family Caregiver Workshop
The family caregiver workshop series is designed for individuals who want to learn more
about becoming an effective caregiver, but don’t have the time to complete one of our
certified training programs.
The workshops are usually taught in 4-hour sessions including topics such as home safety,
caregiver stress, nutrition & hydration, body movement & mobility and behavioral issues
relating to dementia.
In 2015, Kathryn Sweetser taught the Family Caregiver Workshop in Arkansas and Hawaii.
Type of FCW
Basic Skills
Location
Fayetteville
Basic Skills
Hawaii
11
Dementia
Hawaii
11
Total
Attendees
9
31
23
Family Caregiver Event at Schmieding
LPN students from Northwest Technical Institute partnered with the Schmieding Center to offer a
Family Caregiver Event October 29, 2015.
24
The Schmieding Center also offers a number of recurring programs for the community.
Recurring Community Programs
Number of
Sessions
AARP Smart Driver
Brain Games
CDSMP
Lunch & Learn
Medicare: How Does It Work?
Navigating Medicare
Osher Lifelong Learning Institute
Smart Aging
Strong Body
Attendees
11
13
6
11
8
5
16
7
98
Strong Body for Seniors
Seniors meet at the Jones Center for Families for the Strong Body exercise program.
25
251
236
25
383
33
17
137
148
759
Dr. Larry Wright presented a trophy to Marjorie Hart celebrating her selection as a
UAMS Phenomenal Woman!
Mother!
Available!
Reliable!
JOY!
On It!
Respected!
Inspiration!
Exceptional!
Osher Lifelong Learning Institute (OLLI) offered these classes at the Schmieding
Center.
1.
2.
3.
4.
5.
6.
Earthquake Science and the New Madrid Seismic Zone
Financial Safety Online
Movie - Some Like It Hot
Understanding Hatred
Are We Alone in the Universe?
Virtual Dementia Tours
26
2015 Springdale Lunch & Learn Topics
January
Hip and Knee Replacement Surgery
February
Vaccinations for Seniors
March
Breast Cancer 101
April
Memory Loss
May
Sleep Apnea
June
Geriatric Health Maintenance
July
Managing Pain
August
Healthy Cooking with Dark Chocolate
September
Diabetes Management
October
Breast Cancer Awareness
November
Colon Health
Senior Circle Lunch & Learn
27
Number of Community Educational Programs
400
339
350
291
300
252
244
250
182
200
150
183
199
196
CY2014
CY2015
160
105
100
50
0
CY2011
CY2012
CY2013
BELLA VISTA
SPRINGDALE
Participants of Community Educational Programs
6000
4876
5000
4000
4300
3000
3371
3493
3133 3136
2373
1978
1918
2000
2145
1000
0
CY2011
CY2012
CY2013
BELLA VISTA
28
CY2014
SPRINGDALE
CY2015
UAMS Medical Student Clerkship
Dr. Wright served as the Site Coordinator for fourth-year medical students who opt to
complete their mandatory geriatric clerkship in northwest Arkansas. He worked closely with
Priya Mendiratta, Clerkship Directors at UAMS-Little Rock.
The specific goal of the Geriatrics Senior Block Course is two-fold:
1. To assist the student in developing a knowledge base in Geriatric Medicine with an
emphasis on common geriatric syndromes and diseases as well as the normal aging
process and
2. To introduce the student to the interdisciplinary approach of comprehensive
assessment, management, and prevention techniques in the elderly.
Site Description
Locations and levels of care were chosen to introduce the students to patient care across the
health care continuum, and to train them in inter-professional collaboration in these venues.
Students are expected to learn how to assess common medical, functional, psychological and
social needs of patients in these levels of care and to collaborate with non-physician providers.
Students participate in various settings in northwest Arkansas, including Washington Regional
Senior Health Care, as well as community-based Skilled Nursing Facilities (SNF) and Circle
of Life for palliative care. In addition to participating in rounds and patient care in each
setting, students may be assigned short subject presentations relating to each student’s
individual patients.
Ambulatory Care
During their ambulatory care experience, students evaluate patients seeking primary care,
second opinions and consultations in the outpatient setting. The students see models of
healthy aging, as well as patients with geriatric syndromes and chronic disease burden being
managed by inter-professional teams. During these visits, students evaluate new patients for
their specific problems as well as learn to conduct Comprehensive Geriatric Assessments.
Students will see return patients to assess progress from their previous care plan whenever
possible. Students may also have the opportunity to collaborate with non-physician providers.
Students gain this experience at Washington Regional Senior Health Care.
29
Post-Acute and Long Term Care
Community based Skilled Nursing Facilities (SNF), Nursing Homes and Assisted Living
Facilities located in northwest Arkansas are utilized to provide post-acute and long term care
experience to students. The preceptors at these locations manage a wide variety of conditions,
including new acute problems, acute exacerbations of chronic diseases, geriatric syndromes,
functional decline and hazards of hospitalization.
The preceptors assign patient-specific tasks to each student. These tasks may vary from week
to week. The specific subjects for review in nursing homes will include topics such as
nutritional problems, pressure ulcers, falls and restraint use, and behavior management in long
term care.
This experience allows students to learn the capabilities and limitations of a chronic care
facility and how it differs from an acute care hospital. After this experience, students should
be able to discuss the impact of chronic disease and disability in determining a patient’s
environment of care. Students should be able to identify factors that lead to nursing home
placement and the positive and negative aspects of nursing home care. The recognition and
alleviation of pain will be stressed, as well as the atypical presentations of acute disease in the
frail elderly population.
Palliative Care
The students are given palliative care experience through the community-based hospice
programs run by Circle of Life Hospice of Northwest Arkansas. Each student is assigned
hospice patients for home and inpatient visits and will present the patients to the preceptor.
Teaching techniques will include role-play and small group discussions.
Students primarily learn the physician’s role in hospice care. This experience will address the
character and terms of advance directives and living wills, as well as skills of pain
management and palliative care for the terminally ill. This experience allows the student to
gain information about health care resources outside the hospital, as well as technological
capabilities for providing health care in the home.
In 2015 we had 17 students in our program all of whom were interested in practicing in a
variety of different areas of medicine ranging anywhere from pediatrics to emergency
medicine. As students evaluate the program at the end of the rotation, we consistently see
very favorable evaluations of the program and preceptors who work alongside the students.
As the programs expand at UAMS-NW, the Schmieding Center will continue to play a lead
role in the education process.
30
2015 Medical Students at Schmieding Center
Matthew Dalke
Matthew Devries
Nicholas Fleming
Jordan Griffin
Family Medicine
Internal Medicine
8-2-15 to 8-28-15
Anesthesiology
1-5-15 to 1-30-15
Neurology
3-2-15 to 3-27-15
General Surgery
10-26-15 to 11-20-15
Joshua Guindon
Joseph Johnson
Devon Johnston
Amanda Jones
Emergency Medicine
10-26-15 to 11-20-15
Family Medicine
9-28-15 to 10-16-15
Psychiatry
11-23-15 to 12-18-15
Internal Medicine
3-30-15 to 4-24-15
William Lassiter
Grant Meredith
Elizabeth Morgan
Matthew Neoh
Anesthesiology
3-30-15 to 4-24-15
Psychiatry
8-3-15 to 8-28-15
Family Medicine
Psychiatry
1-5-15 to 1-30-15
Family Medicine
6-1-15 to 6-25-15
31
Kody Nichols
Kara Robertson
William Rogers
Erik Sowell
Pediatrics
2-2-15 to 2-27-15
Pediatrics
11-23-15 to 12-18-15
Family Medicine
3-2-15 to 3-27-15
Internal Medicine
2-2-15 to 2-27-15
Douglass Wallace
Emergency Medicine
9-28-15 to 10-16-15
32
Aging Resource Center Report
The Aging Resource Center (ARC) provides valuable resources to the community. The
Center offers computers for research, books about aging, Alzheimer’s, Caregiving techniques
and DVDs that can be checked out. It also has numerous pamphlets that describe products or
services offered to seniors. Often the ARC is the initial point of contact where older adults
and their families learn of the programs and services that are available to improve quality of
life.
Marjorie Hart and Lee Stepp, from Experience Works, are happy to assist patrons at the Aging
Resource Center.
In an effort to meet the increasing demand to access information through technology versus
printed material, the ARC space was refurbished and upgraded in 2014. New iPads were
mounted. Home caregiver students may use iPads to check class schedules and make a
reservation to attend the class of their choice.
The chart below reports the numbers for our resource centers listed in the Arkansas Aging
Initiative (AAI) database for 2015.
Site
Calls
Visits
Referral Calls
Totals
Springdale
Bella Vista
Totals
2322
339
2661
1905
767
2672
1786
301
2087
6013
1407
7420
33
Research & Development
 The Cost Effective Delivery of Enhanced Home Caregiver Training project was
awarded a partial no cost extension through June 30, 2016. It has been granted a
partial extension to allow the project to close the caregiver training loan program and
collect any outstanding government funds.
 As of June 30th, 2015 the Cost Effective Delivery of Enhanced Home Caregiver
Training project Microloan Program distributed 327 student loans for a total of
$142,905.00.
 Arkansas distributed 162 loans for a total of $56,905.00 in student loans. 54 student
files have been closed due to payment obligations being satisfied. A total of
$18,873.19 in student loans has been collected.
 62 student files are active. Active files include files in which monthly payments have
been satisfied per student loan agreement and/or communication from the student has
been received indicating payment delay and intent to pay within the next 30 days.
 Measures collected during QR 1 thru QR 12 focused on caregiver training and
workforce satisfaction. As established by UAMS, CMS, and NORC the best approach
to evaluating UAMS HCIA innovation program was through the utilization of a
workforce evaluation. Measurements focused on caregiver training in the workforce to
determine the effectiveness of an enhanced home care training program. The
workforce survey analyzed caregiver training, training satisfaction and confidence a
caregiver has when providing care to a client.
 Data collected during this upcoming year will determine, based on our experiences, if
a micro-financing model (as defined by Grameen Foundation, www.grameen-info.org)
can support workforce development opportunities targeting lower socioeconomic
markets in the United States where caregiver training is in high demand to meet the
needs of a progressively aging society.
 Courses that were developed during the grant period are now in the process of being
delivered on line which will increase the number of trained caregivers. Refinement of
the courses developed during the grant period will continue to be refined and delivered
to the public in a variety of ways during this next year.
 Research and development will continue seek additional grant funding for further
development of existing courses as well as new courses as the demand for aging
services and caregiving requirements change. Various studies and publication
submissions will also enhance caregiving programs in order to meet the criteria for
evidence based programs designation.
34
Aging Services
In 2015, Schmieding C.A.R.E.S. became Schmieding Aging Services because of the loss of
the C.A.R.E.S. grant funds. The focus of Schmieding Aging Services has not changed. We
serve as the front door of the Schmieding Center and direct, patients, social work clients,
caregiver training students, and people from the community to the services they need. Aging
Services continues to provide one-on-one client education and assistance with resources,
family education, and community outreach and education. Brandi Schneider, LMSW, also
assisted teaching some components of the FCA class.
In January, we honored one of the Schmieding
Social workers who retired at the end of 2014.
Carolyn Wheeler had served as a Certified
Care Manager at the Schmieding Center for
over nine years. She facilitated several
support groups and helped many families
through their crisis.
With the retirement of Carolyn Wheeler,
LSW, Brandi Schneider became the only
social worker on staff at the Schmieding
Center.
Despite the loss of a social worker, Aging Services increased the number of clients served and
maintained a high number of community outreach contacts. Aging Services served 772
clients in 2015. This number includes clients and network partners served by direct contact
with Brandi Schneider, LMSW, for one-on-one support or assistance. The number of clients
served was an increase of almost 200 clients from 2014. Aging Services also presented over
90 community programs to just over 775 attendees.
A major focus of Aging Services also became sustainability measures and reaching out to the
community to determine needs for future services and sustainability options. Social services
continues to be identified as a major need for older adults in NWA.
35
Student Interns:
One social work student intern, Mai Lee Lor received training through Schmieding Aging
Services.
Mai Lee Lor experienced the Virtual Dementia Tour and assisted at the Schmieding booth at the
Alzheimer’s Walk.
We also had two Schmieding Fellows: One worked with Aging Services through the
University of Arkansas social work department and one worked with Aging Services and
Education


Eric Dean (social work fellow)
Morena Valdizon (education fellow)
One NWACC student, Lauren McClure, also received volunteer hours and training through
Aging Services.
36
Aging Services Community Programs
Support Groups
The Schmieding Center hosted three support groups in 2015:



Grandparents As Parents (GAP)-meets once monthly
Caregivers of Persons with Dementia-meets twice monthly
Early Stage Support Group for people in the early stages of dementia and their care
partners-meets once a week for eight weeks. This group transitioned into Memory
Café in which participants continue to meet weekly as a group without a formal
facilitator or agenda. The goal of Memory Café is to allow participants an opportunity
to engage with others who are experiencing the same issues and feelings they are
experiencing and to form connections with others in a positive way.
The Family Caregiver Support Group was discontinued due to lack of participation.
Support Groups Meeting Off-Site:

Clarity Point Fayetteville-meets once monthly
Elder Share was discontinued because of health issues and transitions of many of the group
members. The support group at Concordia Health and Rehab was also discontinued due to a
change in staff at the facility. It was decided that a therapeutic activity, such as TimeSlips,
would be started there instead of the support group.
Type of Support Group
Number of Meetings
Number of Attendees
Grandparents as Parents
11
53
Caregivers of Persons with
Dementia
24
123
Early Stage Dementia
8
21
Clarity Pointe
11
69
Total
54
266
37
Virtual Dementia Tours:
Aging Services facilitated 6 virtual dementia tours with a total of 106 participants.




Schmieding Center for the public
Schmieding Center for Northwest Technical Institute LPN students (2 days of VDT)
Schmieding Center for OLLI (2 days of VDT)
North Hills Life Care Center for staff
TimeSlips:
The TimeSlips program uses group storytelling to
enhance the lives of people with Alzheimer’s
disease and related dementia. It provides hope
through meaningful communication and
connection.
Participants are invited to look at a picture. The
facilitator asks questions that encourage them to
create a story their own story about the picture.
Brandi Schneider facilitated TimeSlips events at
three facilities in 2015.



Autumn Place-once monthly
Morningside Fayetteville-once monthly
Concordia Health and Rehab- every other month
Sample Time Slips Story by Residents of Concordia
“Dumb Goats”
Charlotte asks, “What are they going to work on us now?”
It looks like Granny Sadie with a billy, a nanny, and a kid. We’ll name them Herbie, Rita,
and Bambi. Charlotte and Rita think one of the goats looks like Rita! Granny has a cap on, so
it must be a sunny day! Martha says, “The goats took a walk and went to the beach!” The
goats crossed the bridge and walked to the beach. Granny had to go get them back. She had
to put her dirty work dress over her clothes to go get the dirty goats. She had to pick them up
on the other side after they ran away! They were bad, bad goats! She is paddling so they
must be going somewhere! Looks like they’re crossing the creek, the water is dirty. The goat
says, “I’m hungry. I see a couple empty cans floating down the stream.” The goat’s going to
eat the cans. …..And the story goes on and on.
38
Alzheimer’s Events
Brandi Schneider welcomes
participants at the Alzheimer’s
Walk to the support groups that
meet at the Schmieding Center.
Who Is that Lady?
It is our Rene’ Oliver, one of our talented nurse
educators in costume singing the National
Anthem at the beginning of the 2015
Alzheimer’s Walk.
39
Partnerships
Establishing partnerships is vital to creating
awareness of the program and obtaining additional
financial, human, and physical resources. Each
site successfully created and maintained
partnerships this year.
Lynette Bennett, RN, teaches proper use of the gait belt at the ALS event.
The ALS promoted the event to families who are caring for someone with Lou Gehrig’s disease.
The Schmieding Center provided the auditorium, instructors & equipment for demonstrations.
40
Springdale Partnership
Activity
AARP
Conducted the Smart Driver Safety Program
Alzheimer’s Association
Alzheimer’s Association Support Groups; Walk to End
Alzheimer’s, Social Work Consult; Creative Connections
Area Agency on Aging
PACE planning; participated in tribute for Larry D. Wright
Arkansas Geriatric Educational Consortium
Offered CEU’s for health professionals
Arkansas Healthcare Association
District 3
Used Schmieding facility District 3 Administrator meetings
and for Senior Pageant
Brekelbaum, MD; Kilambi,MD : Wilson,MD
Led Men’s Health Seminars
Centers for Medicare & Medicaid Services
Gave Health Care Innovations Award
Circle of Life Hospice
Used Schmieding Auditorium for CE events
Clarity Pointe
Comfort Keepers
Crystal Bridges
Concordia of Bella Vista
Site for Dementia support groups & the dementia education
series led by Brandi Schneider
Sponsor of Caregiver Appreciation Event; provided lunch for
students enrolled in home caregiver training
Hosted and provided supplies for the Alzheimer’s Creative
Connections Events
Site for TimeSlips activities led by Brandi
Sponsor for Caregiver Appreciation Event; Volunteer worker
for Family Caregiver Event
Donald W. Reynolds Grant for the
Replication of the Schmieding Home
Caregiver Training Program
Train the trainer sessions are provided by the staff of the
Schmieding Center for sites beginning the program
ElderStay At Home
Distributor of the Schmieding Home Caregiver Training
Program Curriculum
Grandparents As Parents
Led support groups at Schmieding Center
Home Instead Senior Care
Humana
Community Event: Family Caregiver Workshop for
Alzheimer’s Disease and Other Dementia
Provides prizes for Brain Games; Led seminar about
Medicare at Schmieding Center
Kupuna Education Center/University of
Hawaii
Partners in the HCIA project
Jones Center for Families
Provides room and equipment for Strong Body Classes
Junior League of Northwest Arkansas
Used our facility for meetings - Schmieding staff gave
greeting and brief overview.
Northwest Arkansas Clinical Pastoral
Education Institute
Conducted Pastoral Care Symposium
41
Northwest Health System
Management and personnel of Senior Health Center
sponsor Lunch and Learn programs in Springdale and Bella
Vista through their Senior Circle program; NHS also uses
our facility for physician orientations
Northwest Technical Institute
Assisted with Family Caregiver Event
Pacific Gateway Center - Honolulu
Kathryn Sweetser went to Hawaii to train the trainers who
will be using the Schmieding curriculum.
PRN Medical Services
Sponsor of Caregiver Appreciation Event
Schmieding Developmental Center
Schmieding Foundation
Used Schmieding Facility for Kids First Kindergarten
Graduation
Financial support of the Schmieding Center for Senior
Education and physical plant
Springdale Chamber of Commerce
Used the Schmieding Auditorium for Morning Brew
Senior Transitions
Provided coffee for ARC
Springdale Senior Center
Provides facility and prizes for Brain Games led by Fink
Holloway
Shiloh Health and Rehabilitation
Site for clinical rotation for students enrolled CNA program
Superior Senior Care
Sponsor of Caregiver Appreciation Event; student referral
source
Texas Area Agency on Aging
Partners in the HCIA project
Office of Long Term Care
Used Schmieding auditorium for PASRR Training
UAMS – Office of Continuing Medical
Education
Provided video teleconferences to provide CE and CMEs for
health professionals
UAMS – Northwest Campus
Provided site for CDSMP classes
Will Corporon
Led seminars on Medicare
Wise and Healthy Aging Caregiver Training
Academy
Partners in the HCIA project
See page 59 for additional partners listed in the Outreach & Promotion report.
42
Leveraging
Leveraged resources of money, time, and in-kind services all contribute to the success of the
Schmieding Center and its outreach sites. The total leveraged in 2015 for Springdale and Bella
Vista was $711,079.84. This includes the Schmieding Foundation grant of $617,218.84
UAMS’ Cost Effective Delivery of Enhanced Home Caregiver Training project was awarded a
partial no cost extension through June 30, 2016. The partial extension will support UAMS
continued efforts to close the caregiver training loan program and collect any outstanding
government funds. The entire CMS award amount of $3,518,798 was reported in the 2012 annual
report.
In the Arkansas Aging Initiative (AAI) database, the donation column includes the value of floor
space donated for programs, meals and/or products that were donated, as well as monetary gifts.
Volunteer data is calculated at the rate of $8.00 per hour of service. The speaker data is calculated
at $50.00 per hour of service.
Although the actual funds received from our primary benefactor, the Schmieding Foundation,
remain critical to our ability to succeed, the value of volunteers, speakers, and smaller donors
speak volumes about the good will and acceptance our programs and services have generated in
northwest Arkansas and surrounding regions. We are committed to being good stewards of the
opportunities set before us in the spirit of Mr. Lawrence Schmieding.
The types of leverages received by the four sites are presented in the following table.
Springdale
Bella Vista
Totals
Grants
Donations
617,218.84
23,744.00
35,125.00
58,869.00
617,218.84
Volunteer
Hours
5784.00
13,608.00
19,392.00
43
Professional
Speakers
10,100.00
5,500.00
15,600.00
Total
656,846.84
54,233.00
711,079.84
Community Advisory Committee
The Community Advisory Committee is comprised of Community Leaders who help to
engage the Northwest Arkansas community by building awareness of how the Schmieding
Center can serve the surrounding areas with its aging population needs. They assist the staffs
with educating of the community about the programs and services that are available and by
encouraging middle-aged adults to participate in helping them grow older with health, grace
and dignity. The Schmieding Center is a one-stop resource for geriatric clinical health and
wellness, aging services information and education. They are vital to helping meet the
challenge of preparing the community to care for the growing population in the “Second Half
of Life”.
Dr. Fred Taylor, community and legislative liaison for the Arkansas Aging Initiative, likes to
attend these meetings whenever possible either in person or via telephone conference. He
provides the group with the latest news from UAMS and the Reynolds Institute on Aging.
Reports from Gilda Underwood, President of The Schmieding Foundation keep the committee
informed of what is happening in the other replication sites.
Various Schmieding Center staff members share reports pertaining to the various activities,
programs and events taking place at the center. There is always a conversational exchange
between staff and committee members on what they would like to see implemented in the
future of the Schmieding Center. It is always good to hear fresh new ideas, suggestions and
receive support from those who represent the community
Community Advisory members are:
Mr. John Belew
Ms. Cristie Ginther
Ms. Bonnie Grimes
Ms. Betsy Phillips
Dr. Michael R. Platt
Mrs. Clara Turnbow
Dr. Jean Henry
Mr. Scott Huse
Mr. Carl Johnson
Mrs. Lee Johnson
Ms. Carolyn Long
Mr. C.J. Malone
Mr. Walter Turnbow
Ms. Ellen Turner
Ms. Gilda Underwood
Mr. Jerre Van Hoose
Rev. Judy Van Hoose
Ms. Linda Vigil
Mr. Tom O'Neal
Ms. Susan Patton
Ms. Natalie Wood
44
Back Row: Dr. Larry Wright, Tom O’Neal, Bonnie Grimes, Dr. Jean Henry, Jerre Van Hoose,
Scott Huse, Walter Turnbow, Gilda Underwood, Brandi Schneider, Dr. Gary McHenry, John Belew
Front Row: Cristie Ginther, Carolyn Long, Judy Van Hoose, Lee Johnson, Ellen Turner, Clara Turnbow
In 2015, the Community Advisory Committee had a major role planning the tribute to honor
Dr. Larry D. Wright, MD, FACP, AGSF who served as the founding director for the
Schmieding Center from 1999-2015. Carolyn Long was the Master of Ceremonies.
Shannon Fleming from UAMS expresses thanks to Dr. Larry Wright, MD on behalf of the Reynolds Institute.
on Aging.
45
A Tribute to Larry D. Wright – October 26, 2015
Mayor Doug Sprouse
Proclamation: Larry D. Wright Day
Mary McKinney
Circle of Life
Dr. Beth Vaughan-Wrobel
Founding Director of Education
Dr. Peter Kohler
UAMS – NW
Gilda Underwood
Schmieding Foundation
Jerry Mitchell
Area Agency on Aging
46
Rev. Judy Van Hoose
Community Advisory Committee
Dr. Robin McAtee & Dr. Claudia Beverly
UAMS - Little Rock
Dr. Gary McHenry
Director of Education
2015 Facility, Audio Visual and Information Systems
This year the Schmieding Foundation relocated to the hall between the clinic and the rehab.
The move involved networking and phone equipment being installed in Shaun’s office and the
phone/server room. They used the furniture from the C.A.R.E.S. offices that was being stored
there.
We purchased four Microsoft Surfaces Pro 3’s as a test for IPad and laptop alternatives.
Outreach purchased signs to direct visitors to park in back and to the entrance doors. A new
SonicWALL firewall was bought for the Bella Vista office so that a permanent VPN could be
made to the Springdale location. This allowed the users in BV to access the files and resources
in Springdale easier. Their files were also moved to the servers in Springdale to better manage
and back them up. A SonicWALL brand firewall was purchased for Springdale also because it
is what they use at UAMS in Little Rock and would make joining their network easier. The
3mb Elink line used for video teleconferences was upgraded to 100mb fiber this year in
preparation of us using it to join the UAMS network. The new SonicWALL in Springdale was
setup and in November we used it to join the UAMS network. This also involved us
purchasing 300 GB of storage space on a server in LR to move all of our files to. During the
first part of November all of our files were moved to LR and our computers joined to the
UAMS domain. This will allow the retirement of the two Windows 2003 servers, which
Microsoft no longer supports, that we currently have and save us the money of having to
purchase new ones to replace them. By joining the UAMS network it has made it easier for
our users to login and use UAMS resources along with making it easier for UAMS to assist in
support.
Our plans for next year include the use of ProClass as the new registration software for
classes. This includes online payment capability with Cyber Source. The Caresforyou.org
website is no longer used and will be retired in the middle of 2016. The resource directory
used on there will be converted into another format and stored locally or put on the website:
www.schmiedingcenter.org.
UAMS is planning on donating some unused network switches for use in Springdale and
Bella Vista. These will be faster than our current ones and should improve performance. The
Summit software the controls the HVAC is running on an old Windows XP computer that
Microsoft no longer supports, and will be moved to a newer computer also this year. Since we
now use the updated 100mb Elink line for our internet we will be disconnecting the one we
have with Cox. This will happen the first part of 2016 after UAMS is done with some testing.
This new upgraded line will also allow us to look into using a phone system through UAMS,
which would give us more functionality and allow us to retire the old one we currently have.
47
Outreach and Promotion
Outreach initiatives continued to focus on brand awareness for the Schmieding Center as the
premier Regional Center on Aging. Our main goal was to increase the recognition and
demand for our Schmieding Caregiver Training Program. Other primary goals were to





Increase use of our Schmieding Aging Support Services
Increase participation in our community education programs
Increase the use of our facility for other community events
Strengthen existing relationships
Develop new strategic partners, other senior providers and shareholders.
Initiatives to increase demand for Schmieding Caregiver Training Programs
Through our strengthening relationships with home care agencies experiencing a shortage of
trained caregivers, more agencies referred students and paid tuition for IHA and Alzheimer
Disease and Dementia classes than ever before.
In June, a revised Certified Nursing Assistant (CNA) program was offered allowing students
to complete the entire course within a three-week period. This allowed us to strengthen our
partnership with the local long-term care facilities. We begin accepting sponsorships from
them for tuition. This strategy also gave us a market advantage over the other schools
offering CNA training.
The last quarter of 2015, the Schmieding Center offered a 25% discount to home care
agencies that referred one students to us. Agencies sending two or more to the same class
received a 50% discount. A “Two for One” discount was also offered to individuals. If a
student brought a friend who enrolled in Schmieding Home Caregiving course with them,
they could both participate at half the cost.
Advertising
Radio
We produced 60-second ads “Schmieding Minutes” that provided advice for families caring
for dementia patients and to explain the importance of hiring a Schmieding trained caregiver.
Other radio station schedules ran 30-second spots for student recruitment. PSAs ran to
promote the Health Care Job Fair we hosted and our Family Caregiver Event on the local
radio stations and NPR. KUAF also interviewed Kathryn Sweetser and Brandi Schneider on
the Ozarks at Large broadcast to promote the Family Caregiver Event.
48
TV
Brandi Schneider did a live interview on the KNWA morning show and the Fox morning
show to promote our Family Caregiver Event.
Newspaper
Monthly newspaper ads ran on the front page of the Food Guide that highlighted our aging
support services. Weekly Sunday classifieds promoted our caregiver training program. We
continued to use constant contact to promote our upcoming events and classes.
Newsletter
Our AgeWise newsletter was produced quarterly and distributed in constant contact. Print
copies were made available to hand out at our facility versus mailing them out.
Social Media
We continued to regularly post on Facebook. Our page likes increased by 26% and our most
popular posts were about our Caregiver Appreciation Event and our Family Caregiver Event
with pictures, each receiving more than 400 views.
Internet
Information about upcoming Home Caregiver Training courses was posted on Craigslist.
Schmieding Website
The Schmieding Center website www.schmiedingcenter.org
provides the schedule for upcoming events, descriptions and
applications for the home caregiver training courses, a link to the
Schmieding Home Caregiver Directory, the facility use form, and
much more. The Schmieding website recorded 24,658 views last
year.
Health Fairs
The Schmieding Center was represented at six health fair events in
2015: The Senior Expo in Bella Vista, The Prime of Your Life
Expo in Springdale, NWA School Nurses Workshop in
Farmington, Senior Health Fair in Bella Vista, the Walk to End
Alzheimer’s in Bentonville, and the J.B. Hunt employee benefits
fair in Lowell.
49
New Community Education Initiatives
Smart Aging-Living Well Series
This series was developed for the purpose of providing valuable information from area experts
on a variety of aging issues to the community. The series gave us the opportunity to
collaborate with the presenters/companies and provide the opportunity to have new visitors to
learn about the Schmieding Center. The free sessions were held in the Schmieding Center
Auditorium the second Thursday of each month beginning in April, and continued through
October. The time was set from 4 until 6 p.m. to allow for those who are still in the work
force to attend as well as allowing the elder attendees to arrive before and after rush hour
traffic. Refreshments were provided by either the speakers or by long-term care facilities.
Some of the topics were: Smart Advice-When Do You Need an Elder Law Attorney; Smart
Living: De-cluttering and Downsizing Your Home; and Coping Well-How a Social Worker
Can Help Your Family Cope with Aging Issues.
Family Caregiver Event
The free, public event, held on October 29, was co-sponsored by the Schmieding Center and
Northwest Technical Institute’s Practical Nursing Program. The purpose for the event was to
teach family members and friends who are caring for an older adult the skills they need to
keep their loved one at home as long as possible. Skill stations for Q&A and demonstrations
included transfers, wheelchair safety, fall prevention, virtual dementia experience, activities
for people with dementia and more.
50
Other 2015 Outreach Events
Schmieding Caregiver Appreciation Event
Osher Life Long Learning Open House & Classes
Schmieding Chamber Morning Brew
Schmieding Foundation Sponsored Prime of Your Life Expo
Health Care Job Fair in conjunction with Goodwill
Schmieding Kids First Kindergarten Graduation
Alzheimer’s Arkansas - Hope for the Future Event
J.B. Hunt Employee Health Fair
WestArk RSVP Meet and Greet
Arkansas Health Care Association District 3 Senior Beauty Pageant
Seth Wilkens
2015 Outstanding Caregiver
51
Strategic Partnerships, Sponsorships and Alliances
In March, the City of Springdale Community Engagement hosted a Landlord Summit in our
auditorium. The Mayor and city representatives from the attorney, police, fire, city building
and animal services departments provided free education to landlords.
Coffee for the Resource Center provided by: Senior Transitions and Comfort Keepers; coffee
cups provided by Jan Phillips State Farm and Servpro.
Lunches and dinners for students, provided by: Superior Senior, Comfort Keepers, Bright
Star, Right at Home, Home Helpers and Good Shepherd Senior Care.
Delta Medical provided lunch for the Arkansas Lifespan Respite Training.
Smart Aging Living Well refreshment providers were: Arkansas Physical Health & Rehab;
Brookstone Assisted Living; Springdale Health and Rehab; Todd Whatley, Elder Law
Attorney, and Jeff Huff American National Insurance Agency.
Partnered with NTI LPN for the Family Caregiver Alliance; agreement to accept our Home
Care Specialist certification as pre-requisite for their LPN program.
Single Parent Scholarship Fund of NWA offers a $500 scholarship for qualifying Schmieding
CNA students.
Home care agencies referring students and clients were: Visiting Angels, Home Helpers,
Superior Senor Care, Kare-In-Home, Good Shepherd and Comfort Keepers.
Osher Life Long Learning held classes in our facility.
Health and rehabs that supported and sponsored our 2015 events were: Ashley Health and
Rehab, The Highlands of Rogers, Katherine’s Place, Springdale Health and Rehab, Walnut
Grove.
Westwood Health and Rehab and Walnut Grove Health and Rehab sponsored students for our
CNA program.
Other event and food sponsors were: Morningside of Fayetteville, Maggie’s Little Oil
Business, Ozarks Community Hospital, Green Acres Easy Living, Washington Regional
Hospice, Debbie’s Family Pharmacy, Concordia Retirement Center, PRN Medical Services,
Dr. Bilal Naeem, and Vantage Point.
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Northwest Senior Health Clinic Report
The Senior Health Centers operate as primary care clinics for adults age 65 and older in
Springdale, Bentonville and Bella Vista and function as interdisciplinary team models for
geriatric care. Northwest Senior Health – Schmieding Center has been in operation since July
13, 1999. The Northwest Senior Health Clinics are owned and operated by Northwest Health
System (NHS), our partnering organization for clinical services at the Schmieding Center.
Rehabilitative services are provided in a separate section of the clinic by staff from Northwest
Medical Center - Springdale physical therapists. We are advancing our Rehab services to the
Bella Vista office to provide services to the patients in different locations.
Coordination of care is provided for Senior Health patients by outpatient clinic visits, medical
care in nursing homes and assisted living facilities, a limited number of home visits, case
management and referrals to all medical specialties.
Significant events for 2015 include:
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An LCSW, Lindsey Myers, was hired to provide individual and group therapy
A wellness team was established to provide annual Medicare Wellness visits
Dr. Kristin Bosc, geriatric neuropsychologist, left the senior health clinic in December
2015
The charts below reflect the number of visits recorded in AAI for Springdale in 2015.
Discipline
Encounters
Physician
32079
Social Worker
376
Nurse
184
Total:
32639
Clinic Visit Type
Visits
Senior Health Clinic
3559
Nursing Home
3111
Home Visit
2
Total:
6672
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2015 Staff of Northwest Health Clinics
SCHMIEDING SENIOR HEALTH
2422 N. THOMPSON ST,
SPRINGDALE
SUGAR CREEK SENIOR HEALTH
1102 NW LOWES AVE,
BENTONVILLE
Michelle Jameson, Practice Manager
Dr. Jose Fontanilla, MD
Dr. Maria Judit, MD
Dr. Kristin Bosc, Neuropsychologist
(through December 11, 2015)
Andrea Cheader, RN
Melissa Lowrimore, LCSW
Isela Araujo, RMA
Marie Dee, Lab
Dorothy Wilson, Registration Tech
Lisa Arnold, Registration Tech
Michelle Jameson, Practice Manger
Amy Tobin, Clinic Coordinator
Dr. Arlene Nepomuceno, MD
Mary Daniel, APN
Carol Schwieso, LPN
Beth Kardynalski, MA
Lindsey Myers, LCSW
Kelly Cooke, Registration Tech
BELLA VISTA SENIOR HEALTH –
1801 FOREST HILLS BLVD, BELLA
VISTA
NURSING HOME STAFF
Michelle Jameson, Practice Manager
Amy Tobin, Clinic Coordinator
Dr. Marjorie Renfro, MD
Jeannette Mires, RN
Lindsey Myers, LCSW
Megan Berger, Registration Tech
Dr. Kimberly Burner, MD
Mary Alice Kelly, APN
WELLNESS TEAM
Amber Nguyen, APRN
Valerie Bedwell, APRN
Linda Wilkins, RN
Robin Hood, RN
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Outreach Site – Bella Vista
Education – Bella Vista
Program Counts for 2015
Program Type
Client Encounters
In-service
233
Community Education
2145
Support Groups
955
Health Resource Center
CPR Classes
1299
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In-Services held at Brookfield Assisted Living, Concordia Catered Living on a regular basis.
Community Education event titles include: Planning Ahead, Senior Circle Lunch & Learn,
Numerous Service Projects and Health Screenings.
American Heart Association CPR Classes include: Health Care Provider, Heartsaver, and
Hands only.
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Senior Services Expo 2015
The 2015 Senior Expo was held on April 30th at Riordan Hall in Bella Vista from 9:00 a.m. –
1:00 p.m. This event was presented by the POA, The Weekly Vista and the Bella Vista
Resource Advisory Council. Over 60 vendors participated in the event and they offered
seniors and community members a wide variety of information on senior services. The
information included medical supply services, Hospice, insurance agencies, financial services,
Elder Law, adult day care agencies, senior housing, travel agencies, reality, cancer support
services, Retired and Senior Volunteer Program services, DHS Division of Aging services and
many more. Over 742 community members attended and participated in the event. In
addition, Ozark Orthopaedic Physicians gave seminars; "Pain of the Ball of the Foot,"
presented by Dr. Charles Ginn and “Arthritis of the Hand," Presented by Dr. Jeff W. Johnson.
Senior Expo Partners
A Plus Medical
Culpepper Place
Mt. Carmel Community
AAA Insurance
DHS Adult Services
NanoPac Inc.
Alliance Home Health
Elder Law Practice of Todd Whatley
NW Medical Center Senior Circle
Alzheimer's Arkansas
ElDirect
Nursing Consultants
Autumn Place
Elite Home Health
Ozark Hospital
Bank of Gravette
Faith in Action
Ozark Orthopaedic
Bell Vista Senior Services
Forest Hill
Peachtree
Bella Vista Courtesy Van
Golden Living
PRN
Bella Vista Lion's Club
Good Shepherd
Rejuve Massage
Bright Star
HealthSouth Rehabilitation
Rodan and Field
Brookfield
Highlands Rehab
Schmieding Center Springdale
BV Estate Sales
Home Helpers
Senior Transitions of NWA
BV Hearing
Home Instead
Shannon's Healing Tough Massage
BV Recycle
Hutch Reality
Smith Family Chiropractic Clinic
Cancer Support Home
Insurance Matters
Superior Senior Care
Circle of Life
Jim's Old Fashion Service Inc.
The Maples at Har-Ber Meadows
Clarity Point
Lifeline
The Meadows
Comfort Keepers
Lisa A. Reeves Attorney
The Plaza
Concordia
Making Memories Tour
Village House
Corporon Insurance
Morgan Stanley
WestArk RSVP
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Bella Vista Senior Health Fair 2015
The 2015 Senior Health Fair was held on September 25th at Riordan Hall in Bella Vista, from
9 a.m. - 1 p.m. The event was presented by the POA, The Weekly Vista and the Bella Vista
Resource Advisory Council. Seventy two vendors participated and over 800 community
members attended and actively engaged in Health screening opportunities consisting of: blood
pressure checks, BMI checks, glucose checks, dermatology, vision and hearing. In addition to
the screenings, flu shots were available for those who have Medicare, Tricare, and a Federal
Employee plan. There were three speakers from Ozark Orthopaedic Clinic. “Arthritis,”
presented by Dr. Hanby, “How to Stop Hand and Wrist Pain,” presented by Dr. Henley, and
“The Adult Degenerative Spine,” presented by Dr. Nalley.
Health Fair Partners
AARP
ElDirect in Home ELDerly Care
Ozark Community Hospital
Advanced Dermatology
Elite Home Health Faith in Action
Parkinson’s Support Group
Alzheimer’s Association
Cancer Support Home
Premier Dermatology
Area Agency on Aging
Forest Hills Church
PRN Medical Services
Autumn Home Care
Health South
Rejuve
Bella Vista Hearing Center
Highland Health & Rehab
Right at Home
Bella Vista Lions Club
Highland Oncology Group
Schmieding Aging Services
Better Hearing and Balance
Home Helpers
Senior Helpers
Boozman Hof Regional Eye Clinic
Home Instead Senior Care
Shannon’s Healthy Touch
Massage
BrightStar Care
Hull Dermatology
Superior Senior Care
Caring Carriages
Insurance Matters
Teasley Drug
Circle of Life Hospice
Invision Chiropractic
The Meadows
Clarity Pointe Fayetteville
Laser Wellness Center
The Elder Law Practice
Comfort Keepers
Lifeline of NWA
The Federal Savings Bank
Concordia of Bella Vista
Lifetime Wellness Chiropractic
UAMS Pharmacy Students
Cornerstone Pharmacy of Bella Vista
Mercy Hospital NWA
UV Sanitized
Corporon Insurance
Morgan Stanley
Village Insurance
Courtesy Van
Mt. Carmel Community in Rogers
Washington Regional for Seniors
Dewitt Law Firm PLLC
Northwest Medical Center
Bentonville
WestArk RSVP
DHS Division of Aging and Adult
Services
Operation Good Morning and
Project Lifesaver Bella Vista
Westwood Health and Rehab.
Dr. Yoos Eye Care Optical
Ozark Orthopaedic
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Bella Vista Health Resource Center
Aging is a lifelong process that involves making healthy choices and informed decisions about
your healthcare. One way to do this is to learn as much as possible about healthy aging and
existing health conditions. Our Health Resource Center contains a variety of informative
resources to help you stay informed and abreast of current research, trends and issues related
to healthy aging. Free monthly screenings are available to the public for blood pressure
checks, blood pressure equipment checks, memory screening, blood glucose testing, hearing
tests, hearing aid adjustments, fall risk, and coffee with an Elder law Attorney. Our dedicated
volunteers in the Health Resource Center are vital to the success of our daily programs,
directory and events. They are always willing to learn new skills, share their time and talents
and offer assistance to the staff and patrons in the building. In 2015, volunteers donated 1,270
hours.
Partnership Bella Vista Resource Center
Attorney General Leslie Rutledge Mobil Office
Better Hearing and Balance Connection
BrightStar
Elder Law Practice of H. Todd Whatley
Elite Home Health
Encompass Health
Highlands Health and Rehab
Navigating Medicare.
Schmieding Aging Services
Senior Circle
Smith Chiropractic
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Additional Partners
Bella Vista TV, Channel 222
Brookfield Assisted Living
Churches in Bella
Vista/Bentonville/Rogers
Concordia Arms and Concordia
Catered Living
HealthCare Marketing Alliance
Highlands Church
Northwest Arkansas Health Providers
Northwest Health Systems and
Senior Circle
United Lutheran Church
Village House
Activity
Members of the Bella Vista office are regular
monthly guests on Village Hi-Lites to inform the
viewers of upcoming programs as well as tidbits
on healthy aging.
Partners with the SCEBV to provide their staff
with in-service education programs every month.
SCEBV works with them to meet any health
related educational needs they have. Promote
SCEBV programs.
Partner with SCEBV to provide their staff with inservice educational programs every other month.
SCEBV participates in the NWA Health Marketing
group.
SECBV and the church educational committee
planned, promoted and participated in: “Planning
ahead for the unexpected.” The programs
covered topics such as medical decision making,
legal issues, insurance, Medicare, Medicaid,
various housing options, and death and
dying. Another series is planned to begin March
2016.
SCEBV participates in and hosts the Northwest
Arkansas Health Providers meeting.
Provides Lunch and Learn programs. Assists with
informing public of these programs. Lunch and
Learn sessions are well received.
Provides SCEBV and Senior Circle with a free
room. Set-up/tear down service and audio
equipment provided.
Ellen Creakbaum, RN offers Family Caregiver
Class for spouses and family members of Village
House
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Appendix A – Examples of Articles
UAMS News Bureau
Office of Communications & Marketing
4301 West Markham # 890
Little Rock, AR 72205-7199
www.uamshealth.com/news
News Release
For more information:
Leslie W. Taylor, 501-686-8998
Wireless phone: 501-951-7260
[email protected]
Liz Caldwell, 501-686-8995
Wireless phone: 501-350-4364
[email protected]
UAMS/Schmieding Program Earns New Designation,
Potentially Extending Caregiver Curriculum in New Avenues
LITTLE ROCK – The UAMS/ Schmieding Home Caregiver Training Program has been
designated as an intermediate-level, evidence-based health promotion program, making it
possible for other caregiver training providers to seek federal funds to purchase the program’s
curriculum materials and through them expand the program’s reach and positive influence.
The Arkansas Department of Human Services-Division of Aging and Adult Services made the
designation in October. Before the designation, training programs could not access federal
Older Americans Act Title IIID funding to buy the materials. These funds are made available
for education activities that support healthy lifestyles and reduce the need for more costly
medical interventions.
60
The Schmieding program provides education and skills training to family members and paid
caregivers caring for older adults in the home, allowing older adults to have choices about
how they are cared for.
“The Schmieding curriculum’s designation as an evidence-based program ultimately will
mean more caregivers will be able to receive training and gain the knowledge they need to
provide better care in the home,” said Gary McHenry, EdD, director of education in the
Schmieding Center in Springdale. “Because of this, more seniors will be able to age at home
for as long as possible, achieving a better quality of life and reducing the cost of care.”
To receive intermediate-level, evidence-based status, the Schmieding program has:
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Demonstrated through evaluation to be effective for improving the health and wellbeing or reducing disease, disability and/or injury among older adults;
Proven ready for translation, implementation and/or broad dissemination by
community-based organizations using appropriately credentialed practitioners;
Been published in a peer-review journal; and
Proven effective with older adult population, using some form of a control condition.
Evidence-based programs are founded on rigorous study of interventions and models of care
carried out with multiple populations in a variety of settings. They are more likely to produce
positive changes or outcomes for people who participate, according to the National Council
on Aging.
UAMS is the state’s only comprehensive academic health center, with colleges of Medicine,
Nursing, Pharmacy, Health Professions and Public Health; a graduate school; a hospital; a
northwest Arkansas regional campus; a statewide network of regional centers; and seven
institutes: the Winthrop P. Rockefeller Cancer Institute, the Jackson T. Stephens Spine &
Neurosciences Institute, the Myeloma Institute, the Harvey & Bernice Jones Eye Institute, the
Psychiatric Research Institute, the Donald W. Reynolds Institute on Aging and the
Translational Research Institute. It is the only adult Level 1 trauma center in the state. UAMS
has 3,021 students, 789 medical residents and two dental residents. It is the state’s largest
public employer with more than 10,000 employees, including about 1,000 physicians and
other professionals who provide care to patients at UAMS, Arkansas Children’s Hospital, the
VA Medical Center and UAMS regional centers throughout the state. Visit www.uams.edu or
www.uamshealth.com. Find us on Facebook, Twitter, YouTube or Instagram.
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Appendix B – Examples of Advertisements
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Radio Advertisements:
Did you know there is an increasing shortage of skilled
home caregivers? In fact, at the Schmieding Center, we
often hear from home care agencies and families who are
seeking to hire caregivers. If this career interests you, the
Schmieding Caregiver Training program can teach you the
skills to get a job! We offer basic to advanced training.
Call 479- 751-3043 to enroll today!
UAMS/Schmieding Center is a non-profit program of the
Donald W. Reynolds Institute on Aging and the Arkansas
Aging Initiative.
==================================================================
Now it’s time for another Schmieding Minute brought to you by UAMS/Schmieding Center!
The Schmieding Home Caregiver Training program is uniquely designed to teach caregivers
how to care for an older adult in the home. Our students are taught the skills necessary to
ensure a safe care environment for everyone involved.
Our specialized training also teaches the skills necessary to care for those who have chronic
diseases and illnesses specific to advanced aging. Schmieding students learn health literacy
and communication skills that may help prevent unnecessary hospital admissions and nursing
home stays.
If you are looking for an advanced trained caregiver for your family member, call the
Schmieding Center today at 479-751-3043.
This Schmieding Minute is brought to you by UAMS/Schmieding Center, a non-profit
program of the Donald W. Reynolds Institute on Aging and the Arkansas Aging Initiative.
==================================================================
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Now it’s time for another Schmieding Minute brought to you by UAMS/Schmieding Center!
This is Brandi Schneider, Social Worker and Coordinator of Aging Services at the
Schmieding Center for Sr. Health and Education.
I’m often asked by family members of a person with dementia about how to communicate
with their loved one.
Here are a few basic tips: Be patient and supportive. Offer comfort and reassurance. Remain
calm. Avoid arguing, criticizing or correcting. Find a quiet place and limit distractions.
If you need help with an older adult with dementia, our Schmieding Aging Resources can
connect you with the support and services you need. Call us at 479-751-3043 today!
This Schmieding minute is brought to you by UAMS/Schmieding Center, a non-profit
program of the Donald W. Reynolds Institute on Aging and the Arkansas Aging Initiative.
==================================================================
Why Is It Important to Hire a Schmieding Trained Caregiver?
The Schmieding Home Caregiver Training program is uniquely designed to teach caregivers
to care for an older adult in the home. Our students are taught the skills necessary to ensure a
safe care environment for everyone involved.
Our specialized training also teaches the skills necessary to care for those who have chronic
diseases and illnesses specific to advanced aging. Schmieding students learn health literacy
and communication skills that may help prevent unnecessary hospital admissions and nursing
If you are looking for an advance trained caregiver for your family member, learn more at the
Schmiedingcenter.org.
This Schmieding Minute is brought to you by UAMS/Schmieding Center for Senior Health
and Education, a non-profit program of the Donald W. Reynolds Institute on Aging and the
Arkansas Aging Initiative.
===================================================================
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Appendix C – Examples of Promotional Flyers
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Appendix D – 2015 Comments
I just wanted to let the Schmieding organization know that I am receiving calls monthly regarding
new job offers, and it is because of my training there and my name on the Schmieding caregiver
list. I also appreciate so much the Continuing Education classes.
The
instructors
make you
want to
learn more.
I feel so fortunate to live
close enough to the
Schmieding Center to be
able to take classes.
You are the
cream of
the crop!
I have taken caregiver training at another agency
and there is absolutely no comparison.
THE SCHMIEDING CENTER TRAINING IS THE BEST!”
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Home Caregiver Training Comments
Describe the most important information you gained from this course:
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The most important information that I gained was learning how to properly care for
my patient
Potentially life-saving Heimlich Maneuver as well general comfort care for elders
teaching us about different diseases and showing us how to physically help elderly
people
To respect the rights of clients and myself
the amount of indirect care skills necessary to do the job correctly
Hands on teaching of lifting the client practice of turning the client with the sheet
How to move people around w/o hurting myself.
How we need love the people who needs the help.
The correct way to move older ones without injury to them or yourself.
I found all the information I received was very important but learned about the
warning signs of dementia and depression were real important.
How to handle AD and how to handle my stress levels with working with people that
have AD and to respect them and their families.
Always treat an elder with dignity.
Proper infection control. Proper positioning.
Legal info
I gained a stronger sense of compassion and confidence that I can use with helping
anyone with basic needs.
The knowledge of AD. I truly was unaware of their stages and actions.
Learning about different stages of A/D and seeing the videos of real people and
circumstances.
Clients’ rights and my need to be always observant.
Communicating for and with the elderly.
Being taught how to deal with difficult situations.
How to help with the client do everyday task such as moving from bed to chair,
showering, bathing in bed, dressing.
How to help someone without causing them undue pain
How to achieve better behavior from patient by understanding the disease process
Things to do with crafts or activities to make elders happy
Infection control
How to speak to an older person
How to interact with clients in a respectful caring way while still being very observant
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Please list ideas you have that would improve this course for future study:
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Maybe more physical things and less lecture
I think this class is constructed very well. I have no constructive criticism
Everything was great-the level of patience, understanding, professionalism, humor,
lectures, and just plain knowledge was just great
Maybe on a few of the skills taking the students and having them do the skills in real
life situation in an old folks home.
Some of the over-head forms were hard to read, see, make out.
None, I would not change anything
Be a little careful on the questions in books. Some are confusing & lead you a different
way in answering correctly. That could be me. LOL
Longer lab time!
I would think about reviewing and updating the videos. Some were incorrect but the
visual stays a long time in the memory.
More practice time
In future editions of textbooks add an index to be able to find where a particular word
or abbreviation is located
None. Very well done.
Shorter class time, less breaks
Nothing, the course is perfect the way it is.
More clinical time
I cannot think of one thing that would improve this course. All the tools I needed for
education and training were provided.
More take home materials
More time with dummies and exercise
I would have felt even more confident if this course lasted four weeks.
More time on the hands on part
It was more beneficial to practice skills with fellow students than with dummies
Out loud reading and more hands on activities
An excellent program. Keep it up!
It was a lot of data at one time. Although in a one week course that is expected.
Longer classes and more time for discussion
I wish the textbook had a subject index
Specific meal/menu planning for the various diet need (low sodium, diabetic,
etc.).Coordination activities designed to rehab or assist weakness or balance issues.
I would rather have less personal sharing.
It might be better if the class was 1-2 weeks longer
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Other Comments:
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Everything here at the Schmieding Center was really nice and the teachers are great. It
was a very nice class.
The instructors were wonderful-took time to answer questions and make learning fun.
I now have thirst to continue my knowledge in this field much further. Thank you for
changing my life.
I enjoyed all three teachers each provided great teaching techniques.
I really enjoyed this class it was extremely helpfully to me and what I have learned I
will apply to when taking care of my mother thank to all.
Thank you for an enjoyable educational week!
Very much enjoyed the class, instructors and classmates. Lots of helpful information
and we had a great time learning.
The instructor showed interest and encouragement.
I think the women who teach this class are amazing and have med me so much more
confident in the career choice I have made. Thank you 
Everything was great. I learned a lot in my on line class.
I felt like I learned a great deal including details that hadn’t thought about before. The
learning modules and videos were very helpful and helped to emphasize the training
further.
I couldn’t have chosen a better place to get my education for senior health.
I am impressed with your instructors Hip Hop Hooray had a great time. Learned a lot.
One of the biggest things when getting any type of education is being comfortable at
school and with the teachers and I was very comfortable and pleased with both.
I thought Sue was great with her presentations. Katherine was fun and had some great
ways to describe things that were easy to remember.
Thank you for making these classed available and affordable.
Really thought the instructors were great. Love them both.
Love this course! Instructors are very respectful and loving people. Answers
questions with good information that is clear and provided sources.
Thank you for increasing my knowledge this far.
These teachers were awesome, and going to the Schmieding Center was the best
choice I made!
Look forward to working more classes into my schedule. Look forward to working
with the heath care community. 
“I have worked with caregivers and I know they didn’t get their training from the
Schmieding Center. Kathryn wouldn’t have let us get away with doing it like that!”
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Community Comments:
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To the fantastic organizers at the Schmieding Center – Thank you so very much for
helping us put together our Fall Screen program. We had a good turn out and provided
an excellent service for our community.
Margaret, Thank you for all you do for our community. It is appreciated greatly.
--Janne Norton and residents of Brookfield.
Very well organized, good information.
Excellent program-informative. Enjoyed the “V” lunch & the surprise lemon cookie.
Appreciate the Schmieding center for hosting the Lunch & Learn-they are a blessing.
Very informative, clear presentation, like the visual & questions.
We are just older citizens who are interested in improving health as we continue to
age. This sounds like it would be a great way to begin. Thanks for making it available.
Good Program!
Excellent information! Had some difficulty hearing---- my own hearing (of course) but
also poor mike and her soft voice especially during Q/A. Thank you for lunch as well
as a really helpful program! Thank God for Schmieding Center.
Great program and great speaker. Keep up the good work!
Thoroughly enjoyed this seminar. Touched on topics I hadn’t thought of before.
Learned a lot about sleep apnea and how it affects your body and general health.
Wonderful information!
Thank you for the presentation. I had no idea Medicaid the rules were so complicated!
I learned a lot & know that I need to see an attorney for estate planning!
Excellent program. Thank you.
Very informative! Took four pages of notes. If you plan to have these speakers back- I
will definitely send friends & Clients to hear them speak. (How To Plan for Long
Term Care Expenses)
She kind of talked over my head.
Short but to the point.
Jennifer is an excellent speaker. Thanks for inviting her to help us with the emotional
issues associated with downsizing.
The Doctor was very thorough explaining about the problems with Diabetes,
medications-etcetera, very well done.
All information was most illuminating and valuable. Haven’t been so touched with
emotion and gratitude by so many who inspire and willing to give their utmost best!
We caregivers need the buoying up! I appreciate the program. Thank you!
Programs refreshingly interesting.
I did not know the music center of the brain was last affected in AD/dementia.
Pet therapy course was great-a good resource to help clients in homecare or rehab.
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Appendix E – Supporting Documents
CNA Approval
81
Evidence Based Approval
82
Home Care Specialist Agreement with NTI
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