Building Resilience: Maintaining Quality Care in Nursing Homes During COVID and Beyond
2023 Archives
4-month Project ECHO series (March 29 – June 28, 2023)
Microburst 1: Promoting Well-Being
March 29, 2023
Individual Resiliency
April 26, 2023
Team Resiliency
May 24, 2023
Community Resilience
June 28, 2023
2022 Archives
12-week Project ECHO series (March 2 – May 18, 2022)
Step 1 – Leadership Responsibility and Accountability
March 2, 2022
- Introduction/Emotional Intelligence
Presented by Jeremy Holloway, PhD - Action Steps to QAPI
Natasha Green MBA, RN - Slides
- Video
- Additional Resources
- ProQOL Measure – Professional Quality of Life Measure (ProQOL 5.0)
- Improving Retention Among Certified Nursing Assistants Through Compassion Fatigue Awareness and Self-Care Skills Education
Step 2 – Develop a Deliberate Approach to Teamwork
March 9, 2022
- Resiliency in Long Term Care
Presented Jeremy Holloway, PhD - Action Steps to QAPI
Jean L. Roland, BSN, CPHQ - Slides
- Video
Step 3 – Take your QAPI “Pulse” with Self-Assessment
March 16, 2022
Step 4 – Identify Your Organization’s Guiding Principles
March 23, 2022
Step 5 – Develop Your QAPI Plan
March 30, 2022
Step 6 – Conduc
AHRQ ECHO National Nursing Home COVID-19 Action Network
Supported by the federal Agency for Healthcare Research and Quality (AHRQ), and in collaboration with the Institute for Healthcare Improvement, Project ECHO is launching a National Nursing Home COVID-19 Action Network.
Our team at Dakota Geriatrics in collaboration with Center for Rural Health is participating in the Network as an official training center for nursing homes.
Phase 1 – Boot Camp
Curriculum Resources and Recorded Sessions
Week 1: Program Introduction; Preventing and Limiting Spread
COVID-19: Stopping the Spread
Video | Slides
Quality Assurance Performance Improvement (QAPI) for Nursing Homes
Video | Slides
Additional Resources
Week 2: Personal Protective Equipment
Personal Protective Equipment (PPE)
Video | Slides
Additional Resources
Week 3: Approaches to Cohorting
Cohorting and Critical Infection Prevention Strategies
Video | Slides
QI Content: Conversations to Prepare for Improvement
Additional Resources
Week 4: Safe Environment
A ‘Farewell to Harms’; Ensuring a Safe Environment for All!
Slides
Additional Resources
Week 5: Cleaning and Disinfecting
Cleaning and Disinfection
Video Part 1 | Video Part 2
Additional Resources
Week 7: Community Transmission and Screening
QI Content: High Level Flow Charts for Reliable Design
Transmission and Screening
Video | Clip 1 | Clip 2 | Slides
Additional Resources
CMS Toolkit on State Actions to Mitigate COVID-19 in Nursing Homes
Week 9: Interprofessional Team Management
Managing COVID-19 in Nursing Homes
Slides
Additional Resources
Week 11: Vaccinations and Safe Care Transitions
Promoting Safe Care Transitions
Additional Resources
Debunk COVID-19 Vaccine Conspiracies With Dr. Fauci
Week 13: The Role of Certified Nursing Assistants (CNAs)
Additional Resources
Week 16: Effective Leadership and Communication
Leadership and Communication Slides
Additional Resources
Phase 2 – Continuing Education
If you have questions, please email us at: dakotageriatrics@und.edu.
Dropbox Information
Curriculum Resources and Recorded Sessions
Phase 2, Week 1: QAPI 101 and Walking Rounds
Additional Resources
Phase 2, Week 2: How to Implement Change
Additional Resources
Who Moved My Cheese, The Movie by Dr. Spencer Johnson
Phase 2, Week 3: Leadership Accountability & Flexibility
Additional Resources
Phase 2, Week 4: Develop a Deliberate Approach to Teamwork and Data: Baseline & Benchmarking
Phase 2, Week 5: QAPI Step 3 & 4; Social Isolation Performance Improvement Project (PIP)
Additional Resources
QAPI for Certified Nursing Assistants Facilitator Guide
YouTube Video: QAPI – Making a Difference
GPQIN PIP Template (print version)
Phase 2, Week 7: Develop a Strategy for Collecting and Using QAPI Data
Additional Resources
Phase 2, Week 9: Prioritize Quality Opportunities and Charter PIPs
Additional Resources
All Cause Harm Prevention in Nursing Homes
CMS PIP Prioritization Worksheet
Phase 2, Week 10: Plan, Conduct, and Document PIPs
Video: Staff Well-Being Depends on Trauma Informed Principles
Additional Resources
Phase 2, Week 17: Making the Connection: Successful Communication in Stressful Times
Phase 2, Week 18: Time Management in Stressful Times
Additional Resources
Phase 2, Week 20: Vaccinations and Staff Morale PIP
Additional Resources
Phase 2, Week 22: Vaccinations: Common Questions
Additional Resources
Centers for Medicare & Medicaid Services Staff Morale Toolkit
2021 – Project ECHO Archives
Unsafe Medication – Donald Jurivich, DO
Traumatic Brain Injury and Older Adults – Rebecca Quinn, LMSW, CBIST
Advance Care Planning: What Matters Most – Lindsey Dahl MD, FACP, Marsha Nygaard, RN
Home Safety Assessments: Evidence-Based Strategies to Decrease Falls and Improve Mobility – Kara Welke, OTD, OTR/L CLT
Adverse Drug Reactions in Geriatrics – Rebecca Brynjulson, PharmD, BCACP, BCGP
Delirium: Assessment and Management – Gregory Johnson, MD
Addressing Functional Abilities – Sclinda L. Janssen, PhD, OTR/L, CLA
Mobility and Geriatrics – Meridee Danks DPT, NCS
Improving Medication Use in Geriatrics Patients – Rebecca Brynjulson, PharmD, BCACP, BCGP
4Ms: The Mind – Donald Jurivich, DO
2020 – Project ECHO Archives
Mobility: Fall Risk Assessment & Management – Lindsey Dahl, MD, FACP
Polypharmacy & Medication Deprescribing – Mark Dewey, PharmD, BCGP, FASCP
Mentation and Mild Cognitive Impairment – Donald Jurivich, DO
What Matters, Beyond POLST – Jon Berg, MD, CMD; Jacque Gray, PhD; & Nancy Joyner, MS, CNS-BC, APRN, ACHPN
Mobility: Prescription for Physical Activity – Rebecca Brynjulson, PharmD, BCACP, BCGP
Describing Medications in Geriatrics Patients – Rebecca Brynjulson, PharmD, BCACP, BCGP
Depression in Geriatrics – Dr. Joseph Rees; Dr. Robin Arends, CNP
What Matters: Decisional Making Capacity – Jason Karlawish, MD
Handgrip Strength – Ryan McGrath, PhD
Dementia Detection and Caregiving Challenges in the Black and African American Communities
This virtual event was a learning opportunity for providers, healthcare professionals, people living with dementia, and caregivers. Participants learned about the disparities in prevention, diagnosis and treatment of Alzheimer’s diseases and other dementias, and caregiver challenges in Black and African American communities.
Dementia Detection and Caregiving Challenges in the Black and African American Communities
February 28, 2023
This virtual presentation was a no-cost learning opportunity for providers, healthcare professionals, people living with dementia and caregivers. Participants learned about the disparities in prevention, diagnosis and treatment of Alzheimer’s diseases and other dementias, and caregiver challenges in Black and African American communities.
Program Objectives
- Discuss the disparities with Alzheimer’s disease in Black and African American communities
- Describe the experiences of Black and African Americans who are impacted by dementia and their care partners
- Identify resources and behavioral techniques for people living with dementia and their care partners
Summary of Event
12:05 – 12:35 pm
Understanding Alzheimer’s and Dementia
Recording | Slides
Lakeitha Sims, MS
12:40 – 1:25 pm
Sleep as Self-Care
Recording | Slides
Glenna Brewster Glasgow, PhD, RN, FNP-BC
1:35 – 2:20 pm
Health Disparities & Inequalities in Alzheimer’s and Dementia
Recording | Slides
Beverly Berry, MA, CHES
2:30 – 3:15 pm
Decision-Making Among Black Caregivers
Recording | Slides
Quinton D. Cotton, PhD, MSSA
3:30 – 4:00 pm
Panel Discussion with Presenters
Recording
Gunjan Manocha, PhD, and Nikki Wegner, MS, OT
Dementia Friendly Healthcare and Community Symposium
This day-long symposium is held annually and hosts national experts in dementia care. Topics include dementia assessment, treatment, and community support.
May 21, 2025
Feeding the Brain: Nutrition Strategies for Dementia Prevention & Care
Kristen Neises (Martin), APRN, FNP-C, DipACLM
Navigating Dual Diagnosis of Mental Health with People Living with Dementia
Joseph Rees, MD
Falls And Falls Risk Increasing Drugs
Mark Dewey, PharmD
Assessment and Screening Tools of Mental Health Disorders with Dementia Diagnosis
Sam Cotton, PharmD
Assessment and Management of Multiple Chronic Conditions with Memory Loss
George Rath, MD
The Rise of State Dementia Coordinators & Multisector ADRD Training and Support Resources
Jennifer Craig, MBA & Nicolette Castagna, LMHC, MPH, CDP
June 5, 2024
This 5th annual virtual symposium was a FREE learning opportunity for providers, healthcare professionals, and community workers with national experts on dementia practices.
These video presentations were from the June 5, 2024 virtual symposium.
Differential Diagnosis
Douglas Lane, PhD
Reviewing Disease Modifying Therapies and the Potential Challenges of Implementation
Hamid Okhravi, MD
Capacity Assessment & the Nature of Disability
Julia Hiner, MD
Dementia Assessment and Role of Specialists
Allison Gibson, PhD, MSW
Communication of Diagnosis and Follow Up Support
Anila Z. Medina, MD, MPH
Care Fragmentation in Older Adults with Alzheimer’s Disease
Sara Turbow, MD, MPH
June 7, 2023
Dakota Geriatrics presents its 4th annual free learning opportunity for providers, healthcare professionals, and community workers with national experts on dementia practices.
These video presentations were from the June 7, 2023 virtual symposium.
State Plans for Alzheimer’s Disease and Dementia
Rebecca Quinn, LMSW, CBIST
Detecting and Addressing Geriatric Syndromes in People Living With Dementia
Rachel B. R. Chalmer, MD
Role of Social Workers in Working with Caregivers to Prevent and Survive Hospitalizations of Persons with Dementia
Kate Gordon, MSW
Acute Hospitalization for People with Dementia: A Bridge Not a Gap
Douglas W. Lane, PhD
Role of the Pharmacist in the Management of Persons Living with Dementia
Nicole J. Brandt, PharmD
Oral Health and Dementia
Enrique Varela, DDS
Providers and Caregivers as Allies
Melissa Baartman Mork, PsyD
Health Care Providers as Leaders in Dementia Friendly Health Care
Donald Jurivich, DO
June 8, 2022
Dakota Geriatrics presents its 3rd annual free learning opportunity for providers, healthcare professionals, and community workers with national experts on dementia practices.
The virtual symposium was held on June 8, 2022.
Benefits of Creative Arts for Persons with Dementia and Their Caregivers
Anna St. Amant
Life Enrichment Director at Touchmark at Harwood Groves
Alzheimer’s Disease is a Multi-Organ System Disorder with Environmental Precipitants
Arnold Eiser, MD, MACP
Drexel University College of Medicine
Aging in Place With Technological Enhancement
George Demiris, PhD, FACMI
University of Pennsylvania
Non-Pharmacological Management of Behavioral Problems in Patients with Dementia
Ann Morrison, PhD, RN, CS
John Hopkins University
Interpretation of Clock Draw: Visual Spatial Management of Dementia
Michael Mercury, PhD
Northwestern University
Cognitive Training
Jerri Edwards, PhD
College of Medicine Psychiatry and Behavioral Neurosciences, University of South Florida
Pharmacological Management of Behavioral Problems in Patients with Dementia
Christopher Marano, MD
University of Maryland Medical Center
June 16, 2021
The collaboration of Dakota Geriatrics, Wyoming Center on Aging and St. Louis University Gateway Geriatric Education Center presented “Dementia Friendly Healthcare and Community Support.” This day long symposium involved national experts in dementia care. Topics included dementia assessment, treatment, and community support.
The video presentations and slide decks are from the virtual symposium held on June 16, 2021.
Loneliness & Social Isolation
Marla Berg-Weger, PhD, ACSW, LCSW
School of Social Work
Saint Louis University
Slides
Early Detection of Dementia
Soo Borson, MD
University of Washington School of Medicine
Slides
Whole Person Dementia Assessment
Angela Sanford, MD
Saint Louis University
Slides
Cognitive Stimulation Therapy
Max Zubatsky, PhD, LMFT
Department of Family and Community Medicine
Saint Louis University
Slides
Pros and Cons of Medications for Dementia
George Grossberg, MD and John Morley, MD
Saint Louis University
“Pro” Slides | “Con” Slides
Training Providers for Caregiver Education
J. Riley McCarten, MD
Geriatric Research, Education and Clinical Center
Minneapolis VA Health Care System
Slides
Driving and Dementia
Richard Marottoli, MD, MPH
Geriatrics
Yale School of Medicine
Slides
June 24, 2020
The video presentations and slide decks are from the virtual symposium held on June 24, 2020.
Presentations
Dementia Imaging: A Multimodality Approach with Emphasis on Nuclear Imaging
Presented by Erica Martin-Macintosh, M.D.
Behavioral and Psychological Symptoms of Dementia
Presented by Robert Olson, M.D.
Medical Management of Dementia
Presented by Lindsey Dahl, M.D.
Decreasing the Impact of Dementia: The Value of Assessment and Networks
Presented by Daniel Murman, M.D., M.S.
How Alzheimer’s Disease Affects the Brain, Behavior, Cognition, and Personality
Presented by Robyn Birkeland, Ph.D.
Managing Day-to-Day: Coping with Stress, Guilt and Grief
Presented by Katherine Herreid, M.S., C.P.G.
Improving Quality of Life for North Dakotans
Presented by Janna Pastir, M.P.H.
Age-Friendly Healthcare for American Indian Elders Symposium
This virtual symposium is a free learning opportunity for providers, healthcare professionals, and community workers applying Age-Friendly Healthcare in American Indian populations.
February 28, 2025 Materials
Resilience Matters: In Research and Practice – Regina Robbins, PhD
April 10, 2024 Materials
Event Recordings
Improving Health through Collaborating with Traditional Medicine
Frederick K. Ness, MD, St. Croix Chippewa Indian of Wisconsin
The History and Legacy of American Indian Boarding Schools
Denise Lajimodiere, EdD, MEd, BS, National Native American Boarding School Healing Coalition
Enhancing Engagement in Motion: Exploring Barriers, Facilitators, and Innovative Approaches for Indigenous Elders
Lavonne Fox, PhD, OTR/L, University of North Dakota
Indigenized Traumatic Grief and Loss
Tami Jollie-Trottier, PhD, Indigenized Behavioral Healing
March 24, 2023 Materials
Event Videos and Slides
- The Aging Brain
Tami Jollie-Trottier, PhD, Indigenized Behavioral Healing
Slides - Mind, Thinking, and Memory in American Indian and Alaska Native Communities
Jordan P. Lewis, PhD, MSW, Professor, Department of Family Medicine & Biobehavioral Health, University of Minnesota Medical School – Duluth
Slides - Multifactorial Causation & Risk Reduction of Dementia: Indigenous Histories, Current Pathologies, and Prevention Potentials
Joseph Neil Henderson, PhD, Professor Emeritus of Family Medicine & Biobehavioral Health University of Minnesota Medical School
Slides - American Indian Medicinal Plants for Menopause: Collaboration with Urban Indigenous Women
Tristesse Burton, PhD, MSL, Bridge to Faculty Postdoctoral Scholar, Ford Foundation Postdoctoral Fellow
Slides - Cultural Aspects of Care
Donald Jurivich, DO, Chair of Geriatrics, University of North Dakota School of Medicine & Health Sciences
Slides
April 8, 2022 Materials
Age-friendly healthcare involves using evidence-based practice and awareness of older adult’s health care based on the framework of Geriatrics 4Ms: What Matters, Mentation, Medication, and Mobility. This half day symposium hosted regional experts who discussed incorporation of each of the 4Ms in patient care specific for American Indian populations over zoom webinar. This FREE activity provided up to four educational credits.
Summary of Event
8:00 – 9:00 am What Matters to American Indian Elders | Tami Jollie-Trottier, PhD, Indigenized Behavioral Healing
9:15 – 10:15 am Training Providers to Educate Caregivers of Native Elders with Dementia | Jordan P. Lewis, PhD, MSW, Associate Director, Memory Keepers Medical Discovery Team – Health Equity, Professor, Department of Family Medicine & Biobehavioral Health, University of Minnesota Medical School, Duluth campus
10:30 – 11:30 am Guiding Healthcare for Elders | Monica Mayer, MD, Council Women and Physician, Quentin N. Burdick Memorial Hospital
11:45 am – 12:45 pm Gait and Mobility Disturbances in Dementia | Blythe S. Winchester, MD, MPH, CMD, AGSF, Director of Geriatrics Services, Cherokee Indian Hospital, Certified Medical Director, Tsali Care Center, Chief Clinical Consultant, Geriatrics and Palliative Care, Indian Health Service
Partners
College of Nursing & Professional Disciplines, University of North Dakota
March 30-31 Event Materials
Geriatrics problems are common but often under recognized in health care. More than 80% of older adults with memory impairment go unrecognized by their primary care providers. Nearly two-thirds of older adults at risk for falls have no mitigating healthcare plan. To address this gap, Age-Friendly Care adopts evidence-based practice through the Geriatrics 4Ms: What Matters, Mentation, Medication, and Mobility.
Sponsored by Dakota Geriatrics, this symposium program brought regional experts together to discuss the Geriatrics 4Ms in patient care specific for American Indian populations in the Great Plains.
Mobility Assessments and Action Plans
Meridee Danks, DPT, NCS
University of North Dakota
Slides
Isolation and Loneliness
Tami Jollie-Trottier, PhD
Indigenized Behavioral Healing, Belcourt, North Dakota
Brain Health and Dementia Prevention
J. Neil Henderson, PhD
University of Minnesota
What Matters
Donald Jurivich, DO
Chair of Geriatrics, University of North Dakota School of Medicine & Health Sciences
Functional Mobility for the Joy of Living
Lavonne Fox, PhD, OTR/L and Sclinda Janssen PhD, OTR/L
University of North Dakota
Slides | Handout
Overview of Age Friendly 4Ms Framework
Donald Jurivich, DO
University of North Dakota
Slides
What Matters
John Eagle Shield
(Retired) Director, Standing Rock
Slides
Aging vs. Dementia
Jacque Gray, PhD
University of North Dakota
Slides
Prescription Management with Traditional Indigenous Medications
Nicole Redvers, ND, MPH
University of North Dakota
Navigating Nutrition and Mealtime for People Living with Dementia
This virtual event was a free learning opportunity for providers, healthcare professionals, community workers and caregivers with experts on dementia practices.
Navigating Nutrition and Mealtime for People Living with Dementia – Virtual Symposium
March 14, 2024
This virtual event was a free learning opportunity for providers, healthcare professionals, community workers and caregivers with experts on dementia practices.
Program Objectives
- Define dysphagia and its implications for people living with dementia
- Incorporate nutrition in diet for people living with dementia
- Discuss mealtime challenges and how to navigate mealtime for people living with dementia
Event Videos
Navigating Mealtime Challenges: Strategies for Encouraging Eating and Managing Behaviors in Dementia Care
Kara Welke, OTD, Home Therapy Solutions
Dementia and Dysphagia
Nicole Kiel Paschke, MS, CCC/SLP, University of North Dakota
Diet, Nutrition and Dementia
Puja Agarwal, PhD, Rush University