Artifacts of Culture Change

An Organizational Readiness and Assessment Tool

Welcome to Artifacts On Line

Gather staff, residents, family caregivers, board members, and community leaders to check out culture change in your home. It's easy, you can complete the whole survey in one sitting or any part you want to. Save the information, come back at a convenient time and do another section or two. Need a copy? Print out a report. It's that useful.

You are in the driver's seat. Drive slowly, fast, or break the speed limit. Reap the benefits of knowing what you have accomplished and get help to clarify ways to make the culture change journey as rewarding as possible. Come back any time to update the information. We recommend quarterly "tune-ups". It's your choice. 
As you will see there are lots of suggestions, tips, and instructions to make the ACC as useful for you as you want it to be. Have problems? Check out the online options to make it easy. Still have problems? Contact us. We want your ideas to make the ACC a tool you can use.

Pioneer Network is host to the web-based version of the Artifacts of Culture Change. It is our hope to provide a user-friendly, informative version of this tool to assist in each provider's culture change implementation and ongoing sustainability efforts.

Register, it's free and information about your home is never identified.

If you prefer to complete the Artifacts in a paper format, feel free to download the hardcopy version below.

Good luck on your journey!

Made Possible with Support from The Commonwealth Fund

 The Artifacts of Culture Change Downloadable Version - A blank version of the tool for download.

 The Development of the Artifacts of Culture Change Tool - This is the full report written for CMS who funded the project explaining rationale for the tool, how the tool was developed including the point scale selected, and a large Source Information table which gives backup for each item such as where that practice can be located around the country and any research found supporting items.

 The Artifacts of Culture Change Privacy Policy

 Vol.1, No 1 Artifacts of Culture Change Benchmark Reports, 4/1/10-3/31/11

 Colorado Culture Change Collaborative (CCCC) Grant Project Summary - This document summarizes an almost one year project funded by the Colorado Culture Change Accountability Board CMP Grants and managed by Carmen Bowman of Edu-Catering. The summary goes into great detail about the project which sought to work with 20 nursing homes who voluntarily chose three culture change practices as identified by the Artifacts of Culture Change measurement tool. Homes agreed to meet as teams every other week to implement the three practices and share their story at the end of the project. They also completed the Artifacts tool at the beginning and end of the project. An increase in points, approximately a total of 15 for three practices (at 5 points each) was anticipated. However, the average point increase of 47 points was shocking and showed the value of joining such a project, a little support and mostly the power of making a commitment. The Artifacts tool also proved to do accomplish one of its identified goals by co-developers Karen Schoeneman of CMS and Bowman of Edu-Catering to serve as an educational tool. Many teams stated that the Artifacts tool opened their eyes to all that could be and that "it was the right thing to do" to incorporate more of the represented culture change practices for the residents they serve. Learn more about Edu-Catering and Artifacts initiatives here:

 Colorado Culture Change Coalition (CCCC) Technical Assistance Project Report of Year One 2012

Colorado Culture Change Coalition (CCCC) Technical Assistance Project Report of Year Two

Colorado Culture Change Coalition (CCCC) Assisted Living Technical Assistance Project 2014

Arkansas Culture Change Project Summary - Through the work of Arkansas Foundation for Medical Care's AR Innovative Performance Program (AIPP) a quality improvement program was implemented to teach nursing facility and assisted living facility staff processes to implement culture change and individualized person-centered care. This report summarize the projects results.

Florida Pioneer Network: Advancing Culture Change in Florida Nursing Homes - Advancing Culture Change in Florida Nursing Homes was developed out of the exploration of culture change practices in 40 Florida nursing homes over 18 months in 2008-2009, using the Artifacts of Culture Change as a group interview tool. The project elicited both barriers and facilitators of culture change practices. Results are documented in this brief.

Artifacts of Culture Change DVD - Available through, this DVD features a presentation by Carmen Bowman with in-depth discussion of Artifacts questions and implementation.

Just in Time Toolkits (Resources, Regulations and Results) - Creating and sustaining change isn't easy. While some adopters are like master chefs sprinkling various methods into the mix, others prefer "recipes for change" to support implementation. In reality, the most successful changes will vary by setting, organization, leadership, staff and the elders affected. There is no one recipe, but we have identified wonderful ingredients that can help cater an experience just right for you. That's the essence of the Just in Time Toolkits – RESOURCES, REGULATIONS, RESULTS. We highlight wonderful implementation resources,  identify relevant regulations and point you to results to help you find just the right path.  Toolkits address environmental, dining and staffing transformations.

Missouri Department of Health and Senior Services Letter of Support

The Artifacts of Culture Change was developed for public use by the Centers for Medicare & Medicaid Services and Edu-Catering, LLP. For more information on the development of the tool contact Karen Schoeneman or Carmen Bowman. Pioneer Network does not claim any rights to the Artifacts of Culture Change. Alterations to content are made with the consent of the developers.