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Colorado Culture Change Coalition

Contact Information

Cheryl Kruschke
President, Board of Directors

2002: A Pioneer Network workshop was held with various state agencies and participants interested in culture change.
May 2002: The first Colorado Coalition for Culture Change (CCCC) meeting.
Jan. 2003: Board of Directors was elected.
Educational forums have continued monthly with 40-250 participants.

Organizational Structure

  • Initially followed the model of the Pennsylvania CCC;
  • Written by-laws and articles of incorporation;
  • 501C3 status granted in 2006;
  • Elected Board of Directors with 18 Board members representing all stakeholders;
  • Hired first Executive Director August 2009;
  • Committees include: Executive Committee, Education and Program Development, Communications, Outreach and Partnerships, Fundraising and Public Policy.


  • In-kind support has come from many agencies, including Pinon Management, Colorado Health Care Association, Colorado Association of Homes and Services for the Aging, state and local ombudsmen, Colorado Foundation for Medical Care, Health Facilities and Emergency Medical Services Division,  Center for Medicare and Medicaid Services Denver Region;
  • In 2007, the CCCC  received an $86,000 grant from the Colorado Health Foundation for strategic planning, capacity building and the Colorado Accord. Grant included a $17,000 challenge which has been raised in 2008;
  • In 2008, the CCCC received a $12,000 donation from the St. Paul Golf Classic, hosted by a long-term care management company.
  • In 2010 the CCCC received a $50,600 grant from the Civil Money Penalty Fund as a result from the passing of House Bill 1196. This grant will benefit residents of nursing facilities by improving their quality of life. This specifically includes consumer education, developing a newsletter and expand the web site which will provide comprehensive information on resident-centered care, development of a Speaker's Bureau, holding the second Colorado Accord to bring all stakeholderstogether for training and developing a "Culture Change 101" training to educate providers and community members unfamiliar with culture change.
  • The CCCC also received a three-year $528,600 grant from the Colorado Health Foundation. This grant will provide additional staff, the first office space for the Coalition, development and expanded marketing and communications, increase the awareness of the person-directed care and culture philosophy, enhance public knowledge of person-directed care and adoption of the culture change philosophy through technical assistance to five skilled nursing facilities interested in starting their culture cahnge journey.
2014 Accomplishments
  • Continued to distribute consumer guides including the Smart Consumers Guide to Quality Hospice, Home Health, and Home Care and the Smart Consumers Guide to Quality Nursing Home and Assisted Living Care.
  • Expanded our technical assistance project to include 5 assisted living communities. Continued to contract with Carmen Bowman to help with this project. The impact was on all residents and staff living and working in the living communities. The goal of the project was to show that the implementation of person-centered care principles and practices had a positive outcome on clinical measures, increases census and decreases staff turnover. All 5 assisted living communities showed a positive increase in scores pre-project and post for the Artifacts of Culture Change measurement tool used to assess the implementation of person-centered practices.
  • Continued work with a communications consultant to further progress on our website and increase our social media presence.
  • We finished our work with the Colorado Department of Health Care Policy and Financing in the development of legislation to increase the amount of CMP funds that can be used for culture change as well as the length of the grants from one year to three years. The legislation was introduced and passed this year.
  • Continued to provide administrative support to the Colorado Nursing Facility Culture Change Accountability Board which helps to distribute Civil Monetary Penalty (CMP) Funds for culture change projects until the old board was disbanded with the passing of the new legislation increasing funding and time frame of the funding.
  • Continued to work with the Colorado Partnership to Improve Dementia Care in Nursing Homes. This group disseminates information and coordinates with different quality initiatives.
  • Presented and exhibited at various statewide conferences.
  • Offered education programs monthly, reaching individuals from all areas of delivery care including nursing homes, assisted living homes, home care and home health, single entry point agencies, state surveyors, and long-term care Ombudsmen.
  • Developed and implemented an integrated fund development campaign resulting in the further development of our inventory of resources available.