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Articulating the Need for the Coalition

Key Elements of State Coalitions

All of the existing state culture change coalitions started because someone (one person or a number of people) recognized a need to work together with other individuals and organizations to advance culture change in their respective states. Many (not all) of the coalitions were established as a result of the Saint Louis Accord conducted in 2005 by Quality Partners of Rhode Island and the Pioneer Network which brought together state long-term care stakeholders (provider associations, quality improvement organizations (QIOs), state long-term care ombudsmen, and citizens advocacy groups) to educate them about culture change and encourage them to establish coalitions in their respective states. For those states that did not already have a culture change coalition, the QIOs were asked to be the conveners.

Coalition Example - "The Iowa Person Directed Care Coalition began as part of our strategy from the St. Louis Accord in June 2005. We felt the best way for Iowa to begin was to develop the coalition, especially after hearing the speakers from the various coalitions that presented in St. Louis. " Kim Downs, Iowa Person Directed Care Coalition