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Meet the Presenters

Creating Home in the Nursing Home II: A National Online Symposium on Culture Change and the Food and Dining Requirements

Carmen S. Bowman, MSH, ACC

Carmen Bowman is the owner of the consulting, training and public speaking business Edu-Catering: Catering Education for Compliance and Culture Change, turning her former role of regulator to educator. Carmen was a Colorado state surveyor for nine years and is a former policy analyst with CMS where she taught the national

CMS Basic Surveyor Training Course. Carmen now serves as a contractor to CMS on culture change projects including the 2008 CMS and Pioneer Network co-sponsored national environmental symposium called Creating Home in the Nursing Home: A National Symposium on Culture Change and the Environment Requirements. With CMS, she also co-developed the Artifacts of Culture Change measurement tool. She is currently serving on an AANAC grant project regarding The MDS and Culture Change.

Carmen holds a Master's degree in Healthcare Systems with an emphasis in eldercare from Denver University. Her Bachelor's degree is in Social Work and German from Concordia College in Moorhead, Minnesota.

Food for Thought: The Missing Link Between Dining and Positive Outcomes

Judah Ronch, PhD

Dr. Ronch is currently Professor of Practice and Interim Dean of the Erickson School at The University of Maryland Baltimore County. Prior to coming to the Erickson School, he was Vice President of Resident Life, Mental Health and Wellness for Erickson Retirement Communities, where he was responsible for developing person-centered, strengths based approaches to best serve the mental wellness needs of Erickson's over 20,000 residents on 18 campuses.  Chief among his responsibilities was to develop resident services and staff education programs to optimize the mental wellness of all residents regardless of their cognitive or emotional challenges.
Prior to coming to Erickson in 2004, Dr. Ronch was the founder and Executive Director of LifeSpan DevelopMental Systems, which for over 30 years created numerous innovative programs of clinical service, research, staff development systems consultation and organizational development to meet the mental health needs of the aging in various parts of the United States. He was principal content consultant for programs developed by The Centers for Medicare & Medicaid Services and The NY State Department of Health in long term care.

He is the former Executive Director of the Brookdale Center on Aging of Hunter College, and has been on the faculties of Vassar College, The University of Miami, and Dutchess Community College.

Dr. Ronch's numerous publications include the critically acclaimed Alzheimer's Disease: A practical guide for families and other helpers and The Counseling Sourcebook: A practical reference on contemporary issues, winner of the 1995 Catholic Press Association of the United States Book Award. He is co-editor of, Mental Wellness in Aging: Strength Based Approaches, winner of a 2004 Mature Media Award, and Culture Change in Long-Term Care, the first text published about culture change in aging services.  His numerous journal articles and professional presentations include contributions in psychotherapy and counseling with the aged, care of persons with Alzheimer's Disease and related disorders, caregiver issues, staff training and service delivery issues in geriatric care.

The Deep Seated Issue of Choice
Linda Bump, MPH, RD, LNHA

Linda Bump, MPH, RD, LNHA, is a registered dietitian and licensed nursing home administrator with a particular passion for resident directed dining.  She has assisted four organizations through transformations to resident directed care, three of them through deep culture change into household living and dining.  These include Bigfork Valley Communities which defined the Household Model, Meadowlark Hills, which became a national model, and Pennybyrn at Maryfield which has demonstrated that versatile work opens the door for direct care workers to advance in position and skills. She has facilitated the culture change journey of numerous others around the country as a consultant with Action Pact, Inc. while she continues to actively practice as a registered dietitian in acute and long term care, inpatient and outpatient with a focus on chronic disease and nutrition in the life cycle.  She is a graduate of the University of Minnesota College of Home Economics with a BS in Nutrition Research, and from the School of Public Health with a MPH with a nutrition emphasis, and a certificate in long term care administration.

Survey Interpretation of Regulations
Linda Handy, MS, RD

Linda Handy, MS, RD, is the owner of Handy Dietary Consulting, based in San Diego. A graduate of Brigham Young University with a Masters from Framingham State College in Nutrition and Dietetics, she currently develops CE Training Manuals, presentations and articles for regulatory compliance in dietary/nutrition areas for dietitians, dietary managers, nurses and administrators. She worked for years as a Food Service Director/Dietitian for large multilevel retirement before becoming a specialty dietitian surveyor for the California Department of Public Health (CDPH.) A trainer for the 'Academy for New Surveyors' in Sacramento, she trained hundreds of surveyors in dietetic regulatory requirements and estimates participation or consultation on over 700 California Hospital and Nursing Home surveys. She was loaned by CDPH to participate on the CMS expert panel workgroup for the revision of F 371 (Sanitary Conditions). After retiring from CDPH, she accepted a volunteer position on the CA Coalition for Culture Change Dining Project 2008. Actively involved in the dietetic professional organization, she is currently on the American Dietetic Association's workgroup for developing the unique Scope of Practice/Scope of Professional Performance for the Dietitian in Extended Care Facilities. Her poster on the medical director's role in regulatory compliance, based upon her training manual: Surveyor MO for Nutritional Status (F 325) will be in the poster session for AMDA April 2010 Annual Conference. Her website is and she can be reached at

The Food Code and the CDC Infection Control Guidelines
Glenda Lewis, MSPH

Glenda Lewis, MSPH, has been at the FDA since 1996 and is a Consumer Safety Officer in FDA's Center for Food Safety and Applied Nutrition's Office of Food Safety, Retail Food and Cooperative Programs Coordination Staff.  She works as Team Supervisor of the Retail Food Protection Team that has responsibility to assist jurisdictions in their direct regulation of retail (e.g. restaurants, grocery stores, health care facilities, schools, child and adult day care), penal institutions, and mobile food carts, directly regulate interstate travel conveyances and support facilities, and provide assistance to jurisdictions, industry, and consumers through provision of model codes, guidance documents, program standards & assessment, training, standardization & certification, regional food protection seminars, technical assistance, and national conferences.

Prior to working with FDA, her public health career began with her working as an Environmental Specialist with the Volusia County Health Department, Daytona Beach, Florida for eight years.  In this capacity, her sanitarian duties for the Volusia County Environmental Health Division included inspection of food processing and food service establishments (institutions, restaurants, and supermarkets); institutions such as nursing homes, assisted living, and child care; biomedical waste inspections of institutions; and other environmental health inspections (swimming pools, septic systems, drinking water evaluations and assisting in the drinking water lab; and design and implementation of the lead poisoning environmental inspection program.

Ms. Lewis has a Bachelors of Science in Biology from Spelman College, Atlanta, GA and a Master of Science in Public Health from the University of North Carolina at Chapel Hill.

Nimalie Stone, MD, MS

Dr. Nimalie Stone is an infectious disease specialist who did her fellowship training at Emory University after completing her medicine residency and a clinical pharmacology fellowship at Johns Hopkins University School of Medicine.  She recently joined the Centers for Disease Control and Prevention to serve as the Medical Epidemiologist for Long-term Care within the Division of Healthcare Quality Promotion. In this role she is helping develop surveillance and prevention programs for healthcare-associated infections in the long-term care setting.  

Dr. Stone is an assistant professor in the Division of Infectious Diseases for Emory University School of Medicine. She is the campus epidemiologist for Wesley Woods Center of Emory Healthcare, which contains a geriatric hospital and a skilled nursing facility. Her research has focused on the epidemiology of antibiotic resistant organisms and antibiotic utilization in long-term care settings.

AHRQ/CMS Study of Paid Feeding Assistant Programs
Sandra Simmons, PhD

Sandra F. Simmons, PhD, is an Associate Professor of Medicine in the Division of General Internal Medicine and Public Health at Vanderbilt University.  Her clinical appointments include staff member at the Vanderbilt Center for Quality Aging and the Geriatric Research Education and Clinical Center (GRECC), Veterans Administration.  Active in research as a Principal Investigator or co-investigator, Dr. Simmons has been the recipient of numerous grants and fellowships to examine issues in gerontology.  Specifically, her research foci include interventions to improve quality of care and quality of life for older adults in the long-term care setting.  Her most recent work has focused on nutritional care quality and staffing issues.  Complementing her research endeavors, Dr. Simmons writes for the medical literature and has more then 60 peer-reviewed articles to her credit, as well as numerous abstracts, editorials, and book chapters.  Additionally, Dr. Simmons is a guest reviewer for several scientific journals and serves on the Editorial Board for the Journal of the American Medical Directors Association and Journal of Nutrition, Health & Aging.  She also serves as a grant reviewer for the National Alzheimer's Association and the Agency for Healthcare Research & Quality.  Dr. Simmons serves as a mentor for geriatric fellows, medical students and junior faculty in long-term care research at Vanderbilt.  She currently has two grant awards as a PI and both are focused on nutritional care issues in both VA and community nursing homes.

Rosanna Bertrand, PhD

Rosanna Bertrand, PhD is an Associate in the Health Policy Division of Abt Associates Inc. Dr. Bertrand received her doctorate in 1999 from the Pennsylvania State University in Human Development and Family
studies with a concentration in Gerontology and a primary focus in cognitive aging.  She joined the Abt Health Policy Division in 2005 where she has worked exclusively on long-term care issues including the design and implementation of studies that assess nursing home quality of care and clinical practices such as: The Study of Paid Feeding Assistance, the Data Accuracy and Verification Project, and Improving the Accuracy and Consistency of the Nursing Home Survey Process.  She also contributed to the design and implementation of a demonstration project to develop and assess the effectiveness of dining assistants in improving nursing home residents' nutritional intake and hydration with the long-term goals of decreasing unintentional weight loss and the incidence of pressure ulcers. Since joining Abt, Dr. Bertrand has conducted system and impact research and provided technical assistance to state grantees for the Centers for Medicare and Medicaid Services (CMS) Real Choice Systems Change Grants.  She has served as Project Director on the CMS Aging and Disability Resource Center grant, and on the Assistant Secretary of Planning and Evaluation (ASPE) Falls Intervention Project.  She is currently the Project Director for the Agency for Healthcare Research and Quality (AHRQ) project, Standardizing Antibiotic Use in Long-Term Care.  Dr. Bertrand is an adjunct facility member at Boston University, School of Public Health, and a cognitive aging consultant on the Caregiver Study of Osteoporotic Fractures, a nationally-represented longitudinal study of older adult women. She has presented her work at national conferences for over 15 years and has a strong publication history that includes peer-reviewed manuscripts on topics such as the use of Dining Assistants in nursing homes and the effects on older adults' cognitive performance of exercise and caregiving-related stress.  She has also co-authored several chapters in edited volumes on older adults' cognitive performance and on personality development in adulthood and old age.  Prior to joining Abt, Dr. Bertrand was on the faculty at Boston University's School of Public Health where she was the Principal Investigator and Co-PI on several National Institute on Aging grants that examined the physical and psychological effects of providing long-term care.


Outcomes of Choice in Dining
Robin Remsburg, PhD, GCNS, FAAN

Dr. Remsburg is the Director of the School of Nursing and Associate Dean for the College of Health and Human Services at George Mason University.  She is the former deputy director of the Division of Health Care Statistics and the Chief of the Long-term Care Statistics Branch at the National Center for Health Care Statistics. She also served as the Director for Long-term Care Research at the Johns Hopkins Geriatric Center, where she was a faculty member in the School of Medicine and the School of Nursing.  Dr. Remsburg is a geriatric clinical nurse specialist, a past president of the National Gerontological Nursing Association (NGNA), and a fellow in the American Academy of Nursing.  She is a steering committee member for the Advancing Excellence in America's Nursing Homes Campaign, which is a national quality improvement initiative to reduce pressure sores, restraint use, and inadequately treated pain in nursing home residents. Dr. Remsburg's research has focused on geriatric syndromes (including pain, incontinence, pressure ulcers, diabetes, cognitive impairment, restorative care and nutrition needs among nursing home residents), and on health services issues in long-term care (including direct care workforce issues, trends in immunizations, and home care and hospice use).

The Role of the Physician Order
Matt Wayne, MD, CMD

Dr. Matthew Wayne is currently the medical director of University Hospitals Senior Services and an assistant professor of medicine at University Hospitals Case Medical Center in Cleveland, Ohio. In addition he is the immediate past president of the Ohio Medical Directors Association and a member of the board of directors of the American Medical Directors Association (AMDA). He has worked with AMDA, the Pioneer Network and the Centers for Medicare and Medicaid Services (CMS) on the development of education regarding the role of the medical director in supporting person-directed care.

Karyn Leible, MD, CMD

Dr. Leible is an internist with a CAQ in Geriatrics.  During her geriatric fellowship she concentrated on long term care and palliative care medicine.  She has practiced in 3 states Colorado, Florida and Georgia. She has spent time doing clinical practice in academic medicine at Emory University in Atlanta as well as private practice in Colorado and Florida.   Currently she is the Chief Clinical Officer for Pinon Management in Lakewood Colorado.

She is Vice President for the American Medical Directors Association and has served  on their public policy and education committees.   In Colorado she is active with the state chapter for AMDA (CMDA) and was recently appointed by Governor Ritter to be a member of the Commission on Aging for the state of Colorado.

The Role of the Pharmacist
Denise Hyde, PharmD, RP

Denise E. Hyde, PharmD, RP served as a consultant pharmacist and then pharmacy manager in a Veterans home for twelve years (1988-2000). During that time the home implemented culture change using the Eden Alternative. Denise assisted in training other homes in the Eden Alternative philosophy starting in 1999 and then became a Regional Coordinator in 2001 for the organization supporting homes implementing the Philosophy in six states. In 2005 she worked for the state Quality Improvement Organization assisting with culture change efforts in 40 nursing homes and conducting a Medicare Part D evaluation project. In 2009, she became the Community Builder for the Eden Alternative. Her role is to support homes on the Eden Registry, provide training, and work on special projects. Denise has been involved in teaching about the Eden Alternative in Australia and Japan. She has been a guide and presenter at Pioneer Network and Eden Alternative conferences and she was part of a panel presentation on culture change at the ASCP conference in 2007.

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