About RIG

RI Generations

Originally formed in 2005 and named Rhode Island’s long-term care culture change coalition, renamed RI Generations in 2007, is now incorporated as a 501(c)(3) nonprofit organization. An all-volunteer organization, RI Generations is made up of individuals and representatives of organizations from all over Rhode Island.  RIG’s focus is one of the most important aspects of the reality of an individual needing in-home or residential medical care and services; and that is that the care and services provided must be individualized, person-centered, and to the greatest possible extent, person-directed!

Generations RI Generations members endeavor to educate and assist health & home care providers establish and implement a service  delivery system who’s philosophy honors the dignity and independence of the individual served by ensuring their  participation in the decisions and activities most important to the individual!  The public perception of “nursing homes” as  an option of “last choice” where individuals must relinquish their individuality, civil liberties, and choice is pervasive.  RI Generations members do not believe “..that is the way it needs to be”, and we have been meeting monthly since January of 2006 to discuss actions we can initiate to change not only what is going on in nursing facilities, assisted living, and home care services on a day-to-day basis.


To promote a person-centered care environment, rather than an institutionalized model of care for elders and the chronically ill.


HugThe RI culture change coalition was formulated in the Fall of 2005, following the historic ‘St. Louis Accord‘ meeting held in St. Louis, Missouri earlier in 2005, which brought together “long-term care culture change” representatives and interested parties from all across the country to discuss issues and activities centered around individualized person-centered care.

Formed in RI with the assistance of Healthcentric Advisors (state QIO – previously, Quality Partners of RI), David Farrell initially facilitated the first meetings of the coalition.  The original coalition members represented all the major stakeholders involvement in the long-term care industry and included:

  • Virginia Burke, RI Health Care Association
  • Nelia Odem, Healthcentric Advisors (then Quality Partners)
  • Steve Horowitz, Saint Elizabeth Community
  • Rick Gamache, Roger Williams Health Services, Providence
  • Kevin McKay, Tockwotton, Providence
  • Roberta Hawkins & Catherine Gregora, RI LTC Ombudsman
  • Dr. David Gifford, Dept. of Health, and
  • Raymond Rusin and Andrew Powers, Dept. of Health

Other groups represented included, AARP, Hamilton House, Brown University, and the RI Department of Human Services.

Founding and subsequent members of RI Generations have brought this organization to fruition and continue to aide in the promotion of culture change and advancing person-centered care.

Starting in 2007, and each year since, RI Generations has offered an annual symposium to bring national subject matter experts to educate and promote person-centered care concepts and techniques.  Additionally, the symposium is used to highlight individual champions and the different opportunities facilities have had to improve person-centered care services.  It’s a journey of continuous innovation and improvement.

Organizational Structure

  • Organized 2005, incorporated Spring 2007;
  • 2007, officially change coalition name to – RI Generations;
  • Yearly rotating Chair, Vice Chair (in-coming President), Secretary, and Treasurer;
  • RI Generation members vote on the rotating positions yearly;
  • 20+ volunteers including Board Members meet monthly to facilitate RI Generation business and events;
  • Monthly meeting of Executive team & members – 3rd Tuesday of each Month (Coffee Exchange(s) may effect meeting date;
  • RI Generations is a 501 c3, federal & state tax exempt organization;
  • 2011 established the Imogene Higbie Service Award in honor of Mrs. Imogene Higbie, a social advocate and past RIG consumer member.

Annual Announcement –  Announcement 2017


RIG funding is provided primarily through the educational events we host and through awarded grants.  RIG is a 501 c3 non-profit organization and may now accept donations in support of the organizations goals and objectives.

RIG maintains the Imogene Higbie Service Award fund to support honoring champion direct-care staff.  Each year, the board reviews candidates nominated by facilities as recognized “champions” of person-centered care .  Direct-care staff who in their day-to-day interactions with elders needing support and health care services exemplify to philosophy and clear understanding of the importance of respecting the choices and desires of the individuals they serve.  RIG awards selected individuals in honor of Imogene Higbie and provide the recipients with a cash award of $500, $300, and $200.  A small tribute and recognition for individuals doing, what in Imy’s own words was, “…the hardest job!”

Participating organizations include: Alliance for Better Long term Care (State Ombudsmen’s Office), Elder Care MinistriesElmhurst Extended CareElmwood Health CenterKasabian ConstructionLeadingAge RI (formerly RIAHSA) Healthcentric AdvisorsRatcliffe Burke Harten & Ellias Law OfficeRI Department of HealthRI Health Care AssociationRiverview Healthcare CommunitySaint Elizabeth CommunityTockwotton HomeTriad ConsultingUnited Healthcare of RIWoodpecker Hill, and the Executive Office of Health & Human Services for the state of Rhode Island.