Afternoon Workshop Presenters

Afternoon Breakout Session 1
Joseph Angelelli, Ph.D.
Senior Advisor for Alternative Payment Models, UPMC Center for High-Value Health Care

Workshop Title:
Person-Centered Care and Population Health: Adding Value Across the Continuum  

This workshop will describe how efforts to de-institutionalize care and individualize services can demonstrate value in the emerging landscape of alternative payment models and population health management strategies.

Dr. Angelelli is a gerontologist and health services researcher who prior to joining UPMC in February 2016 served as the Director of the Health Services Administration program at Robert Morris University.  He has served on the faculty at Brown University and Penn State and has worked also as the Pennsylvania State Director for the Paraprofessional Healthcare Institute (PHI) and the Director of Networking and Development for Pioneer Network, two national non-profits focused on transforming long-term services and supports. Dr. Angelelli is a board member of the Southwestern Pennsylvania Partnership for Aging, a 25-yr old non-profit organization that’s leading efforts to transform cities and towns in the Pittsburgh region into an Age-Friendly Communities.  Dr. Angelelli holds a doctorate in gerontology and public policy from the University of Southern California.


Afternoon Breakout Session 2
Dr. David Gifford, SVP of Quality and Regulatory Affairs, American Health Care Association
Marguerite McLaughlin, VP of RI Health Care Association


Workshop Title: From Institutional to Individualized Care
Description: (coming soon)


Biography: David Gifford, MD, MPH, is the Senior Vice President of Quality and Regulatory Affairs at the American Health Care Association, the largest association in the country representing long term care, post-acute care and assisted living facilities. He helped create the Quality Department at AHCA which assists providers in their quality improvement efforts and works with administration officials on regulations and policies impacting the profession. Dr. Gifford also serves on the Board of the Advancing Excellence in America’s Nursing Homes campaign and the Baldrige Foundation Board. He is a former Director of the Rhode Island State Department of Health, where he received the National Governor’s award for Distinguished Service Award for State Officials and was a semi-finalist for the Harvard Kennedy School of Government Innovations in Government award for work on the nursing home survey process. Prior to that he served as Chief Medical Officer for Quality Partners of Rhode Island where he directed CMS’ national nursing home-based quality improvement effort. He received his medical degree from Case Western Reserve University and conducted his geriatric fellowship at UCLA where he also earned his Master’s in Public Health in Epidemiology while a Robert Wood Johnson Clinical Scholar.


Biography: Ms. McLaughlin is an enthusiastic educator and trainer working both locally and nationally to support change in healthcare. Her 30 years of experience at Saint Elizabeth Home, the Alzheimer’s Association and the Quality Improvement Organization in RI have provided her with unique insights and “boots on the ground” experience in helping organizations improve their care and service to their residents. Because of her experience with LTC workforce issues she was appointed as liaison to the Industry Partnership for Healthcare under the Governor’s Workforce Board Rhode Island. In this role she provided solutions to bridge the skills gaps within the healthcare industry. Among her favorite roles was serving as the Lead Coordinator for the oversight of the national CMS Pilot Study “Improving Nursing Home Culture”. Through this national initiative, she and her design team developed the HATCh model (Holistic Approach to Transformational Change). She served on the national Individualized Care Pilot Project, an initiative that partners surveyors and the QIO on survey teams so that regulation and education can happen simultaneously in nursing homes. She earned a Master’s degree in Holistic Counseling and applies this knowledge to individualized care and organizational culture.


Afternoon Breakout Session 3
Karen Schoeneman, MPA, BA
Consultant, Author, Trainer


Workshop Title:  How to Make “Culture Change” Fit with QAPI


Coming in November is the new CMS mandate to have a QAPI plan.  How does this plan fit with your efforts to improve resident choice and quality of life through culture change efforts?  Hear from one of the CMS staff who developed QAPI how it all fits together, as well as what tools will help you develop your QAPI plan.

Program Objectives:

  • Attendees will be able to describe the components of a QAPI plan;
  • Attendees will be able to describe the QAPI processes of data collection & analysis;
  • Attendees will be able to describe the features of a QAPI Performance Improvement Project (PIP) as well as naming at least four-4 culture change PIPs.


Owner of Karen Schoeneman Consulting, having retired in June 2012 from a twenty-22 year career in the Center for Medicare and Medicaid Services (CMS) Division of Nursing Homes, which has responsibility for survey and certification of all nursing homes. While at CMS, Karen specialized in quality of life and resident rights for nursing home residents.  She is one of the founders of the national Culture Change movement and Pioneer Network.This organization started out to improve life for residents of nursing homes but has expanded into all long-term care settings. Karen was widely known as the CMS agency lead for culture change.  She was the project lead from CMS for the two CMS/Pioneer Network national symposia on the regulations and the physical environment (2008) and on dining/food choice (2010).Karen has trained over 5000 State surveyors in quality of life, has produced, and moderated several CMS training broadcasts on a variety of topics including culture change, dementia care, activities, unnecessary drugs, and others.  She is the co-developer of the Artifacts of Culture Change (with Carmen Bowman,, a culture change measurement tool which is now being used by hundreds of nursing homes to help them measure their progress in changing their organizational culture.

Karen’s latest projects included, development of a CMS training broadcast on issues of discrimination of the LGBT population along with best practices for providers, and a six-6 part nurse aide training series on abuse prevention and person-centered dementia care that CMS is sending to all nursing homes. Prior to her CMS career, Karen worked seventeen-17 years providing social services in large long-term care state facilities in Pennsylvania.