One Vision: Moving Forward

One Vision: Moving Forward brought together a wide range of partners to identify and resolve obstacles to the implementation of person-centered practices and other culture change initiatives in Michigan’s skilled nursing homes. At the same time, One Vision addressed the challenges that Michigan regulators face in carrying out their responsibilities as they assess the state’s wide array of culture change initiatives.


The Michigan Department of Community Health (MDCH) awarded civil monetary penalty funding to PHI to convene committed stakeholders representing resident advocates, providers, provider associations, government agencies, and employee organizations. The group worked within a consensus framework to address and resolve challenges to advance the One Vision agenda.

To further encourage the meaningful and measurable implementation of person-centered practices, the One Vision stakeholder group, in partnership with My InnerView, developed survey tools intended to measure both satisfaction and the prevalence of person-centeredness in Michigan’s nursing facilities.

Ultimate Goal: Person-Centered Care Delivery

Through collaboration and consensus, the ultimate goal of One Vision: Moving Forward was to improve the likelihood of holistic, person-centered care delivery for Michigan’s nursing home residents by aligning the many stakeholders; the quality improvement initiatives underway across the state; and the MDCH elements, values, and principles of person-centered planning.

One Vision "Spotlight" Award WinnerOne Vision "Spotlight" Award Winner

Together, by establishing a framework for consistent, productive conversation, consumers, staff, providers, and regulators worked towards creating a forward-thinking, quality person-centered experience that exceeds the already high regulatory standards of Michigan. A report documenting discussions of how Medicaid financial incentives could promote person-centered services is available for download. This report does not reflect the consensus decision of the One Vision participants, but an overview of how the state could approach creating such incentives to broaden person-centered supports and services in Michigan’s nursing homes.

PHI Midwest Director Hollis Turnham and PHI Midwest Organizational Change Consultant Cean Eppelheimer co-facilitated the One Vision effort. Please contact them or any one of the One Vision stakeholders (pdf) if you have questions about the person-centered survey tools. If you have specific questions for My InnerView, please contact Maegan Bouc at

Read "Michigan Moves Forward With Culture Change," an article published in Long Term Living on November 20, 2012.

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