I have been involved with CIAD for 40 years (more or less), and joined the board in 2008 once they determined they would add nonresidents while the majority were residents or former residents”. Ann specializes in long-term care program development, with an emphasis on culture change, quality improvement and creating a culture of retention for staff in nursing homes and home care. Now a consultant to CaringKind (formerly Alzheimer’s Association, NYC Chapter) she has worked to promote innovative, comprehensive palliative care programs for people with advanced dementia. For several years she was Associate Director of the Office of Long-Term Care at the NYC Health and Hospitals Corporation, NYC’s municipal hospital system. Earlier, as Planning Director for the Village Nursing Home AIDS Project, she helped develop the first AIDS adult day health program in the country. She was a founding board member of the National Citizens’ Coalition for Nursing Home Reform (now Consumer voice), and of Music & Memory, and has published numerous articles and book chapters on various long-term care issues.