“Terezin: A Concentration Camp” by Dianne H. Timmering

Terezin, a former military town and fortress, an hour north of Prague in the Czech Republic, was built during the 18th century when the Austro-Hungarian empire ruled the majestic lands of Bohemia and Moravia, where peaceful moats and sturdy encampments never saw battle until the Nazis found it and decided on its fate.

The Terezin Ghetto, where battalions once lived, where a sleepy town of 7,000 Czechs lived in the 1930s before the Germans conquered the lands, where these civilians were forced to leave, because the Jewish populace of the Czech lands was coming. Terezin, re-designed by the Gestapo as a deportation center for the Jews of Prague and the elderly Jews of Berlin, who were transported there with the hopes of a “spa” like life, to live out their days, protected from war, instead of going into the soul of it. Many elderly paid for what they thought was the opportunity to live there, to be transported, paying the Nazi war purse maximum sums inside the treachery of what they could never have conceived. Worse, it was a place for deportation to Auschwitz and Buchenwald where, of the 155,000 who lived in and/or faced deportation from the Terezin Ghetto, there were only 3,200 known survivors. Toward the end of WWII, Terezin built its own crematorium to extinguish death faster, so that in ash to ash and dust to dust scattered into the molecular world of shriveled seed, a person could no longer exist.

Terezin, a place for the vulnerable to perish under the stomp of treachery, lives stolen, legacies obliterated, invisible to new birth lines of being. A place for children, many orphaned during the war where those few brave adults left to tend them, offered secret lessons with hidden Readers. The children painted and contributed to the world of art, allowed (“allowed” because of a predetermined fate by their captor) to design the horror around them, brutal sufferings of sickness, doing without, staying firm within, tapping into the frail memories of warm homes remembered, and sleigh rides in snow. Their artwork, now preserved and poignant on the walls of the Terezin museum, behind glass, fragile, an easy rip to the touch of a human hand or maybe sturdy, after so much toiled turmoil in the memory of one child 10 years old. No legacy, no bloodline, no being.

Let us then be a legacy for life.

A legacy of life; let us jostle open into newness and fresh awakening that life is worth living. Let us live in our greatness — God’s focused creation in each of us. Let us live for loss in past war, even now in bitter feuds centuries old, and the innocence of life that never has a chance.

Still. Seek a new point of awareness. Let us live a legacy of life and maybe the lost won’t be so lost anymore. They will find their way on the shoulder of our breath and in the humanity of memory, in the molecule of new chance, no matter our age, no matter the time, no matter the moment. Your life has started, with every chance still for great purpose. We will always pound out against the walls of time, but don’t let time steal yours.

Life has begun; live, begin, start…Now. Who am I?

Dianne H. Timmering, MBA, MFA, CNA
Vice President of Spirituality and Legislative Affairs
Signature HealthCARE Consulting Services, LLC
Twitter: @Dhtimmering


CNA Appreciation Week Video

Below is the complete footage from the CNA Appreciation Week video:

Why did the Revolution finally join AHCA and become a CPAC Member?


In his latest blog post, Signature President and CEO Joe Steier explains the importance of Signature’s recent move to increase its involvement with the legislative process as it relates to long-term care and health care.

Why did the Revolution finally join AHCA and become a CPAC (Conservative Political Action Conference) Member?

I hate to pull a clichéd David Letterman Top 10 list, but it will tell you the real reason we did…

1 – Former Kansas Gov. Mark Parkinson’s leadership and team depth as AHCA President and CEO is exceptional. The improving quality data, combined with being part of the solution and providing tireless education over half a decade already has made our case worth hearing and supporting!

2 – The amazing work by FHCA (Florida) leadership, headed by Emmett Reed and team. We were supporting through Florida Promise but not at the level they deserved! Florida was a throwaway state 15 years ago, and now it is becoming a model of collaboration and compromise.

3 – We finally launched our own Signature PAC, ‘Protect Seniors Now,’ led by Vice President of Spirituality and Legislative Affairs Dianne Timmering and Director of Legislative Affairs Kathy Gallin, which allows us to become a driver of grassroots advocacy with deep participation alongside our engaged leaders who really want to be part of the conversation. Before I felt so much pressure to fund important healthcare legislators, and if we joined without a growing PAC, I was worried we could not keep up.

4 – So many industry leaders have made huge, selfless contributions to the current evolution, the new solution-based vision and the strong network that has been built. I felt our seat at the table was not really needed based upon the excellence I witnessed by leaders such as Paul Diaz, Neil Pruitt, Norman Estes and many others.

5 – Our legislative lady, Kathy, kept going for 8 years, bootstrapping it, always showing up, building real relationships and partnerships, etc. She educated me to take a fresh look at more resources, adding Dianne Timmering as a partner because of her background in policy and ability to build strategy. We all work better in teams and need to become a larger voice in the changing world. Kathy made many of our team members believers with her relentless pursuit of a voice for the Signature revolution. She convinced Dianne, me and our board that it works, but you have to show up, engage, share and believe, and sometimes will things through.

6 – My thoughts were that we could raise the bar in other meaningful ways, like expanding the role of spirituality in LTC, funding our research center or our InnovateLTC (a collaborative immersion model), developing post-acute hospital forums, and building market intelligence systems to help predict and share it. All of these initiatives made me feel we were already contributing to the body of work that our industry has achieved – but was it enough?

7 – We were mainly concentrated in three states: Kentucky, Tennessee and Florida. I felt we were helping lead and fund some of the costs and energy in the bloody medical panel fight in Kentucky that ran most of my friends off, while in Tennessee there were still some ideology gaps that I just had not become comfortable with, and I knew we were helping in Florida in a different, non-member way. However, with new regions in Ohio, Indiana and North Carolina, and progress by many of our state leaders, it was a great time to make the bold move.

8 – I closely watched the Alliance Defending Freedom, with Alan Sears, for years, seeing the importance of their approach to really pushing for a targeted voice and getting the conversation with the power brokers, and did not see a way to be active in both. We were just too small, a new organization that was making a headquarters move across the country, so we tried to get stronger first, and get centralized so we could grow. During this period, I heard a merger was likely. The combined organization has taken best practices from both groups and made it a true standard of excellence that has impressed me.

9 – I want my team to have the best learning experience possible. We have one of the coolest learning pillars anywhere in the U.S., but once AHCA shifted to real rigor, data analytics and developing real, unbiased arguments based upon evidence, the new day began. It was time to enhance our SHC team with some of the best learning I have seen in years.

10 – Lastly, as good as AHCA and CPAC are, I think they need us like we need them. We bring great energy, an innovative platform, new ideas and a very talented team that should be part of the new solutions.

Isn’t that what great partnerships are about anyway?

To read more, visit Joe Steier.com<http://joesteier.com/2014/07/15/why-did-the-revolution-finally-join-ahca-and-become-a-cpac-member/>.


Meetings On Capitol Hill – June 25 and 26, 2014

Joe Steier, Dianne Timmering and Kathy Gallin attended a meeting with the American Health Care Association on June 25th and 26th, discussing so many of the issues that we as providers are watching unfold- i.e. bundled payments, site neutrality, Medicaid Managed Care, etc.

Read the whole story on Kathy Gallin’s ‘Legislative Lady’ blog: 


“My Mama’s CNA” by Dianne H. Timmering (with Video)

Being a CNA. What it feels like is truly beautiful, challenging, exhausting, special, hopeful…

Katy walks in with a smile and my mama has to “go” to the restroom; nervous energy trembles an already trembling leg filled with the demon of Parkinson’s, the ghost in her body which she can no longer control. Katy gently taps her hand, given frailty by slender bones; and with a quick squeeze of calm, Katy lets her know not to worry. Katy helps Mama equalize as she raises her from the bed, slips the gait belt around her waist and offers her the handle bar of her walking “driver”. They ambulate toward the bathroom. Mama stubs her socked toe; Katy slows, steadies, holds.

They are patient with each other because the relationship is not one-sided — it is the valuation of respect and love, compassion and belief that life is still worth living maybe because they are connected friends, united in a common purpose of need and conviction. They are special together like a posse of graceful gazelles leaping along a grassy patch in union of leaps and dance, walking together like Katy and my Mama, a glide and scuffle across the floor. They arrive at the bathroom door and they pirouette around so that my Mama can use the toilet. This too is a delicate dance of caution and support, one function cannot, without the other.

Katy leaves for privacy and dignity; Mama asks her to wait just outside the door. Katy does. Patient, a burden to carry for her people, because she’s filled with the jewels of unique compassion. Katy looks around the room decorated in pictures of a life once lived; she fights through the fatigue and a sleepless night before, her son sick with a stomachache, her daughter troubled with a 3rd grade math test.

When Mama is finished, Katy helps her up, tells her about her daughter’s issue with math. It pleases Mama to hear about the world living around her; Katy knows this. Inside these seconds, they are normal friends.

They wash hands, Mama cleans her teeth — she likes to brush her teeth. A crooked hand steadies as Katy places the toothbrush in Mama’s hand, helps her where she misses and washes it out when Mama is done.  An anxious calm fills a body that belies a once active “jitterbugger” and a lover of endless parties. They can talk now, Mama only anxiously calm; her body once a school teacher’s. Her once dominant voice now a raspy sound in a peal of a help offer: she whispers, “I can help your daughter with that math problem.”

Katy nods, grateful for the kindness because she knows Mama can’t really see much anymore, the light still of a life no longer refracts in the eyes to decipher a word or a number on the page. Katy smiles into Mama’s soft wrinkles and Mama taps a pure cheek that held a private tear only an hour ago; and both are fulfilled in the moment of space and time.

Mama tells her a quick story, and they center their giggles one inside the other. Revived with a little new air in four lungs—two that are old and two that are young.  Need and purpose: a synergy of the dance, a CNA and her patient, a friend and her confidant, a mother and her child.

CNAs, we celebrate you — the crown jewel of the industry, the divine beauty of our healthcare nation. God bless you always. Psalm 91.  – Dianne

Dianne H. Timmering, MBA, MFA, CNA
Vice President of Spirituality and Legislative Affairs
Signature HealthCARE Consulting Services, LLC


New panel series seeks to empower women in the health care workforce

DIANNE's OFFICIAL PHOTO (6-4-14)A 2012 study revealed that only 4% of healthcare CEOs are women – a staggering statistic considering women are largely the decision-makers when it comes to health care for their families.

Signature is attempting to boost that percentage of women in health care leadership roles with its recently launched panel discussion series. Dubbed ‘Outliers’ – after the book by well-known author Malcolm Gladwell – the series facilitates discussions about how women might distinguish themselves in the workforce and ascend the ranks within their organization.

More than a dozen people – both women and men – attended the meeting last week, and even more dialed in by phone.

The panel was composed of leaders from Signature’s three organizational pillars, all women. Director of Spiritual Initiatives Stephen Bowling served as moderator, and panelists also fielded questions from audience members.

From the outset, strength and determination served as central themes for the meeting.

Vice President of Spirituality Dianne Timmering noted that responses to the word ‘no’ often vary by gender. Women are often inclined to accept rejection as a final answer, she said, while men may figure out a different way to ask the question.

She implored women to summon the confidence and determination to pursue goals with fervor.

“It’s about being fearless. It’s about embracing risk. It’s about being okay with failure,” she said. “And really, that’s what the power of an outlier is to me.”

Tenacity also has played a pivotal role in the career of Chief Learning Officer Mary McNevin, who said she has always been driven to defy Mary McNevin-JUMBO-1692x2243 (1)people’s expectations when told she can’t do something.

“I can’t say I’m always the smartest person in the room, but I’m willing to do what it takes when I see something that needs to be done,” she said.

Each of the panelists harkened back to previous experiences that helped define their paths.

Dianne Timmering, Carol Zindler and Alicia Heazlitt.“I was very in tune with everything that was happening around me,” InnovateLTC Director Alicia Heazlitt said of her childhood. “I think where I am today kind of mirrors how I was brought up.”

The group also spoke about ‘edification’ and the importance of creating a nurturing, supportive environment as a means of empowering fellow workers.

“You have all this richness here at Signature,” Timmering said. “Be bold. Be assertive. Find that divine appointment in yourself and pursue it, and become your own outlier.”

For more information about the ‘Outliers’ series, contact Stephen Bowling at sbowling@signaturehealthcarellc.com.

National Day Of Prayer, May 1, 2014 – “In Defiance of Suffering” by Dianne H. Timmering (with Video)

Today is a beginning, a new relentless pursuit in the deconstruction of suffering at every page of the healthcare continuum from the early signs and symptoms to the diagnosis of hopelessness, at the moment of collision of hurt and fear. We are a people who are afraid, who fear unknowns, who suffer blindly because of what might be or what has been.

What if we didn’t have to?

What if we could find that one elixir, a spiritual means for example at its cellular core and inject it, activate it into every condition, thought and situation, and then the element of its essence defies the mind from the negative place where untruths lie, and suffering roots.

But what’s in the design? How do we deconstruct the fear, the anxiety, the deleterious sounds of the symptoms of suffering from the honesty of bad news, or the realness of unrelenting pain?

What does deliberate intent to deconstruct hurt at every point of care look like? Maybe it looks like the peel of an orange, a plump section, a champagne toast to the tongue, joy in the juice of its sweetness, nourishment spreading throughout the working veins of the body where life is lived. The deconstruction of suffering at the cellular level like water puddled on a leaf seeping into skin, restoring what is parched, brandishing a new green, growing, living again.

As a people and a movement, do we have a responsibility of defiance because within our walls is a calibrated melody of the spiritual as an intervention of healing. Even early on as we created and built our spiritual model, we saw residents finishing their prescribed therapy not only because of a dedicated therapy team but because of a concentrated partnership with a spiritual quality, an essence of empowerment that reached into a patient’s state of loneliness, sickness, sorrow and came out with a resurgence of faith that wellness mattered and change of condition was possible. Depression around circumstance, we found, could circumvent healing. Remembrance and reminders of why they mattered, and prayer in the tangible of faith’s presence began to infuse the possible into the physical of the outcome.

Just imagine: Spiritual inputs for optimized outcome, such as the support of prayer, clinically spiritualized careplans, the hope in the Divine, the power of comfort in the belief and practice tradition of a particular faith, and integrating that within the overall episodic prescription of care. A brave new world.

With our amazing healthcare workforce (you see before you), physician and market alignment, a dedication to revolutionary fierceness, good gov’t policy, and an army of spiritual leaders with sword in hand and hope in word and deed, together on this day of national day of prayer, we are a movement in the defiance of suffering. This is not an isolated day of prayer but a launch pad, a spring board of deliberate intent to mine for your own joy, to listen for it, for there is always a way, there is always a solution. Grab it and impress it upon the molecules of your soul. This day is also about our clinical excellence, bundled with spiritual and medical inputs of best treatment and care—all packed into a capsule, like a pill, its own packaged elixir of fusion injected into the destructive pathway of suffering, blowing it up into a new each moment of heaven on earth, then we are the nuclear force that defies the anguish of fear and unleashes dunamis power and there will be calamity no more.

By Dianne H. Timmering


A Testimonial Written By Tara Stenberg Regarding Signature HealthCARE of South Louisville

Below is a testimony written by Tara Stenberg regarding our Louisville South facility:

I had the privilege of fulfilling my CNA clinical training at Signature South Louisville recently.  I got to work with many terrific CNAs and staff to whom I applaud for their daily work.  However, as I sit here and reflect over the last two days, there is one name that continues to come to mind, and that is “Cherl”.  I know that may sound odd, because I did not get the opportunity to officially meet you in person.  However your presence at this facility was made known to me by one particular resident, Mr. D.  I was blessed to meet Mr. D. and have a few conversations with him.  Something about him stood out, perhaps because his diagnosis could easily be my father’s story or maybe it was simply his love for Jesus and his love of the Word that shined through.  Whatever “it” was and despite the brief encounter, my life will forever be marked by his.  I knew when I left the facility yesterday there was one thing I could do for him, which was to honor a wish of his.  His wish is for you to be recognized, not only for the hard work that you do, but for being the person that you are to the residents.  He referred to you as “Florence Nightingale”.  He is so appreciative of your excellent care and the sincere heart that you show to everyone.  If ever you have had a moment that you questioned your work, let me assure you that you are and have been light to this man.  So, I wanted to encourage you with that today.  Although, Mr. Royse is fully aware that the best is yet to come for those who have given their life to Christ, he thanks you. . .I thank you. . .for making his current home a better place.  You are the Revolution, and I look forward to hopefully meeting you in the future.  Please tell Mr. D. that I said “Hi” and that I didn’t forget.

Tara Stenberg, Louisville, KY

2014 Oates Institute Presentation – “Spirituality – The New Elixir In The Care Continuum”

“Ancient Secrets Of The Horse’s Mind” by Dianne Timmering

“ . . .since You know their hearts, for You alone know every human heart.” 1 Kings 8: 39

Last week I traveled to Florida to SHC of Palm Beach, where this brilliant team was discussing concrete wellness concepts and integration in various business modeling. It was a good trip in a busy world. We enjoyed the meetings, dissecting the new world of ACOs, physician temperaments, hospital challenges and deep opportunity, and the power that a robust, good outcome-based, “nice smelling” (their words) nursing home can make in the concentric realm of a diverse community and this new frontier of healthcare.

Caught up in this momentum of modeling of hope in healing, preventative or otherwise, excited about a good two days, ready to go home, even restored a little in the warm air which we are desperate for in the frozen valleys of Kentucky, I started to notice people in the airport. Not “people” actually but individuals–the kind woman, worthy and beautiful, simple and kind when I bought a bottle of water from her in the airport store; the older woman with a black eye in housekeeping working to keep the bathroom clean. I prayed for her, wondering in her tilled sadness, that if she were in a dangerous situation, she could get out, that someone would help her, that she could find a way.

The young girl with possible anorexia who was in front of me as we filed through the magnetometers, who sat near me while we waited to board, who sat an aisle and a seat back from me on the plane. She was so thin that if I had reached over to touch her, my finger may have sliced through her desperate vulnerability. I prayed from near and then later from afar that she could know that she was worthy and beautiful.

Then there was the man sitting next to me on the last leg to Louisville, who picked up my bag and put it in the overhead bin before I had to ask. He was quiet but a volcano of effervescence reading the book, “Ancient Secrets of the Horses’ Mind.” An avid reader, I was intrigued and I watched him turn the pages, worthy and beautiful he was, diving into the natural mind of a horse–what was he thinking; what was he learning, I so wanted to know. What were his own ancient dreams, forgotten on the floor of shredded ice, blended in the melting of nothing into nothing and yet, still a molecule of being in the pale boldness of God’s own hand.

What were this man’s ancient secrets, why was the precious girl so very thin, and why did the woman have a black eye? Why?

Humanity–beautiful and frail, deeply wounded, tender, stronger than the force of an ox. Humanity.

And then I remembered the wellness business modeling–a brilliant plan to impact a thousand lives, plus one. Your ancient secrets are in the palm of His hand. He knows you. He will dig and pull and present them to you, let them be yours, for beautiful and worthy you are.

Dianne H. Timmering, MBA, MFA, CNA
Vice President of Spirituality
Signature Consulting Services, LLC