On behalf of Music & Memory, I am delighted to send you our 2016 Report for MUSIC & MEMORYSM State Sponsors and CMS. Following the spread of Music & Memory to all 50 states, 19 states have made Music & Memory public policy. Why? Giving people their favorite music is a huge win for residents, families,staff and administrators. Outcomes for participants include: • improved mood • enhanced engagement and socialization • calmer environment • heightened ability to communicate Which leads to: • reduced antipsychotic, anxiolytic and antidepressant use • fewer falls and less resistance to care • greater staff efficiency and reduced cost There is consensus by all who have made this a priority that every care organization benefits. Dan Cohen, MSW Founder & Executive Director Music & Memory

1. MUSIC & MEMORY
SM
STATE STATUS REPORT

2. On behalf of Music & Memory, I am delighted to send you our
2016 Report for MUSIC & MEMORYSM
State Sponsors and CMS.
Following the spread of Music & Memory to all 50 states, 19 states
have made Music & Memory public policy. Why?
Giving people their favorite music is a huge win for residents, families,
staff and administrators. Outcomes for participants include:
• improved mood
• enhanced engagement and socialization
• calmer environment
• heightened ability to communicate
Which leads to:
• reduced antipsychotic, anxiolytic and antidepressant use
• fewer falls and less resistance to care
• greater staff efficiencies and reduced cost
Neuroscience research, as well as Brown University research that
specifically tracked Music & Memory facilities (see study in this report),
verify that personalized music is a powerful antidote for decline of
spirit and an effective way to create a calming care environment.
To learn more, we invite you to watch two videos about our field
experience—one featuring nursing home administrators, and the
other, CNAs. Visit musicandmemory.org/leadership-videos.
There is consensus by all who have made this a priority that every
care organization benefits.
Dan Cohen, MSW
Founder & Executive Director
Music & Memory
What administrators think:
“In my 27 years as an administrator, nothing has had the same
positive impact for my residents with dementia as this.”
—Corey Wright, Vienna Nursing & Rehabilitation Center, Lodi, CA
“More bang for the buck than any other dementia program
for our residents.”
—Stacey Smith, Administrator, West Vue Nursing & Rehab Center, MO

3. MUSIC & MEMORYSM
Care Organization Map
Texas: “The Music and Memory program has been
one of the best initiatives for nursing home quality
improvement I have seen. Homes that embrace
the program and implement fully have seen great
results. We hope to continue to grow this program to
where all homes in Texas offer Music and Memory.”
—Michelle Dionne-Vahalik, MSN, RN, Director,
Quality Monitoring Program and Initiatives,
Texas Health and Human Services Commission
Maine: “Music & Memory
is one of the best projects
we have ever done!!!”
—Brenda Gallant, R.N.,
Executive Director, Maine
LTC Ombudsman Program
Ohio: ”I’ve never seen so much positive response
- everyone from administration to direct care
staff has been on board and excited to bring
the program to residents. We’ve heard so many
heartwarming stories from families and caregivers.
Music & Memory truly brings smiles to everyone
involved.”
—Erin Pettegrew, Ombudsman Projects Coordinator,
Ohio Department of Aging, Columbus, Ohio
California: “In my forty years of working in long-term
care I have never been involved with a program that
generated such good will from members of the community.”
—Jocelyn Montgomery, Director of Clinical Affairs,
California Association of Health Facilities
Lousiana: “Music &
Memory is one of the
most effective programs
I have seen in my
20+ year career.“
—Edward J. Smith, NFA,
FACHE, Quality Improvement
Manager, Louisiana
Department of Health
Wisconsin: “Music & Memory is a wonderful tool that supports our efforts to
improve the lives of the thousands of Wisconsin residents living with Alz-
heimer’s disease and other dementias. It is a proven method that provides
dementia patients the opportunity to reach back and find memories that
were once lost to the disease. It is incredibly rewarding to witness truly
priceless moments for clients and their families. We are proud that
Wisconsin is a leader in providing this meaningful program to our residents.”
—Linda Seemeyer, Secretary, Wisconsin Department of Health Services

4. Alabama
Colorado
Connecticut
Delaware
Kansas
Louisiana
Maine
Minnesota
Nevada
Oklahoma
California
Illinois
New Mexico
Arizona
Texas
Vermont
Missouri
Ohio
Utah
Wisconsin
California
Illinois
New Mexico
Arizona
Texas
Vermont
Missouri
Ohio
Utah
Wisconsin
Missouri
Ohio
Utah
WisconsinWisconsin
2013
2014
2015
2016
Program Adoption
by State
M&M Adoption by CMS Region (Sorted by percent adoption)
Region Number M&M Percent
of NHs sites
Region 5 (IL, IN, MI, MN, OH, WI) 3563 1101 31%
Region 8 (CO, MT, ND, SD, UT, WY) 626 176 28%
Region 6 (AR, LA, NM, OK, TX) 2110 554 26%
Region 1 (CT, ME, MA, NH, RI, VT) 942 237 25%
Region 9 (AZ, CA, HI, NV) 1458 317 22%
Region 2 (NJ, NY) 991 177 18%
Region 10 (AK, ID,OR, WA) 453 80 18%
Region 7 (IA, KS, MO, NE) 1514 245 16%
Region 4 (AL, FL, GA, KY, MS, NC, SC, TN) 2686 274 10%
Region 3 (DE, MD, PA, VA, WV) 1384 136 10%
Rank State Number M&M % M&M State
Name of NHs Sites* Adoption Sponsor
1 Wisconsin 388 394 102% x
2 Utah 100 96 96% x
3 Vermont 37 34 92% x
4 New Mexico 73 49 67% x
5 Maine 103 57 55% x
6 Ohio 959 497 52% x
7 Connecticut 229 83 36% x
8 Alaska 17 6 35%
9 Louisiana 279 90 32% x
10 Delaware 45 14 31% x
11 Texas 1222 350 29% x
12 Missouri 512 145 28% x
13 North Dakota 80 20 25%
14 California 1213 276 23% x
15 Minnesota 376 85 23% x
16 North Carolina 423 95 22% x
17 Washington 220 47 21%
18 New Hampshire 76 16 21%
19 New York 626 128 20%
20 Arizona 145 29 20% x
21 Kansas 344 66 19% x
22 Oklahoma 305 58 19% x
23 Nevada 54 9 17% x
24 Wyoming 38 6 16%
25 Oregon 137 21 15%
26 Colorado 217 33 15% x
27 Montana 80 11 14%
28 New Jersey 365 49 13%
29 Maryland 228 28 12%
30 Tennessee 319 38 12%
31 Alabama 227 24 11% x
32 Rhode Island 84 8 10%
33 Massachusetts 413 39 9%
34 Pennsylvania 699 66 9%
35 Florida 689 63 9%
36 South Dakota 111 10 9%
37 Virginia 286 25 9%
38 Michigan 437 37 8%
39 Kentucky 289 23 8%
40 Idaho 79 6 8%
41 Nebraska 216 16 7%
42 Illinois 762 55 7%
43 Hawaii 46 3 7%
44 Georgia 358 22 6%
45 Indiana 541 33 6%
46 South Carolina 187 8 4%
47 Iowa 442 18 4%
48 Arkansas 228 7 3%
49 West Virginia 126 3 2%
50 Mississippi 204 1 0%
States Ranked by MUSIC & MEMORYSM
Adoption
*Please note: A small percentage of each state’s listing may be assisted living, hospice, hospital, adult day
or home care program. Total may exceed 100%.

5. MUSIC & MEMORYSM
Improves Outcomes
for Nursing Home Residents with
Alzheimer’s Disease and Related Disorders
Evidence-Based Practice Research
Characteristics M&M Pair-Matched
Sites Controls
Facilities (N=98) (N=98) P
Total beds, mean (sd) 175.6 (132.1) 164.4 (116.2) 0.530
Occupancy, mean % (sd) 88.3 (11.4) 89.0 (9.2) 0.612
Not-for-profit, n (%) 64 (65.3) 64 (65.3) 1.000
Medicare, mean % (sd) 14.9 (11.2) 13.3 (9.0) 0.276
<65 years, mean % (sd) 13.7 (14.9) 12.1 (13.2) 0.408
Member of chain, n (%) 34 (34.7) 39 (39.8) 0.460
Staffing, mean hours/ 3.7 (0.7) 3.7 (0.7) 0.842
residents/day (sd)
5-Star Nursing Home Compare rating:
2 or 3, n (%) 48 (49.0) 48 (49.0) 1.000
4 or 5, n (%) 50 (51.0) 50 (51.0) 1.000
Overall, mean (sd) 3.5 (1.2) 3.5 (1.1) 0.663
Residents in analytic sample (n=6,298) (n=6,278)
Age, mean years (sd) 84.4 (9.7) 84.6 (9.2) 0.130
Female sex, n (%) 4627 (73.5) 4554 (72.5) 0.241
Non-white race, n (%) 1978 (31.4) 1225 (19.5) <0.001
Length of stay in NH, mean days (sd) 635.8 (791.1) 581.3 (791.1) <0.001
Figure 1. Percent of residents with 180-day improvement
in behavioral disturbance frequency, by year
ControlIntervention
50.9%
55.8%
56.9%
55.9%
2012
2013
ß =0.27%*
Principal Findings
• From 2012 to 2013, residents in MM NHs demonstrated greater 180-day
improvement in behavioral symptom frequency and antipsychotic
medication use than pair-matched controls
o % of residents experiencing a reduction in behavioral symptom
frequency increased in MM NHs (50.9% to 56.5%), but stayed
stable in controls (55.8% to 55.9%, β=0.27, p.05)
o % of residents taking antipsychotic medications less frequently
increased in MM NHs (17.6% to 20.1%), but decreased slightly
in controls (15.9%to 15.2%, β=0.22, p.05)
Conclusions
• Evidence that the MM music program may be associated with reductions
in BPSD and antipsychotic use among NH residents with ADRD
• Future research should address limitations, including wide variation in
facilities’ implementation of the program, by standardizing MM imple-
mentation and by randomizing NHs to participate or serve as controls
Implications for Policy or Practice
• Effective, non-medicalized, low-cost interventions, such as MM,
are critical to address the needs of the growing ADRD population
Figure 2. Percent of residents with 180-day improvement
in antipsychotic medication use, by year
Intervention
17.6%
20.1%
15.9% 15.2%
2012
2013
Control
ß =0.24%*

6. “This is a program that should be in every single
long-term care community!”
—Mary Brinkley, Executive Director of LeadingAge Oklahoma
Jo with Marie Coz at Mary, Queen of Angels Assisted Living Community
State Services
Guide to State Implementation
As more states join our efforts, we have been able to evolve a series of best practices
to scale and maximize the benefits of personalized music for long-term care and
other healthcare settings statewide. This step-by-step guide is designed to help
you and your team save time and effort by tapping that collective experience.
Monthly Webinars
Preparing for Certification: A one hour overview of how the program works,
benefits to participants, costs and best practice strategies to get the most out
of certification training.
Certification Training: A series of three 90-minute webinars providing compre-
hensive instruction in how to set up and implement a successful, scalable Music
Memory program.
Post-Certification Support: An hour review of key steps for successful program
implementation, focused on frequently asked questions and best practices.
Monthly Topic Calls
A chance to ask questions about program implementation and share best
practices with peers. Some recent topics:
• Using MM Across Disciplines and Igniting the Interdisciplinary team
• The Value of Student Volunteers to Help with Playlists and Equipment
• Building Census with MM
• Using MM Strategically to Achieve Your Goals
Special Topics
Regaining Momentum: A 90-minute webinar geared for certified organizations
that have lost momentum due to staff/leadership turnover; step-by-step instructions
for regaining stakeholder buy-in and rebooting the program for a fresh start.
Leadership Training: Nursing home administrators and DONs provide insider
guidance to peers on benefits of Music Memory and best practices in this video
and guide.
What directors of nursing think:
“Gary was prone to falls and was the first resident to participate in
our MM program. The staff wanted to see if personalized music
could help reduce Gary’s number of falls. Prior interventions included
the basics: stand-by assist, prompts, engaging at certain times of day,
pain management, medication changes, different shoes and walker
training. Results for Gary: 2013 - 13 falls, 2014 - 14 falls, 2015 - 2 falls
(prior to implementation of MM) and 2016 - 0 fall as of April, 2016.”
—Cindy Tanner, Director of Nursing, Brewster Place, Topeka, Kansas
“Staff love it. If you don’t have everyone on board, it won’t work. From
the administration to the aides, everyone was so excited to try it and
they could see how it was working.”
—Sara Young, Director of Nursing, Rocky Mountain Care, Willow Springs, Utah

7. Positive Outcomes
“The Music Memory concept brings human connection, nobility, and
joy to thousands of our patients and long-term care residents.”
—Joe Schick, Senior Advisor to the President and Executive Director,
The Fund for NYC Health + Hospitals
8.6% Don’t know/
not in position to comment
MM Survey: To what extent have you/your staff observed
individuals experiencing positive mood changes?
Value Percent Count
Have not observed this in any users 1.2% 5
Observed this in a few users 36.7% 149
Observed this in about half the users 19.2% 78
Observed this in over half the users 34.0% 138
Does not apply - majority of clients 0.2% 1
don’t present with this issue, or iPods
are not used during behavior described
Don’t know/not in position to comment 8.6% 35
Total: 406
1.2% Have not observed
this in any users
34.0% Observed this
in over half the users
.2% Does not apply -
majority of clients don’t
present with this issue, or iPods
are not used during
behavior described
36.7% Observed this
in a few users
19.2% Observed this
in about half the users
MM Survey: Please check off the behaviors for which listening
to personalized music appeared to have a residual effect.
Value Percent Count
Reduction in challenging verbal or physical behaviors 56.1% 119
Reduction in anxiety or nervousness 80.2% 170
Positive changes in mood 87.7% 186
Increase in desire to communicate or interact with others 48.1% 102
Negative changes in mood 7.5% 16
General increase in pleasure and joy 72.6% 154
Reduction in amount of physical pain 18.4% 39
(referring to chronic pain)
Other 8.5% 18
100
80
60
40
20
0
Reduction in
challenging verbal or
physical behaviors
Reduction in
anxiety or
nervousness
Positive
changes in
mood
Increase in desire
to communicate
or interact with
others
Negative
changes
in mood
General
increase in
pleasure and joy
Reduction in
amount of
physical pain
Other
What residents think:
“When you are listening to music you forget about problems, you
forget about loneliness, you forget about depression, things like that.”
—Alex, Long-term care resident from California
“What you are doing here is cutting edge. Most of the programming
is done to us or for us. The iPod program is done with us, and that
makes all the difference.”
—Howard, Long-term care resident from New York

8. At 52 million views and counting,
this six-minute video of Henry is
the most-viewed Alzheimer’s or
dementia-related video in the
world. Why? Because Henry’s
reawakening from listening to
his favorite music gives hope
that we can improve the lives
of people with Alzheimer’s and
other dementias.
Henry’s story is a clip from the Sundance award-winning documentary,
Alive Inside: The Story of Music Memory. The film makes a powerful case
for the benefits of personalized music and has become essential viewing
for anyone in long-term care who believes in improving quality of life
and quality of care.
What state sponsors think:
“This is the best thing I have ever done in my entire
public service career.”
—Kevin Coughlin, Policy Initiative Advisor - Executive,
Division of Long-Term Care, State of Wisconsin
Department of Health Services
“This program never ceases to amaze me.”
—Therese Palombi, Project Manager, Quality Monitoring Program,
Texas Health and Human Services Commission
“It’s wonderful to know that so many residents of Connecticut
nursing homes will soon experience the powerful effect of
personalized music.”
—Barbara A Yard, Health Program Supervisor,
Connecticut Department of Health
How to Reach Us
Central U.S.
(IA, KS, LA, MN, MO, ND, NE, NM, OK, SD, TX)
Stephanie Hoffman
shoffman@musicandmemory.org | 917-881-6106
Southeastern U.S.
(AL, AR, FL, GA, KY, MS, NC, SC, TN)
Deborah Ferris
deferris@musicandmemory.org | 615-767-3692
Western U.S.
(AK, AZ, CA, CO, ID, MT, NV, OR, UT, WA, WY)
Letitia Rogers
lrogers@musicandmemory.org | 619-538-0878
Northeastern, U.S.
(CT, DC, DE, IL, IN, MA, MD, ME, NH, NY, OH, PA, RI, VA, VT, WV)
Robin Lombardo
rlombardo@musicandmemory.org | 917-575-1314
MM Wisconsin Student Volunteer Program
Julie Hyland
jhyland@musicandmemory.org | 646-771-0171
Or please contact us at: carequestions@musicandmemory.org
Music Memory
160 First Street
PO Box 590
Mineola, New York 11501