
The Center for Innovation Team
The Green House Project and Pioneer Network are now part of the Center for Innovation, the new home of eldercare transformation in the United States and around the world.
The CFI team consists of experts in the fields of aging services, business and finance, communications, marketing, and health care. With many years of culture change experience, the team has developed relationships with thought leaders, policymakers, and other key stakeholders to expand CFI’s reach and deepen our impact.

Susan has spent decades working with elders as a nurse and change agent. She has worked in a variety of eldercare settings and helped to lead her previous organization’s transformation to culture change by assessing industry innovation and developing strategic and educational protocols.

Marla has more than 30 years of experience advocating for change and working to create person-directed organizations where elders and those working with them can thrive. Beginning as a long-term care ombudsman and later as a culture change advocate, Marla utilizes her skill set to educate, support, and impact eldercare.

Krista DiGeorge develops relationships with senior living organizations and leaders to better understand where they are in their journeys — and determine a beneficial path for collaboration. This relationship continues with members of the LinkedUp peer network to ensure lasting, sustained success. Krista is available to learn more about your organization, so feel free to reach out at KDiGeorge@aginginnovation.org.

Rachel Graham collaborates with senior living leaders to advance cultural transformation related to design, financial modeling, regulatory application, and project management with a special emphasis on transforming the culinary experience of senior living. Through creative problem-solving approaches, Rachel collaborates with leaders to successfully strategize and challenge the status quo in bringing about sustainable change. She has worked alongside The Green House Project for the last nine years at a large Green House community and brings real-life experience to her advisory work.

Zoie Garza joined CFI team in 2024 as a Project Coach. In this role, she collaborates with innovative leaders to advance cultural transformation related to senior living through a project management lens focused on financial modeling, regulatory application, and physical design. Using a strategic approach to change, future opportunities push boundaries and create new ways of helping elders thrive.

Alex works to educate a variety of stakeholders – including policymakers, elected officials, reform advocates, and industry groups – on the benefits of person-directed care and small-home alternatives to traditional nursing homes. He is an experienced writer and editor who helped launch Skilled Nursing News, a leading industry trade publication with a specific focus on finance and reimbursement, in 2017. Contact him at aspanko@aginginnovation.org.

Mary worked for 19 years in corporation communications before she decided to get her master’s at UMBC’s Erickson School of Aging Studies and pursue a career with elders. In her role as Education Coach, Mary helps organizations implement The Green House model successfully, providing the tools, resources, and education necessary for a deep and slip-resistant transformation.

As a collaborator with The Green House Project, Kathleen handles pre-development activities for organizations interested in building Green House communities, implementing cultural transformation initiatives within their existing communities and/or nursing homes, and developing new programs around the Green House model.

Colleen Kammar is a certified public accountant with more 30 years of professional experience working with public, private, and non-profit organizations. She has held senior management positions at several high-growth organizations, with extensive work in operations, investment, and large-scale mergers. Colleen has worked for CFI since June 2017.

Anne Montgomery is an experienced policy strategist and health services researcher specializing in long-term care and support systems for older adults and individuals living with disabilities. Now an independent consultant, Anne served the U.S. Congress for a decade as an analyst for the Senate Special Committee on Aging and the House Ways & Means Committee. She has also worked at the Government Accountability Office, the Alliance for Health Policy, and as a managing director of the Center for Eldercare Improvement at Altarum.

Debbie has spent her entire career as a Licensed Nursing Home Administrator, engaging in and leading transformative change in the field of long-term care. Her experience in operations, culture change, design, and education, provides the necessary insight to partner with visionary leaders desiring the best future possible for elders.

Janet has spent more than 20 years in the aging services field, in admissions, sales, and outreach capacities. She holds numerous education certificates from the Alzheimer’s Association, Argentum, and other sales and marketing educational entities. Most recently, Janet served as director of admissions at Brooke Grove Retirement Village, a CCRC in Sandy Spring, Md.

An independent contractor serving as an educator, curriculum developer, and consultant with Center for Innovation and other aging services organizations, Anna recently served as organization development and workforce consultant with the Workforce Innovations Team at PHI for seven years where she has taught Coaching Approach to Supervision to leadership of LTC organizations and supports organizations to implement person-directed living.
Before PHI, Anna was the director of resource development at The Green House Project where she co-created and taught Core Green House curriculum and Coaching for Guides and Nurse Executives.
After beginning her career as a registered nurse, Anna has worked with elders in a variety of settings, including nursing homes, assisted living, adult day services, and home care settings. She was inducted as a fellow of the American Academy of Nursing, the primary author of LEAP for the 21st Century LTC Workforce, the VP of cultural transformation for LeadingAge Illinois, director of residential care services for the Rush Alzheimer’s Disease Center in Chicago and associate director of long term care accreditation at Joint Commission.

Kelly Tremblay, PhD, is a neuroscientist and clinician who has spent more than 25 years in academia as a researcher and practitioner. Her research in the areas of communication neuroscience, person-centered care and digital health technology was honored by the National Institutes of Health and the World Health Organization with invitations to judge peer-reviewed grant applications and to develop guidelines in support of healthy aging.
Her career has since evolved into supporting others who are in leadership roles. For example, as a clinician and champion for inclusion, diversity, equity, and accessibility, she has served on many boards including the Hearing Loss Association of America where she served as a board trustee and co-founding chair of the Task Force for Accessible, Inclusive Employment.
As an ICF-certified executive coach, she works with C-suite leaders to promote healthy, accessible, multi-generational workplaces where people can flourish. At Royal Roads, she teaches in the Master of Arts in Executive and Organizational Coaching program.

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Jim Clark oversees financial modeling for Green House communities under development. He also currently serves as the senior director of portfolio management and analytics at Bausch & Lomb in Rochester, N.Y. In his earlier role as CFO for St. John’s Living, he provided financial support for the Penfield Green House community in the Rochester suburbs.