Our Team

Sue Misiorski

Susan R. Misiorski

National Director of Coaching and Consulting Services
(603) 860-2167

Susan Misiorski, BSN, is the National Director of PHI Coaching and Consulting Services. In her role, Susan leads a team of trainers and consultants who coach long-term care providers to improve the living and working experience of elders, individuals with disabilities, and workers.

In her tenure at PHI, Susan has worked with a wide range of clients in the for-profit and not-for-profit sectors. Susan provided technical assistance to states participating in the national Better Jobs Better Care demonstration project, and has served as the primary trainer and consultant to multiple nursing homes and home care agencies in the greater New England area. Susan is a regular contributor to new curriculum and product development.

Susan has been a leader in the Pioneer Network, a national organization whose sole purpose is to serve the culture change movement, since its inception in 1997. She served as president of the network from 2000–2003, and was re-elected to the board in 2010.

Prior to coming to PHI, Susan served as director of nursing for Genesis Health Care and then as vice president of nursing for Apple Health Care, Inc. where she spearheaded a corporate-wide culture change initiative.

Susan has published several articles in addition to Getting Started: A Pioneering Approach to Long-Term Care Culture Change. The handbook is a resource to nursing home providers who are looking for information and tools on how to create a high-involvement process for transforming institutions into homes. She is also a regular contributor to Long-Term Living Magazine.

Susan is a national speaker on topics related to long term care culture change, and participated in the CMS satellite broadcast titled Innovations in Quality of Life.

MariaElena Del Valle

MariaElena Del Valle

Organizational Change Consultant
(718) 928-2039

MariaElena works with executive teams, in-house trainers, and cross-functional teams to implement the PHI Coaching Approach throughout organizations. She also conducts a range of other trainings and workshops, as needed, to create a respectful and person-centered work environment.

MariaElena has taught and developed PHI Coaching Supervision skills at Cooperative Home Care Associates, the largest worker-owned home care company in the United States, and Independence Care System, a managed long-term care program that coordinates care for 1400 people with disabilities living in their homes.

As a highly respected workshop leader and speaker, MariaElena has most recently designed and delivered a multimedia opening plenary session at the Lillian and James Portman Conference in Livonia Michigan, and was a featured workshop leader and facilitator at the “Spotlighting the Direct Care Workforce” conference, sponsored by Care for Elders, in Houston, Texas.

Before coming to PHI, MariaElena worked as an elementary school teacher, social worker, and independent organizational development consultant. She received her BA at College of Mt. Saint Vincent.

Cean Eppelheimer

Cean C. Eppelheimer

Organizational Change Consultant
(517) 927-1875

Cean brings nineteen years of experience in the field of eldercare services to PHI. Throughout her career, she has focused on person-centered culture transformation. Working with long-term care organizations throughout the Midwest, she has supported implementation of the PHI Coaching Approach and person-centered practices that have transformed workplace cultures and improved the quality of care and the quality of jobs.

Cean led the development of PHI’s Training to Prevent Adult Abuse and Neglect (TPAAN), an evidence-based curriculum that teaches participants the skills needed to prevent abuse. She introduced the curriculum to long-term care champions in Indiana and spearheaded the rollout to 800 home care workers in Michigan. In addition to TPAAN, Cean co-authored the interactive PHI Person-Directed Living curriculum, which outlines a useable framework for person-directed culture transformation. Cean collaborated with PHI Michigan Director Hollis Turnham to lead One Vision, a statewide effort to introduce culture change in Michigan’s long-term care organizations. She continues to be involved in state-wide culture change initiatives and is currently spearheading a staff retention taskforce in Michigan to address the growing care gap.

Cean is a frequent national speaker on topics related to elder abuse prevention, person-directed living and organizational culture change. Before coming to PHI, Cean served as Vice President of Culture Transformation at Trinity Senior Living Communities (TSLC), where she lead the culture change initiative for this large, multi-state/multi-facility organization, and developed the TSLC Sanctuary model of care. She is a Certified Eden Associate and Eden Mentor. She received her BS from Michigan State University.

Renya Larson, PCC

Organizational Change Consultant
(718) 928-2068

Renya has worked in the field of organizational change for fifteen years and brings particular expertise in areas such as executive coaching, PHI’s Coaching Approach to Supervision®, adult learner-centered curriculum development, training of trainers, and customer service.

As lead consultant to Isabella Geriatric Center, Renya helped the organization train over 1200 staff, developed the internal cadre of coaching trainers, and provided technical assistance and executive coaching. Renya also helped develop PHI's home health aide certification and coaching supervision curricula. She presents regularly at national and local conferences and is the author of numerous articles about aging, culture change, and workplace communication.

We can all grow and develop as adults--with the right support!
- Renya Larson, PCC

Before coming to PHI, Renya served as an Education Manager for the Department of Training and Organizational Development at what was formerly Continuum Health Partners in New York City, where she focused on enhancing customer service at all five of Continuum’s hospitals. She is also the former Associate Director of the National Center for Creative Aging, a non-profit dedicated to raising awareness about the vital link between creative expression and the quality of life of older people.

Renya holds a BA from Brown University, and an MA from New York University. She is also a Professional Certified Coach (PCC) through the International Coach Federation (ICF).

Kayt Norris

Special Projects Consultant
(718) 928-2092 

As a Special Projects Consultant, Kayt leads various state and local initiatives to improve direct care workforce training and employment practices, including projects in Baltimore, Minnesota, San Francisco, and Wisconsin. She also provides support for design, delivery, and evaluation efforts within PHI’s Workforce and Curriculum Development and Coaching and Consulting Services departments.

Kayt has worked in international education for the past 10 years. Prior to joining PHI, she was the Global Teacher Training Director for Bridge International Academies, overseeing the training of more than 5,000 new teachers across Kenya, Uganda, and Nigeria. She also spent three years in India, working on teacher training, leadership coaching, and program management with Teach for India. Kayt began her career with Teach for America, serving as an elementary school teacher in public schools in rural Mississippi and St. Louis. She has a Bachelor’s degree in Political Science from Tufts University.

Kayt’s personal experiences with long-term care drew her to PHI, and she is excited to bring her passion for workforce development to this important field.

Kathleen Scott


Kathleen Scott

Organizational Change Consultant
(603) 285-2279

Kathleen has been working as an Organizational Change Consultant with PHI for nearly 10 years. She has supported person-centered change across the continuum of long-term care organizations, working with disability services providers, assisted living homes, nursing homes, and home care agencies. She recently supported the operationalization of Legacy Place Cottages, a start-up organization building a “small house” model home in Pennsylvania.

A lively and engaging trainer, Kathleen facilitates a wide variety of national and regional trainings that include the PHI Coaching Approach suite, executive coaching and leadership training, and culture change education. Her consulting includes developing peer mentor and other career education programs for those seeking to grow their staff and enhance their workplace cultures in ways that value communication and relationship building.

Kathleen’s culture change work also includes working with the Centers for Medicaid and Medicare Services (CMS) on evaluating and improving the dining experience for elders in nursing homes across America. She has also presented at regional and national events, including the Pioneer Network and Leading Age conferences.

Prior to coming to PHI, Kathleen spent over a decade implementing person-centered culture change in a skilled nursing facility, where she worked as a social worker and a manager. Kathleen received her BS in Behavioral Science from Granite State College in Portsmouth, New Hampshire.

Anna Ortigara

Anna Ortigara

Organizational Change Consultant
(708) 609-1739 

As an Organizational Change Consultant, Anna supports long term care providers to create cultures of quality of care, quality of life, and quality of jobs. Anna brings particular expertise in the areas of dementia care, nursing supervision, and implementing small house models.

Anna joins PHI after working in the fields of gerontology and long-term care for more than three decades. After beginning her career as a registered nurse, Anna has focused her gerontological nursing career on working with elders in a variety of settings, including nursing homes, hospitals, adult day care, and home care settings.

Anna is a Fellow of the American Academy of Nursing, and the primary author of LEAP for the 21st Century LTC Workforce. She has also served as Vice President of Culture Change at Life Services Network of Illinois, Director of Residential Care Services for the Rush Alzheimer’s Disease Center in Chicago, and Associate Director of Long Term Care Accreditation at the Joint Commission.

Prior to joining PHI, Anna spent six years at The Green House Project, where she worked closely with PHI to adapt the PHI Coaching Approach® to fit The Green House Project model. She frequently appears at national and international conferences, speaking about culture change, dementia, and other long-term care issues. A published author, Anna has contributed a chapter to the book Models and Pathways for Person-Centered Elder Care (Health Professions Press, 2013). Anna received her Master of Science in Nursing at Northern Illinois University.

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