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Membership Update

Posted By Jennifer Gill, Friday, July 21, 2017
Updated: Thursday, July 20, 2017
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July 21, 2017

Advocacy & Policy


Members Gather for HUD 202 Rally

Last month hundreds of LeadingAge members, older adults, and partners participated in the “Save HUD 202 Rally” on Capitol Hill in Washington, DC. At the rally, participants heard from members of the Senate and Congress, residents, and providers including our own Steve Fleming of The Well-Spring Group who is quoted in this article from The Washington Times.

Closer to home United Church Homes and Services (UCHS) located in Newton joined efforts with LeadingAge to support Save HUD 202 by hosting rallies and call banks in three of their communities across the state: Covenant Place (Chapel Hill), Matthew’s Place (Albemarle) and Emmanuel’s Place (Statesville). UCHS operates three continuing care retirement communities, a PACE (Program of All-inclusive Care for the Elderly), and seven HUD 202 affordable senior housing communities across North Carolina and Virginia.

Save HUD 202 focuses on:
● Preventing cuts to HUD 202.
● Maintaining 100% funding for people served by affordable housing today.
● Expanding funding to create new affordable housing for older adults.

The campaign is a comprehensive, multi-month effort to convince lawmakers to fully fund the 202 program. Due to proposed spending cuts, funding for the program is at risk. Any cuts would reduce the availability of affordable housing for vulnerable, older adults. Thanks to the hard work of everyone who sent a letter, made a phone call, and advocated for affordable senior housing, the proposed HUD budget rejected most of the cuts to the 202 program.

Committee Adopts "RAD for PRAC" Authority

Speaking of affordable housing,...housing advocates are celebrating the House Appropriations Committee's adoption language to create a new affordable senior housing preservation tool into he HUD fiscal year 2018 funding bill. The Committee adopted the language on July 17.

DOL Withdraws Controversial Guidance on Independent Contractor and Joint Employer Status

Last month, the U.S. Department of Labor (DOL) withdrew two controversial Obama-era guidance letters relating to independent contractor classification and joint employment status.

The independent contractor guidance issued in 2015 reflected the DOL’s stance under the Obama administration that “most workers are employees” insofar as the Fair Labor Standards Act is concerned. That guidance made classifying an individual performing work for an organization as an independent very difficult, and foreshadowed greater scrutiny with respect to the classification of workers by DOL.

The joint employment guidance issued in 2016 greatly expanded the situations in which DOL would construe two or more employers to be “joint employers” and thus responsible for the same workers. The guidance had significant implications for franchised businesses, temporary and contract workers, and affiliated business entities, among others.

Despite the withdrawal by DOL of the guidance, the case law on which DOL based its positions remains in effect and other agencies, such as the National Labor Relations Board (NLRB), the composition of which is still dominated by Obama-appointees, is free to continue applying Obama-era guidance. Accordingly, LeadingAge members are encouraged to contact legal counsel prior to making any modifications to their employment policies and practices based on the withdrawal of the DOL’s guidance. (Our thanks to Jennifer Hilliard of LeadingAge national for this policy review.)

OCR Quick Response Cyber Attack Checklist and Graphic

In the wake of several recent international cyber-attacks focusing on the health care sector, the U.S. Department of Health & Human Services (HHS), Office for Civil Rights (OCR) has developed a checklist and a corresponding infographic that explains the steps for a HIPAA covered entity or its business associate (BA) (collectively, the “entity”) to take in response to a cyber-related security incident.

In the event of a cyber-attack or similar emergency an entity:

  • Must execute its response and mitigation procedures and contingency plans. For example, the entity should immediately fix any technical or other problems to stop the incident. The entity should also take steps to mitigate any impermissible disclosure of protected health information (PHI), which may be done by the entity’s own information technology staff, or by an outside entity brought in to help (which would then become a BA if it has access to PHI for that purpose).
  • Should report the crime to other law enforcement agencies, which may include state or local law enforcement, the Federal Bureau of Investigation (FBI), and/or the Secret Service. Any such reports should not include PHI, unless otherwise permitted by the HIPAA Privacy Rule. If a law enforcement official tells the entity that any potential breach report would impede a criminal investigation or harm national security, the entity must delay reporting a breach for the time the law enforcement official requests in writing, or for 30 days, if the request is made orally.
  • Should report all cyber threat indicators [vi] to the appropriate federal and information-sharing and analysis organizations (ISAOs), including the Department of Homeland Security, the HHS Assistant Secretary for Preparedness and Response, and private-sector cyber-threat ISAOs. Any such reports should not include PHI. OCR does not receive such reports from its federal or HHS partners.
  • Must report the breach to OCR as soon as possible, but no later than 60 days after the discovery of a breach affecting 500 or more individuals, and notify affected individuals and the media unless a law enforcement official has requested a delay in the reporting. OCR presumes all cyber-related security incidents where PHI was accessed, acquired, used, or disclosed are reportable breaches unless the information was encrypted by the entity at the time of the incident or the entity determines, through a written risk assessment, that there was a low probability that the information was compromised during the breach. An entity that discovers a breach affecting fewer than 500 individuals has an obligation to notify: individuals without unreasonable delay, but no later than 60 days after discovery; and OCR within 60 days after the end of the calendar year in which the breach was discovered.

OCR considers all mitigation efforts taken by the entity during any particular breach investigation. Such efforts include voluntary sharing of non-protected breach-related information with law enforcement agencies and other federal and analysis organizations as described above. (Our thanks to Jennifer Hilliard of LeadingAge national for this policy review.)

Help Save SHIIP

The United States Senate Appropriations Committee proposes a 100% cut to funding for State Health Insurance Assistance Programs. This would have a devastating impact on the SHIIP, the North Carolina Seniors’ Health Insurance Information Program and its ability to assist the state’s 1.8 million Medicare beneficiaries at a time when the number of people eligible for Medicare is growing and the Medicare program is becoming increasingly complex. Removing this program would eliminate the best and most reliable free and local resource that Medicare beneficiaries have in North Carolina and force consumers to utilize a federal resource. Please think about reaching out to let your elected official know your feelings on this important issue. Click here for more information about the impact on North Carolina. For information about who your elected official is, click here.

Deficiencies Drop but Staff Levels Fall Short: Kaiser Family Foundation Report

The average number of deficiencies per nursing home inspection has dropped in recent years, but staffing levels are still falling short of what some experts recommend, according to a new report from the Kaiser Family Foundation.

Hawaii Becomes First State to Offer Money to Caregivers with Jobs

The landmark legislation offers financial assistance to caregivers who work at least 30 hours per week. Click here to read more.

Professional Development

Save the date for these additions to the 2017 calendar:

Marketing Symposium
September 12
With LeadingAge Virginia and LeadingAge Maryland
More information coming soon!

Development Roundtable - Registration Now Open!
September 28
Pennybyrn at Maryfield in High Point
Register Now
Click here to download flyer for printing and distribution.

Dining Symposium
with NC Association of Nutrition and Foodservice Professionals
October 11
The Cypress of Charlotte
More information coming soon!

Next Week! Finance Symposium - Register Now
July 27, 2017
Lakewood, a Lifespire Community of Virginia
1900 Lauderdale Drive
Richmond, VA

Finance professionals at all levels, please join us for an informative and interactive day designed with you in mind. Be sure to arrive in time to visit with colleagues at dinner the night before. Offered in partnership with LeadingAge Virginia, the following topics will be discussed:

  • Crisis Response Planning
  • Financial Risk Management
  • Developing a Financial Model as part of Strategic Expansion
  • Compensation, Retention, and Incentive Compensation
  • Financing Moderately Priced Housing
  • Mergers and Affiliations

$150 first person
$100 second person
$225 non-members

Continuing education credit available: 8 CPEs and 7 NHA Hours
Click here to download flyer for printing and distribution.
A list of hotels within a 5-mile radius of Lakewood is available here.

Next Month! In August:

Management Leadership Series - Part 2
August 17 at The Cypress of Charlotte

Target audience: Department Directors, Mid Managers, Team Leaders, Supervisors

This session is open to everyone whether or not you attended the first session. If you want engaged employees, more effective communication is key. Walk away from this interactive session with a better understanding of how to create a culture of service and communication.

Click here to download the brochure for printing and distribution.

Click here to register today.  

4.5 CEUs
Facilitated by Donna Cutting of Red-Carpet Learning Systems, Inc.

Planning Ahead for November

The Joy of the Job: Workshop for Direct Service Professionals
I love my job; it's the people I can't stand

November 7 at The Forest at Duke in Durham
November 8 at Salemtowne in Winston-Salem

Choose the date that works best for your community.
10am-2:30pm at each location.

Target audience: CNAs, Dining Services Staff, Housekeeping, Facility Services, Grounds, Resident Services, all Direct Care and Service Providers

Is job stress and burnout getting you down? Learn how to adopt a humorous and fun approach to the challenges of the daily grind. Do you feel tired emotionally and drained by conflict? Learn how to handle the most stressful situations and the most challenging people. Click here for registration and information. Facilitated by Jody Urquhart, known for her humorous and compassionate motivational sessions.

2017 LeadingAge North Carolina Calendar

Looking ahead at your professional development this year, be sure to include LeadingAge North Carolina events and programs. Click here for the 2017 Calendar. 

Other Resources

Managing the Millennial Mindset
Offered by Crescendo Strategies
Rates starting at $99 with Promo Code LANCIND

Are you shocked by how today’s new hires think, dress, talk and behave at work? Are you frustrated that your younger workforce doesn’t work the same way as your seasoned staff?

Crescendo Strategies’ video-based online course, “Managing the Millennial Mindset,” showcases first-hand stories about the real generational issues on the T.A.B.L.E. (differing opinions about technology, authority, balance, loyalty, and entitlement). No PowerPoint slides with recorded video. This course is NOT a live or recorded webinar, and it is NOT intended for group viewing. It was designed for individual managers to complete at their own pace. Ready to preview the course now? Click here and then select the arrow on the video preview image.

Complete this course at your own pace by watching 15 short videos that share the backstory of why Millennials work differently than previous generations, and provide strategies for bridging today’s widening generational gaps.

Managers will learn critical insights about leading today’s diverse workforce that will help reduce unnecessary employee turnover costing your organization precious time and money. Click here to download and print the flyer.

Click here to register today.


Strategic Thinking

The Science of Pep Talks: Harvard Business Review

According to leaders in several fields there is a science to giving effective pep talks. Click here to learn about the essential elements for your next pep talk: directions, empathy, and meaning.

The Tyranny of Constant Contact: The New York Times

Everything this author learned about the Internet he learned from his 87-year old mother, including the fact that computers can reach out and grab you. Rethink your relationship with your devices with this humorous look at our connectivity.

News and Notes

Sharon Towers

Trinity Oaks

Twin Lakes

Covenant Village


Resident Art Exhibit

Resident Art Exhibit

LeadingAge North Carolina has unveiled its latest art exhibit courtesy of residents who provided art from Sharon Towers in Charlotte, Trinity Oaks in Salisbury, Twin Lakes in Burlington, WhiteStone in Greensboro, Covenant Village in Gastonia, and Deerfield in Asheville. Thank you for making our office a more beautiful place to be!

The Patient Wants to Leave. The Hospital Says No Way. The New York Times

Do patient safety and self-determination have to be at odds? Click here for a though-provoking article that asks how to honor patient autonomy as well as patient health.

Assisted Living Occupancy Plummets to Record Low: Senior Housing News

Second quarter assisted living occupancy rates nationwide are .7 percentage points lower than average occupancy in the first quarter and 1.4 percentage points lower than this time last year. Click here to read more about contributory factors.

2017 LeadingAge CCRC Salary and Benefits Report

Click here for a press release from the just published CCRC Salary & Benefits Report. This year marks the 20th annual year of publication with LeadingAge! The press release highlights data on the Director of Human Resources, and reflects varying rates by CCRC revenue size or unit size. The CCRC Report PDF is currently available for purchase. The hard copy Report will be available in mid-July. The LeadingAge member price is $275 for either version. The Nursing Home Report will be published the end of July.

CARE Documentary

Care pulls back the curtain on the poignant and largely hidden world of in-home elder care. Beautifully shot and deeply moving, the film reveals the deep bonds that form between paid care workers and elders while exposing the cracks in the U.S. care system. We’ll keep you up-to-date on when it will show on public television stations across North Carolina. Click here to learn more about this film.

Medicaid State Fact Sheet

Medicaid and the Children’s Health Insurance Program (CHIP) provide health and long-term care coverage to more than 70 million low-income children, pregnant women, adults, seniors, and people with disabilities in the United States. Medicaid is a major source of funding for hospitals, community health centers, physicians, and nursing homes. Federal policy proposals to restructure Medicaid could fundamentally change the scope and financing of the program. These two-page fact sheets provide a snapshot with key data for Medicaid in North Carolina and every other state related to current coverage, access and financing.

Back by Popular Demand: 2017 TREND Survey Now Available

LeadingAge North Carolina is once again partnering with CliftonLarsonAllen to bring CCRC/LPC members an analysis of operations and compensation information. CEOs and CFOs were emailed in late June with information on deadlines, cost, and accessing the survey. If you have any questions please feel free to contact Tom Akins at 919-571-8333. Reminder that the deadline to submit your information is August 1, 2017.

2017 Women: A Force in Business Conference

LeadingAge North Carolina is a sponsoring organization of the NC Chamber's 2017 Women: A Force in Business conference September 21, 2017. Last year's conference sold out in three weeks. This year the venue has quadrupled in size at the Raleigh Convention Center. Choose your own breakout sessions throughout the day. These sessions will span numerous topics, including "The Art of Emotional lntelligence,""Leading When You're Not In Charge," "The Cross-Generational Workplace," along with many others. During breaks, enjoy brief Pop-Up Learning Sessions that focus on wealth management, digital branding, revitalization and other self-development topics.

Click here
for the NC Chamber's event flyer. Be sure to share this information with colleagues and plan to attend. LeadingAge North Carolina members may register at the Chamber member rate. Click here to register and select Individual Member Ticket.

North Carolina Institute of Medicine

Accountable Care Communities for a Healthier North Carolina
September 25, 2017
McKimmon Conference Center at the NCSU Campus
1101 Gorman Street
Raleigh, NC

NCIOM's 2017 Annual Meeting will explore opportunities to develop Accountable Care Communities in North Carolina, featuring both state and national examples.

We now understand that the health outcomes of individuals often have more to do with the conditions in which they live, learn, work and age than by the medical care they receive. Research has shown that an individual’s zip code is a stronger predictor of their health and longevity than their genetics and other factors. However, traditional health care is not designed to address the social, behavioral and economic factors (e.g. housing, transportation, access to healthy food, education, and health behaviors) that impact health outcomes. Accountable care communities are.

Keynote speaker: Jennifer DeCubellis, Deputy County Administrator, Hennepin County Health and Social Services
Featured speaker: Mandy Cohen, Secretary, DHHS
Please click here to learn more about this event.

LeadingAge North Carolina | 222 N. Person Street, Raleigh, NC 27601
919-571-8333 | |

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