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Membership Update

Posted By Jennifer Gill, Friday, January 4, 2019
Updated: Thursday, January 3, 2019

January 4, 2019

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Advocacy & Policy
Strategic Thinking
News & Notes
Professional Development

Advocacy & Policy

2019 General Assembly Convenes January 9
LeadingAge North Carolina will be on location to ensure that laws are passed that create positive aging for every North Carolinian!

New Year, New Laws
As we rang in the New Year, we also sounded the bell on new laws in North Carolina. Notable changes include earlier primaries (even year primaries will be earlier, moved up from May to March), judicial redistricting (lawmakers redrew boundaries for superior court, district court, and prosecutorial districts), and hospital charges (hospitals are now required to post their standard charges for medical procedures, supplies, tests and other services).

Aging Services: Where We Stand as the 116th Congress Begins
The lame duck 115th Congress passed some measures of interest to aging service providers, but several other issues, especially senior housing funding for 2019, remain to be resolved by the 116th Congress that began yesterday. CLICK HERE for an analysis of where these issues currently stand.

Response from CMS about Effect of PBJ on Reported Staffing Levels
Back on September 4, 2018, we reported to you about LeadingAge’s response to concerns raised by US Senate Finance Committee members about reported staffing levels under the new payroll-based journal system:

LeadingAge Responds to Concerns About Reported Staffing Levels
LeadingAge President and CEO Katie Smith Sloan has responded to concerns raised by Senator Ron Wyden (D-OR), a ranking member of the Senate Finance Committee, on whether seniors and their families have accurate and complete information about the quality of nursing homes. Senator’s Wyden’s concerns are based on a report published by The New York Times earlier this summer regarding reported staffing levels in nursing homes under the new payroll-based journal (PBJ) system. LeadingAge President and CEO Katie Smith Sloan called on CMS to change its policy to adjust a nursing home’s Five Star rating as soon as the PBJ staffing data has been corrected rather than waiting until the end of the quarter.

CMS has responded to LeadingAge's response, which you may view by clicking here. LeadingAge will continue to monitor and report challenges to CMS regarding PBJ and the Nursing Home Five Star system.

Impact of the Government Shutdown on Affordable Housing Properties
Given that the partial shutdown is heading into its second week - and United States Housing and Urban Development subsidies may begin to fall short in some cases as the time stretches out - here is information posted two days ago to the LeadingAge Housing Operations and Policy listserv:

From conversations with HUD staff, just prior to the shutdown, we were assured that the “vast majority” of ongoing rental assistance contracts “should generally be paid on schedule.” However, projects with contracts that show as being expired or short on funds in TRACS may need to submit a HUD Form 9250 to request an advance of funds from the reserve for replacements account.

According to a HUD confirmation on January 2nd,) each Satellite Office has Excepted or Intermittent staff that can help with “emergency” situations. Generally, all of the Regional and Satellite Directors, and some select staff, should be available. 9250 requests can be sent directly to Directors. If you have any difficulty, please send copies to Colleen Bloom at LeadingAge national. LeadingAge will share with HUD headquarters staff and prompt to facilitate a response by appropriately exempted and/or regional oversight staff.

Here are some additional questions on HUD and the government shutdown that may be of interest.

McKnight’s Features LeadingAge Leadership Summit & Town Hall Conversations
LeadingAge national’s upcoming Leadership Summit March 17-20 in Washington, DC and its ongoing Town Hall Conversations to help inform public policy efforts were featured in a McKnight’s New Year’s article. This year’s Leadership Summit is an excellent forum to learn more about the issues facing our field and make your voice heard with our elected federal officials. We’ll be providing more information about this year’s North Carolina Town Hall Conversation as we finalize the dates.

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Strategic Thinking

Opportunity and Crisis: Skilled Nursing Leaders Make Their Top Predictions for 2019
January 1, 2019, Skilled Nursing News
Outlooks on 2019 are provided to Skilled Nursing News by LeadingAge national staff, as well as Zeigler, Lancaster Pollard, Aegis Therapies (all LeadingAge North Carolina members) and more.

How to Manage Someone Who is Totally Disorganized
December 31, 2018, Harvard Business Review
Instead of silently feeling frustrated, there are several ways you could assist an employee who is disorganized. Check out this article for a list of practical interventions and two case studies. And remember, there is an effective middle ground between coddling and being impatient.

Misconceptions About Health Costs When You’re Older
December 24, 2018, The New York Times
This article tackles the expense side of an emotional issue: end-of-life. After citing research, probability, and yet more numbers, the author reminds us that we're talking about people here. Maybe easing suffering is worth the money it costs. The analysis provided is worth a read.

Working With Older Adults
December 2018, American Psychological Association
The scarcity of psychologists trained to treat older adults (1.2%) is leading to initiatives to improve those numbers. Check out this article for more information on the small but developing field of geropsychology. To help support your residents living with mental illness, check out the first article under News and Notes for a free training video series available to LeadingAge members.

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News and Notes

Free Mental Health Training Resource
Supporting residents with mental illness requires special training. So we want to be sure you are aware of a great free training resource available in the LeadingAge national learning hub. The series of free videos covers topics included in the written guide developed by Jewish Community Housing for the Elderly and Jewish Family & Children’s Service. It mirrors an in-person training, including role playing examples of situations commonly encountered by staff that can be applied across a variety of aging services settings. Check it out today.

Reflections on 2018’s Hurricane Season…And Suggestions!
This December 28, 2018 article from “Shots: Health News from NPR” details specific steps staff at Bishop Gadsden Retirement Community in Charleston took during Hurricane Florence.

Please Keep Us Up to Date on Your Major Staffing Changes
In an effort to keep our contact information current with our members and their staff, we request that you notify Jennifer Gill as soon as possible when you have significant staffing changes (i.e. staff leave or new staff arrive).

Tom Akins Available to Speak with Your Constituents

As you plan your 2019 calendar, please remember that LeadingAge North Carolina President and CEO, Tom Akins, is available to offer trend analysis presentations and other topics for your constituents. Contact Tom today to discuss your needs or please contact Jennifer Gill in our office at 919-571-8333 for more information.

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Professional Development

Phase 3 RoP: What to Expect; Developing Your Facility Action Plan
Moving Mountains
: SNF Provider Training, Tools, and Insight to Conquer 2019 Industry Changes

Webinar Series
All sessions held the first Wednesday of each month February through November this year at 2pm eastern time.

Series: $800 members / $1,600 non-members
Individual session: $75 members / $125 non-members

NAB Approved Contact Hours: 1.25 each session

This webinar series will guide providers in implementing a step-wise action plan to manage the industry changes taking effect in 2019 including Phase 3 RoP (Requirements of Participation) and preparing for the reimbursement transition from Medicare PPS RUGs IV to the Patient Driven Payment Model (PDPM). Additional sessions may be added in the fall of 2019 based on member feedback and CMS updates.

Target Audience: Director of Nursing, Assistant Director of Nursing, Nurse Managers, Nursing Home Administrators, Nursing Staff & Leaders, RAI Coordinator, QA Director, Social Services, Staff Development Coordinator, Rehabilitation Services, Board Members

Register online today.
Download flyer.

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