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Membership Update

Posted By Jennifer Gill, Friday, January 18, 2019
Updated: Thursday, January 17, 2019

January 18, 2019

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Advocacy & Policy
On the Road for You - *New!

Strategic Thinking
News & Notes

Professional Development

Advocacy & Policy

Proposed New Rule from DHSR
The North Carolina Division of Health Service Regulation held a special meeting last week to preview proposed rules that would impact many of our member communities. In a nutshell, the Division is proposing rules that would require all skilled nursing home beds in the state to be surveyed using federal standards. Those communities that have made the business decision to not accept federal money would be forced to play by federal rules. Switching from being surveyed using state rules to being surveyed by federal rules would potentially cost communities millions of dollars — additional costs that would in all probability be borne by the residents we serve. LeadingAge North Carolina has assembled a special task force that will be aggressively pursuing comments to the Division about the impact of the proposed rules and we’ll keep you updated as we move forward. We are grateful for assistance on this issue from LeadingAge national, as well.

Public Policy Priorities 2019
The LeadingAge North Carolina board of directors met earlier this week in Greensboro and adopted a set of Public Policy Priorities for 2019. Our priorities for 2019 focus on collaborating with a number of organizations and agencies on policies that directly impact aging services in our state and our member communities. A special communication to all new and returning members of the General Assembly is being sent highlighting our priorities and our goal of partnering to advance aging services in our state.

HUD Says December, January Renewals Must Rely on Reserves
LeadingAge has learned the likely fate of the 650 contracts that were up for renewal in December but were not renewed prior to the shutdown, which began on December 22. Over a third of the contracts that expired in December are connected to Section 202 Housing for the Elderly. HUD decided it does not have the resources to fund these 224 contracts. HUD officials say that 92% of these 224 Section 202 communities have at least $3,000 per unit in their reserve accounts. Reasoning that the average annual subsidy for a Section 202 unit is $7,000, HUD believes these communities will be “fine for several months” by relying on their reserves. Section 202 owners with contracts expiring in January are expected to rely on their reserves as well during the shutdown. Read more here.

In addition to contacting Colleen Bloom and Linda Couch at LeadingAge national with issues and concerns, members are urged to contact their House and Senate members with these messages:

  • Please protect low income older adults by ending the government shutdown and passing a full year HUD spending bill that provides strong funding for affordable housing programs such as the Section 202 Housing for the Elderly and Project-Based Rental Assistance programs.
  • We are gravely concerned of the shutdown’s immediate and long-term impacts on HUD’s programs and the low income older adults they serve.
  • The shutdown is threatening to destabilize over 1.6 million older adult households that depend on HUD’s rental assistance programs.

Draft 2019 MDS Item Sets
A new DRAFT version of the 2019 MDS item sets (v1.17.0) has been posted. This version is scheduled to become effective October 1, 2019. The files are located in the Downloads section of this CMS webpage.

LeadingAge North Carolina staff travels the state offering education, advocacy, and networking, and collaborating with agencies that share a common vision. Here’s where our itinerary has taken us recently:

  • NC Division of Health Service Regulation Stakeholder meeting (Raleigh)
  • Past Board Chairs dinner — Penick Village (Southern Pines)
  • Public Policy planning — Croasdaile Village (Durham)
  • Springmoor Residents Association meeting — Springmoor (Raleigh)
  • LeadingAge NC board of directors and board of trustees meetings — Well-Spring (Greensboro)
  • LeadingAge NC Leadership Academy — Pennybyrn at Maryfield (High Point)

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Strategic Thinking

Member Questions
Several member questions were posted at the end of 2018. You may click on the numbered text below to download a spreadsheet of responses to the questions listed.

  1. Spiritual support to residents
  2. Generators on campus
  3. Technology use and planning
  4. Transportation scheduling software
  5. Core repositioning
  6. Staff appreciation fund access

Download Strategic Focus Publication
Our new publication,
Strategic Focus, examines a specific governance topic to help you, your leadership team and board in planning, strategic thinking, and execution. This edition focuses on mission. A hearty thank you to our good friends at LeadingAge Virginia for sharing their content for use in this publication.

An Executive Director’s Guide to Financial Leadership
January 10, 2019, Nonprofit Quarterly
There is a distinction between financial management and financial leadership, and that difference is sustainability. In this article eight key business principles are summarized and provided as a guide for executive directors to achieve financial sustainability for their organization.

Never Take a Bad Work Day Home Again, Using These 3 Steps

January 9, 2019, Ideas.Ted.Com
Your work and home life probably have different rhythms. Do you ever wish you were better at transitioning between them? How we spend the time between work and home affects our ability to be present. For permission to relax and recover, read more in this brief article, or take time to watch the 17-minute video which provides more humor and context.

10 Excel Functions Everyone Should Know
October 8, 2018, Harvard Business Review
Never feel overwhelmed by creating or reading spreadsheets again, and increase your skill level. Check out these ten tips on how to navigate Excel with more ease. The time to learn each tip ranges from just 2 minutes to more than 15 minutes, and the investment is worth it!

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News and Notes

2020 National Annual Meeting Date Change/Pattern
Due to the Presidential Election, the 2020 LeadingAge Annual Meeting will be shifting to begin later in the week. The pattern shift will be an interesting experiment to see if attendees and exhibitors prefer a mid week start vs our typical Sunday-Wednesday. From an immediate context, it stays clear of Halloween and allows people to vote and then head to San Antonio.

2020 Meeting Dates: Wednesday, November 4-Saturday, November 7, 2020
EXPO Dates: Thursday, November 5-Saturday, November 7, 2020

McKnight's Wants to Hear about Your "Brighter Side"
McKnight's would like to know all the wonderful things your community is doing to brighten up the lives of residents, employees and members of the community. They have launched "The Brighter Side" feature on their website, and are expanding it to encompass social media, using the hashtag #BrightenUpLTC.

The criteria for "TBS" stories are pretty simple. The only rules are that it's occurring in or around a skilled nursing facility, it makes you smile and it's something that your peers might be interested in reading about.

"The Brighter Side" is a year-round feature that runs every Wednesday in the Daily Update, so you can help McKnight's spread the good word(s) every week with it. If you see something that you think fits the bill, you can send an email to staff writer Marty Stempniak or share it on Twitter with the hashtag #BrightenUpLTC. They will select some of the best suggestions to appear in story form in the Daily Update.

Antipsychotic Drug Use in Nursing Homes: Trend Update
CMS is tracking the progress of the National Partnership to Improve Dementia Care in Nursing Homes by reviewing publicly reported measures. The official measure of the Partnership is the percentage of long-stay nursing home residents who receive antipsychotic medication, excluding residents diagnosed with schizophrenia, Huntington's disease, or Tourette’s syndrome. In the fourth quarter of 2011, 23.9% of residents received an antipsychotic medication; since then there has been a decrease of 38.9% to a national prevalence of 14.6% in the second quarter of 2018. In North Carolina in the 4th quarter of 2011, 21.4% of residents received an antipsychotic medication; since then there has been a decrease of 42.3% to a state prevalence of 12.4% in the second quarter of 2018. A four-quarter average of this measure is posted on the Nursing Home Compare website. For more information visit the Partnership webpage or send correspondence to

CMS Details 6 Steps to Reduce Harm in Nursing Homes
A new federal report delves into the first steps nursing home leaders can take to avoid preventable harm to their residents. The National Nursing Home Quality Improvement Campaign is hosting a January 24 webinar with experts to explore some of those strategies in this “change package” of recommendations. The 60-page resource from CMS was released late last year and created with the Quality Innovation Network National Coordinating Center.

The report includes a two-page appendix with six strategies SNFs can pursue to get started, including shoring up staffing, identifying gaps in care, and promoting multidisciplinary team work.

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).

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 LeadingAge NC Leadership Academy
in High Point


Leadership Academy Explores Creativity
Congratulations on another great Leadership Academy visit! The LeadingAge North Carolina Leadership Academy is gathered at Pennybyrn at Maryfield in High Point today (and yesterday) for in-depth discussion of innovation, creativity, and change. The energy is palpable and the mood is high as folks continue getting to know and support each other while growing their leadership skills.

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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.

Learn how to implement a culture of change to keep today’s senior vibrant and “Staying Alive!”

Join the North Carolina Culture Change Coalition for a symposium that features guest speaker Susan Gilster, PhD, RN. Dr. Gilster has presented more than 150 national and international talks on Alzheimer’s care and treatment, organizational change, leadership, and employee satisfaction and retention. She served as co-facilitator of the Leadership and Culture training for the Practice Change Fellowship program. Dr. Gilster has published more than 50 professional articles and has written two books, “A way of Life: Developing and Exemplary Alzheimer’s Disease and Dementia Program” and “SERVICE First: Changing Culture, Changing Care”.  Click here to register.

Target Audience: Nursing staff, Management

  • Sustaining culture change through leadership
  • Panel members present to discuss culture change in their facilities
  • Just culture
  • Regulatory perspective on culture change from Cindy Deporter, State Survey Agency

Cost: $50
CEUs: LNHA and Assisted Living Administrators CEUs and Nursing CEUs available

March 26th in Greenville
Cypress Glen Retirement Community
100 Hickory Street
Greenville, NC 27858

April 9th in Thomasville
Davidson Community College
297 DCC Road
Thomasville, NC 27360

April 10th in Black Mountain
Givens Highland Farms
200 Tabernacle Road
Black Mountain, NC 28711

Click here to register.

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