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Membership Update

Posted By Jennifer Gill, Friday, February 1, 2019
Updated: Thursday, January 31, 2019

February 1, 2019

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

Strategic Thinking
News & Notes
Professional Development

Advocacy & Policy

General Assembly Gets Down to Business
The legislature returned to Raleigh on January 30 for the beginning of its long session. When they returned, there were some notable absences as well as some people in new roles. Sen. Louis Pate, 82, R-Wayne, who had been sworn in for his fifth term in the Senate, is retiring. He served four terms in the House before being elected to the Senate in 2010. Several legislators who lost their seats in the November elections will still have a presence in the halls of the legislature including former state Rep. Nelson Dollar, R-Wake, who had been chair of the House Appropriations Committee, before losing his re-election bid. He will be joining House Speaker Moore’s staff as a senior policy advisor.

Six freshmen Republicans and seven freshmen Democrats were sworn into the Senate, which now includes 10 African-Americans, 10 women, two Indian-Americans, and eight veterans. There are 10 attorneys, five in real estate, and three who are in insurance.

The freshmen Republicans are:
• Sen. Bob Steinburg – Chowan (previously served in the House)
• Sen. Jim Burgin – Harnett
• Sen. Carl Ford – Rowan (previously served in the House)
• Sen. Eddie Gallimore – Davidson
• Sen. Todd Johnson – Union
• Sen. Ted Alexander – Cleveland

The freshmen Democrats are:
• Sen. Harper Peterson – New Hanover
• Sen. Wiley Nickel – Wake
• Sen. Sam Searcy – Wake
• Sen. Kirk deViere – Cumberland
• Sen. Michael Garrett – Guilford
• Sen. Mujtaba Mohammed – Mecklenburg
• Sen. Natasha Marcus – Mecklenburg

A full list of Senators can be found here.

The freshman class in the House has nine Republicans and 17 Democrats. The House now includes 26 African-Americans, 34 women, one American-Indian, and 24 veterans.

The freshmen Republicans are:
• Rep. Lisa Stone Barnes – Nash
• Rep. Jerry Carter – Rockingham
• Rep. Ed Goodwin – Chowan
• Rep. Bobby Hanig – Currituck
• Rep. Chris Humphrey – Lenoir
• Rep. Steve Jarvis – Davidson
• Rep. Keith Kidwell – Beaufort
• Rep. Wayne Sasser – Cabarrus
• Rep. Carson Smith – Pender

The freshmen Democrats are:
• Rep. Ray Russell – Watauga
• Rep. Kandie Smith – Pitt
• Rep. Raymond Smith – Wayne
• Rep. Julie von Haefen – Wake
• Rep. Sydney Batch – Wake
• Rep. Christy Clark – Mecklenburg
• Rep. Ashton Clemmons – Guilford
• Rep. Allison Dahle – Wake
• Rep. Terence Everitt – Wake
• Rep. James Gailliard – Nash
• Rep. Wesley Harris – Mecklenburg
• Rep. Zack Hawkins – Durham
• Rep. Rachel Hunt – Mecklenburg
• Rep. Brandon Lofton – Mecklenburg
• Rep. Carolyn Logan – Mecklenburg
• Rep. Nasif Majeed – Mecklenburg
• Rep. Joe Sam Queen – Haywood (previously served in House and Senate)

A full list of House members can be found here.

Updated State Aging Profile
The North Carolina Division of Aging and Adult Services has just released the updated State Aging Profile, a wonderful source of information for policymakers, member communities and others.

Federal Budget for Fiscal 2020
With fiscal 2019 spending still unresolved, it appears unlikely that the President will be submitting fiscal 2020 budget proposals to Congress in early February, in accordance with the 1974 Budget Act’s timetable. A delay in the start of the fiscal 2020 budget process could result in the enactment of fewer 2020 spending bills before the new fiscal year begins on October 1.

As Congress and the President consider funding levels for federal programs this year and next, we will work with both sides to ensure awareness of the importance of essential health and long-term care, shelter, and community-based services for a rapidly growing population of older people.

Nurse Aide Training Lock-out
Since the automatic loss of training authority is statutory, LeadingAge national worked with Rep. Sean Duffy (R-WI) in the 115th Congress on the introduction of the Nursing Home Workforce Quality Act. LeadingAge educated dozens of Congressional offices about the devastating impact of the CNA training lockout, and many LeadingAge members participated in that grassroots campaign.

Because the legislation was not enacted during the 115th Congress, national is working to get new legislation introduced this year.

Requirements of Participation
The third and final phase of the new requirements of participation go into effect November 28, 2019. LeadingAge national has begun posting tools and holding webinars to help members prepare. There are still a few months left on the moratorium on civil monetary penalties for deficiencies cited under Phase II.

Health Inspections Rating Freeze
According to a memo issued in June 2018, CMS “is monitoring outcomes of the new inspection process and plans to resume health inspection rating calculations (ending the current freeze) in the spring of 2019.” Nursing homes have been left with the same star ratings in the Nursing Home Compare health inspection domain that they had when CMS imposed the freeze over a year ago. LeadingAge national has urged CMS to post more current information on nursing homes’ performance so that consumers have accurate reports on which to base decisions on long-term care.

Payroll-Based Journal (PBJ) Staffing Reports
The transition to PBJ reporting became fully effective as of April 1, 2018. LeadingAge national contacted the CMS on behalf of members whose data did not post accurately, urging CMS to adjust a nursing home’s Five Star rating as soon as data has been corrected. National will continue to help members with tools and information to ensure successful compliance.

Regulatory Tracker
LeadingAge national announces the launch of Regulatory Roundup 2.0, a quick and easy tracker to help members find pertinent rules and federal regulations, with timelines for submitting comments and links to comments LeadingAge may have submitted.

Senior Housing Resources
In the new Congress, LeadingAge national is working to reintroduce legislation to improve and expand the Low-Income Housing Tax Credit program. Key areas of improvement are in better serving low income older adults and preserving LIHTC housing.

National expects a lot of activity in the 116th Congress on the National Housing Trust Fund and the Capital Magnet Fund, which provide significant capital and operating subsidies for affordable housing. Both these funds get their resources from Fannie Mae and Freddie Mac, whose next regulator may call for halting funding into the HTF and the CMF.

Medicare Observation Days Legislation
The 115th Congress did not consider legislation LeadingAge national supports to resolve the observation days issue by requiring all time Medicare beneficiaries spend in a hospital to count toward the three-day stay requirement for coverage of any subsequent post-acute care. National will pursue its reintroduction and passage in the new Congress.

LeadingAge North Carolina staff travels the state offering education and advocacy, networking, and collaborating with agencies that share a common vision. Here’s a look at our recent itinerary:

  • Member Community Visit - SearStone (Cary)
  • LeadingAge national Leadership Academy - Aldersgate (Charlotte)
  • LeadingAge national board of directors meeting (Savannah, GA)
  • Business Member Visit - Ziegler (Raleigh)

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Strategic Thinking

Labor Trends That Will Impact Your Company's Diversity
January 24, 2019, Forbes
An effective response to demographic shifts in the workforce may lie in one simple question, 'how are you?' Read more.

As America Rapidly Ages, Who's Helping to Find Better Ways to Care for Seniors?
Inside Philanthropy
According to the Foundation Center, only 2% of U.S. foundation grants currently fund aging programs. This low percentage has not changed much in the last 20 years, despite age-related demographic shifts. Does your strategic plan include research initiatives? If so, check out this article for a list of major funders involved with aging-related research. These organizations may be potential sources for your future research initiatives.

How to Procrastinate More Productively, According to a Psychologist
January 25, 2019, NBC News
A clinical psychologist gives permission to procrastinate in this fun, easy-to-read article. Gain a fresh perspective on using procrastination to your benefit and let go of the guilt! Read more.

A New Use for the Spare Room
January 23, 2019, Curbed
The home sharing model is gaining steam as new apps and programs launch around the country. Find out more about how these programs help curb loneliness, relieve financial strain, and create connection between generations. Is there a role for your community in this type of venture?

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News and Notes


2019 Awards Submissions Now Open!
Awards season is your chance to tell us about the fantastic people and programs at your community. Toot your own horn! Let us know how great you are! Check out the award categories, select an outstanding nominee(s) from your community, and submit your nomination(s) online today. Submissions are due March 8, 2019 by 5pm.

2019 Leadership Academy- Opening Soon
Applications for the LeadingAge North Carolina Leadership Academy class of 2019-2020 will open very soon. Each community may nominate one person, and it's a great time to begin thinking about who that person might be. The first meeting of this class will be at the Annual Conference at Myrtle Beach in May this year. Please watch your inbox, Facebook, Twitter, Instagram (leadingagenc), and our webpage for updates on how and when to apply. Interested applicants could begin formulating their thoughts by checking out last year's application here.

Catalysts Program Launches
Every day, members across the country serve and care for older adults with skill and compassion in an increasingly challenging environment. To recognize the work you do every day, LeadingAge national recently launched the LeadingAge Catalysts program. Each month, the association will spotlight a LeadingAge member who demonstrates excellence in many areas: supports for people living with dementia, creative community partnerships, recruitment and retention practices for staff, intergenerational programs, individual leadership, and much more. The first recognition went to Avera Prince of Peace Retirement Community in Sioux Falls, SD. Read more about this community's impressive continuum of care in an interview with its administrator, Justin Hinker. If you’d like to nominate an organization or an individual to be a LeadingAge Catalyst, please contact Gene Mitchell.

2019 Nonprofit Town Halls
Join the North Carolina Center for Nonprofits and organizations across the state for a Nonprofit Town Hall meeting in your area. Discussion will include briefings on the top federal and state issues affecting nonprofits in North Carolina. Cost of attendance is $25 for Center Members and Sustainers, and $35 for all others. Pre-registration is required.
Click here to learn more and register for a meeting in Asheville, Raleigh, Charlotte, Kernersville, Durham, or Wilmington.

This New Medicare App Is a Godsend for Seniors
January 28, 2019, Money
Earlier this week CMS launched “What’s Covered,” a new app that could be a great resource to share with residents. The app allows beneficiaries with Original Medicare to quickly research whether Medicare will pay for a given medical item or service. The app is part of CMS’s “eMedicare” initiative. Other parts of the initiative include an online price comparison tool.

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.

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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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.

** New - “Staying Alive!”
North Carolina Culture Change Coalition
In Greenville, Thomasville, and Black Mountain
Dates in March and April

Nursing staff and management please join us in one of three cities in March and April for the North Carolina Culture Change Coalition's "Staying Alive." The symposium will feature guest speaker Susan Gilster, PhD, RN who 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 an Exemplary Alzheimer’s Disease and Dementia Program" and "SERVICE First: Changing Culture, Changing Care."  Click here to register.


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

CEUs: LNHA, Assisted Living Administrators, and Nursing

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

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

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

Click here to register.

Reducing Readmissions
“Go to the Hospital or Stay Here?"
A Decision Guide
In Rocky Mount, Thomasville, and Cullowhee
Three dates in April

Be a part of the Medicare Region IV research initiative to reduce avoidable hospital readmissions.  Click here to register for a CMS and State of North Carolina-endorsed no-cost workshop that will explain how the Resident and Family Guide can be used to reduce hospital readmissions. Target audiences for the sessions are Administrators, Directors of Nursing, Medical Directors, NPs, PAs and Department Heads and Staff. The session will be offered April 23rd in Rocky Mount, April 24th in Thomasville and April 25th in Cullowhee. During the session, participants will be provided with an overview of the Decision Guide content, learning videos and techniques to introduce the information to staff, residents and family. Best practices on how to hardwire “The Guide” into your organization’s admission process as well as highlights from the pilot project will be discussed. For more information, contact: Frank Tappen.

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