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Membership Update March 15, 2019

Posted By Jennifer Gill, Friday, March 15, 2019
Updated: Thursday, March 14, 2019

March 15, 2019

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Advocacy & Policy
On the Road for You

Strategic Thinking
Member Question
News & Notes
Volunteer Spotlight
Professional Development

Advocacy & Policy

President Releases Proposed Budget Blueprint
President Trump sent Congress a $4.7 trillion budget proposal Monday for the 2020 fiscal year. The plan includes major cuts to Medicaid and Medicare spending, as well as adding block grants to states for some Medicaid spending. The budget would curb the growth of Medicare and Medicaid by shaving $818 billion from projected spending on Medicare over 10 years and cutting nearly $1.5 trillion from projected spending on Medicaid.

Payments to a variety of health care providers would also be cut. The budget squeezes more than $100 billion over 10 years from Medicare payments to nursing homes and home health agencies that care for Medicare patients who have left the hospital. In addition, Medicare payments to hospitals for unpaid bills and uncompensated care would be reduced by $136 billion over 10 years. Mr. Trump would cut projected Medicare payments to hospital outpatient departments by $131 billion over 10 years.

The President also proposes spending $26 billion less on Social Security programs, including a $10 billion cut to the Social Security Disability Insurance program, which provides benefits to disabled workers.

While the President’s budget proposal will in all likelihood be a non-starter with Congress, it does paint a picture of the potential campaign themes over the next two years in the run-up to Presidential election in the fall of 2020.

Department of Labor Proposes Rules Changing Overtime Requirements
Late last week, the U.S. Department of Labor announced a proposed rule that would make more than a million more American workers eligible for overtime. Under currently enforced law, employees with a salary below $455 per week ($23,660 annually) must be paid overtime if they work more than 40 hours per week. Workers making at least this salary level may be eligible for overtime based on their job duties. This salary level was set in 2004. The proposed rules would boost the standard salary level to $679 per week (equivalent to $35,308 per year). Above this salary level, eligibility for overtime varies based on job duties.

Infection Control Training and Requirements
Cindy Deporter with DHSR shared information from CMS about their release of Infection Control Training for nursing homes. This regulation requires each facility to have an Infection Preventionist in the facility at least part time, starting in November. As a reminder, North Carolina has had a state law for many years that requires a staff member that has completed the necessary training for Infection Control. This requirement is fulfilled and will also be fulfilled for Phase 3 purposes by utilizing the UNC SPICE Infection Control Program.

New Medicaid Bulletin Now Online
The March 2019 North Carolina Medicaid Bulletin is now available online. Articles of particular interest include additional details on the transition to Medicaid managed care and updates to the North Carolina Medicaid Electronic Health Record Incentive Program.

Gov. Cooper Mostly Nixes any Additional Spending on Aging Services
March 8, 2019, NC Health News
In his $25 billion-plus budget plan, Gov. Roy Cooper ignored proposals that would have boosted spending on services for Adult Protective Services, increased the living allowance for North Carolinians in long-term care and offered more support to family caregivers.

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

  • NC House Committee on Aging meeting – Raleigh
  • Business Member meeting – Ziegler
  • Business Member meeting – BB&T Capital Markets
  • SNF Regulatory Policy meeting – Greensboro
  • LeadingAge national Health Policy meeting
  • Business Member meeting – Select Pharmacy
  • Business Member meeting – WeaverCooke
  • Business Member meeting – Remedi

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Strategic Thinking

What Great Listeners Actually Do
July 14, 2016, Harvard Business Review
Apparently we may not be as good at listening as we think we are. Being a good listener means creating a cooperative safe space that encourages discovery and builds the other person's self-esteem. It's a tough skill to master and involves bouncing ideas rather than absorbing them. Read more.

What Really Scares World Leaders?
February 21, 2019, Fortune
The Weather! Each year, the World Economic Forum surveys experts on what keeps them up at night. The answers are surprisingly consistent. Hint: "Aging Population" made the list.

A Game of Thrones in the Boardroom
February 24, 2019, Fortune
A new book explores what managers can learn from the Machiavellian fantasy series. In "Win or Die: Leadership Secrets From Game of Thrones" (Thomas Dunne Books) Columbia Business School professor Bruce Craven breaks down step-by-step exercises in self-advocacy, social awareness, and relationship management.

Why Talented People Don't Use Their Strengths
May 8, 2018, Harvard Business Review
As workers, we often undervalue the things we do effortlessly. Yet, research shows those are most likely our biggest strengths. Help identify your own and your team members' strengths by asking this handful of questions.

When Needs Arise These Older Women Have One Another's Backs
February 20, 2019, Stria
Currently this innovative model of transitional support in older age is offered in New York City, San Francisco, and Philadelphia. Could it be replicated in your community or town?

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Thanks to everyone who keeps the member question service going strong by responding. Click on a recent topic below to download a spreadsheet of corresponding responses.

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News and Notes

How Do Parent Child Relationships Work Later in Life?
To date, very little research has been done on the dynamics between old children and their very old parents. With people living longer, you may find more of these relationships at your community. That's why it's noteworthy that research on this population conducted at LeadingAge LTSS Center @ UMass Boston is yielding interesting early results. Interviews with 120 parent-child dyads will be complete this year with data analysis and results prepared in 2020.

Workforce Infographic Available for Members
If you are looking for a visual summary of factors contributing to the workforce crisis, click here to download an infographic from LeadingAge national that summarizes the issue in an appealing visual. You may also visit for recruitment and retention practices yielding great results as well as tools, resource materials and more!

Alzheimer's Disease Facts and Figures 2018
The Alzheimer's Association annual report provides a number of data points at the national and state levels. This is a great resource for members seeking to understand the impact of cognitive impairment on caregiving resources, staff training, and future demand for services.

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 this month or in April. 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 Charlotte, Kernersville, Durham, Wilmington, or Elizabeth City.

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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Volunteer Spotlight

Anne Moffat
President and CEO
Sharon Towers

Board members of LeadingAge North Carolina volunteer their time and expertise with the sole purpose of enriching the field of aging services. Anne Moffat, President and CEO of Sharon Towers in Charlotte, serves on the LeadingAge North Carolina Foundation board of trustees as chair-elect. We are so grateful for her service.

1. Why did you become involved in LeadingAge North Carolina?
In 1996, when I was new to the non-profit CCRC world, I first started to understand what LeadingAge NC was all about by attending the annual meetings. I was impressed with the education offered and the advocacy efforts done on our behalf. So when I was approached and asked about serving on the Board I was honored knowing I could be a part of an organization that focused its efforts solely on the population I love and have chosen to work with throughout my career.

2. What makes our mission meaningful to you?
We all get caught up in our organization’s daily operation and planning for future growth. It is reassuring to know we have an organization whose mission it is to keep its eye on the regulatory environment, industry trends, and potential collaborations that ultimately advocate for our residents and promote our field.

3. If you had unlimited resources, what is the one thing you as a board member would like to do for the population we serve?
We are all questioning where our future workforce is going to come from. To benefit our residents, I would start a very large foundation to fund scholarships for anyone wanting to enter the field of aging i.e. administrators, nurses, CNAs, social workers, etc. (This would include funding their cost of living while working to get their degree or certification.)

4. If you could swap jobs with a staff member for a day, what would you want to try and why?
I would like to try one day as a physical therapist. They typically see residents after some sort of event and then help them set goals and work to attain them. I would like the ability to work with a resident toward that goal and then celebrate with them when they see improvement in their physical function.

5. What do you do to relax, to get away, to recharge your batteries?
Anyone who knows me knows there are two things (besides my husband) that make me very happy and relaxed – cycling and Oriental, NC. And, in all honesty, nothing makes me happier than to combine the two. Whenever possible my husband and I get away to Oriental and while there, we enjoy 30 to 40 mile bike rides throughout the area and along the river shores. It is total bliss!

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Professional Development



We can't wait to see you in Myrtle Beach, SC for our largest educational gathering of the year. Be sure to register today and reserve your hotel with the conference rate. More information is available here. And...

Great news for HR professionals! For the first time, the Annual Conference has been certified for 12 CEUs through the Human Resources Certification Institute (HRCI).

Exciting news for all administrators ... the LeadingAge North Carolina Annual Conference has been approved for 12.5 CEUs by the National Association of Long Term Care Administrator Board!!!

This year's conference includes:

  • An art-related opening session to tap into your creativity. Yes ... you are creative!
  • Return of the very important Town Hall Conversation - please be sure to attend. Not sure about policy? That's okay, listen and learn.
  • LeadingAge North Carolina Leadership Academy Alumni and Coaches - a super fun and special Shared Learning session just for you.
  • Another sold-out Expo to explore new technologies and meet with new and existing product and service providers.
  • An awards ceremony that always lifts the spirit by honoring the field.
  • Plus all of the fellowship, networking, and learning you have come to enjoy and expect from your state association.

More information.
Register here.

*NEW! Registration Now Open!                                   
PDPM: Prepare. Execute. Succeed.
2-Part Series
Facilitated by Kristy Yoskey of HealthPRO Heritage

Join us for a two-part series to help you transition to the Patient Driven Payment Model (PDPM). We encourage members to register for both sessions for maximum benefit. However, individual session registrations are welcome. Register online or click here to download and mail registration form.

Part 1: Introduction (a Beans and Dreams Roundtable)
April 12 | 9:00am-10:30am | Bernard Robinson & Company | Greensboro

Discuss the changes to Medicare A reimbursement beginning on October 1, 2019 under the Patient Driven Payment Model and considerations to evaluation of care based on the clinical characteristics of the resident and their needs. The transition from RUG IV to PDPM and things to consider in order to be prepared and successful in the new world shifting toward value based care will be discussed. This session is open to members only.

Part 2: Intensive
June 27 | 10:00am - 2:00pm | Salemtowne | Winston-Salem

Take a deep dive look into PDPM and what it will take to prepare in the last three months leading up to the PDPM transition, execution process, education and success beyond October 1, 2019. Financial impact, high level strategies and education needed to be on the winning side of PDPM will also be discussed.

Registration Rates
Part 1: Members only $25
Part 2: $125/$99 add'l attendee(s) or Non-Members $175

Participants earn 1 NHA CEUs for Part 1 and/or 3 CEUs for Part 2.

Download flyer.
Register online now.

2019 Management Leadership Series - Registration Now Open!
"Lead Your People. Manage Your Process."
Facilitated by Rich Schlentz
10am-3pm April 18 at Salemtowne in Winston-Salem
August 21 at Friends Homes West in Greensboro

Rich Schlentz is back by popular demand! And he can't wait to visit with you again and explore the tactical tools for leading and managing including: constructive coaching, influential communication, and interviewing for success. Department directors, mid managers, team leaders, and supervisors - be sure to register today. Members: $200 for the series or $125 per session; Non-members: $300 for the series or $175 per session; 4.0 NHA CEUs.

Download the brochure.
Register online now.

Education Calendar Available
The LeadingAge North Carolina education and event calendar can be accessed by clicking here. This calendar is packed with more than 25 offerings across the state with something for everyone including maintenance, dining, wellness, marketing, finance, human resources, direct care staff, and more.

We are particularly pleased to announce a roundtable series called Beans and Dreams. Join your peers for coffee and conversation on second Fridays starting next month in April, and picking up again June-December from 9-10:30am. This is an opportunity for members to connect regionally to discuss relevant topics. Each roundtable will be different! Keep an eye out for more information in the near future.

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 through November this year at 2pm eastern time.

Individual session: $75 members / $125 non-members

NAB Approved Contact Hours: 1.25 each session

This webinar series guides providers in implementing a step-wise action plan to manage the industry changes taking effect this year 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

Please mark your calendars 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. 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, Division of Health Service Regulation

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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LeadingAge North Carolina
222 N. Person Street Suite 205
Raleigh, NC  27601
Ph. 919.571.8333 | Fax 919.869.1811 |

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