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Membership Update April 5, 2019

Posted By Jennifer Gill, Friday, April 5, 2019
Updated: Thursday, April 4, 2019

April 5, 2019

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Advocacy & Policy
On the Road for You

Strategic Thinking
Member Question
News & Notes
Professional Development

Advocacy & Policy

Proposed Bill Impacts Generator Requirements
Representative Julia Howard has introduced H410 in the North Carolina House of Representative to require generators at all nursing homes, combination homes and adult care homes located in the state. All LeadingAge North Carolina members subject to the proposed legislation currently have generators. The bill’s actual wording charges the North Carolina Medical Care Commission with adopting rules specifying “the essential electrical services nursing homes, combination homes, and adult care homes are required to provide through the use of emergency electrical services.” The bill specifies provision of emergency electrical service “sufficient to provide heat, air conditioning, lighting, and other essential electrical services.” LeadingAge North Carolina has been in touch with the construction section at the Medical Care Commission to offer our ongoing perspective (both now and in the event the legislation passes).

Trauma-Informed Care
Implementing Trauma-Informed Care: A Guidebook provides strategies for compliance with Phase 3 of the Requirements of Participation.

Prospective Payment System Calculator Tool Updated
LeadingAge has updated Medicare Part-A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) calculator and the Medicare Part B therapy rate calculator to help members assess and estimate the impact of final payment changes for FY 2019, that began on Oct. 1, 2018. Access to this tool requires login via My.LeadingAge.

CMS Policy Podcast Aims to Reach Stakeholders via Podcast Platform
CMS has launched a new podcast intended to help explain the agency's policies and programs. "CMS: Beyond the Policy," discusses updates and changes to policies and programs in an easily accessible and conversational format. New episodes of the podcast will be released periodically and will welcome a range of subject-matter experts and stakeholders, including Administrator Verma. The inaugural episode of the podcast focused on Evaluation and Management Coding (E/M Codes). This episode is available for download on iTunes and Google Play. You can also access the recording on the CMS website. Click here to learn more about this podcast.

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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 visits:

  • Community Member visit - Givens Gerber Park, Asheville
  • Community Member visit - Givens Estates, Asheville
  • Community Member visit - Brooks-Howell Home, Asheville
  • Community Member visit - Deerfield, Asheville
  • Community Member visit - Tryon Estates, Columbus
  • Community Member visit - Friends Homes, Greensboro
  • Community Member visit - Carolina Village, Hendersonville
  • General Assembly Committee on Aging - Raleigh
  • Business Member meeting - GMK Interiors, Raleigh
  • Penick Village Leadership Academy - Southern Pines
  • LeadingAge National Leadership Summit - Washington, DC
  • Community Member visit - Arbor Acres, Winston-Salem

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Strategic Thinking

LTSS Center Releases Findings
LeadingAge wanted to get a better idea of how older adults view quality of life and aging, particularly should they develop physical or cognitive impairments and need long-term services and supports (LTSS). So, we teamed up with NORC, a research institution at the University of Chicago, to survey a representative sample of 1,200 older adults between the ages of 60 and 72. Those survey results, which we unveiled during the LeadingAge Leadership Summit in March, contain new information that challenges many commonly-held views about how baby boomers want to age. We think members will find the survey findings very enlightening as their organizations plan to serve future consumers.

Emotional Intelligence: The Social Skills You Weren't Taught in Schoo
April 14, 2015, Lifehacker
What do self-awareness, self-management, motivation, empathy, and social skills have in common? They make up five areas of something called emotional intelligence: those skills that make a huge difference in our ability to get ahead in life. Do have them? Read more.

Why Calendars are More Effective Than To-Do Lists
June 15, 2016, Observer
Would you believe that the likelihood of your getting anything done goes up significantly if you put it on your calendar? Switching from a list to a calendar might be that little change that makes a big difference. Could your team benefit from this approach? Read more.

Pressure Doesn’t Have to Turn into Stress
March 16, 2017, Harvard Business Review
The difference between pressure and stress is chronic worry, or rumination. Check out these four steps to help change your reaction to pressure and reduce stress in your life.

The Myth of Creative Inspiration
February 27, 2014, Pocket
Routines, schedules, and permission to create junk are the foundations of creative inspiration. Read more for this author's compelling ideas on how schedules spark creativity.

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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

Protecting Your Internet Accounts Keeps Getting Easier. Here’s How to Do It.
March 27, 2019, The New York Times
There are many tools for setting up two-factor authentication, a security mechanism that prevents improper access. These four methods are the most compelling.

Health Rankings and North Carolina
A lack of affordable housing drives down health and keeps North Carolinians in poverty, according to the latest annual County Health Rankings & Roadmaps, released recently by the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute. Taken as a whole, residents in Wake County have the best health outcomes in North Carolina. Those in Robeson County have the worst outcomes. Urban areas tend to place higher in the rankings, but cities also struggle with affordable housing and have pockets where health outcomes are lower. In total, 14 percent of North Carolina households spend more than half of their income on housing costs. But a deeper dive into the numbers show wide racial disparities. Households headed by black residents are most burdened by severe housing costs at 21 percent, compared to white households at 11 percent.

Free Tax Return Preparation for Older Adults
The deadline to file 2018 tax returns is April 15. The Internal Revenue Service offers two programs that can help senior households make sure their filings are correct and on time – the Volunteer Income Tax Assistance (VITA) program and the Tax Counseling for the Elderly (TCE) program. Both are free and offered at convenient locations such as libraries, schools, and shopping malls across the country. Find the closest VITA/TCE site.

Thriving in a Managed Care World
The March/April edition of LeadingAge magazine explores how LeadingAge members are responding to the growth of managed care by forming networks, innovating in transitions of care, and building managed care plans of their own.

LeadingAge Learning Hub
There’s always something new on the LeadingAge Learning Hub, our online learning platform designed to address the professional development and education needs of aging services professionals. Check out our new QuickCast on What To Do About Bed Bugs? Learn about how to Preserve Your Aging HUD Property. Or check out our upcoming webinars on Recognizing the Financial Implications of PDPM and Get Ready for Advocacy: Housing Priorities Explained.

2019 Nonprofit Town Halls
Join the North Carolina Center for Nonprofits and organizations across the state for a Nonprofit Town Hall meeting later this month. 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 Wilmington or Elizabeth City.

Treating Diabetes in Older Adults Requires Simpler Medication Regimens, Looser Glycemic Targets
March 23, 2019, Endocrine Society
The Endocrine Society recently issued new practice guidelines to aid in treating diabetes, which currently affects about 33% of older adults in the U.S. Recommendations include targeting blood pressure levels of 140/90 mmHg to decrease the risk of developing cardiovascular problems, and administering annual eye exams to detect retinal disease.  The new guidelines, “Treatment of Diabetes in Older Adults: An Endocrine Society Clinical Practice Guideline,” will appear in the May issue of the Journal of Clinical Endocrinology & Metabolism.

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



We can't wait to see you in Myrtle Beach, SC next month for our largest educational gathering of the year.

NOTE: Due to high demand of the room block, hotel reservation requests should be made directly through Leslie Roseboro. Email Leslie by April 12 with name of attendee, contact information, arrival/departure dates and bed preference. Also contact Leslie if you currently have a reservation that is outside the room block. If you are holding rooms within the room block that you no longer need, please do not cancel them directly with the resort. Contact Leslie Roseboro in order to make room for others who are on the waiting list.

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.

One Week from Today!
PDPM: Prepare. Execute. Succeed.
A Beans and Dreams Roundtable
2-Part Series: April 12 and June 27

Join us for a two-part series facilitated by Kristy Yoskey of HealthPRO Heritage 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.

Session One Takes Place in Fewer Than 2 Weeks!
2019 Management Leadership Series

"Lead Your People. Manage Your Process."

10am-3pm April 18 at Salemtowne in Winston-Salem
August 21 at Friends Homes West in Greensbor

Rich Schlentz of EXTRAordinary! Inc. is back by popular demand! Explore the tactical tools for leading and managing including: constructive coaching, influential communication, and interviewing for success. Attendees last year asked Rich to include information for new managers as well as those who would like to improve their management skills. He listened and plans to deliver on that this year!

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 this month with the PDPM Introduction on April 12 (see above), and again in each month from June to 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 new topics each month.

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.

“Staying Alive!”
North Carolina Culture Change Coalition
April 9 in Thomasville
April 10 in Black Mountain

Please mark your calendars 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

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
April 23 in Rocky Mount
April 24 in Thomasville
April 25 in Cullowhee

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. 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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