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Member Update June 21, 2019

Posted By Jennifer Gill, Friday, June 21, 2019
Updated: Thursday, June 20, 2019

June 21, 2019

The LeadingAge North Carolina Member Update is published twice monthly. Click on the section you would like to view.

Advocacy & Policy 
|   On the Road for You
Strategic Thinking 
|  Member Questions
News & Notes
  |  Volunteer Spotlight
Professional Development
|  Value First


Surprise Move Removes CON Language from Senate Bill

Senate Bill 361, the CON Reform bill that included a provision exempting CCRCs from CON review for Medicare-certified home health, was presented in the Rules and Operations Committee of the Senate yesterday where major, unexpected changes were made. All language in the legislation referencing CON rules was removed and then the bill was reported out favorably. The bill has been calendared for a full Senate hearing June 24. We’ll be sending additional information about the hearing over the weekend. We’ll also be providing additional information on House Bill 966, the budget bill…it appears that both chambers are very close on a compromise that can be sent to the Governor.

LeadingAge National Policy Update
Back in session following the Memorial Day recess, the House is pushing forward with appropriations measures for fiscal year 2020, which begins on October 1. There still is no agreement, however, among the U.S. House, the Senate, and the White House on raising caps on discretionary spending that were imposed by the Budget Control Act of 2011. Meanwhile, draft legislation to reauthorize the Older Americans Act is circulating in the Senate Committee on Health, Education, Labor and Pensions, bills have been introduced to expand and make a wide range of improvements in the Low-Income Housing Tax Credit, and the Senate Finance Committee leadership continues moving forward on legislation to continue the income tax medical expense deduction’s 7.5% adjusted gross income threshold. The update provides information on the following items:

  • Nursing home regulation
  • Skilled Nursing Facilities: Proposed Fiscal 2020 Medicare Rule
  • Reduction in Regulatory Burden: Patients Over Paperwork
  • Workforce
  • Immigration
  • Medicare Observation Days legislation
  • Hospice: Proposed Fiscal 2020 Medicare Rule
  • PACE Final Rule for 2020
  • Tools and Resources
  • And MUCH More

Efforts Build to End Lockouts of In-House CNA Training
McKnight’s Long-Term Care News reported earlier this week on the growing number of co-sponsors of legislation to end the 32 year-old rule prohibiting penalized skilled nursing facilities from providing in-house CNA training. LeadingAge supports House Bill 1265, which now has 13 co-sponsors. Civil monetary penalties can often be unrelated to improvement efforts and the current law makes it more difficult for nursing homes to recruit and retain direct care staff.

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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 where we've been recently:

  • Business Member Meeting with Marsh & McLennan Agency - Raleigh
  • General Assembly Senate Health Care Committee - Raleigh
  • LeadingAge Professional Development Network meeting - San Diego
  • Meeting with NorCCRA’s Sindy Barker - Chapel Hill
  • Member Community visit - Aldersgate, Charlotte
  • Member Community visit - Galloway Ridge, Pittsboro
  • NC Institute of Medicine Task Force on Health Services for Individuals who are Deaf and Hard of Hearing - Morrisville

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Microsoft's Peter Lee, Greg Moore on the Role of Tech Giants in Healthcare

May 31, 2019, Fierce Healthcare
Peter Lee is Microsoft Healthcare's corporate vice president and Greg Moore, M.D. is Microsoft's new corporate vice president for health technology and a neuroradiologist by training. In this interview they discuss technology's growing footprint in healthcare.

The Globe Is Going Gray Fast, U.N. Says in New Forecast
June 17, 2019, The New York Times
According to projections by the United Nations, the world’s population may stop growing completely by 2100. The 2019 projection cited declining fertility as an underlying trend. It also said people 65 or older were the fastest-growing segments of the global population.

Move-in Crucial Time to Support Resident Mental Health, Suicide Study Suggests
June 17, 2019, McKnight's Senior Living
New research suggests retirement communities could play a role in supporting the mental health of its residents, particularly when new residents are transitioning into the community. Please share this article with your wellness and marketing staff. Included are links to two toolkits they may find helpful, one from the the federal Substance Abuse and Mental Health Services Administration and the other from LeadingAge national.

The Elderly Are Getting Complex Surgeries. Often It Doesn’t End Well.
June 7, 2019, The New York Times
Surgical complication rates are high among the oldest patients. Now a surgeons’ group will propose standards for hospitals operating on the elderly. Those standards may include geriatric-friendly physical spaces, patient pre-habilitation prior to surgery, intensive communication efforts, and more. The medical staff at your community may want to consider these findings when consulting with residents about surgery.

5 Articles for June
The LTSS Center @UMass Boston recommends these five articles for your June reading list.

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Thanks to everyone who keeps the member questions going strong. Click here to download a PDF that contains several redacted woodworking shop policies that were submitted in response to that member question.

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Complete the Member Survey Today

Earlier this month, LeadingAge National launched a member survey. Please check your inboxes! The survey is designed to produce an array of meaningful data that will help LeadingAge National and LeadingAge North Carolina conduct data-driven planning and decision making. Please take 10-12 minutes out of your day to complete this important survey. Each individual who completes the survey by July 5 will receive a $5 Starbucks gift card and will be entered in a raffle to win free registration and lodging at the host hotel for the 2019 Annual Meeting and EXPO. For more information, visit or email Thank you for helping LeadingAge continue to be the trusted voice for aging.

Your Member Directory Update

At this time every year we ask for your help updating our member directory. A detailed email was sent to CEOs Wednesday. Please act now to update your community's data by sharing that email with the most appropriate staff person. If you have any questions about accessing your profile, feel free to contact Jennifer Gill or Leslie Roseboro at (919) 571-8333.

In Case You Missed It
Click below to read newsletters from the past two weeks.

Follow @LeadingAgeNC on Social Media
Before you leave on vacation this summer, be sure you are following LeadingAge NC on Twitter, Facebook, and Instagram. You'll be up-to-date when you return!

Celebrate All Month Long in June
Mark your calendar for the days and weeks to celebrate in June!

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Trustees of the LeadingAge North Carolina Foundation volunteer their time and expertise to enrich the field of aging services. We are grateful for Dale Melton's four years of service to the Foundation board. Read on to learn a little more about Dale, who recently became executive director of Covenant Village in Gastonia.

1. Why did you become involved in Leading Age NC?
In my earlier career in higher education fundraising and advancement I depended upon the high value and strong professional development resources provided by quality professional associations. As a leader in the senior living industry over the past seven years, I have continued this practice in order to strengthen my leadership and guide our community to provide resident care that is on the leading edge of service and quality.

2. What makes our mission meaningful to you?
One of life’s grace-filled, but hardest lessons is that the best results are accomplished together—and few, if any, are accomplished alone!! At Covenant Village, our motto is Living Longer Better—and we have added Together.

As someone committed fully to lifelong learning and continuous improvement, the educational aspect of our collective work is deeply meaningful. The annual conference and continuing education offerings throughout the year are vital resources to our community. Additionally, I have found that interactions with LeadingAge NC colleagues offer vital learning experiences. As a new executive, I have been blessed by countless emails and phone calls to colleagues throughout the state and at the NC LeadingAge office that provide just the right guidance and insight I have needed.

I have also relied upon the LeadingAge role of Advocacy. I have leaned upon this benefit with recent issues regarding state vs. federal regulations for our uncertified health centers.

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?
Ensure that every senior adult, no matter their income or zip code, has access to the qualitative impact and holistic wellness aspects that our communities currently provide to a limited population.

4. If you could swap jobs with a staff member for a day, what would you want to try and why?
I would overwhelmingly want to trade places with a frontline, heart-of-the-house service position—particularly a CNA!! These vital positions are the touchpoint where we truly impact and enhance life lived in community. These are the relationships and presence in our communities that incarnate who we are and why we exist. Our frontline, heart-of-house staff are LeadingAge NC!!

5. What do you do to relax, to get away, to recharge your batteries?
I recharge with quiet time. So, I read. I particularly love books about leadership and emotional intelligence. One that I would currently recommend is Grit: The Power of Passion and Perseverance by Angela Duckworth.

When I want to be inspired, I connect with family. Time with family is a high value for Michelle and me! Our daughter recently shared with us—unsolicited—that she is done accumulating in life (and she is really young!). All that matters now is quality time with family and friends. Amen. I feel very blessed when we seek out good conversation and life-sharing experiences over great food and engaged table fellowship.

Now … Throw in a couple of rounds of golf, a trip to an art gallery, or watching a college sports event. . . then Life is golden, and all things are possible!!

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Click on the images below to learn more and register.
Click here to view the Catalogue of all 2019 Events

PDPM Intensive
June 27
Salemtowne, Winston-Salem

Beans and Dreams Roundtable
July 12
9 - 10:30am
The Cypress of Charlotte in Charlotte

Finance Symposium
July 25
WindsorMeade in Williamsburg, VA


Beans and Dreams Roundtable
August 9
9 - 10:30am
Givens Estates, Asheville

Management Leadership Series
August 21
Friends Homes West, Greensbor

Dining Symposium
August 22
Arbor Acres in Winston-Salem

Beans and Dreams Roundtable
September 13
9 - 10:30am
Bernard Robinson & Co., Greensboro

Mid Atlantic Marketing Symposium
September 18
Covenant Woods in Mechanicsville, VA

Workforce Summit
September 19
Friends Homes Guilford in Greensboro

Wellness Workshop
September 26
Carol Woods in Chapel Hill

Direct Services Staff Symposium
Choose your date:
October 9 at Aldersgate in Charlotte - OR -
October 10 at The Forest at Duke in Durham
Both sessions 10am - 2pm


Beans and Dreams Roundtable
October 11
9 - 10:30am
WeaverCooke, Greensboro

Other Professional Opportunities

Webinar Series
Phase 3 RoP: What to Expect; Developing Your Facility Action Plan
First Wednesdays Monthly
Through November 2019
2pm EST

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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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NC and VA Finance and Strategy Symposium

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