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Member Update August 2, 2019

Posted By Jennifer Gill, Friday, August 2, 2019
Updated: Thursday, August 1, 2019

August 2, 2019

The LeadingAge North Carolina Member Update is published twice monthly. Please click on one of the headers below to view that section.

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

State Policy
Bill to Include CCRC Representation on Med Care Commission Advances

Senate bill 537
received two key committee approvals this week and now awaits a vote on the House floor. The legislation provides for one member of the North Carolina Medical Care Commission appointed by the Governor to “be an individual affiliated with a nonprofit Continuing Care Retirement Community licensed pursuant to Article 64 of Chapter 58 of the General Statutes.” The bill is a major public policy priority of LeadingAge North Carolina during the current long session of the General Assembly. We expect the bill to be taken up by the full House next week.

Certificate of Need Legislation Awaits House Action
House Bill 126, approved last week by the Senate and which would grant an exemption to CCRCs from the Certificate of Need review process for Medicare-certified home health, awaits consideration by the House. We anticipate that the House will vote not to concur with the legislation, setting up appointment of a committee of House and Senate conferees to attempt a compromise.

Federal Policy
Budget Caps Deal Paves Way for Appropriations
With Congress about to begin a month-long August recess, the congressional leadership and the White House have reached agreement on a two-year budget plan to cover fiscal years 2020 and 2021. This agreement will allow work on fiscal 2020 appropriations bills to move forward, especially in the Senate. The House already has passed 10 of the 12 spending measures for 2020, including those covering senior housing and services programs. However, the House bills are based on a higher total spending limit than allowed under the budget deal, so the House-passed appropriations will have to be adjusted as the fiscal 2020 spending process continues.

US Senate Finance Committee Hearing Focuses on Elder Abuse
On July 23, the Senate Finance Committee held a second hearing on combatting abuse of elders, focusing on a just-issued report by the Government Accountability Office, Nursing Homes: Improved Oversight Needed to Better Protect Residents from Abuse. LeadingAge national filed a statement for the hearing record, pointing out the substantial mechanisms that already exist in law and regulation to detect, deter, punish, and prevent abuse of nursing home residents. LeadingAge national also described the work LeadingAge members have done to shelter elders who have experienced abuse in the community and to enhance protections for nursing home residents.

Final Fiscal 2020 Medicare Rule Unveiled for Skilled Nursing Facilities
CMS posted the final rule on July 31, effective as of October 1, 2019. The rule allows for a somewhat smaller payment update, 2.4%, than would have been provided under the rule proposed in April. The 2.4% update is a national average; individual nursing homes’ rates will depend on local wage indexes, the homes’ compliance with quality reporting, and their performance on value-based purchasing.  Medicare 2% sequestration also will continue to reduce payments. Most nursing homes are likely to experience essentially flat funding. The new payment model, PDPM, also goes into effect October 1.

LeadingAge National Regulatory Tracker
LeadingAge national’s Regulatory Roundup 2.0 is a quick and easy tracker to help members find pertinent rules and federal regulations, with timelines for submitting comments and links to any comments LeadingAge may have submitted.

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LeadingAge North Carolina staff travels the state to advocate, collaborate, and offer educational workshops. Here’s where we've been recently:

  • Member Visit - Southminster, Charlotte
  • NC Coalition on Aging Financial Sustainability meeting - Raleigh
  • Member Visit - St. Joseph of the Pines, Southern Pines
  • LeadingAge NC Finance Symposium - Williamsburg, VA
  • LeadingAge NC board of directors and LeadingAge NC Foundation board of trustees meeting - Salemtowne, Winston-Salem

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Caregiving is Increasingly Falling to Young People, Especially Minority Millennials
July 30, 2019, Massive Science
More than a third of today’s caregivers are employed full-time. More than half of millennial caregivers are minorities and are more likely than any other generation to balance caregiving with employment. Latinx (gender neutral plural of Latino/Latina) millennials work more hours each week, on average, and spend more time providing care than young adults of other backgrounds. These statistics suggest that organizations should step forward with policies to support caregiving employees. This article provides specific suggestions for your consideration.

With A Projected 208% Population Growth In Those Over 85, It's Time To Rethink Our Health Workforce
July 30, 2019, Forbes
In a just released report, Paraprofessional Healthcare Institute and Caring Across Generations address how states that are exploring long-term care shortages and Universal Family Care programs might meet the challenges of workforce issues head on. The report offers nine recommendations.

8 Ways Marketers Can Show Their Work’s Financial Results
July 31,
2019, Harvard Business Review
Based on a poll of 300 marketing leaders, the authors suggest eights ways to demonstrate the value of marketing in your organization. Directors of marketing, take a look and incorporate these ideas before you start your 2020 marketing plan.

Social Determinants Screenings Cut Hospital Admissions by Nearly 30%
July 23, 2019, Health IT Analytics
Residents of life plan communities have an array of resources at their fingertips. What about older adults in the greater community? Does your organization's strategic plan include outreach to older adults who live outside your campus? This article suggests that when basic needs like transportation and food are met, hospital admissions are reduced. Your community could have a positive impact beyond its own walls through partnerships and collaborations that benefit the greater community.

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Thanks to all who respond to questions from fellow members. Click on the link below to download responses to the most recent question.

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Scholarships and Student Program at LeadingAge National Meeting in San Diego
For the third year, LeadingAge is offering a student program at their 2019 Annual Meeting & Expo, October 27-30 in San Diego, for students enrolled full-time in undergraduate or graduate programs at accredited colleges or universities (age 18 and up). The goal is to expose and connect students to opportunities in the field of aging services.

If you are an interested student, the scholarship program includes: individual student registration for the 4-day conference, hotel accommodations (Saturday - Tuesday nights) and airfare stipend (covers roundtrip airfare to/from San Diego). Full-time faculty who bring students also will be eligible to register at our special student rate.

Deadline to apply for the scholarship: August 14, 2019 ~ Click here to register.

Connecting Generations in Senior Housing
A new
toolkit from the LeadingAge LTSS Center @UMass Boston and Generations United provides practical information, guidance, and templates to help senior housing providers (and other organizations serving older adults) implement high-quality intergenerational programs that will benefit elders and young people in their communities.

Nearly a Third of First-Time Hospital Visitors Get Lost. Here's How to Fix That
See your campus through the eyes of a first-time visitor. How easy was it to find your way? This article provides creative navigation suggestions for member communities, all of whom host visitors and family members who need assistance with wayfinding.

Mainstream and Multigenerational: A New Approach to Anti-Ageism
Blink and you’d miss it, but this one-day media stunt represents a promising approach to fighting ageism: making it multi-generational and mainstream.

Member Survey Deadline EXTENDED: Friday, August 16th
Please take a brief period of time to finish completing the national member survey and submit it today, if you have not already. The deadline for completion has been extended to Friday, August 16th. For more information, visit or email

In Case You Missed It
Click below to read association updates from the last 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!

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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 Chris Taylor's four years of service to the Foundation board. Read on to learn a little more about Chris, who is retired assistant secretary of the North Carolina Medical Care Commission in Raleigh.

1. Why did you become involved in LeadingAge North Carolina?
I had the benefit of experiencing what I term “growing up with and maturing with the CCRC industry in North Carolina." By that I mean I worked with the vast majority of not for profit CCRCs in North Carolina for over 30 years during my tenure of working for the North Carolina Medical Care Commission. During which time I saw a major expansion of the industry in the State, not only in the number of facilities but also in changes and growth in the needs of its residents and of resulting changes in the missions of the entities serving them. During my tenure with the NC Medical Care Commission I had the opportunity to interact with and work with LeadingAge North Carolina and decided as a result of that experience I would upon retiring from the NCMCC attempt to contribute something of value to LeadingAge NC and its members that came as a result of my experience and expertise. Membership on the Foundation Board is affording me that opportunity.

2. What makes our mission meaningful to you?
The meaning that I derive from a study of the mission of LeadingAge NC is that it is both our obligation and opportunity to provide a better life to those who have preceded us in age, experience and knowledge. That by doing this we all benefit and we all succeed, no matter how you measure success.

3. If you had unlimited resources, what is the one thing you as a board member would like to do?
If I had unlimited resources and if financial resources could do it I would solve not one but the several issues of communication, diversity, affordability, charity care and reserves for future financial stability that have been and continue to be thorny issues.

4. If you could swap jobs with a staff member for a day, what would you want to try and why?
As one of my fellow board members said, I would swap with a resident. If only for a day, although a longer period would be better. My reasoning is that no administrator can really understand his or her residents unless they have actually been one. You need to understand your clients in order to adequately serve them. Any amount of knowledge one could gain from that swap can only enhance one’s ability to run a facility.

5. What do you do to relax, to get away, to recharge your batteries?
This is the hardest of all questions to answer. I am still trying to find my way around since I retired. Fortunately or not I was one of those people who really enjoyed their work and never acquired any hobbies. There are things I enjoy doing including reading, serving on boards, taking classes and watching British TV. It’s a work in progress.

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Click on any of the workshop images below to learn more and register. Forward to your friends and co-workers
and register to attend together!

Catalogue of all 2019 Events

Beans and Dreams August Management Leadership Series
Beans and Dreams September  | Marketing Symposium  |  Workforce Summit   Wellness Workshop  |  Direct Services Staff Symposium 
Beans and Dreams October  Other Professional Opportunities

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

Management Leadership Series
August 21
Friends Homes West, Greensbor

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

Unemployment & HR Risk Management with UST
Free Webinar
Date: Tuesday, August 6th, 2019
Time: 1:00 PM EDT

UST has been a LeadingAge Member Solutions Partner since 2002 and is hosting a free, short webinar on August 6th, to discover some of the most common unemployment & HR risks that can cost your nonprofit thousands of dollars annually. This webinar will allow UST to share insights into their service offerings, as well as best practices that can help reduce costs and streamline workforce processes.
Whether you serve as your organization’s executive staff, financial director, or as a part of the Human Resources function, register for the August 6th webinar to take advantage of this free webinar, exclusively for LeadingAge Members, to learn more about:

  • Reducing unemployment tax liability as a 501(c)(3)
  • Self-funded reserves and insurance options
  • Ensuring compliance with state and federal law
  • Efficiently managing unemployment claims, protests, and hearings
  • Avoiding costly HR mistakes
  • Importance of onboarding and professional training
  • Enhancing goodwill by utilizing outplacement services




Employee Health & Benefits Webinar Series
Sponsored by Marsh & McLennan Agency,
a LeadingAge NC Platinum Member
3rd Thursdays Monthly from 2 - 3pm

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

Value First

LeadingAge North Carolina members can enroll in Value First and participate in other Group Purchasing Organizations at the same time. The portfolio of more than 500 vendors includes food distributors, medical supplies, therapy, facility operations, furniture, equipment, technology, and construction services.

Accessing your Vizient Catalog has now also been made easier than ever! To find out how to register and access the online catalog, click on the graphic below.

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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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