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Member Update August 16, 2019

Posted By Jennifer Gill, Friday, August 16, 2019
Updated: Thursday, August 15, 2019

August 16, 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  |  Professional Development
  Value First

Budget Stalemate at General Assembly Continues
There appears to be little progress in efforts to resolve the impasse between Governor Roy Cooper and legislative leaders over the state budget for FY 2019-2020. There has been no attempt to override the Governor's June 28 veto of the budget bill (HB 966) in the House, presumably because not enough Democrats have been persuaded to join with Republicans to override the veto. There has also not been a vote on HB 655 (NC Health Care for Working Families), the Medicaid expansion bill proposed by key House members that has been on the House calendar since early July. Governor Copper has indicated that Medicaid expansion is a top priority, and that appears to be the key issue resulting in the budget negotiation stalemate. Without a new budget for this fiscal year, state law allows government spending to continue at the current levels so there is no threat of a government shutdown. Two bills important to LeadingAge North Carolina members are in limbo due to the impasse: H126, which would exempt CCRCs from the certificate of need determination process for Medicare-certified home health, and S537, which would provide a seat on the North Carolina Medical Care Commission for “an individual affiliated with a nonprofit continuing care retirement community.”

What’s Been Approved this Session by the General Assembly
Our friends at the North Carolina Coalition on Aging have put together a useful listing of bills that have passed this legislative session that may be of particular interest to aging and human service advocates.

“Healthy NC” Legislation Passes in House
On August 12, the House approved a wide-ranging health care bill called “Healthy NC” (SB 361) that, among other things, would eliminate redundancy in adult care home inspections, ensure equal coverage for oral anticancer drugs, modernize Medicaid telemedicine policies, increase access to telehealth services, and create the North Carolina Healthcare Solutions Task Force. The bill has been sent to the Senate for its action.

Observation Stay Issue Again in the News
Monday, a trial begins in federal court in Hartford, Conn., where patients who were denied Medicare’s nursing home benefit are hoping to force the government to eliminate that exception. A victory would clear the way for appeals from hundreds of thousands of people.

The class-action lawsuit was filed in 2011 by seven Medicare observation patients and their families against the Department of Health and Human Services. Seven more plaintiffs later joined the case.

Working with Legislators: An Advocacy Briefing Guide for Board Members
This guide from BoardSource provides helpful tips for board members in preparing to meet with a legislator, including identifying which legislators to meet with, learning from seasoned board members, and showing the organization’s impact. Click here to download.

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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:

  • LeadingAge NC Beans and Dreams Roundtable - Givens Estates, Asheville
  • Meeting with staff at Friends of Residents of Long Term Care - Raleigh
  • Meeting with staff at NC PACE Association - Columbia, SC
  • Member visit - Deerfield, Asheville
  • Member visit - Presbyterian Homes, Inc., Colfax
  • Member visit - Covenant Village, Gastonia
  • Member visit - Well-Spring, Greensboro
  • Member visit - Carolina Village, Hendersonville
  • Member visit - United Church Homes and Services, Newton
  • Member visit - Galloway Ridge, Pittsboro
  • Presentation to NC Board of Examiners of Nursing Home Administrators - Raleigh

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Anxiety Complicates Life for Dementia Patients — and Their Caregivers
August 9, 2019, The Washington Post
If 80 percent of people with dementia experience anxiety and agitation at some point, what are the implications for care of people living with dementia? Several professionals are interviewed including an author and Alzheimer's caregiver support group facilitator in North Carolina.

The Economic Cost of Caregiving Could Double by 2050
July 22, 2019, HRDive
LeadingAge North Carolina member communities are caregivers by profession. But do your own human resource policies reflect the importance of caregiving? How could your community implement benefits for employees who are also caregivers at home? It's a complex issue with no simple answer. This article provides some insight that Human Resource directors may find useful.

To Be Happier at Work, Invest More in Your Relationships
July 30, 2019, Harvard Business Review
Many of us strive for a meaningful job, an impressive title, or a sizable salary at the ideal company. In doing so, we drastically undervalue the importance of relationships, even though extensive research shows that it’s people, not the perfect job, that lead to fulfillment.

Six Ways to Boost Public Support for Prevention-Based Policy
July 31, 2019, Stanford Social Innovation Review
Our friends at FrameWorks Institute provide communications strategies for those who want to build support for preventative approaches to solving social problems. This could be a useful read for your marketing professionals, as well as for your community's leaders in human resources, and well-being.

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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. Everyone who responded said their security staff was unarmed. A few respondents provided additional information.

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LeadingAge National Announces 2020 Leadership Academy Fellows
Earlier this week, LeadingAge announced the individuals selected for the national 2020 Leadership Academy class. This group of Fellows will meet throughout the year to explore diverse perspectives from aging services leaders, learn from innovative care and service models, enhance their leadership skills and core competencies and advance person-centered programming in aging services. This is a really big deal! Six of the 48 Fellows selected are from North Carolina, including:

  • Boris Henderson, from Aldersgate in Charlotte
  • Ken Kramer, from Givens Highland Farms in Black Mountain
  • Jeff Masar, from Penick Village in Southern Pines
  • Patrick Picciocchi, from Plantation Estates in Matthews
  • Garrett Saake, from The Well-Spring Group in Greensboro
  • Brian Tuckmantel, from Salemtowne in Winston-Salem

Congratulations to each of our North Carolina colleagues! LeadingAge North Carolina led the way this year as the state with the most Fellows selected.

New Antipsychotic Use Data Available
CMS has released the antipsychotic usage data for all four quarters of 2018, a key part of the “National Partnership to Improve Dementia Care in Nursing Homes.” North Carolina ranks 8th nationally (lower=better) for antipsychotic usage (with a 43.8% reduction since the initiative’s inception), and 4th nationally for late adopters (with a 27.8% reduction since the initiative’s inception).

Cost of Turnover Calculator
Use this calculator to figure out the cost of turnover in your organization. Helpful background information:

  • Rule of thumb: the cost of replacing any employee is 25% of the salary amount
  • Average turnover for home care agencies is between 40-60%
  • Average turnover in nursing homes for certified nursing assistants is between 40-70%
  • Minimum direct cost of replacing a direct care worker is $2,500
  • Indirect costs are individual to each organization, but include advertising, training, temporary help, lost productivity, etc
  • Example: An organization that averages 40 terminations per year is spending at least $100,000 (40 x $2,500= $100,000)

Member Survey Deadline EXTENDED: Friday, August 30th
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 30th. 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 summer winds down, be sure you are following LeadingAge NC on Twitter, Facebook, and Instagram. You'll be up-to-date on all the latest news, research, and programs!

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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

Management Leadership Series
Beans and Dreams September  | Marketing Symposium  |  Workforce Summit   Wellness Workshop  |  Direct Services Staff Symposium 
Beans and Dreams October  Night Out (Members Only)
Other Professional Opportunities

Management Leadership Series
Next week on August 21, Still time to register
Friends Homes West, Greensbor

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

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

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Workforce Summit
September 19
Friends Homes Guilford in Greensboro

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Wellness Workshop
September 26
Carol Woods in Chapel Hill

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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

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

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Save the Date
LeadingAge NC Night Out
For Members Only
Monday, October 28
Invitations and information coming soon!

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Other Professional Opportunities

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

Your Employee Benefits Game Plan
Sponsored by Marsh & McLennan Agency,
a LeadingAge NC Platinum Member
Tuesday, September 17 in Raleigh - or -
Wednesday, September 18 in Greensboro

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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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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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