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Member Update

Posted By Jennifer Gill, Friday, November 1, 2019

November 1, 2019

The LeadingAge North Carolina Member Update is published twice monthly.
Click on the headers below to view that section.


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

Senate Approves, House to Vote on Medical Care Commission Seat for CCRC Representative
Following on the heels of Wednesday’s vote by the North Carolina Senate, the North Carolina House of Representatives yesterday approved Senate Bill 537, legislation that would provide a seat on the North Carolina Medical Care Commission for a person “affiliated with a nonprofit continuing care retirement community.” This is a major legislative priority for LeadingAge North Carolina during this session of the General Assembly. Passage by the General Assembly now sends the bill to Governor Roy Cooper for his signature. We’ll let you know as soon as we have information about whether the Governor will sign the bill, which contained a number of items besides the Medical Care Commission provision.

Congressional Work Continues Amid Uncertainty over Budget and Impeachment Issues
The current short-term continuing resolution funds federal programs through November 21. 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 Congress and the President reached in July. Final 2020 funding levels for specific programs therefore still will be subject to discussions between the House and Senate. It is unclear whether Congress will attempt to finalize any spending bills before the end of this year or simply pass another continuing resolution to keep the federal government in operation. Impeachment-related activity is gaining an increasing amount of time and attention, although most congressional committees continue on with their regular workload.

LeadingAge Fights Red Hand Nursing Home Icon
LeadingAge has mounted a campaign to halt the red hand icon CMS plans to attach to the Nursing Home Compareprofiles of nursing homes cited for abuse. While abuse and poor quality care cannot be tolerated or excused, the icon will neither increase transparency nor help consumers pick the right nursing home for themselves or a family member. For more information on LeadingAge’s efforts, and how you can lend your voice, read more.

We Need Your Help: Take Action on New CNA Lockout Bill
Under federal law, nursing homes are inspected annually and fines are assessed for any deficiencies in compliance with federal regulations. If these fines exceed a certain level ($10,697 as of 2018), a nursing home automatically loses its authority to train certified nursing assistants for two years. H.R. 4468 is the second bill introduced to address this unfair penalty. It would end the mandatory 2-year lockout by authorizing that the training program be reinstated once the deficiencies for which the nursing home is cited are corrected.

Now is the time to use your voice and help us build momentum for this legislation. We need your U.S. Representative to become a cosponsor of this new legislation and show their support for nursing homes in your community.

How You Can Help:

Affordable Senior Housing – Fiscal 2020 Funding
The short-term continuing resolution keeps housing funds flowing through November 21, but spending levels for these programs for the rest of the fiscal year are still to be decided.

The House passed a 2020 Transportation/HUD funding bill, H.R. 3055, on July 10. The Senate Appropriations Committee approved its version of the spending bill, S. 2520, on September 19.

Although no Senate floor vote has been held on S. 2520, members of the House and Senate are negotiating final fiscal 2020 spending totals for these programs. The primary difference between the two bills is the $140 million the House provided for new Section 202 construction, which is not included in the Senate bill. On the other hand, the Senate provided a $17 million increase for service coordinators, while the House bill would raise this funding by only $5 million. LeadingAge is urging Congress to pass the higher funding levels for both of these important programs and have issued an Action Alert for members to contact their legislators.

In the Senate, the Transportation/HUD bill has been packaged together with three other spending measures, and it appeared that the full Senate was ready to vote on this combined measure. So far, however, no vote has been scheduled.

Medicare Observation Days Legislation
LeadingAge continues to work for passage of H.R. 1682 and S. 753, legislation to require all the time a Medicare beneficiary spends in a hospital to count toward the three-day stay requirement for coverage of any subsequent post-acute care.

Requirements of Participation
The third and final phase of the new requirements of participation go into effect November 28, 2019. On July 17, CMS issued a proposed rule to allow greater flexibility on compliance with some of the RoPs III provisions, and LeadingAge submitted comments on the proposed rule. However, since the rule is not yet final, nursing homes will have to comply with all requirements as of November 28. LeadingAge has contacted CMS to urge delay of Phase III in view of the lack of guidance issued to nursing homes and state survey agencies as to what compliance with these requirements will look like and how it will be evaluated.

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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Here's where LeadingAge North Carolina staff has been recently:

  • LeadingAge national annual meeting, San Diego
  • LeadingAge NC and Foundation joint executive committee meetings - The Presbyterian Homes, Colfax
  • Member visit - Southminster, Charlotte
  • NC Coalition on Aging meeting, Raleigh

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To Die Well, We Must Talk About Death Before the End of Life
October 27, 2019; PBS NewsHour
Research shows that as many as one third of seriously ill, hospitalized older people are receiving invasive treatments they don’t want at end-of-life, because no one has talked to them about their wishes for future care. This is true even in long-term homes, where the average lifespan is less than two years.

5 Takeaways from Harvard’s ‘Housing America’s Older Adults 2019’ Study
October 17, 2019; McKnight's Senior Living
Harvard’s Joint Center for Housing Studies released its “Housing America’s Older Adults 2019” report in October.

As Record Number of Boomers Hit Retirement Age, Inequality Rampant In Senior Housing
October 16, 2019; Curbed
While affordability and homeownership have become critical issues holding back the nation’s economy, the housing problems of the oldest Americans may be the most acute issue receiving the least attention.

Report: Cities Are 'Ground Zero' for Seniors, But Lack Accommodations
October 29, 2019; Smart Cities Dive
A new report from the Milken Institute's Center for the Future of Aging found U.S. cities are slow to craft policies to accommodate older people, even as a growing share of aging people live in metropolitan areas.

The Cities Designing Playgrounds for the Elderly
October 29, 2019; BBC
Cities including London, Berlin and Toronto all have dedicated senior playgrounds. Yet building these facilities is just one aspect of creating a culture in which older adults feel confident exercising.

Rapid Expansion of Telehealth Comes with New Challenges
October 21, 2019; STAT
Telehealth has evolved dramatically from the first modality used for it — the telephone. The proliferation of new delivery methods enables providers to better tailor their care to patients’ unique needs and to increase patient autonomy and control. Unfortunately, state and federal policies about reimbursing clinicians for providing care via telehealth continue to vary widely, which is inhibiting its full potential.

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Thanks to LeadingAge North Carolina Platinum business members BB&T Capital Markets, CliftonLarsonAllen, and WeaverCooke for sharing their position papers. Click on a title below to download a PDF.

These papers are also available from our website by clicking here. Or visit www.LeadingAgeNC.org and under the Resources tab, select Position Papers.




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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 about student housing.

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Medicare Advantage Supplemental Benefit Toolkit
LeadingAge's new toolkit will help guide members through understanding how Medicare Advantage supplemental benefits work, assessing the activity in each member’s market, evaluating the opportunity and which plans to approach, and providing a template for telling your story to the Medicare Advantage plans about the benefits of the services you provide - in terms the plans understand.

LeadingAge CAST Releases Health Information Exchange Selection Tool
The LeadingAge Center for Aging Services Technologies has launched a Health Information Exchange selection tool, a multi-part resource that will help care providers understand, plan for, choose, and implement the right technology solutions for their needs.

Telehealth’s Growing Role in Senior Care
October 28, 2019; HealthTech Magazine
Telehealth tools that simplify nursing workflows and connect patients with doctors in a timely manner have big benefits for everyone involved, a panel of experts said on Sunday at the LeadingAge 2019 conference in San Diego.

2019-20 LeadingAge NC Member Directory
The updated member directory is now available online! Go to http://LeadingAgeNC.org and click on the Directory tab.

2020 LeadingAge NC Conference RFP Closes November 29!
Share your expertise in the field of aging services by submitting a proposal to be a presenter at the 2020 LeadingAge North Carolina Annual Conference and Expo May 18-21 in Asheville, NC. Submissions are due later this month on November 29, 2019.

Follow @LeadingAgeNC on Social Media
Now that fall has kicked off, 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!

In Case You Missed It

 

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Board members of LeadingAge North Carolina volunteer their time and expertise to enrich the field of aging services. We are grateful to welcome Ben Cornthwaite to the board this year. Read on to learn a little more about Ben, who is chief operating officer and executive vice president at Carolina Meadows in Chapel Hill.

1. How did you get into the field of aging services and what was your first job?
I got my undergraduate degree in Health Services Administration at James Madison University with a focus in long-term care and gerontology. As part of the introduction to this program, we had to spend the day with a health care professional and write a brief paper. I spent the day with a preceptor in a stand-alone SNF in Arlington, Virginia where I spent the day with the marketing and activities teams. I completed my assignment and carried on with the remainder of the semester. As the summer of 1998 neared, I received a call from my preceptor inquiring whether or not I would be interested in a summer job working in the business office. I agreed to a role pursuing collections for DC Medicaid (for a building located in Virginia) at a whopping salary of $6.50 per hour. I found my role to be ungratifying in every way. For the first two weeks, I felt uneasy being at work and found opportunities at lunch and breaks to get away, often leaving the building for respite. At the beginning of my third week, I met Mr. Lucas during his daily routine of sitting in the front lobby enjoying a diet Pepsi. As I made the connection with a resident, my role suddenly took on more meaning and purpose. I realized the important role that all team members played in the daily experience and quality of life of the residents we were serving. The building and care delivered there had little to be desired, but the experience drove me to want to be a part of an organization who truly made a difference by doing it the right way.

2. If you could wave a magic wand, what is the one thing you would like to do for the population we serve?
Finding a cure for dementia and/or Alzheimer’s Disease would be one of the greatest gifts to give the population we serve. I have seen too many families destroyed by the ravages of this disease.

3. If you could swap jobs with a staff member for a day, what would you want to try and why?

All of our staff play a vital role in delivering the experience that attracts residents to a vibrant and inclusive lifestyle. As a leader, I try to find regular opportunities to “roll up my sleeves” and contribute to the things that need to get done. One task that I have not performed in one of our communities is in the role of a driver. The transportation service within our communities is vital to residents who are enjoying leisure activities or medical appointments. Although I would love the chance to drive our 25-passenger bus, it’s probably best to keep that assigned to the true professionals!

4. What makes LeadingAge North Carolina's mission meaningful to you and what factors do you believe will affect the Association’s mission in the months and years to come?
All aspects of the mission of LeadingAge NC are meaningful to me. The aspect I appreciate most; however, is the collaboration. Having a broad base of leaders throughout the state with the commitment to serving residents with excellence with an overall sense of collegiality is comforting. I appreciate my colleagues and their ideas and experiences that may offer guidance to a problem that I am seeking resolution for. Problem solving is done with a spirit of helpfulness that invites idea sharing and best practices to be shared. With a boom of for-profit entrants looming in many of the metropolitan markets in the state, the need for collaboration and collegiality will continue to be paramount.

5. When you are not working, what do you do to relax and recharge your batteries?
Having four young children at home (Bella (age 15), Cameron (age 13), Carrington (age 10), and Easton (age 6)), most of my free time is occupied by family activities or carting kids to their athletic events. My daughters both are competitive cheerleaders which typically takes them to 8 different states throughout the competition season. My oldest son, is an amazing football player with aspirations to play Division I football when he begins his college career. He played for the US National Team last year and represented the top middle-school athletes at a Bowl game in Canton, Ohio. My youngest son probably has the most natural athleticism of the family—we’re only beginning to see what he is capable to do! It is rewarding to be the parent of four great kids—their success on and off the field is one of life’s most gratifying experiences.

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Click on any of the workshop images below to learn more and register.


Together with Senior Dining Association
One Day Experience
Wednesday, November 6, 2019
9:00 am - 5:00 pm
Plantation Estates
606 Birch View Drive
Matthews, NC 28105

Facilitated by Harris Ader, Founder of SDA

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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

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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 | www.LeadingAgeNC.org


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