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Inclusion Insights November 2019

Posted By Jennifer Gill, 5 hours ago
Updated: 5 hours ago

14th edition
November 21, 2019


Inclusion Insights is a quarterly publication of LeadingAge North Carolina highlighting news, research, and best practices in diversity, equity, and inclusion.

Do you have an article or information to share in this newsletter?
Please contact Jennifer Gill.


Leadership

Getting Over Your Fear of Talking About Diversity
Harvard Business Review; November 8, 2019
This author provides four truly actionable steps to help leaders fully engage on this topic. Don't let your fear of making a misstep hold you back from a diverse, equitable, and inclusive workplace.

The Anxiety of Being the “Only”
Harvard Business Review; October 14, 2019
Being the “only” in the workplace — the only woman, the only person of color, the only one openly suffering from a mental or physical illness — can contribute to existing mental health issues. In this 39-minute podcast, host Morra Aarons-Mele speaks with two experts on the topic: Angela Neal-Barnett, an award-winning psychologist and expert on anxiety among African-Americans, and author of “Soothe Your Nerves,” and Nilofer Merchant, the author of “The Power of Onlyness.”

Board Diversity Includes Disabilities
BoardSource; October 25, 2019
In the United States, we have worked hard to remove environmental and attitudinal barriers in order to promote the inclusion of people with disabilities into all aspects of society. The Americans with Disabilities Act, passed in 1990, is groundbreaking civil rights legislation for people with disabilities. Nevertheless, there still exists limited opportunities for the inclusion of people with disabilities, particularly in the area of leadership, policy, and community governance.

4 Important (and Sometimes Difficult) Steps Leaders Must Take to Create a More Diverse and Inclusive Team
LinkedIn Talent Blog; November 5, 2019
“The culture that you want starts with the leadership that you have,” says Uzo Akotaobi, VP of HR, diversity and inclusion, and learning and development at Prologis. “You can want diversity all day. But once you get that diverse talent, what do you do with it?”


Workforce

How Unpredictable Work Hours Turn Families Upside Down
The New York Times; October 16, 2019
New research shows that African Americans, Hispanics and other minorities — particularly women — are much more likely to be assigned irregular schedules, and that the harmful repercussions are felt not just by the workers but also their families.

The Future of Work in Black America
McKinsey & Company; October 2019
Research shows that automation trends may be widening the racial wealth gap. This article reveals possible interventions that may help African American workers prepare for the future.

Three Reasons Why a Latinx/a/o Talent Strategy Drives an Inclusive Culture
Diversity Best Practices; October 1, 2019
Patricia Mota, President & CEO for the Hispanic Alliance for Career Advancement, provides three of many reasons why a Latinx/a/o talent strategy drives an inclusive culture.

What Matters to College Students Today
Axios; September 21, 2019
Hint: race, diversity, and inclusion were by far the most discussed issues among student editors across public and private universities, community colleges, liberal arts schools, Historically Black Colleges and Universities and religious universities in all 50 states.


Resources

What LeadingAge Members Need To Know About LGBT Aging
Check out this free webinar available to members from the LeadingAge national Learning Hub. This 13-minute QuickCast provides an overview of how to create an LGBT inclusive environment for residents/clients, staff and families.

TED Talks: Why Diversity Matters
These TED Talks highlight how diversity of thought, perspective, language, culture and people have a unique advantage in today's globalized world.

Have a resource you’d like to share in this newsletter?
Please contact
Jennifer Gill.


Celebrations

North Carolina’s 1st LGBT Senior Co-Housing Under Construction
The Rainbow Times; September 7, 2019
Village Hearth Senior Cohousing in Durham, North Carolina, the first LGBT Senior Cohousing Community in North America, is on course for occupancy in Spring of 2020. This 28 single-story home community on a 15-acre wooded lot near central Durham is more than a set of structures; it represents community, camaraderie, and safety for the residents who will occupy these special homes. Read more about this groundbreaking project.

Have a celebration you’d like to share in this newsletter?
Please contact Jennifer Gill.



Online

Is your community SAGE-certified or seeking such certification? If so, please contact Jennifer Gill with your community's name so that we can include it in the next edition of this newsletter.

LeadingAge North Carolina | 222 N. Person Street, Raleigh, NC 27601
919-571-8333 | info@leadingagenc.org | www.leadingagenc.org

Tags:  Inclusion Insights 

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Member Update

Posted By Jennifer Gill, Friday, November 15, 2019
Updated: Thursday, November 14, 2019

November 15, 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
  Professional Development  |  Value First

NC General Assembly Adjourns Long Session
Late last week, the NC General Assembly adjourned its 2019 long session without a Senate vote on an override of Governor Roy Cooper’s veto of the state budget for FY2019-21 (House Bill 966). Instead of enacting a full budget, legislators have taken a piecemeal approach to the state budget. Under state law, recurring funding from last year’s state budget automatically continues for the current fiscal year. To address many of the state’s new funding needs and various policy provisions that are necessary for the effective operation of state programs, legislators have passed 21 “mini-budget” bills this fall. Governor Cooper has signed 14 of these “mini-budget” bills into law and has vetoed one of them. Six of the “mini-budget” bills remain on his desk for his consideration.

LeadingAge NC Testifies at NC Board of Nursing
LeadingAge North Carolina was invited by the North Carolina Board of Nursing to provide testimony on scope of practice issues for LPNs. Earlier this week, Tom Akins provided testimony to the Board’s Education and Practice Committee concerning LeadingAge North Carolina’s perceptions regarding current and future LPN practice. Click here for a look at our testimony.

CMS Announces Medicare Premium Increases
CMS late last week announced the 2020 premiums, deductibles and coinsurance amounts for the Medicare Part A and Part B programs. Beneficiaries living in skilled nursing facilities will see their daily coinsurance for days 21 through 100 of extended care services during the benefit period rise from $170.50 in 2019 to $176 in 2020, an increase of 3.2%. Medicare Part B premiums will also be rising for seniors. The standard monthly premium will increase from $135.50 in 2019 to $144.60 for 2020, an increase of 6.7%. Annual deductibles also will increase from $185 for 2019 to $198 for 2020, an increase of 7%. CMS attributes the increases to rising spending on physician-administered drugs.

Donors May Use IRA Charitable Rollover on State Taxes in 2019
Governor Cooper signed into law on November 1st House Bill 399 that, among other things, increases charitable giving in North Carolina by extending the IRA charitable rollover – a popular federal tax incentive for charitable giving – to state taxes. Individuals aged 70½ and older may make tax-free (for federal tax purposes) distributions to nonprofits from their individual retirement accounts. In previous years, North Carolina donors who used the IRA charitable rollover had to pay state taxes on these charitable contributions. The new law ends this state tax on donations to nonprofits through IRAs, simplifying the process for donors and allowing them to contribute more fully to nonprofits from their IRAs. This change is particularly important now that the IRA charitable rollover has become a more attractive giving option for some donors after the federal Tax Cuts and Jobs Act was passed in December 2017. Donors may begin to use the IRA charitable rollover on their taxes this year.

Protecting Veterans from Scammers
A bipartisan set of U.S. Senators last week petitioned the Veterans Administration to take specific steps to protect veterans from unscrupulous scammers. Click here for a look at their letter and the particulars of their request.

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

  • Congressman David Price Senior Affordable Housing round table - Chapel Hill
  • LeadingAge NC joint program with Senior Dining Association - Plantation Estates, Matthews
  • North Carolina Board of Nursing testimony - Raleigh
  • NC Department of Insurance CCRC Without Walls meeting - Raleigh

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Why Connector Managers Build Better Talent
Harvard Business Review; November/December 2019
A study of 5,000 managers identified four different types of leaders, with the surprising result that the “always on” manager is less effective at developing employees, even though many companies encourage supervisors to give constant feedback. Instead, the “connector” manager is the most effective, because they facilitate productive interactions across the organization.

1.3 million pension recipients
After three decades in mining, Joe Brown relies on a pension plan through the United Mine Workers of America that provides him and 86,000 other retirees essential monthly benefits that Brown thought he would have for the rest of his life. However, the plan is on track to be insolvent in only three years, and Brown isn’t the only one vulnerable to having his pension deeply underfunded. A new report by HuffPost shows 130 other multiemployer pension plans in the United States are also projected to be insolvent in the next two decades, affecting more than 1.3 million pension recipients.

A Retirement Community That Comes To You

The New York Times; November 8, 2019
Though some at-home programs date to the 1990s, there are still very few. Across the country, nearly 2,000 CCRCs, mostly nonprofits, serve about 745,000 residents. Only 32, in about a dozen states, have added at-home programs. But more senior living organizations are considering this approach, a possible answer to a perpetual conflict: older Americans are very likely to need long-term care, but often loathe the thought of leaving their homes.

New Recruitment Tools from National
LeadingAge national recently updated their website to include an entire section on recruitment. Visit the page.

Monday Morning Minute is back!
This week Ruth Katz of LeadingAge discusses the IMAGINE paper and Susan Hildebrandt of LeadingAge shares about the new workforce recruitment section. Watch it here.

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Thanks to LeadingAge North Carolina Platinum business members WeaverCooke, BB&T Capital Markets, and CliftonLarsonAllen 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 nursing scholarships and event reservations.

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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.

Cybersecurity Risk Management in Aging Services
This LeadingAge national webinar provides best practices for managing cyber threats, minimizing risk, and implementing compliance work plan initiatives related to technology.

Wednesday, Nov. 20
2-3 p.m. ET
Member Rate: $99
Learn more and register

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.

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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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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Advocacy in Action

Posted By Jennifer Gill, Friday, November 8, 2019
Updated: Friday, November 8, 2019
November 8, 2019


LeadingAge NC, NCHCFA, and Others Collaborate on Letter to Congressional Delegation
Earlier this week, LeadingAge North Carolina, the North Carolina Health Care Facilities Association, and others collaborated on a letter to the North Carolina Congressional delegation sharing our concerns about the CNA training lockout issue. Adam Sholar, CEO at NCHCFA, played a key role in this initiative. We continue to look for ways to leverage our voice with others in North Carolina to reach common goals.

Governor Roy Cooper Signs Into Law a Major Legislative Priority for LeadingAge North Carolina
Senate Bill 537 provides for a seat on the North Carolina Medical Care Commission for an individual “affiliated with a nonprofit continuing care retirement community.” The NC Medical Care Commission plays a key role in the financial health of our member communities and this action will help ensure that the Commission benefits from the wisdom of our membership’s collective knowledge.

As with any success, a number of folks shepherded this particular issue over the finish line:

  • Members of the Conference Committee that produced the final language approved by both chambers worked tirelessly to craft a bill that could garner support. Those conferees include Senators Ralph Hise, Joyce Krawiec, Harry Brown, and Andy Wells, as well as Representatives Josh Dobson, Donna McDowell White, and Donny Lambeth.
  • From the Department of Health and Human Services, Mark Payne and Matt Gross were especially helpful.
  • The LeadingAge North Carolina Public Policy Committee, chaired by Jonathan Erickson from United Methodist Retirement Homes, was instrumental in identifying this issue and pushing to keep it at the forefront.
  • None of our efforts would have been successful without the sustained hard work of our lobbyist, Lu-Ann Perryman…a very special thanks to her.

We’ll keep you informed as the opportunity becomes available to weigh in on potential nominees to the Commission. In the meantime, we hope you’ll celebrate with us!

Skilled Nursing Regulatory Update from LeadingAge Annual Meeting
LeadingAge national’s Division of Nursing Homes Director Evan Shulman last week presented a skilled nursing regulatory update at the LeadingAge Annual Meeting in San Diego. Presenting via a live remote feed, Mr. Shulman touched on a number of key topics before fielding questions from audience members. Click here for a comprehensive summary of Shulman’s presentation.

Final Bill Elusive as Senate Passes HUD Funding
The Senate passed its fiscal year 2020 HUD appropriations bill on October 31. The House passed its HUD FY20 appropriations bill in June. The two bills must be reconciled. Before the two can be reconciled, House and Senate Appropriations Committees must agree on spending limits for each of the 12 subcommittees, including the one that funds HUD. Without this subcommittee allocation agreement, the enactment of a final bill cannot occur.

The Senate’s bill is written under funding caps agreed to by the House, Senate and White House after the House’s HUD bill was passed. Because of the caps, the Senate has about $34 billion less in overall spending (across all the appropriations subcommittees) than the House bill does. The Senate’s HUD appropriations bill (which also includes funding for the Department of Transportation) is $5 billion below the House’s Transportation-HUD bill for FY20. For example, the Senate bill does not provide any funds for new Section 202 homes; the House bill provides $140 million. LeadingAge housing advocates are urging $600 million for new Section 202 homes in FY20.

Besides a lack of consensus on how to allocate funding among the 12 subcommittees, whether funding for a border wall should be included in an FY20 appropriations bill is a major area of disagreement. Funding for a border wall triggered the 2018 – 2019 longest-ever partial government shutdown.

Federal programs, like those funded by HUD, are now operating under a Continuing Resolution until November 21. Under the CR, programs are funded at FY19 levels for the duration of the CR. It’s very possible the CR will be extended until sometime in December, or even early in 2020. Another shutdown is also a possibility.

16th Annual LeadingAge Ziegler 200 Report Now Available
LeadingAge and Ziegler (a leading U.S. underwriter of financings for not-for-profit senior living organizations) announced the release of the 16th Annual LeadingAge Ziegler 200 (LZ 200) report. This report is a ranking and analysis of the nation’s 200 largest, most complex not-for-profit senior living organizations across the country as of December 31, 2018. It also outlines relevant business trends in the industry to showcase the variety of older adult services and offerings provided in the sector.

“Since the beginning of the LZ 200 report 16 years ago, we have helped drive change and innovation for older adults,” said Katie Smith Sloan, president and CEO of LeadingAge. “This year’s report demonstrates the significant role that LeadingAge members have in the aging services field and highlights the latest trends in the industry, like the continued increase in memory care offerings and the importance of resident engagement. Through this report, the entire sector can understand the latest technologies, services and growth opportunities that are driving the industry forward.”

The 2019 LZ 200 listing shows that senior living providers have grown primarily through community expansions and renovations, and affiliations. Nearly 30% of the total number of units for all senior living systems in the LZ 200 are represented by the 10 largest providers. The 2019 top 10 largest not-for-profit multi-site senior living organizations include:

  1. National Senior Campuses - Catonsville, MD
  2. The Evangelical Lutheran Good Samaritan Society - Sioux Falls, SD
  3. Acts Retirement Services, Inc. - West Point, PA
  4. Presbyterian Homes and Services - Roseville, MN
  5. Ascension Senior Living - St. Louis
  6. Trinity Health Senior Communities - Livonia, MI
  7. Covenant Living Communities & Services - Skokie, IL
  8. HumanGood - Pleasanton, CA
  9. Benedictine Health System - Duluth, MN
  10. Retirement Housing Foundation - Long Beach, CA

North Carolina was represented in the LeadingAge-Ziegler Top 200 by ten multi-site organizations, including:

  • Acts Retirement Services, Inc. (3)
  • Trinity Health Services Communities (6)
  • National Church Residences (41)
  • Lutheran Services Carolinas (60)
  • The Presbyterian Homes, Inc. (87)
  • United Church Homes and Services (91)
  • United Methodist Retirement Homes (94)
  • Givens (102)
  • Baptist Retirement Homes of North Carolina (153)
  • Friends Homes, Inc. (162)

The LZ 200 also showed that in the last 10 years, the average annual growth rate in total units was 2.8 %, with independent living and assisted living units growing each year but the number of nursing care beds decreasing. Other key areas of growth and innovation within the senior living industry include:

  • Similar to last year’s LZ 200 report memory care units are becoming an increasingly important component of the annual unit counts with 75% of the 2019 LZ 200’s listing offering specialized memory care units, compared to 60% in 2018.
  • Home-based services, such as home health, home care, adult-day care, continuing care at home (CCaH) programs and Program for All-Inclusive Care for the Elderly (PACE), continue to grow with approximately half of the 2019 LZ 200 offering some type of home and community-based service to nonresidents. However, the CCaH model is continuing to be eliminated from providers as only slightly more than 10 percent of this year’s LZ 200 offer it. This is 2% less than in 2018.
  • Adoption of new technologies slightly decreased as nearly 75% of providers use electronic point of care/point of service documentation systems and electronic health/medical records, compared to nearly 80% and nearly 76% in 2018, respectively. This year’s results on new technologies also showed that adoption of health and wellness technologies, such as medication monitoring or telehealth remote monitoring and care/case management and coordination is generally lower with less than 60% using these types of software. For the first time this year, the 2019 LZ 200 measured social connectedness/resident engagement, revealing that 49.5% of providers are using this technology.
  • Formal joint venture engagements marginally decreased this year with slightly more than 30% of 2019 LZ 200 organizations engaged in a formal joint venture, most commonly with another senior living provider, a health system or a home health/home care agency. However, engagement in a formal health care reform contract has steadily increased since the inception of the LZ report in 2014. This year, more than four out of 10 providers reported engaging in either Accountable Care Organization (ACO) or a bundled payment agreement.

The LZ 200 report is developed annually through a partnership between Ziegler and LeadingAge. It includes more than 200 providers of multi-site systems, more than 150 single-site campuses, and government-subsidized multi-site housing providers. To view the full report, please click here.


LeadingAge North Carolina
222 N. Person Street Suite 205 | Raleigh, NC  27601
Ph. 919.571.8333 | Fax 919.869.1811 | www.LeadingAgeNC.org


Tags:  Advocacy in Action 

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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

Back to top


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.

Back to top


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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Advocacy in Action

Posted By Jennifer Gill, Friday, October 25, 2019
Updated: Thursday, October 24, 2019
October 25, 2019


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 Compare profiles 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.

Learn About the IMAGINE Initiative
LeadingAge just released the "IMAGINE" Initiative – International Migration of Aging and Geriatric Workers in Response to the Needs of Elders. The "IMAGINE" paper outlines a series of bold proposals that, if enacted, would enable aging services providers to employ more foreign-born workers. The ideas took root in town halls hosted by state associations throughout the country, where LeadingAge heard—loud and clear—that workforce is by far the largest challenge faced by members. We know it’s going to take a lot of different solutions to solve the caregiver shortages we face today…and will face in the future. LeadingAge and affiliates will be sharing the paper with policy makers, colleagues, and partners in the coming months to raise awareness about the aging services workforce challenge and some possible solutions. Feel free to share the paper and use it as a conversation starter about the need for more workers in the aging services field. And CLICK HERE for a special message from LeadingAge CEO Katie Smith Sloan with more information about the initiative.

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:

CMS Memo to Strengthen State Survey Oversight
Late last week, CMS announced actions to strengthen State Agencies’ survey performance. The initiative stems from an evaluation back in 2018 and has led to efforts to improve how State Agencies performance is monitored and reviewed. We are analyzing the CMS memo and the steps CMS will take moving forward. The Memo can be found here.

LeadingAge North Carolina
222 N. Person Street Suite 205 | Raleigh, NC  27601
Ph. 919.571.8333 | Fax 919.869.1811 | www.LeadingAgeNC.org

Tags:  Advocacy in Action 

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Member Update

Posted By Jennifer Gill, Friday, October 18, 2019
Updated: Thursday, October 17, 2019

October 18, 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  |   *NEW Position Papers  |  Member Questions
News & Notes
  |  Professional Development  |  Value First

NCGA Takes Break from Work in Raleigh
The North Carolina General Assembly has been on a break this week from their work in Raleigh. This has given Senators and Representatives concentrated time in their districts to take the pulse of their constituents. Lots of moving parts with regard to healthcare bills still being negotiated and their impact on the overall budget stalemate. New to the mix in terms of discussion is a Pharmacy Benefit Manager bill now added to the mix of negotiations between the Senate and the House. We continue to hear that the Senate is holding firm to the goal of leaving no later than October 31.

Tell CMS to Stop the Consumer Alert Icon!
LeadingAge has mounted a campaign to halt the red hand icon the Centers for Medicare and Medicaid Services (CMS) plans to attach to the Nursing Home Compare profiles 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.

LeadingAge has written to CMS Administrator Seema Verma, urging her not to proceed with the red icon. We have issued an action alert to LeadingAge members to contact CMS in opposition to the icon. We also have posted and distributed talking points explaining the dangers the icon poses for both consumers and providers in our field.

What is needed is true reform of the broken nursing home oversight system. The red icon is a gimmick that will do nothing to accomplish what all of us want to see - the highest quality nursing home care and sound, verifiable information on which nursing homes are providing it.

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:

North Carolina Department of Insurance Unveils New Website and Reference Guide
The North Carolina Department of Insurance has its new website up and running, with information about disclosure statements, a listing of all licensed CCRCs in the state, and helpful links to other stakeholders. In addition, the new website includes an updated CCRC Reference Guide, the department’s publication designed to assist prospective residents in their search for CCRCs in North Carolina.

 

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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 Direct Services Staff Symposium - Aldersgate, Charlotte and The Forest at Duke, Durham
  • Member Visit, Aldersgate, Charlotte
  • Member Visit, United Church Homes & Services, Newton
  • LeadingAge national alignment agreement task force meeting, Chicago
  • LeadingAge NC building task force meeting, Colfax
  • North Carolina Continuing Care Residents Association annual meeting - Greensboro

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How to Deal With Constantly Feeling Overwhelmed
October 10, 2019; Harvard Business Review
When we have too many demands on our thinking over an extended period of time, cognitive fatigue can happen, making us more prone to distractions and our thinking less agile. Any of these effects, alone, can make us less effective and leave us feeling even more overwhelmed. If you are feeling constantly overwhelmed, this article offers some key strategies to try.

Study Suggests Hospitals Alter Their Approach to Fall Risks
October 14, 2019; Washington Post
To ensure that patients will never fall, hospitalized patients who could benefit from activity are told not to get up on their own — their bedbound state reinforced by bed alarms and a lack of staff to help them move. That’s especially dangerous for older patients, often weak to begin with. After just a few days of bed rest, their muscles can deteriorate enough to bring severe long-term consequences.

Drumbeat Builds For A Peace Corps Of Caregivers
October 10, 2019; Kaiser Health News
The Administration for Community Living, part of the Department of Health and Human Services, is taking steps to establish a National Volunteer Care Corps.

How Communities are Bringing Dementia Out of the Closet
September 25, 2019; Considerable
When it comes to dementia, patients and their caretakers have remained isolated, with few facilities modified to accommodate them. That’s changing in the United States and abroad, as municipal and state governments begin to make public and private spaces accessible to people with dementia.


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Thanks to LeadingAge North Carolina Platinum business members WeaverCooke, BB&T Capital Markets, and CliftonLarsonAllen 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 questions about core values for residents and several policy requests.

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Cyber Security Tips for Older Adults
Going online lets you keep learning, connect with friends and family and play games. Just as you fasten your seat belt before driving, take precautions before using the internet to be safer and more secure. The first step is to STOP. THINK. CONNECT. ™: take safety measures, think about the consequences of your actions and connect knowing you have taken steps to safeguard yourself when online. Read the entire article. In addition, the Federal Bureau of Investigation has excellent resources around internet crime, including an Internet Crime Complaint form.

How do Younger Generation Baby Boomers Differ from their Older Cohort?
A timely survey produced in partnership with LeadingAge and AmeriSpeaks uncovers the key differences between younger generation baby boomers that are starting to retire and leave the workforce, from their older cohort. Not only does this have important implications for the senior living field, but the results call to mind necessary conversations that need to be had across the entire continuum.

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 Now Open!
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 next 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

Online Member Community - New from LeadingAge National
This month, LeadingAge national is launching the Online Member Community to transform the way members engage with one another. The Online Member Community makes it easier and faster to join conversations, seek answers, browse resources, locate trending topics, and manage email notifications. The personalized experience empowers you and your organization to leverage the expertise of and network with colleagues representing more than 6,000 aging services providers.

A series of communications will be shared to transition LeadingAge members from the listservs to the new Online Member Community. Please watch your inbox for future information!

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


Night Out (Members Only)
* NEW Dining Program  |  Other Professional Opportunities


Save the Date
LeadingAge NC Night Out
For Members Only
Monday, October 28
Members, RSVP at www.LeadingAgeNC.org

 

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*NEW!
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

Back to top


Other Professional Opportunities

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

Back to top


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.

Back to top


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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Advocacy in Action

Posted By Jennifer Gill, Friday, October 11, 2019
Updated: Thursday, October 10, 2019
October 11, 2019

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:

CMS Announces Major Changes to 5-Star Ratings for Abuse and Neglect Citations
Beginning October 23rd, nursing homes that have been cited for abuse that either caused harm or had the potential to cause harm will be indicated on Nursing Home Compare with a special icon. Additionally, star ratings for nursing homes with this icon will be capped at 2 stars for the health inspection rating, resulting in a maximum overall star rating no higher than 4 stars. CMS also announced that 2 quality measures will be removed from Nursing Home Compare. The short-stay and long-stay measures for residents who report moderate to severe pain will be removed from Nursing Home Compare and the 5-Star Quality Rating System. For more details on the Five Star changes read the Memo from CMS.

DOL Issues Final Rule on Overtime Threshold
The U.S. Department of Labor recently issued a final rule on the overtime threshold for exempt employees under the Fair Labor Standards Act. The Final Rule sets the minimum salary threshold for “white collar” exemptions, which will increase to $35,568 annually ($648 per week). The Final Rule goes into effect January 1, 2020. The exemption threshold for highly compensated employees is now set at $107,432, up from the previous threshold of $100,000. The Final Rule does not make any changes to the “duties test” under the FLSA for determining whether an employee is exempt. The DOL estimates that an additional 1.2 million workers will now qualify for overtime pay under the Final Rule. The salary thresholds in the Final Rule were consistent with LeadingAge’s comments on proposed rules in 2015, 2017, and earlier this year. For more information on the Final Rule click here.

North Carolina Department of Insurance Unveils New Website and Reference Guide

The North Carolina Department of Insurance has its new website up and running, with information about disclosure statements, a listing of all licensed CCRCs in the state, and helpful links to other stakeholders. In addition, the new website includes an updated CCRC Reference Guide, the department’s publication designed to assist prospective residents in their search for CCRCs in North Carolina.


LeadingAge North Carolina
222 N. Person Street Suite 205 | Raleigh, NC  27601
Ph. 919.571.8333 | Fax 919.869.1811 | www.LeadingAgeNC.org

Tags:  Advocacy in Action 

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Professional Development Update

Posted By Jennifer Gill, Thursday, October 10, 2019
Updated: Thursday, October 10, 2019

                                                                                                                 October 10, 2019

Are you attending LeadingAge national's annual meeting in San Diego? If so, be sure to register for our State Night Out below. If you're a dining professional, please check out our joint program with Senior Dining Association November 6th in Matthews.

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

Catalogue of 2019 Events

Night Out (Members Only)  Dining Program *NEW
Other Professional Opportunities


RSVP!
LeadingAge NC Night Out

For Members Only
Monday, October 28

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*NEW Joint Program 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

Back to top


Other Professional Opportunities

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

Back to top


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
| www.LeadingAgeNC.org



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Member Update October 4, 2019

Posted By Jennifer Gill, Friday, October 4, 2019
Updated: Thursday, October 3, 2019

October 4, 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  |   *NEW Position Papers  |  News & Notes 
Volunteer Spotlight  |  Professional Development  |  Value First

Senate President Sets October 31 Deadline for Adjournment
Senate President Pro Tempore Phil Berger indicated earlier this week that the Senate will be adjourning no later than October 31 (the House has not yet indicated their agreement with this timetable). Berger did leave open the possibility of a special session at some point before the holidays or even in January 2020. Passage of a budget remains the chief impediment to the General Assembly going home, with Medicaid expansion at the top of the list of reasons there’s still been no movement on the Governor’s veto of the spending blueprint. The House continues to discuss House Bill 655, their version of expanded health care coverage for uninsured North Carolinians. Berger has said that he remains opposed to any expansion but that if the House passes a bill he’ll have the Republican caucus discuss whether to bring it to the floor for a vote in the Senate. In the meantime, the General Assembly continues to pass smaller budget bills focused on individual agencies and initiatives.


New Bill Addresses CNA Lockout Issue
Representative Dwight Evans (D-PA) and Rep. Ron Estes (R-KS) have introduced the bi-partisan Nursing Home Workforce Quality Act, House Resolution 4468. This legislation repeals the 2-year mandatory “lockout” for in-house CNA training programs based on the level of fine received by the nursing home. Instead, the bill requires the suspension to be lifted when the nursing home comes back into compliance. To address concerns about nursing homes that have a record of poor performance, CMS may provide additional oversight once the in-house training program is no longer suspended. LeadingAge President and CEO Katie Smith Sloan said, ‘Workforce development is the number one issue facing our members throughout the country. We have advocated for changes to this aspect of federal law for many years. These bills are a critical linchpin in our continued effort to increase the number of well-trained staff available to care for aging older adults.” Members of Congress will be in their home districts and states for the next two weeks. This is an ideal time to contact them and urge them to co-sponsor H.R. 4468.

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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 Wellness Workshop - Carol Woods, Chapel Hill
  • Member Visit - Arbor Acres, Winston-Salem
  • NC Coalition on Aging Annual Meeting - Raleigh
  • NC Institute of Medicine Task Force on Health Services for Deaf and Hard of Hearing - Morrisville
  • United Church Homes and Services Foundation Julius Society Meeting - Piedmont Crossing, Thomasville

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What Could Help ‘The Forgotten Middle’ Afford Retirement Housing?
September 19, 2019; Forbes
Because of the shortage of affordable housing about 4.9 million older adults pay more than 50% of their incomes for housing, according to the Joint Center for Housing studies of Harvard University's Housing America's Older Adults 2018. What could help the "forgotten middle" afford retirement housing?

Be sure to register for the LeadingAge NC "Beans and Dreams" roundtable on this topic in Greensboro next week on Friday, October 11.

Why Asking for Advice Is More Effective Than Asking for Feedback
September 20, 2019; Harvard Business Review
Feedback is often focused on judging past performance where as advice focuses on possible future actions. Learn more by clicking here.

In a Pioneering Campaign, Boston’s New "Age Strong Commission" Takes on Ageism
September 24, 2019; Boston Globe
Boston officials are challenging ageism in a multimedia campaign that seeks to promote positive views on aging and to excise offensive adjectives — cranky, senile, frumpy, fragile — about older people. What can you take from this campaign to your own community?

What’s a ‘Good Death’? It’s Not Quite the Peaceful Drifting Off I’d Imagined for My Dad.
September 29, 2019; The Washington Post

"Dying is hard work. And it’s hard to watch." This poignant article may bring tears to your eyes for its painful yet important truths.

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Thanks to LeadingAge North Carolina Platinum business members CliftonLarsonAllen, WeaverCooke, and BB&T Capital Markets 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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Billing for Flu Vaccine
Flu season is around the corner and CMS has released the 2019-2020 flu season billing codes. It would be a good time to familiarize yourself with the vaccine product that your community has ordered and crosscheck against the CMS publication to ensure proper reimbursement.

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 Now Open!
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 by 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!

What Has LeadingAge National Been Up To Lately?
From promoting workforce issues, to celebrating a victory in senior housing legislation, check out what LeadingAge has been up to this September.

Drawing Students to Our Field With College Partnerships
"Humanware” is one of the biggest variables in new technical demands for older adult providers, but what is it? Learn more about how organizations are improving technology capabilities of their staff in this article by LeadingAge.

Online Member Community - New from LeadingAge National
This month, LeadingAge national launches the Online Member Community to transform the way members engage with one another. The Online Member Community makes it easier and faster to join conversations, seek answers, browse resources, locate trending topics, and manage email notifications. The personalized experience empowers you and your organization to leverage the expertise of and network with colleagues representing more than 6,000 aging services providers.

A series of communications will be shared to transition LeadingAge members from the listservs to the new Online Member Community. Please watch your inbox for future information!

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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 Teresa Stephens to the board this year. Read on to learn more about Teresa, who is Affordable Communities Director at Givens in Asheville.

1. How did you get into the field of aging services and what was your first job?
My earlier career was in graphic design and marketing, but it took a drastic turn when I was hired by a church to develop a “Community Care Coordinator” position. The position’s goal was to increase the church’s connection to older church members while serving the surrounding community’s people in need. I first encountered Givens through that position. When my position at the church ended, I went to work for Givens LifeMinistries, the outreach entity for Givens Estates. My first Givens position was in a medication assistance ministry before Medicare Part D came into being. I spent my days helping low income seniors obtain prescription medications and other services. This work inspired me to get my master’s degree in Gerontology/Management of Aging Services and from there I have gone on to work in various positions at Givens Communities.

2. If you could wave a magic wand, what is the one thing you would like to do for the population we serve?
If I could wave a magic wand, I would remove the obstacles other providers have to developing low and middle income senior housing and services to better serve all income levels. I work in senior affordable and middle income housing so I see how great the need is and how long the waiting lists are every day. My wand would embolden other providers with the courage and tools to expand their reach and impact.

3. If you could swap jobs with a staff member for a day, what would you want to try and why?
I always envy the grounds staff. They get to work outdoors; planting, mowing, and blowing leaves. They create so much beauty! From my office window, that looks so much more appealing than sitting behind a desk. I love the seasonal aspect of their work and the joy they create for residents and staff.

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?
It’s definitely the concept of “Expanding the World of Possibilities for Aging.” As the population grows older, innovative, knowledgeable leaders will be in greater demand. LeadingAge NC is working to develop and connect those who will lead us forward through education and collaboration. Things change so rapidly now and there is no sign of anything slowing down. We are better equipped as a connected body to embrace and adapt to the changes.

5. When you are not working, what do you do to relax and recharge your batteries?
I spend time with family (especially my grandchildren) and two dogs as much as possible. Time with family gets more important to me every day. Spending time with them brings me great joy, although I would not always call it relaxing! Walks with the dogs, reading, and watching movies are my go-to activities to regain balance and perspective.

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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


Direct Services Staff Symposium 
Beans and Dreams October  Night Out (Members Only)
* NEW Dining Program  |  Other Professional Opportunities



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
Building and Financing for the Middle Market
October 11
9 - 10:30am
WeaverCooke, Greensboro

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Save the Date
LeadingAge NC Night Out
For Members Only
Monday, October 28
Members, RSVP at www.LeadingAgeNC.org

 

Back to top


*NEW!
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

Back to top


Other Professional Opportunities

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

Back to top


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

Back to top


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.

Back to top


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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Member Update September 20, 2019

Posted By Jennifer Gill, Friday, September 20, 2019
Updated: Thursday, September 19, 2019

September 20, 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  |   *NEW Position Papers |   Member Question
News & Notes  | Professional Development  |  Value First

CMS releases final RAI Manual for PDPM kick-off
CMS yesterday released the final version of the MDS 3.0 RAI Manual (version 1.17.1), which becomes effective in less than two weeks, October 1. The final RAI changes are the last big piece of guidance to skilled nursing operators before the onset of the Patient-Driven Payment Model. New changes clarify which assessments swing-bed providers must complete, the definition of “interruption window” for interrupted Part A-covered stays, changes regarding group therapy policies, and more. To see the CMS announcement and access the new document, CLICK HERE.

North Carolina General Assembly Approves New Political Maps
North Carolina’s new political maps gained final approval from the General Assembly earlier this week. The maps can’t be vetoed by Governor Roy Cooper (that is prohibited by the state constitution). Next stop? A panel of judges still gets to weigh in on the maps, which will happen over the coming days, and could potentially order them redrawn yet again. Then new House and Senate maps can be viewed online.

Medicaid Expansion
A bill tied to Medicaid expansion is back on the table in the North Carolina House of Representatives. House bill 655 (“NC Health Care for Working Families”) would expand the provision of Medicaid eligibility inl North Carolina. The two main issues of contention (outside of some who don’t want to see any expansion of eligibility) include a work requirement and premium payments. Even if the bill passes the House, it faces an uncertain future in the Senate.

#DearCandidate Campaign Needs YOU
By 2030, the population of older adults will grow to over 77 million in the U.S., 19% of Americans. 70% of those older adults will need assistance with daily living, and caregivers are in short supply. The current structure of aging services is not prepared to meet this demand, which will impact current and future generations. Despite this huge demographic and need for support, conversations impacting and supporting those who provide care for older adults are often absent from discussions at the local, state, and national levels. More than ever, it is crucial to focus national attention on how to fund and provide the best care and services for the quickly growing population of older adults, an issue that touches millions of us now, and many millions more in the future. #DearCandidate is a campaign to educate and build awareness during the 2020 election cycle around issues impacting those who care for and support older adults. Join us in starting conversations with 2020 election candidates on long-term care, aging services workforce, and quality of care for all older adults. Click here for more information about how you can support this campaign and add your voice to the conversation.

Capitol Hill Insights Ready for Congress as they Come Back in Session
Congress is now back in session and there is a lot of important activity that LeadingAge national wants you to know. Join their Capitol Hill Insights Call on Thursday, September 26th at 2 pm Eastern. There will be a flurry of legislative activity this fall and this member-only update will let you know what the latest news from Congress and how you can help us make a difference in aging services policy. Next Thursday, you will hear from LeadingAge experts on:

  • What Is the Latest News from Congress
  • Housing Funding and Policy Update
  • Home Health Payment Policy Legislation
  • Nursing Home Regulatory Relief
  • Latest News on Aging Services Workforce Policy

This meeting will be interactive and there will be a chance to ask questions via your computer or ask through our call line.

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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:

  • Global Ageing Network Conference - Toronto, Canada
  • LeadingAge national board meeting - Toronto, Canada
  • LeadingAge NC Beans and Dreams Roundtable - Bernard Robinson & Company, Greensboro
  • LeadingAge NC Education Committee meeting - Greensboro
  • LeadingAge NC Marketing Symposium - Mechanicsville, VA
  • LeadingAge NC Workforce Summit - Friends Homes, Greensboro

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CDC Alzheimer’s Disease and Healthy Aging Data Portal and Resources
September 11, 2019, The John A. Hartford Foundation
The Centers for Disease Control and Prevention has created an Alzheimer’s Disease and Healthy Aging Data Portal. The portal provides easy access to national and state level CDC data on a range of key indicators of health and well-being for older adults, including:

  • Caregiving
  • Subjective Cognitive Decline
  • Screenings and vaccinations
  • Mental health

Shopping Made Easier for Family Caregivers
September 16, 2019, Next Avenue
Retailers are trying to help caregivers have an easier shopping experience. From delivery to pick-up, coupons, and more this article shares information and tips that your wellness staff and family members of residents will find useful.

Why It's Time For More Big Foundations To Fund Aging
September 11, 2019, Forbes
Growing numbers of older adults need our help now, yet we continue to set aside fewer and fewer dollars to come to their aid. According to Candid (a leading source of information on philanthropy), when it comes to the most significant grants given by America’s largest foundations, less than 1% of the funds go to causes related to aging.

Is Dying at Home Overrated?
September 3, 2019, The New York Times
A palliative care physician struggles with the complex realities of dying at home, and the unintended consequences of making it a societal priority.

The Monday Morning Minute
A new video news program from LeadingAge is called The Monday Morning Minute. LeadingAge national will be sharing what's going on inside the office and responding to things going on in the aging services community. Click here to watch the first episode (2:16)!

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LeadingAge North Carolina Platinum business members BB&T Capital Markets and WeaverCooke offer their expertise in the form of position papers below. Click on the title to download a PDF. And be sure to contact John Franklin at BB&T Capital Markets or Tina McLeod at WeaverCooke for further insights. Thanks to both companies for sharing. These papers are also downloadable from our website by clicking here. Or 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 questions about dress code policy and flu shot policy.

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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 Now Open!
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 by November 29, 2019.

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!

LeadingAge Magazine September-October 2019: A Destination for Talent
In this issue, themed “A Destination for Talent,” LeadingAge national looks at some of the issues members face around employees: finding talented and committed ones and keeping them; helping them make the most out of technology; maintaining a healthy workplace culture; and giving them supports as needed to help them through difficult personal issues that threaten their work performance. Check it out here for new ideas, support, and community.

Online Member Community - New from LeadingAge National
Next month, LeadingAge national will launch the Online Member Community to transform the way members engage with one another. The Online Member Community makes it easier and faster to join conversations, seek answers, browse resources, locate trending topics, and manage email notifications. The personalized experience empowers you and your organization to leverage the expertise of and network with colleagues representing more than 6,000 aging services providers.

A series of communications will be shared to transition LeadingAge members from the listservs to the new Online Member Community. Please watch your inbox for future information!

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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


Wellness Workshop  |  Direct Services Staff Symposium 
Beans and Dreams October  Night Out (Members Only)
* NEW Dining Program  |  Other Professional Opportunities



Wellness Workshop
September 26
10am-3pm
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
Building and Financing for the Middle Market
October 11
9 - 10:30am
WeaverCooke, Greensboro

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Save the Date
LeadingAge NC Night Out
For Members Only
Monday, October 28
Members, RSVP at www.LeadingAgeNC.org

 

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*NEW!
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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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 | www.LeadingAgeNC.org


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