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Member Update October 18, 2019

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

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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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Advocacy in Action October 11, 2019

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

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Professional Development Update October 2019

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

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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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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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Advocacy in Action September 13, 2019

Posted By Jennifer Gill, Friday, September 13, 2019
Updated: Thursday, September 12, 2019
September 13, 2019

North Carolina House Votes to Override Governor’s Budget Veto
In an early-morning move earlier this week that shocked and confused many, the North Carolina House of Representatives voted to override Gov. Roy Cooper’s veto of the state budget. Just over half of the 120 members were present to vote. All 55 Republicans present voted in favor of the override. Just 15 Democrats were in the Chamber and all voted against the override. The Senate is scheduled to take up a vote on the override next week. If the Senate votes to override, the budget passed nearly two months ago by Republican majorities will go into effect and the long session will, in all probability, wind down quickly.



North Carolina Special Elections Tab Murphy, Bishop for US House Seats
North Carolina voters went to the polls earlier this week in two special elections. Republican Greg Murphy was elected in Congressional District 3 and Republican Dan Bishop was elected in Congressional District 9. Both were members of the North Carolina General Assembly and their seats will now need to be filled.



CMS Releases Final Version of MDS 3.0
CMS has posted the final version (V3.00.1) of the MDS 3.0 Data Specifications for Skilled Nursing Facilities, which take effect Oct. 1. They also released the file of the allowable ICD codes in item I0020B of the MDS. Click on download files to access the final version of the specifications. You will find the files in the download section at the bottom of the page. Revisions can be identified by looking for “post-errata” in the version notes for the items and edits.



RAD for PRAC Notice Issued
Effective immediately, HUD providers of Section 202 Housing for the Elderly with Project Rental Assistance Contracts (202/PRACs) can now begin to leverage private capital to preserve their affordable housing over the long-term.



What Have We Done for You Lately?
LeadingAge national has been busy working on your behalf. Click here for a look at their August 2019 activities.


 

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 September 6, 2019

Posted By Jennifer Gill, Friday, September 6, 2019
Updated: Thursday, September 5, 2019

September 6, 2019

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

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

Congressional Election Voting Ends September 10
Early voting is currently underway leading up to the September 10 special elections taking place in North Carolina Congressional districts 3 and 9.

Budget Update
It has been over two months since Governor Cooper vetoed the budget sent to him by the General Assembly because it did not include Medicaid expansion. As the stalemate between the Governor and legislative leadership continues, last week the General Assembly took up and passed several “baby” budgets for various state employee raises (not for retirees). The Governor signed these bills. Both the Senate and House were off this week; when they return the week of September 9, they will take up another series of piecemeal budgets on issues that have broad bi-partisan support. The next round of these mini budget proposals is expected to feature funding for rape kit testing, prison safety, school safety and disaster relief, all of which were in the vetoed budget bill.

Absentee Ballot Legislation Amended to Address LeadingAge NC Comments
Responding to alleged voter fraud in Congressional District 9, Senate Bill 683 included, among other things, a provision that absentee ballot requests must be signed by the voter or the voter’s near relative or verifiable legal guardian. There was concern from aging and disability rights advocates that older adults and persons with disabilities who may need assistance in getting an absentee ballot may not have a near relative or verifiable legal guardian and this could prevent them from receiving a ballot. Rep. David Lewis, Chair of the House Rules Committee, listened to advocates and introduced an amendment when the bill was heard on second reading which read:

“(e1) Assistance by Others. If a voter is in need of assistance completing the written request form due to blindness, disability, or inability to read or write, and there is not a near relative or legal guardian available to assist the voter, the voter may request some other person to give assistance notwithstanding any other provisions of this section. If another person gives assistance in completing the written request form, that person’s name and address shall be disclosed on the written request form in addition to the information listed in subsection (a) of this section.”

The bill, as amended, was approved by the House and sent to the Senate for concurrence. Thanks to all LeadingAge North Carolina members who provided valuable perspective on this issue.

Judges Order Redraw of Legislative Districts
A three judge panel ordered another redraw for North Carolina's legislative maps on Tuesday of this week, finding them overly partisan. In a unanimous ruling, the judges said legislative maps "do not permit voters to freely choose their representative, but rather representatives are choosing voters based upon sophisticated partisan sorting." The court gave the legislature two weeks to redraw 57 North Carolina House districts and 21 Senate district maps and ordered the body to do so only during public hearings, with computer screens used in the process visible to the public.

Medicaid Transformation Delayed
Governor Roy Cooper vetoed nearly half a billion dollars last week that would have helped pay for Medicaid transformation, a plan to move some 2 million people who rely on the taxpayer-funded program for health insurance into new plans managed more closely by private providers. For years, the state has been moving toward a managed care system in an effort to make costs more predictable. Without a new budget in place, Secretary of Health and Human Services Dr. Mandy Cohen said the November go-live date planned for approximately 25% of the state will be pushed back to February.

Tax Refund Legislation

Legislative leaders are proposing that the state's $900 million budget surplus be partly returned to taxpayers. As proposed, House Bill 74 would give roughly $680 million in tax refunds; $125 to taxpayers who filed singly or $250 to couples who filed jointly. If the bill becomes law, checks would be mailed by December 15. The Senate passed the bill on August 27 and has forward the bill to the House for concurrence.

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

  • Member visit - Aldersgate, Charlotte
  • Member visit - Southminster, Charlotte
  • Member visit - Well-Spring, Greensboro
  • Direct Care Workforce Summit - Raleigh
  • LeadingAge NC Leadership Academy - Raleigh
  • Management Leadership Series - Friends Homes, Greensboro
  • NC Institute of Medicine Task Force on Health Services for Individuals Who Are Deaf and Hard of Hearing - Morrisville

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Hearing Loss May Take 'Enormous Toll' on Elders' Quality of Life, Study Says
July 20, 2019, McKnight's Long-Term Care News
Unfortunately, there is social stigma associated with hearing loss. Are there ways that your community could better acknowledge it as a prevalent health issue? In addition to providing suggestions for communication access, an audiologist could diagnose resident hearing health and provide support regarding the best assistive hearing devices.

How Death Cafes are De-Stigmatizing Death
August 10, 2019, Axios
Did you know that "death cafes" have been held in our state in Apex, Hillsborough and other towns? Topics range from the practical to the spiritual. And they are not just for those with terminal illness. Read more here and consider whether such a cafe would make sense at your community.

I Visited 47 Sites. Hundreds of Trackers Followed Me.
August 23, 2019, The New York Times
The author takes part in an online privacy experiment and learns, "everything you do online is logged in obscene detail, that you have no privacy. And yet, even expecting this, [he] was bowled over by the scale and detail of the tracking."

The Only Five Email Folders Your Inbox Will Ever Need
January 9, 2017, Fast Company

Emails from supervisors, residents, and family members probably flood your inbox. How do you manage it? Stop “organizing” your emails by subject and start thinking of them in terms of deadlines.

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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 who has access to fitness classes and whether or not they pay to attend.

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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.

Student Loan Debt Report Finds Older Adults in North Carolina with $2.5 Billion in Loans
The Center for Responsible Lending has released a research report detailing the student loan debt crisis in North Carolina. More than 1.2 million state residents hold $44 billion in student debt. One of the population groups with the largest amount of student debt is older adults. According to the report, collectively, adults over 60 in North Carolina held almost $2.5 billion in student loan debt in 2017. Because almost two-thirds of jobs now require at least some higher education, many older adults are returning to school. Others are still struggling with debt they incurred as co-signers for their children or grandchildren. In North Carolina, the number of borrowers age 60 and older with student loan debt grew from 56,112 to over 87,000 between 2012 and 2017. Within this group of borrowers, 18% are delinquent on their student loans. To view the report, click here.

2020 Voters Changing Dramatically
The number of North Carolinians who are people of color, unmarried women and millennials is growing and will be more than half of eligible voters in 2020. Those potential voters younger than age 38, which includes millennials and the generation that follows them, along with minority populations and unmarried women, have grown by 17% over the past five years in the state. They now represent 61.4% of eligible voters, according to a new report by the Voter Participation Center.

The First Razor Designed to Shave Other People is Great News for Millions of Caregivers
August 16, 2019, Upworthy
The razor was inspired by real-world conversations with caregivers and their loved ones and was pilot-tested in 2017.

Social Isolation: Myths vs. Realities Among Adults Age 40 and Older
July 2018, AARP
Health issues are seen by mid-life and older adults as a major contributor to social isolation, yet just 15% of adults over 40 (and 10 percent in their 60s) have been asked by a medical practitioner during an exam about loneliness or social isolation. Is your clinical staff assessing social isolation among residents at your community?

In Case You Missed It
Click below to read association updates from the last two weeks.

Follow @LeadingAgeNC on Social Media
Before summer winds down, be sure you are following LeadingAge NC on Twitter, Facebook, and Instagram. You'll be up-to-date on all the latest news, research, and programs!

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Board members of LeadingAge North Carolina volunteer their time and expertise to enrich the field of aging services. We are grateful to welcome Wayne Campbell to the board this year. Read on to learn a little more about Wayne, who is president of the North Carolina Continuing Care Residents Association (NorCCRA) and a resident of Glenaire in Cary.

1. How did you get into the field of aging services and what was your first job? I believe it would have happened about 25 years ago as I was recovering from some serious heart problems when the Stephen Ministry program was introduced into my life. Now that ministry can be for anyone but most often our senior population is the recipient of that ministry. For many, many years my wife and I have been and still are Stephen Ministers.

2. If you could wave a magic wand, what is the one thing you would like to do for the population we serve? As the board member with a resident’s tie to a CCRC, I sometimes see residents struggle with their monthly fees and I also see certain pay level employees having difficulties… Magic Wand? There would be much less difficulty for all around…

3. If you could swap jobs with a staff member for a day, what would you want to try and why?
…a grounds keeper or maintenance person would keep me involved with my hands. I have said for years, especially in the springtime that I would love to have a job “mowing grass on land so large that I would start mowing on Monday and finish up on Friday and start over the following Monday…” I love the smell of freshly mowed grass…

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? I am so impressed with the level of, what I believe to be genuine “caring” for “people” and not just “numbers”. I believe the leadership within the organization is such that the “wheel" will NOT be reinvented but rather we will learn from each other. There are tremendous educational opportunities available…

5. What do you do to relax and recharge your batteries? Since I am “technically” retired my children don’t think that I need to do anything to relax and recharge my batteries… But, genealogy - who was here in my family, before me? Photography – thousands of pictures but never enough. And travel – see the world now so that when I am older I can look at my pictures and remember…

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

Catalogue of all 2019 Events


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



Spaces still available, register today!
Beans and Dreams Roundtable
September 13
9 - 10:30am
Bernard Robinson & Co., Greensboro

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Mid Atlantic Marketing Symposium
September 18
9am-3:30pm
Covenant Woods in Mechanicsville, VA

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Workforce Summit
September 19
10am-3pm
Friends Homes Guilford in Greensboro

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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
October 11
9 - 10:30am
WeaverCooke, Greensboro

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

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*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

Your Employee Benefits Game Plan
Sponsored by Marsh & McLennan Agency,
a LeadingAge NC Platinum Member
Tuesday, September 17 in Raleigh - or -
Wednesday, September 18 in Greensboro
Noon-2:30pm

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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.

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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Inclusion Insights August 2019

Posted By Jennifer Gill, Friday, August 30, 2019
Updated: Thursday, August 29, 2019


August 30, 2019


Welcome to the thirteenth edition of Inclusion Insights, a regular publication of LeadingAge North Carolina highlighting trends, practices, and news related to inclusion and diversity issues
in aging services.
We welcome your feedback, questions, and ideas.


Leadership

Make Board Diversity Work
August 27, 2019, BoardSource
This blog writer believes that, "...those nonprofits talking diversity and not taking intentional action are missing board leadership. The bottom line is that taking the right action is the way to ensure that your organization advances its mission tomorrow and into the future." Read his suggestions regarding where to start by clicking here.

Black Pharmacists Are Helping Close A Cultural Health Care Divide
July 9, 2019, Kaiser Health News
This 21-minute audio features a story about how black pharmacists in Illinois are helping fill a void for African American patients seeking medical care that acknowledges their heritage, beliefs and values. Such care may bridge generations of mistrust of the medical profession and even improve patients’ health.

How African-Americans Advance at Work — And What Organizations Can Do to Help
August 27, 2019, Harvard Business Review
Laura Morgan Roberts, poet and professor of management at the University of Virginia’s Darden School of Business, studies diversity in organizations, particularly how African Americans experience the workplace. Listen to her thoughts in this 24-minute audio or read the interview transcript. You'll be glad you did.

As Gender Diversity on Boards Improve, There’s Still a Gender Gap at the Top
August 6, 2019, Diversity Best Practices
A recent Working Mother Research Institute report takes a look at the experiences of women — and men —at all levels of corporations to ascertain what perceptions and realities are keeping them out of the highest ranks.


Workforce

Do Your Diversity Efforts Reflect the Experiences of Women of Color?
July 1, 2019, Harvard Business Review
Some gender diversity efforts do not consider the experiences of all women, particularly women of color. Corporate leaders need to focus on diversity and inclusion efforts that take an intersectional approach, as coined by academic Kimberlé Crenshaw, to identify barriers that women of color face, due to the impact of their race and gender.

The Importance of Targeted Leadership Development Programs
May 26, 2019, Diversity Best Practices
Women and people of color face challenges when they are different from the leadership of their organizations. As an addition to an organization’s overall D&I strategy, targeted development programs designed to address the underlying challenges faced by women and people of color can be a highly effective way to help break through this point.

A Leader's Guide to LGBTQ+ Talent Strategy
April 18, 2019, Russell Reynolds Associates
Encouraging diversity and fostering an inclusive working environment are widely considered the right things to do. However, research increasingly shows they are also key to maximizing business performance. This article takes a look at how to attract and retain LGBTQ+ talent.

4 Ways to Improve Your Company’s Disability-Inclusion Practices
June 4, 2019, Harvard Business Review
Hiring folks who have disabilities is not just “the right thing to do,” it can also be part of a talent strategy that will benefit your community. Read this article for four suggestions about how to move forward.


Resources

15 Ways To Make Your Ad Campaigns More Authentically Diverse
August 6, 2019, Forbes
As society becomes more focused on diversity, audiences expect to see that diversity reflected in marketing and ad campaigns. That's why many modern companies are selecting more diverse models and stories for their ad campaigns. However, it can be difficult to incorporate diversity in a way that feels authentic, rather than a forced reply to a growing demand.

10 Books To Help You Foster A More Diverse And Inclusive Workplace
August 25, 2019, Forbes
Check out this list of books that could serve both employees and organizational leaders who want to learn more and understand the cultural experiences of different groups. Reading diverse narratives may catalyze perspective-taking—an act that research suggests can reduce bias.

Must-Watch TED Talks That Tackle Diversity and Inclusion
July 9, 2019, Diversity Best Practices
The power of a visual story is unmatched, especially when it's providing a glimpse into someone else's life experience or a window into a different culture. Here are some TED Talks to watch that speak to diversity and inclusion. Whether it's five or fifteen minutes, each talk has something that anyone can take away. Happy watching!


Celebrations

Thank you to the Penick Village Racial Reconciliation group in Southern Pines that continues to strive for inclusion and diversity. The group is sponsoring a special performance for its residents entitled, “The Talk.” The program is presented by scholar, performer, story teller and parent, Sonny Kelly, who took inspiration for his performance after wrestling with how to talk to his young son about violence against African-American men in recent years.

Do you have a diversity and inclusion program you’d like to share in this newsletter? Please contact Jennifer Gill.


Upcoming Events

Let’s Talk About ‘Unconscious Bias”
Gracie Johnson-Lopez, Diversity & HR Solutions

September 17, 2019
1:30 PM – 4:30 PM EST
12 Davis Dr., Durham, NC
REGISTER

Bias is personal, cultural and institutional, but you are able to mitigate it and train your unconscious. Understanding what implicit bias is and how it impacts our relationships and decisions is key to fostering more inclusive and intercultural workplaces.


Online

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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Advocacy in Action August 23, 2019

Posted By Jennifer Gill, Friday, August 23, 2019
Updated: Thursday, August 22, 2019
August 23, 2019

CON Reform Update
It appears that our efforts around CON reform — and particularly an exemption for CCRCs around Medicare-certified home health — are over for this year’s long session. It is our understanding that House Bill 126 (which contained CON reform language) has been gutted and will be used for another purpose as we get closer to the end of the long session. After coming so far this year - with passage for the first time by the Senate - it’s tremendously disappointing. However…if we’ve learned anything over the past six years in moving this issue forward, it’s that we can’t give up. The bill is still alive and eligible for consideration during next year’s short session. Your hard work and persistence are getting us closer to our goal every year and we remain committed to getting this thing over the finish line.


Medical Care Commission Legislation Advances to Conference Committee
Senate bill 537 – legislation that would provide a seat for an individual affiliated with a nonprofit CCRC on the North Carolina Medical Care Commission – remains alive in this session of the General Assembly. A number of other issues are contained within the bill, which now sits in a conference committee of House and Senate conferees.
 


Arbitration Agreements
On July 18, CMS published a final rule on arbitration agreements in nursing home settings. The final rule repeals the prohibition against pre-dispute, binding arbitration agreements while strengthening the transparency of arbitration agreements in long-term care settings. LeadingAge national advocated for many of the provisions contained in the final rule, which goes into effect Sept. 16, 2019. Read a summary of the rule.


LeadingAge Responds on “Patients Over Paperwork” Initiative
LeadingAge national recently responded to CMS’s second Request for Information on the “Patients Over Paperwork” initiative. The initiative, first launched in 2017, aims to reduce unnecessary burden, increase efficiency, and improve the beneficiary experience by streamlining regulations and subregulatory guidance. CMS has received over 3,000 comments since that time, classified into nine categories. LeadingAge national’s comments, available here, centered around documentation requirements and quality measures.

 

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  Advocacy in Action 

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Member Update August 16, 2019

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

August 16, 2019

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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Thanks to all who respond to questions from fellow members. Click on the link below to download responses to the most recent question. Everyone who responded said their security staff was unarmed. A few respondents provided additional information.

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

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

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

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

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

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

Member Survey Deadline EXTENDED: Friday, August 30th
Please take a brief period of time to finish completing the national member survey and submit it today, if you have not already. The deadline for completion has been extended to Friday, August 30th. For more information, visit LeadingAge.org/2019MemberSurvey or email membersurvey@leadingage.org.

In Case You Missed It
Click below to read association updates from the last two weeks.

Follow @LeadingAgeNC on Social Media
Before summer winds down, be sure you are following LeadingAge NC on Twitter, Facebook, and Instagram. You'll be up-to-date on all the latest news, research, and programs!

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

Catalogue of all 2019 Events

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




Management Leadership Series
Next week on August 21, Still time to register
10am-3pm
Friends Homes West, Greensbor
o

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

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Mid Atlantic Marketing Symposium
September 18
9am-3:30pm
Covenant Woods in Mechanicsville, VA

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Workforce Summit
September 19
10am-3pm
Friends Homes Guilford in Greensboro

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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
October 11
9 - 10:30am
WeaverCooke, Greensboro

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

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Other Professional Opportunities

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

Your Employee Benefits Game Plan
Sponsored by Marsh & McLennan Agency,
a LeadingAge NC Platinum Member
Tuesday, September 17 in Raleigh - or -
Wednesday, September 18 in Greensboro
Noon-2:30pm

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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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10/28/2019
2019 State Night Out

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