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Membership Update

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


January 4, 2019

Contents
Click on the section you would like to view.
Advocacy & Policy
Strategic Thinking
News & Notes
Professional Development


Advocacy & Policy

2019 General Assembly Convenes January 9
LeadingAge North Carolina will be on location to ensure that laws are passed that create positive aging for every North Carolinian!

New Year, New Laws
As we rang in the New Year, we also sounded the bell on new laws in North Carolina. Notable changes include earlier primaries (even year primaries will be earlier, moved up from May to March), judicial redistricting (lawmakers redrew boundaries for superior court, district court, and prosecutorial districts), and hospital charges (hospitals are now required to post their standard charges for medical procedures, supplies, tests and other services).

Aging Services: Where We Stand as the 116th Congress Begins
The lame duck 115th Congress passed some measures of interest to aging service providers, but several other issues, especially senior housing funding for 2019, remain to be resolved by the 116th Congress that began yesterday. CLICK HERE for an analysis of where these issues currently stand.

Response from CMS about Effect of PBJ on Reported Staffing Levels
Back on September 4, 2018, we reported to you about LeadingAge’s response to concerns raised by US Senate Finance Committee members about reported staffing levels under the new payroll-based journal system:

LeadingAge Responds to Concerns About Reported Staffing Levels
LeadingAge President and CEO Katie Smith Sloan has responded to concerns raised by Senator Ron Wyden (D-OR), a ranking member of the Senate Finance Committee, on whether seniors and their families have accurate and complete information about the quality of nursing homes. Senator’s Wyden’s concerns are based on a report published by The New York Times earlier this summer regarding reported staffing levels in nursing homes under the new payroll-based journal (PBJ) system. LeadingAge President and CEO Katie Smith Sloan called on CMS to change its policy to adjust a nursing home’s Five Star rating as soon as the PBJ staffing data has been corrected rather than waiting until the end of the quarter.

CMS has responded to LeadingAge's response, which you may view by clicking here. LeadingAge will continue to monitor and report challenges to CMS regarding PBJ and the Nursing Home Five Star system.

Impact of the Government Shutdown on Affordable Housing Properties
Given that the partial shutdown is heading into its second week - and United States Housing and Urban Development subsidies may begin to fall short in some cases as the time stretches out - here is information posted two days ago to the LeadingAge Housing Operations and Policy listserv:

From conversations with HUD staff, just prior to the shutdown, we were assured that the “vast majority” of ongoing rental assistance contracts “should generally be paid on schedule.” However, projects with contracts that show as being expired or short on funds in TRACS may need to submit a HUD Form 9250 to request an advance of funds from the reserve for replacements account.

According to a HUD confirmation on January 2nd,) each Satellite Office has Excepted or Intermittent staff that can help with “emergency” situations. Generally, all of the Regional and Satellite Directors, and some select staff, should be available. 9250 requests can be sent directly to Directors. If you have any difficulty, please send copies to Colleen Bloom at LeadingAge national. LeadingAge will share with HUD headquarters staff and prompt to facilitate a response by appropriately exempted and/or regional oversight staff.

Here are some additional questions on HUD and the government shutdown that may be of interest.

McKnight’s Features LeadingAge Leadership Summit & Town Hall Conversations
LeadingAge national’s upcoming Leadership Summit March 17-20 in Washington, DC and its ongoing Town Hall Conversations to help inform public policy efforts were featured in a McKnight’s New Year’s article. This year’s Leadership Summit is an excellent forum to learn more about the issues facing our field and make your voice heard with our elected federal officials. We’ll be providing more information about this year’s North Carolina Town Hall Conversation as we finalize the dates.

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Strategic Thinking


Opportunity and Crisis: Skilled Nursing Leaders Make Their Top Predictions for 2019
January 1, 2019, Skilled Nursing News
Outlooks on 2019 are provided to Skilled Nursing News by LeadingAge national staff, as well as Zeigler, Lancaster Pollard, Aegis Therapies (all LeadingAge North Carolina members) and more.

How to Manage Someone Who is Totally Disorganized
December 31, 2018, Harvard Business Review
Instead of silently feeling frustrated, there are several ways you could assist an employee who is disorganized. Check out this article for a list of practical interventions and two case studies. And remember, there is an effective middle ground between coddling and being impatient.

Misconceptions About Health Costs When You’re Older
December 24, 2018, The New York Times
This article tackles the expense side of an emotional issue: end-of-life. After citing research, probability, and yet more numbers, the author reminds us that we're talking about people here. Maybe easing suffering is worth the money it costs. The analysis provided is worth a read.

Working With Older Adults
December 2018, American Psychological Association
The scarcity of psychologists trained to treat older adults (1.2%) is leading to initiatives to improve those numbers. Check out this article for more information on the small but developing field of geropsychology. To help support your residents living with mental illness, check out the first article under News and Notes for a free training video series available to LeadingAge members.

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News and Notes

Free Mental Health Training Resource
Supporting residents with mental illness requires special training. So we want to be sure you are aware of a great free training resource available in the LeadingAge national learning hub. The series of free videos covers topics included in the written guide developed by Jewish Community Housing for the Elderly and Jewish Family & Children’s Service. It mirrors an in-person training, including role playing examples of situations commonly encountered by staff that can be applied across a variety of aging services settings. Check it out today.

Reflections on 2018’s Hurricane Season…And Suggestions!
This December 28, 2018 article from “Shots: Health News from NPR” details specific steps staff at Bishop Gadsden Retirement Community in Charleston took during Hurricane Florence.

Please Keep Us Up to Date on Your Major Staffing Changes
In an effort to keep our contact information current with our members and their staff, we request that you notify Jennifer Gill as soon as possible when you have significant staffing changes (i.e. staff leave or new staff arrive).

Tom Akins Available to Speak with Your Constituents

As you plan your 2019 calendar, please remember that LeadingAge North Carolina President and CEO, Tom Akins, is available to offer trend analysis presentations and other topics for your constituents. Contact Tom today to discuss your needs or please contact Jennifer Gill in our office at 919-571-8333 for more information.

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Professional Development

Phase 3 RoP: What to Expect; Developing Your Facility Action Plan
Moving Mountains
: SNF Provider Training, Tools, and Insight to Conquer 2019 Industry Changes

Webinar Series
All sessions held the first Wednesday of each month February through November this year at 2pm eastern time.

Registration
Series: $800 members / $1,600 non-members
Individual session: $75 members / $125 non-members

NAB Approved Contact Hours: 1.25 each session

This webinar series will guide providers in implementing a step-wise action plan to manage the industry changes taking effect in 2019 including Phase 3 RoP (Requirements of Participation) and preparing for the reimbursement transition from Medicare PPS RUGs IV to the Patient Driven Payment Model (PDPM). Additional sessions may be added in the fall of 2019 based on member feedback and CMS updates.

Target Audience: Director of Nursing, Assistant Director of Nursing, Nurse Managers, Nursing Home Administrators, Nursing Staff & Leaders, RAI Coordinator, QA Director, Social Services, Staff Development Coordinator, Rehabilitation Services, Board Members

Register online today.
Download flyer.

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New Year Office Hours

Posted By Jennifer Gill, Friday, December 28, 2018
Wishing everyone a safe and happy new year! Our office will be closed on Monday, December 31st and Tuesday, January 1st in observance of the holiday.

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Holiday Office Hours

Posted By Jennifer Gill, Friday, December 21, 2018
Warmest wishes from all of us to each of you for a peaceful holiday season. Our office will be closed December 24, 25, 31, and January 1.

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Membership Update

Posted By Jennifer Gill, Friday, December 21, 2018
Updated: Monday, December 17, 2018


 December 21, 2018





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Membership Update

Posted By Jennifer Gill, Friday, December 7, 2018
Updated: Thursday, December 6, 2018


 December 7, 2018

Contents
Click on the section you would like to view.
Advocacy & Policy
Strategic Thinking
News & Notes
Volunteer Spotlight
Professional Development
Value First


Advocacy & Policy

Feds Order More Weekend Inspections Of Nursing Homes To Catch Understaffing
In late November CMS announced plans to focus on potential violations of weekend staffing requirements by conducting more surprise inspections on weekends in conjunction with standard annual reviews. Katie Smith Sloan is quoted in the article as saying that some homes are still struggling to adapt to the new data collection rules. "We've been voicing our concerns to CMS and will continue to do so."

Poor-Quality Caregiving Must Never Be Tolerated
This letter to the editor by Katie Smith Sloan in support of quality improvement measures, not additional regulation, was written in response to a November 25th investigative article from The Washington Post. That article, entitled, "Overdoses, bedsores, broken bones: What happened when a private-equity firm sought to care for society's most vulnerable," reported on abysmal caretaking by a for-profit skilled nursing facility in Pennsylvania.

Prospective Payment System Calculator Tool Updated
LeadingAge has updated Medicare Part-A Skilled Nursing Facility Prospective Payment System (PPS) calculator and the Medicare Part B therapy rate calculator to help members assess and estimate the impact of final payment changes for FY 2019, which begins on Oct. 1, 2018. Additionally, the Medicare Part-A SNF PPS and Medicare Part B therapy rate calculators for FY 2018 are available. Access to these tools requires login via My.LeadingAge.

How California Is Changing Palliative Care
In 2019 California will become the first state in the nation to mandate home-based palliative care for people enrolled in its Medicaid program called Medi-Cal. The new mandatory home-based program will help patients manage the symptoms of their life threatening illness as well as help them and their families navigate each of the additional profound challenges they face such as homelessness, food insecurity, mental illness, and substance abuse. Palliative care experts hope California will begin a national move to provide home-based palliative care not only to Medicaid patients but to those on Medicare and private pay insurance.


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Strategic Thinking

Set the Conditions for Anyone on your Team to be Creative
December 5, 2018, Harvard Business Review
This author believes anyone can be creative, which is great news if you're in a creative rut. Check out this article for more details on these ways to get your creative juices flowing: cultivating expertise, exploring, using technology, and being persistent.

As Work Gets More Complex, Six Rules to Simplify
October 2013, TED Talk by Yves Morieux
More than ever employees are on their own to navigate their increasingly complex work places, leaving them disengaged or miserable. In this energetic 12-minute talk, Yves Morieux offers six rules for "smart simplicity." Rule one: Understand what your colleagues actually do.

9 Ways to Improve Employee Retention With 'Stay Interviews'
December 6, 2018, CMS Wire
Nine excellent suggestions are provided in this helpful article on employee retention. The concept of a 'Stay Interview' may be new to your HR department. Details on what to ask during such an interview, what to call it (A Stay Experience), and how to use the information are also included in this useful read. Learn more.

Six Months in, Alzheimer's Response Team Shows Promising Results
December 5, 2018, The San Diego Union-Tribune
This innovative idea might work in your community-at-large to become an aging-friendly environment. The team featured in the article is comprised of deputy sheriffs, firefighters and other first responders. They are linked with social workers, clinicians and other dementia experts with the county’s department on aging. Only six months in the team reports 50 referrals and 22 assistance cases keeping people living with dementia out of jail, out of the emergency room, and receiving appropriate community response and support instead. To help make the case for the importance of such a response team, check out this December 2018 article on the number of Alzheimer's cases projected to triple by 2060.

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News and Notes

LeadingAge Prepares for 2019 Member Survey
In Spring 2019, LeadingAge national will be conducting a survey of provider members to help describe nonprofit members accurately, design meaningful advocacy efforts that meet member needs and develop relevant programs and services. By identifying trends that affect your organization, documenting workforce turnover rates, learning best practices of LeadingAge members, and more, LeadingAge national and LeadingAge North Carolina will be better positioned to advocate for important policy issues facing our field. More information about the member survey will be coming in early 2019.

LZ-200 Report: The Largest Nonprofit Multi-Site Aging Services Organizations
Since its inception in 2004, this publication has become an eagerly anticipated annual report of the largest and most complex not-for-profit senior living organizations. The 2018 report demonstrates the significant role that LeadingAge member not-for-profit organizations play in the aging services field. From the oldest to the newest, the largest to the smallest, each organization has a unique story that includes commitment, community support, stewardship, resilience, and a reputation for going above-and-beyond.

New LeadingAge CAST Safety Technology Tool Featured
McKnight's Senior Living recently featured the new Safety Technology Selection Tool by LeadingAge CAST. "New toolkit focuses on falls detection and prevention" includes links to the white paper, online product selection tool and product selection matrix that now compares 35 products from 19 vendors and provider case studies. The article notes that the white paper includes a section for providers on Medicaid waiver coverage of safety technologies. It also addresses ways to incorporate these technologies into business and care delivery models, and to calculate their return on investment.

Data Available on Aging Services Across the States
A recent report, Across the States: Profiles of Long-Term Services and Supports, by the AARP Public Policy Institute, provides valuable data on the population receiving aging services and the ways in which these services are provided, broken out by state. The report discusses demographics, social indicators, income levels, costs of care, insurance coverage and Medicaid participation, and other factors relevant to our field. This kind of data can be useful in ascertaining trends in our field and planning our organizations' futures. We will also use this data in our advocacy on issues affecting older people and their families. Among the report's findings:

  • The population aged 85 and over will triple by the year 2050;
  • Ethnic diversity within this population is increasing; and
  • States are devoting more of their Medicaid long-term services and supports budgets to home- and community-based services.

Please Keep Us Up to Date on Your Major Staffing Changes
In an effort to keep our contact information current with our members and their staff, we request that you notify Jennifer Gill as soon as possible when you have significant staffing changes (i.e. staff leave or new staff arrive).

Tom Akins Available to Speak with Your Constituents

Tom is adding speaking engagements to his calendar thanks to members who are calling to request him on their meeting agendas. As a free member service, he is available to offer trend analysis presentations and other topics for your constituents. Contact Tom today to discuss your needs or please contact Jennifer Gill in our office at 919-571-8333 for more information.

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Volunteer Spotlight


Anita Holt
President and CEO
The Forest at Duke


Thank you to Anita Holt, President and CEO of The Forest at Duke in Durham, for her service to the board since 2016. Board members of LeadingAge North Carolina are leaders of our nonprofit membership and volunteers who offer their time and expertise with the sole purpose of enriching the field. Anita serves on the board as Treasurer and we are so glad to share more about her.

1. Why did you become involved with LeadingAge NC?

Throughout my career, I have always actively participated in the state associations. North Carolina is no exception. I believe in their role of support and advocacy on behalf of our industry, best practices and elevating the quality and scope of services available to older adults and that the association provides proactive attention to our regulatory and legislative environment. LeadingAge North Carolina is particularly collegial and supportive in its leadership and membership which makes it very easy to become involved.

2. What makes our mission meaningful to you?
The opportunity to collectively serve in a value laden, principled way.

3. If you had unlimited resources, what is the one thing you as a board member would like to do for the population we serve?
I would like to ensure that we explore and deliver flexible, quality care and services across the economic continuum. I would like to see us do so by serving as facilitators, collaborators and partners for innovation and creative access for older adults, their families and caregivers.

4. If you could swap jobs with a staff member for a day, what would you try?
If I were swapping jobs for a day it would probably be in the memory support or dementia care areas with activities, programs and socialization.

5. What do you do to relax, get away, to recharge your batteries?
The best relaxation is travel, particularly where phone service and email coverage are sketchy! Absent that a great book and a glass of wine will do!

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Professional Development

NEW!!! Phase 3 RoP: What to Expect; Developing Your Facility Action Plan
Moving Mountains
: SNF Provider Training, Tools, and Insight to Conquer 2019 Industry Changes

Webinar Series
All sessions held the first Wednesday of each month from November 2018 to November 2019 at 2pm eastern time (except Jan. 2019)

Registration
Series: $800 members / $1,600 non-members
Individual session: $75 members / $125 non-members

NAB Approved Contact Hours: 1.25 each session

This webinar series will guide providers in implementing a step-wise action plan to manage the industry changes taking effect in 2019 including Phase 3 RoP (Requirements of Participation) and preparing for the reimbursement transition from Medicare PPS RUGs IV to the Patient Driven Payment Model (PDPM). Additional sessions may be added in the fall of 2019 based on member feedback and CMS updates.

Target Audience: Director of Nursing, Assistant Director of Nursing, Nurse Managers, Nursing Home Administrators, Nursing Staff & Leaders, RAI Coordinator, QA Director, Social Services, Staff Development Coordinator, Rehabilitation Services, Board Members

Register online today.
Download flyer.

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A group purchasing organization of LeadingAge North Carolina.

Need a Lift?
ArjoHuntleigh (aka Arjo) is offering LeadingAge-Value First members up to
27% and 39% discount on select lifts for long term care communities during December. Offer ends 12/31/18.

Arjo products and solutions ensure ergonomic patient handling, personal hygiene, disinfection, diagnostics, and the effective prevention of pressure injuries.

Click here for information on specific models available during in this special offer.

Registration Confirmation and Arjo Rep Information
Email Vanessa Ceasar or call 404-421-3956 to find out if your community is registered to purchase from Arjo through Value First—and to get contact information for the Arjo professional covering your area if you do not currently purchase from Arjo.


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Thanksgiving Office Hours

Posted By Jennifer Gill, Monday, November 19, 2018
The LeadingAge North Carolina office will be closed Thursday and Friday, November 22nd and 23rd in observance of Thanksgiving. Warmest wishes from all of us for a wonderful holiday.

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Membership Update

Posted By Jennifer Gill, Friday, November 16, 2018
Updated: Thursday, November 15, 2018


 November 16, 2018

Contents
Click on the section you would like to view.
Advocacy & Policy
Strategic Thinking
News & Notes
Congratulations
Professional Development
Value First


Advocacy & Policy

State and Federal Mid-Term Election Results Almost Finalized
Results from the November 6 mid-term elections are almost finalized. There are still a few North Carolina House of Representatives races to be called and one Senate race. At this point, it appears the House lineup will be 65 Republicans and 55 Democrats; on the Senate side, it appears the lineup will be 29 Republicans and 21 Democrats. Because of Democrat pickups in both chambers, the Republican “super majority” will no longer be a reality. As a result, Governor Roy Cooper will have more relevance in the upcoming long session. Please note: the Senate election in New Hanover County between incumbent Senator Mike Lee and challenger Harper Peterson could restore the Republican super majority in the Senate. Peterson currently leads by about 40 votes but that number could change as final ballots are counted between now and the state certification date of November 27.

Four of the six constitutional amendments passed in North Carolina. Those that passed included the income tax cap of 7%, voter identification, hunting & fishing, and victims’ rights. The two amendments that did not pass included allowing the General Assembly to fill judicial vacancies and ensuring equal numbers of Republicans and Democrats on the state board of elections/ethics. It is anticipated that the November 27 special session will focus mainly on implementing legislation for the voter identification amendment before Republicans lose their super majority on January 1.

On the Federal side, the House of Representatives now has a Democrat majority, which means new committee chairs and a new Speaker of the House. Republicans grew their majority in the Senate and, pending final results in Mississippi and Florida, will have 53 Senators to the Democrats 47. With each party in control of one chamber, it may very well be that even less will happen over the next two years at a federal level.

 

Take Action: Congress Must Finish HUD Funding Bill
Congress is back for a "lame duck" session and must enact a final fiscal year 2019 HUD appropriations bill as soon as possible. HUD’s programs are currently funded under a Continuing Resolution through December 7. Housing providers and the residents they serve need a full-year appropriations bill to ensure uninterrupted funding for the next year. Please send a message to your lawmakers today to ensure funds for affordable housing for older adults is passed in time! Visit the action alert information page and follow the instructions to email your senator/representative.

Medicare Expands Access to In-Home Support for Seniors
November 9, 2018, The Washington Post
In twenty states Medicare is expanding reimbursement beyond strictly medical services to offer reimbursement for services such as in-home chores for Medicare Advantage Plan subscribers. This article from The Washington Post provides more detail. In North Carolina several providers are in conversation with Medicare Advantage Plans about offering services for reimbursement such as home-delivered meals and transportation. NC Health News provides more information in this article.

 

CMS SNF Preview Reports Now Available
CMS Skilled Nursing Facility Provider Preview Reports have been updated and are now available. Providers have until November 30, 2018 to review their performance data on quality measures based on Quarter 2 -2017 to Quarter 1 – 2018 data, prior to the January 2019 Nursing Home Compare site refresh, during which this data will be publicly displayed. Corrections to the underlying data will not be permitted during this time. However, providers can request a CMS review during the preview period if they believe their data scores displayed are inaccurate. It is important to review your organization’s reports. For more information, visit the CMS SNF Quality Public Reporting webpage, which also includes directions for accessing your preview report.

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Strategic Thinking

 

What Do Long-Term Services and Supports Cost in 2018?
Genworth, an insurance company providing long-term care insurance and planning, has released its latest report on the costs of nursing home, assisted living, and home health care. The report is based on this year's survey of more than 15,500 service providers. Data is broken down to show costs on an annual, monthly, and daily basis according to provider type and by state.

The Comforting Fictions of Dementia Care
October 8, 2018, The New Yorker
This long-form article weaves the evolution of dementia care philosophy together with stories of residents living in a dementia care setting in Ohio. Very difficult questions are asked. Why would dementia caregivers knowingly speak untruths? What is the purpose of reality orientation and is it effective? How can we empathically support residents living with the panic and confusion that can accompany dementia? Read more.

Top 8 Healthcare Predictions for 2019
November 13, 2018, Forbes
For ten years Forbes has been making predictions for healthcare. The 2018 predictions that were released in December 2017 were almost 98% accurate and each one of them panned out during the course of the year. Click here to read 2019's predictions.

Caring for Your Company’s Caregivers
November 13, 2018, Harvard Business Review
The fourth in a seven-part series on "The Aging Workforce," find out what the authors say companies are and are not doing to support employees who are caring for loved ones. And learn steps your organization can take now to better support this growing segment of the workforce.

Six Age-Friendly Practices Proving to Be Good for Business
November 5, 2018, Stria
National experts on generations research offer six tips for making your organization more inclusive from the standpoint of age. Click here to check out this brief article.

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News and Notes

Conference 2019 RFP Open Until November 30
At our 2019 Annual Conference we will ask some tough questions. What if we empowered our teams to take more strategic risks? What if we dreamed without limits?
What if you shared your expertise and experiences with the aging services field? What happens? Growth. Understanding. New ways of doing things. We need YOU, your expertise and your experiences to make this happen! We are looking for speakers who:

  • have actionable takeaways
  • create interactive environments
  • present original, thought-provoking content
  • leave audiences inspired and smarter than they were before

Submit your proposal today or by the November 30 deadline. The application is submitted online and is available by clicking here. Selected proposals will be notified at the start of 2019. Based on 2018 conference evaluations, attendees are interested in learning about:

  • finance/accounting
  • technology
  • public policy and regulations
  • workforce issues, successful retention and recruitment programs
  • communicating with family members
  • diversity of staff, board and residents
  • HIPAA compliance

Newly Expanded 15th Annual LeadingAge Ziegler 200 Report Outlines Senior Living Growth Trends
Click here
for the 15th annual LeadingAge Ziegler 200 report released earlier this week. The report details the nation’s 200 largest nonprofit senior living providers as well as business trends for the industry. The report was expanded this year to include 200 providers of nonprofit multi-site organizations, single-site campuses and government-subsidized multi-site housing, up from 150 in 2017.

GreatCall Teams with Ride-Sharing Service Lyft to Make Transportation Easier for Seniors
November 13, 2018, The San Diego Union-Tribune
In August, Best Buy acquired GreatCall, which provides mobile phone services for older adults. GreatCall has now teamed with Lyft to offer Greatcall Rides, which lets older adult subscribers schedule transportation without the use of a smartphone or app. Read more about how the program works.

Please Keep Us Up to Date on Your Major Staffing Changes
In an effort to keep our contact information current with our members and their staff, we request that you notify Jennifer Gill as soon as possible when you have significant staffing changes (i.e. staff leave or new staff arrive).

Tom Akins Available to Speak with Your Constituents

Tom is adding speaking engagements to his calendar thanks to members who are calling to request him on their meeting agendas. As a free member service, he is available to offer trend analysis presentations and other topics for your constituents. Contact Tom today to discuss your needs or please contact Jennifer Gill in our office at 919-571-8333 for more information.

Support Disaster Relief for LeadingAge NC Members
Information about LeadingAge national's Disaster Relief Fund – and how donations can be made – can be found by CLICKING HERE.

Please let us know if you have any questions about the LeadingAge national Disaster Relief Fund. We’ll keep you updated about contributions, disbursements, and the process for seeking help. And, as always, thank you for your continuing commitment to those in need.

Hurricane Florence Recovery Resources
LeadingAge North Carolina has created a page on our website dedicated to disaster resources: preparedness, response and recovery. If you haven't been to the page recently, please revisit, as North Carolina-specific resources have been added.

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Congratulations

Cross Road Retirement Community in Asheboro recently celebrated its 35th anniversary. Congratulations on this exciting milestone and here's to many more!


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Professional Development

NEW!!! Phase 3 RoP: What to Expect; Developing Your Facility Action Plan
Moving Mountains
: SNF Provider Training, Tools, and Insight to Conquer 2019 Industry Changes

Webinar Series
All sessions held the first Wednesday of each month from November 2018 to November 2019 at 2pm eastern time (except Jan. 2019)

Registration
Series: $800 members / $1,600 non-members
Individual session: $75 members / $125 non-members

NAB Approved Contact Hours: 1.25 each session

This webinar series will guide providers in implementing a step-wise action plan to manage the industry changes taking effect in 2019 including Phase 3 RoP (Requirements of Participation) and preparing for the reimbursement transition from Medicare PPS RUGs IV to the Patient Driven Payment Model (PDPM). Additional sessions may be added in the fall of 2019 based on member feedback and CMS updates.

Target Audience: Director of Nursing, Assistant Director of Nursing, Nurse Managers, Nursing Home Administrators, Nursing Staff & Leaders, RAI Coordinator, QA Director, Social Services, Staff Development Coordinator, Rehabilitation Services, Board Members

Register online today.
Download flyer.

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A group purchasing organization of LeadingAge North Carolina.


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Inclusion Insights November 2018

Posted By Jennifer Gill, Friday, November 9, 2018
Updated: Friday, November 9, 2018


November 9, 2018

Welcome to the tenth 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.


Creating an Inclusive Culture

Change Starts At The Top: How Leaders Can Foster A Culture Of Inclusion
November 6, 2018, Forbes

No matter how many diversity training and inclusion programs are incorporated into the organization, all efforts will crumble without support from senior leaders. Research indicates that diversity and inclusion initiatives are exponentially more effective when they are championed from the top of the organization. How can organizational leaders create a culture of inclusion and foster a sense of belonging for all employees?

Two Powerful Ways Managers Can Curb Implicit Biases
October 1, 2018, Harvard Business Review

Many managers want to be more inclusive. They recognize the value of inclusion and diversity and believe it’s the right thing to aspire to. But they don’t know how to get there. ( . . . ) Based on [the authors'] work at the Stanford Women’s Leadership Lab, helping organizations across many industries become more diverse and inclusive, [their] research shows there are two, small — but more powerful — ways managers can block bias... Read more.

Why Hiring "Diverse" Talent Won't Always Lead To Inclusion
November 1, 2018, Forbes

There is no doubt that hiring diverse talent is part of the remedy, but it is still not the full solution if we are trying to work towards inclusion. The real fact is that while companies may be trying to hire more diverse talent, their structures and company culture [are] not set up for it. Read more.

How Managers Can Make Casual Networking Events More Inclusive
October 22, 2018, Harvard Business Review

[A] few networking events ( . . . ) with like-minded colleagues isn’t so bad, right? Unfortunately, these seemingly innocuous meetings can have consequences, and most of them fall on the careers of employees from underrepresented backgrounds. ( . . . ) Part of the solution is to invite people from underrepresented backgrounds to these kinds of events. ( . . . ) A good first step for managers is to master the practices based on interviews [the author] conducted.



Diversifying Leadership

Nonprofit Leadership: How to Create a Diverse Pipeline to the Top
September 21, 2018, Forbes

[B]oth nonprofit and for-profit leaders and boards of directors need to be intentional in attracting, building and retaining talent in these underrepresented populations. ( . . . ) If every executive took one woman or person of color, mentored and encouraged them to move up within the company or seek higher levels outside of the company, we would see gradual but significant improvement. We can accomplish this by doing three things... Read more.

Fixing the Gender Imbalance in Healthcare Leadership
October 1, 2018, Harvard Business Review

Currently in the US, only 3% of healthcare CEOs are women, 6% are department chairs, 9% are division chiefs, and 3% are serving as chief medical officers. This is despite women comprising 80% of the healthcare workforce and evidence that having women in upper management and on corporate boards is associated with improved financial performance and enhanced accountability. [The author] highlight[s] four priority areas for organizations seeking to systematically improve the promotion of women.

Why Companies Should Add Class to their Diversity Discussions
September 5, 2018, Harvard Business Review

Diversity, equity, and inclusion initiatives should factor in multiple aspects of diversity, such as class and disability, as well as gender and race. Employers who exclude class from discussions about diversity and inclusion risk losing or alienating talented employees. This applies both to class migrant white men who may be excluded from diversity or inclusion initiatives, despite lacking the advantages that their elite counterparts have, and to employees of color, as people of color are more likely than white people to be class migrants.


Strategic Framework

How to Communicate Diversity and Inclusion When You Aren't Quite There Yet
November 2, 2018, Sustainable Brands

[C]ommunicating what you’re doing to address diversity and inclusion is no longer optional — internal and external stakeholders have come to expect it. So, how do you communicate about your efforts regardless of your current situation? How can you shed a positive light on your progress without it coming off as disingenuous or a PR spin? [The author] share[s] five strategies to help any company struggling to communicate this sensitive but important topic.

Commentary: To be an Employer of Choice, you Need a Diversity and Inclusion Strategy
October 24, 2018, Modern Healthcare

Healthcare executives recognize that differences are not always apparent, especially in communities that seem homogeneous. Veterans, women returning to the workforce, members of the LGBTQ community and people with disabilities are among the diverse constituencies with varied needs and desires as employees, patients and vendors. Just as employee surveys across all departments and salary levels reveal staff concerns about issues like scheduling or night-time parking, ongoing attention to inclusion will indicate ways to be more culturally responsive. Perhaps the cafeteria food should include more choices that fit Hindu or Muslim dietary observances. Or Latino staff may request a Hispanic business resource group be established. Read more.


Resources

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



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Professional Development Update

Posted By Jennifer Gill, Thursday, November 8, 2018


November 7, 2018

As 2018 winds to a close we at LeadingAge North Carolina want to take a moment to thank you for the important work you do. Caring for others is challenging and not always appreciated by the society at large. We value you and we are uplifted by your dedication to your communities and each person you serve.

To support you, LeadingAge North Carolina education programs continue through the year. Check out the Phase 3 RoP webinar series the first Wednesday of each month. It's a great way to learn along with other staff at your community. And if you have a great idea to share, be sure to submit a session proposal(s) by November 30 to present at our 2019 annual conference so that you might share your experience with others who could benefit as well. Please read on for more.


Submit Your 2019 Conference RFP by November 30
At the LeadingAge North Carolina 2019 Annual Conference in Myrtle Beach, SC May 6-9, 2019 we will ask some tough questions.

What if
we empowered our teams to take more strategic risks?What ifwe dreamed without limits?
What ifyou shared your expertise and experiences with the aging services field? What happens? Growth. Understanding. New ways of doing things. We need YOU, your expertise and your experiences to make this happen!We are looking for speakers who:

  • have actionable takeaways
  • create interactive environments
  • present original, thought-provoking content
  • leave audiences inspired and smarter than they were before

Submit your RFP today or by the November 30 deadline. The application is submitted online and is available by clicking here. Based on 2018 conference evaluations, attendees are interested in learning about:

  • finance/accounting
  • technology
  • public policy and regulations
  • workforce issues, successful retention and recruitment programs
  • communicating with family members
  • diversity of staff, board and residents
  • HIPAA compliance

We are seeking a variety of topics relevant to the field. Formats that include multi-disciplinary panels and member communities are encouraged. Submit your RFP today!


NEW!!! Phase 3 RoP: What to Expect; Developing Your Facility Action Plan
Moving Mountains
: SNF Provider Training, Tools, and Insight to Conquer 2019 Industry Changes

Webinar Series
All sessions will be held the first Wednesday of each month from November 2018 to November 2019 at 2pm eastern time (except Jan. 2019)

Registration
Series: $800 members / $1,600 non-members
Individual session: $75 members / $125 non-members

NAB Approved Contact Hours: 1.25 each session

This webinar series will guide providers in implementing a step-wise action plan to manage the industry changes taking effect in 2019 including Phase 3 RoP (Requirements of Participation) and preparing for the reimbursement transition from Medicare PPS RUGs IV to the Patient Driven Payment Model (PDPM). Additional sessions may be added in the fall of 2019 based on member feedback and CMS updates.

Target Audience: Director of Nursing, Assistant Director of Nursing, Nurse Manages, Nursing Home Administrators, Nursing Staff & Leaders, RAI Coordinator, QA Director, Social Services, Staff Development Coordinator, Rehabilitation Services, Board Members

Register online today
Download flyer

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


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Membership Update

Posted By Jennifer Gill, Friday, November 2, 2018
Updated: Thursday, November 1, 2018


 November 2, 2018

Contents
Click on the section you would like to view.
Advocacy & Policy
Strategic Thinking
News & Notes
Volunteer Spotlight
Professional Development
Value First


Advocacy & Policy

Early Voting Ends Tomorrow
One-stop early voting is now open in all 100 counties of North Carolina. The early voting period, which continues through tomorrow (November 3), is the last opportunity for North Carolinians to register to vote this fall if they have moved since the last election.

North Carolina Health News Releases Regional Voter Guides
North Carolina Health News queried all of the candidates running in Congressional districts in North Carolina on a series of health care-related questions. Their responses are segmented by geographic region. See what candidates running for office in western North Carolina, central North Carolina, and eastern North Carolina, had to say.

Senior Tar Heel Legislature Sets Legislative Priorities

The NC Senior Tar Heel Legislature (STHL) convened in Chapel Hill for its fall meeting. While at the meeting, STHL delegates and alternates selected their legislative priorities for the 2019 legislative session. They are as follows:

  • Increase Home and Community Care Block Grant funding by $7 million in recurring funding.
  • Maintain the current General Purpose funding for Senior Centers and increase the funding by a recurring $350,000.
  • Increase funding for Project C.A.R.E. (Caregiver Alternative to Running on Empty) in 2019-2020 by $500,000, and in future years increase funding by 10 percent annually for expected growth.
  • Make available $7 million in recurring funds to meet the growing need for Adult Protective Services and conduct a comprehensive evaluation/review of these services to ensure this protection is adequate.
  • Enact legislation which establishes either a mandatory standardized hours per patient day or minimum staff-to-patient ratio for direct patient care in nursing homes, including enforcement of standards and consequences to ensure quality care in homes in the state, regardless of whether they are for-profit or non-profit organizations.

Seven Million Registered to Vote in North Carolina
According to data kept by the N.C. State Board of Elections and Ethics Enforcement, there are a total of 7,005,682 registered voters in the state. Of those, 2,664,789 are registered Democrats, 2,092,166 are registered Republicans, and 2,211,421 are registered as unaffiliated. There are 522 registered Green Party voters, 352 registered Constitution Party voters and 36,432 registered Libertarians. Mecklenburg County has the most registered voters in the state at 732,510. Tyrrell County has the fewest registered voters, with 2,419 registered voters.

US Department of Labor Announces Plans to Release New Overtime Regulations
The U.S. Department of Labor (DOL) announced that it plans to issue proposed regulations "to determine the appropriate salary level for exemption of executive, administrative and professional employees" in March 2019. As you may recall, many nonprofits were concerned that the Obama Administration's 2016 overtime regulations - which were ultimately blocked at the last minute by a federal court - would have created significant new costs for their organizations. Other nonprofits appreciated that the DOL's 2016 overtime rule would have raised pay and reduced working hours for many North Carolinians. The Obama Administration rule would have raised the minimum salary for exempt administrative, executive, or professional employees from the current level of $455 per week ($23,660 per year) to $913 per week ($47,476 per year). It is expected that the Trump Administration's DOL will likely raise the salary threshold to something closer to $35,000, which may alleviate many of nonprofits' concerns from the Obama-era proposed regulations. It is unclear whether the new regulations that will be released next year will also make changes to the duties tests and/or will clarify some unanswered questions about whether certain types of nonprofit employees are properly classified as administrative, executive, or professional employees.

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Strategic Thinking

 

The 6 Fundamental Skills Every Leader Should Practice
October 24, 2018, Harvard Business Review
Harvard Business Review researchers point to six leadership skills where practice is particularly important. These are not mysterious and certainly aren’t new. However, the leaders they talked with emphasized that these fundamental skills really matter. Aspiring leaders should focus on practicing these essential basics. Click here to read more.

The Art of the Elevator Pitch
October 3, 2018, Harvard Business Review
Business leaders can use 'loglines' to clearly explain a complex idea. If mastered, this can be a powerful and influential tool. But communicating your point in a simple, digestible way is hard. It’s actually easier to add clutter to business presentations than it is to eliminate unnecessary details and condense. Though mastering the logline is challenging, there are steps you can take to do so. Click here to read more.

Empty-nester + young adult = perfect roommates?
October 20, 2018, The Boston Globe
A pair of MIT urban-planning graduate students are providing a way for older people, who increasingly are living alone, to stay in their homes as they age by pairing them with young adults who are looking for affordable housing. Whether such arrangements can work on a broader scale still remains to be seen, though the concept is attracting attention. Click here to read more.

LeadingAge CAST Tackles Falls Detection, Prevention and More with New Safety Technologies Toolkit
The LeadingAge Center for Aging Services Technologies (CAST) introduced its first-ever toolkit devoted to safety technology for use in long-term and post-acute care environments. The five-part resource educates members on the breadth of available devices, applications and services available to help improve safety, sense of security, peace of mind and quality of life and care for older adults and their caregivers. The toolkit includes: a whitepaper, an interactive guide, an online product selection tool and a product selection matrix, both comparing 34 products from 18 vendors, and case studies from providers utilizing safety technology. Check out the toolkit by clicking here.

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News and Notes

Conference 2019 RFP Open
At our 2019 Annual Conference we will ask some tough questions. What if we empowered our teams to take more strategic risks? What if we dreamed without limits?
What if you shared your expertise and experiences with the aging services field? What happens? Growth. Understanding. New ways of doing things. We need YOU, your expertise and your experiences to make this happen! We are looking for speakers who:

  • have actionable takeaways
  • create interactive environments
  • present original, thought-provoking content
  • leave audiences inspired and smarter than they were before

Submit your RFP today or by the November 30 deadline. The application is submitted online and is available by clicking here. Based on 2018 conference evaluations, attendees are interested in learning about:

  • finance/accounting
  • technology
  • public policy and regulations
  • workforce issues, successful retention and recruitment programs
  • communicating with family members
  • diversity of staff, board and residents
  • HIPAA compliance

Ride Services To Help Older Voters Get To The Polls
October 30, 2018, Next Avenue
There are several transportation providers catering to older adults that could be useful on voting day, and some are not dependent on having an app on a smart phone. Click here to check out a list of some options.

Program Assists with Medication Disposal
Operation Medicine Drop (OMD) is a partnership of many agencies and the NC Department of Insurance which provides safe disposal of medications without endangering the environment and eliminating the risk of these drugs getting into the hands of children or others from medicine cabinets of family and friends. The first OMD takeback event was held in 2010 and since that time, OMD has collected nearly 130 million pills, supported over 3300 events, and houses more than 250 drop box locations. If interested in holding a takeback event in your community, click here for information. If you have questions or need additional information, contact Lisa Blackmon at the NC Department of Insurance at (919) 647-0080.

New Study Forecasts Alzheimer’s Numbers
The CDC has published new estimates of the number of Americans with Alzheimer's Disease online in Alzheimer's & Dementia: The Journal of the Alzheimer's Association. This is the first study to forecast by race and ethnicity and reveals disparities along both lines. It is predicted that by 2060, the burden from Alzheimer's disease and related dementias (ADRD) will double. Click here to read the full study.

Medicare Open Enrollment Changes
There are changes in Medicare Open Enrollment notifications in 2018. The Medicare’s Open Enrollment Period (OEP) started October 15th and ends December 7th. This is the time of year where Medicare recipients can re-evaluate their coverage to make sure they are still enrolled in the best plan for their needs. With the changes occurring this year, it is important to stay abreast of all the notices provided. To read more about the notifications changes, click here.

Home Safety Checklist for Alzheimer's Disease
This is a room-by-room checklist that highlights potential hazards in the home and suggests changes to help keep a person with Alzheimer's disease safe. Examples include covering unused electrical outlets with childproof plugs, placing light switches at the top and the bottom of stairs, and keeping all medications (prescription and over-the-counter) locked. The National Institute on Aging suggests re-evaluating home safety periodically as behavior and abilities change. Click here to read more.

Please Keep Us Up to Date on Your Major Staffing Changes
In an effort to keep our contact information current with our members and their staff, we request that you notify Jennifer Gill as soon as possible when you have significant staffing changes (i.e. staff leave or new staff arrive).

Tom Akins Available to Speak with Your Constituents

Tom is adding speaking engagements to his calendar thanks to members who are calling to request him on their meeting agendas. As a free member service, he is available to offer trend analysis presentations and other topics for your constituents. Contact Tom today to discuss your needs or please contact Jennifer Gill in our office at 919-571-8333 for more information.

Support Disaster Relief for LeadingAge NC Members
Information about LeadingAge national's Disaster Relief Fund – and how donations can be made – can be found by CLICKING HERE.

Please let us know if you have any questions about the LeadingAge national Disaster Relief Fund. We’ll keep you updated about contributions, disbursements, and the process for seeking help. And, as always, thank you for your continuing commitment to those in need.

Hurricane Florence Recovery Resources
LeadingAge North Carolina has created a page on our website dedicated to disaster resources: preparedness, response and recovery. If you haven't been to the page recently, please revisit, as North Carolina-specific resources have been added.

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Volunteer Spotlight


Bob Wernet
President and CEO
Deerfield

Thank you to Bob Wernet, President and CEO of Deerfield in Asheville, for his service to the board since 2014. Board members of LeadingAge North Carolina are leaders of our nonprofit membership and volunteers who offer their time and expertise with the sole purpose of enriching the field. Bob serves on the board as past chair and we are so glad to share more about him.

1. Why did you become involved with LeadingAge NC?
I moved to Asheville in the late '90s from Florida. I had been active with LeadingAge Florida and National. So it was natural for me to be involved here.

2. What makes our mission meaningful to you?
Actually many things, I have developed so many meaningful relationships through LANC that I am sure will continue even after I retire someday. The resources and connections through LANC makes me and my organization better. On the education and public policy side, we are much more effective and efficient by working together to achieve common goals. LeadingAge NC is a great value for our members and has a very efficient and effective management team. They are the best!!

3. If you had unlimited resources, what is the one thing you as a board member would like to do for the population we serve?
To effectively and efficiently serve those with less. I also believe that we are going to see more and more opportunities to implement technological advances that will enhance older adults lives as well as the ability to age in place. But the technology will initially be costly.

4. If you could swap jobs with a staff member for a day, what would you try? I like to cook, but cooking for several hundred people is a bit daunting. Our satisfaction surveys will likely take a hit, but I’ll have some fun for a day.

5. What do you do to relax, get away, to recharge your batteries? I generally like to do active things: I play in a doubles tennis league and attempt to play golf. I enjoy woodworking and repairing(and breaking) things around my home. I’ll watch youtube videos on home repair and try to save money and do the handyman work. Sometimes it works and sometimes I have to call in the pros to clean up my mess. We enjoy traveling with our daughter Kaitlin and Golden doodle Harvey.

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Professional Development

NEW!!! Phase 3 RoP: What to Expect; Developing Your Facility Action Plan
Moving Mountains
: SNF Provider Training, Tools, and Insight to Conquer 2019 Industry Changes

Webinar Series
All sessions held the first Wednesday of each month from November 2018 to November 2019 at 2pm eastern time (except Jan. 2019)

Registration
Series: $800 members / $1,600 non-members
Individual session: $75 members / $125 non-members

NAB Approved Contact Hours: 1.25 each session

This webinar series will guide providers in implementing a step-wise action plan to manage the industry changes taking effect in 2019 including Phase 3 RoP (Requirements of Participation) and preparing for the reimbursement transition from Medicare PPS RUGs IV to the Patient Driven Payment Model (PDPM). Additional sessions may be added in the fall of 2019 based on member feedback and CMS updates.

Target Audience: Director of Nursing, Assistant Director of Nursing, Nurse Managers, Nursing Home Administrators, Nursing Staff & Leaders, RAI Coordinator, QA Director, Social Services, Staff Development Coordinator, Rehabilitation Services, Board Members

Register online today.
Download flyer.

Back to top


A group purchasing organization of LeadingAge North Carolina.

PILLOW TALK (Vanessa may send new copy - I emailed her.)

Linens are an important, but often overlooked, category when LeadingAge North Carolina members think about what is available through our Value First group purchasing organization. As with every contract members have access to, the goal is to save you money. Are you interested in any of the linen contracts below? Contact your Value First representative today!

Linen

Laundry and Linen Services

For additional information contact Value First representative Vanessa Ceasar at (404) 421-3956.

Value First group purchasing organization is owned by LeadingAge. The GPO is designed to leverage the buying power of LeadingAge members across the country to get the best pricing on a comprehensive array of products and services. This is your GPO!

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Calendar

2/6/2019
Phase 3: Implementing an effective SNF Compliance & Ethics Program

3/6/2019
SNF Quali Reporting (QRP) and SNF Value Based Purchasing (VBP) Programs

4/3/2019
PDPM: Developing ICD.10 Expertise for Effective Coding of Clinical Categories & Non-Therapy

5/1/2019
Phase 3: Implementing Successful Staff Training & Competency Programs

5/6/2019 » 5/9/2019
2019 Trade Show

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