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Professional Development Update July 8, 2020

Posted By Leslie Roseboro, Wednesday, July 8, 2020

 


July 7, 2020


 

We are pleased to offer the following distance learning opportunities...registration is open...join us! Be sure to forward this email to your co-workers and plan to attend together.




FREE FOR MEMBERS...CLICK HERE TO REGISTER

July 16
2:00pm - 3:00pm

Historically, most residents move to an assisted or independent living center because they have experienced some level of functional decline but, as a response to our current healthcare pandemic, we are also seeing more acute presentations of residents – both new and current. What does that really mean? In this presentation, attendees will understand the short-and long-term ramifications of higher acuity residents in your communities and resultant risk of functional decline for the resident and facility staff. Additionally, the most common conditions and presentations will be reviewed and how identification, management and prevention through therapy and wellness programming are key to ensuring residents age in place longer, healthier and happier.



CLICK HERE TO REGISTER
Members: $75/connection; Non-Members $100/connection

July 21
8:00am - 3:30pm

The session is designed to help care partners better under- stand why the person they are trying to help may at times exhibit challenging behaviors.’ It will focus on looking beyond the disease to recognize other possible factors. This problem-solving approach will be presented to help reduce the intensity, frequency, or occurrence of challenges. This will also help develop better communication skills when working with people living with dementia by emphasizing the value of empathetic and supportive communication. The overall goal is to reduce or minimize unproductive conversations and resistive behaviors by using effective verbal and physical skills. It will also focus on helping develop better observational skills to recognize and intervene effectively when behavioral challenges occur. The session will emphasize the value of matching helping behaviors to the person’s needs and retained abilities to promote a sense of control and self-direction. Grading and providing helping behaviors based on the person’s abilities and needs will assist in fostering positive interactions during care activities rather than struggles.

Teepa Snow is one of the world’s leading advocates and educators for anyone living with dementia.




FREE FOR MEMBERS...CLICK HERE TO REGISTER

July 28
2:00pm - 3:00pm

This presentation will focus on behavioral health issues that are increasing due to social isolation from the COVID-19 pandemic. It is important for caregivers to stay focused on patients to quickly identify changes in mood due to social isolation. Rehabilitation has a role in evaluating the physical issues as well as behavioral health issues that are on the rise due to social isolation. An individualized, person-centered plan is developed by rehabilitation and education is provided to the staff for keeping resident’s engaged in meaningful activities to keep them functioning at their highest level and improving quality of life.




Be on the lookout for additional information on the following upcoming programs:

NC/VA Finance Symposium
August 5 and August 12

2020 Fall Conference
September 24




Click here for additional distance learning opportunities.

Southminster is delighted to be partnering with Sky Bergman to host a virtual film screening of Lives Well Lived, a film that highlights the resiliency of elders in the midst of great challenges. Members are invited to a screening and follow-up discussion with Bergman! To view the trailer and to register please visit: https://www.southminster.org/lives-well-lived/

We will begin hosting affinity group calls to provide opportunities for members to connect with their peers at different communities. We will initially begin with workforce, finance and marketing, with plans to expand to other groups. We are seeking volunteers to moderate calls and assist with topic development. Please contact Leslie Roseboro if you would like to volunteer.

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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 June 26, 2020

Posted By Leslie Roseboro, Wednesday, July 8, 2020

 

 

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June 26, 2020

Advocacy & Policy | Strategic Thinking | News & Notes
Professional Development | Platinum Member Spotlight



General Assembly Adjourns Until September; No Action on Sales Tax
The North Carolina General Assembly adjourned at 3 am this morning, scheduling a return to Raleigh on September 2 for focused work on the budget. LeadingAge North Carolina has been working around the clock to convince legislators in Raleigh to provide a pause in current efforts by the North Carolina Department of Revenue to apply the sales tax to independent living monthly fees. At this point, Senate Bill 395 (the bill containing the sales tax language) remains in the House Rules committee and was not considered before the body adjourned. The bill containing the sales tax language will be alive for consideration in September. We’ll be working on providing information to legislators between now and September about why a sales tax on IL fees is bad for residents, bad for communities, and bad for the state.

State Issues New Executive Order, Extends Phase 2 for an Additional Three Weeks
Governor Roy Cooper and North Carolina Department of Health and Human Services Secretary Dr. Mandy Cohen on Wednesday announced that North Carolina will remain in “Safer at Home Phase 2” for three more weeks. Cooper also announced that face coverings must be worn when people are in public places as officials seek to stabilize concerning trends of increasing viral spread. Of particular interest to our members is the Governor’s announcement that visitation in skilled nursing facilities and combination homes is still restricted solely to compassionate care situations. We continue our work on DHHS task force looking at visitation. The Governor did provide a Frequently Asked Questions document that explains his most recent Executive Order.

Medicare Coverage of Testing for Beneficiaries
Medicare will cover COVID-19 diagnostic testing of residents in nursing homes. This directive will be effective July 6 through the duration of the public health emergency and will cover the following:
• Viral testing of residents for SARS-CoV-2
• Initial viral testing in response to an outbreak
• Recommended testing to determine resolution of infection with SARS-CoV-2
• Public health surveillance for SARS-CoV-2
This change was announced in this MLN Matters article: https://www.cms.gov/files/document/se20011.pdf and this CMS press release: https://www.cms.gov/newsroom/press-releases/cms-news-alert-june-19-2020.

Nursing Home Visitation FAQ from CMS
CMS issued an FAQ on nursing home visitation on Wednesday of this week. CMS clarifies that visitation in “compassionate care situations” does not refer only to end-of-life situations. As you read this document, remember this is only guidance to individual states…North Carolina is in the process of looking at a number of visitation issues.

COVID-19 Research Highlights Disparities
Why do some nursing homes experience higher rates of COVID-19, more spread, and more deaths? Here’s an article summarizing some recent research on the subject. While the answers are far from conclusive, one thing is tragically clear – COVID-19 exploits longstanding health disparities and we are a long way from racial and economic justice in this country.


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Managing When the Future is Unclear
Harvard Business Review; Summer 2020
When the strategy is uncertain, the best managers acknowledge what’s unknown, but also look ahead to what is know.

Reimagining the Office and Work Life After COVID-19
McKinsey and Company; June 2020
The pandemic has forced the adoption of new ways of working. Organizations must reimagine their work the role of offices in creating safe, productive, and enjoyable jobs and lives for employees.

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LeadingAge NC Compensation and Benefit Survey
In recognition of the many countless hours staff at member communities are committing to the care of their residents, we have decided to not conduct our annual salary survey this year. However, we will provide the CEO of each member community with a courtesy copy of the 2019 Compensation and Benefit Report. Special thanks to members who participated in the study. We will partner with LeadingAge Virginia next year to conduct a survey that will include data from both states. We ask that members plan to participate next year in order for us to be able to provide a comprehensive report.

Membership Directory
Thank you for updating your community/business member profile. Community CEOs and business member key contacts will have another opportunity to review the company profile prior to publication.

Value First Update
Phoenix Textile is currently taking orders for reusable isolation gowns. Orders placed this week will be shipped in August. If you have additional questions on these gowns please contact jangst@phoenixtextiles.com.

With the increase in virtual meetings, Facetime with families, and telehealth appointments, providers are looking for options to update their Wifi and IT capabilities. Inviacom is a contracted vendor through Vizient/Value First that has solutions for senior living communities which include blanket Wifi, TV, Phone and IT Services. Inviacom currently serves senior living communities in 31 states. Click here for more details.

If you have questions on additional contracted vendors or are searching for any products or services, please contact Bobby Bernal at rbernal@valuefirstonline.com or call at 850.509.8112.

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SAVE THE DATE!
More details to come!


We are excited to provide the following distance learning opportunities:

  • July 19: Identifying and Preventing Functional Decline in the Growing Acuity of AL/IL Communities
  • July 21: Using a Positive Approach to Dementia Care by Teepa Snow
  • July 28: Interventions to Support Mental Health (Depression, Anxiety, Grief) During a Pandemic
  • August 5 and August 12: 2020 Finance Symposium
  • September 24: 2020 Fall Conference

Click here for additional distance learning opportunities.

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Platinum Member Spotlight

Thank you platinum members for your continued support!

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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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COVID-19 Update June 5, 2020

Posted By Leslie Roseboro, Wednesday, July 8, 2020

 



June 5, 2020

 

COVID-19 Update


We Need Your Photos and Videos!
LeadingAge North Carolina is collecting photos and videos from our members that illustrate your mission in action and the heroes of your community during this time of COVID-19. We are asking that members send in photos and/or videos to tom.akins@leadingagenc.org in a format that may be edited for us to share in our newsletters.

You Inspire Us (And Each Other)
We're gathering examples of the innovative solutions that LeadingAge members are deploying in the face of new challenges every day as a result of coronavirus. Read new stories now:

Managing Advance Directives During COVID
The North Carolina Secretary of State office has published a few amendments that make it easier to create and manage advance directives during this time of COVID 19. Click here for a look at the amendments.

Friendship Hotline for Well-Being Checks

A new hotline is available for those 60+ with disabilities which offers well-check phone calls on an on-going basis. Information about the hotline, called Friendship Line, can be found here.

HUD Issues Pandemic Hurricane Update
HUD’s Southwest Multifamily Region sent an update to housing providers about the impacts of COVID-19 on the 2020 hurricane season. In its update, HUD is asking providers to follow standard disaster guidance until further notice, and to continue reporting requirements in conjunction with federal COVID-19 directives. HUD has also asked communities to be mindful of disruptions in disaster response services due to the pandemic. The CDC and FEMA have also provided webinars and resources related to resident messaging and emergency response during the pandemic. A summary can be found here.

CMS Releases COVID-19 Data on Nursing Home Compare
Yesterday, CMS posted the first set of underlying COVID-19 nursing home data. In mid-April, CMS announced the requirement that nursing homes inform residents, their families, and their representatives of COVID-19 cases in their facilities. In addition to this, nursing homes are required to report COVID-19 cases and deaths directly to the Centers for Disease Control and Prevention and CMS is now making this data publicly available. As part of yesterday’s announcement CMS is also posting the results from the targeted inspections announced in early March.

The data released yesterday shows that as of May 31, about 13,600 nursing homes – approximately 88 percent of the 15,400 Medicare and Medicaid nursing homes – had reported the required data to the CDC. These facilities reported over 95,000 confirmed COVID-19 cases and almost 32,000 deaths. The next set of data will be updated in two weeks. Going forward after that date, CMS plans to update the data weekly.

Nursing Home Compare information at the facility level appears unchanged. Many providers were fearful of a COVID-19 designation, much like the red hand icon for facilities with abuse citations on their last survey. No designation is apparent.

Facility specific data is available through a COVID-19 Nursing Home Data Set. The information is presented in the same manner as other CMS Public Use Files which CMS uses to aggregate and sort publicly available data. On the data, CMS did note that the information was preliminary and may be subject to changes as providers are able to submit corrected data. The data contains reporting for two weeks. The first week, the week ending May 24th, contains cumulative data from January 1st, 2020. The second week of data shows increases that happened from May 24th through May 31st.

Letter Urging HUD to Distribute CARES Funds
Yesterday, LeadingAge sent a letter to HUD Secretary Carson urging him to distribute critically needed COVID-19 relief funds to Section 202 Housing for the Elderly and Section 8 Project-Based Rental Assistance senior housing providers. The funds were provided under the CARES Act; as the letter says, the time is long overdue for these providers to receive the emergency funding to pay for cleaning, disinfecting, personal protective equipment, services, security and other COVID-related costs.

Cleaning and Disinfecting in Affordable Housing
We continue to get a lot of questions from affordable housing members on cleaning and disinfection. We have a new article that summarizes HUD’s recommendations on this topic, which are mostly CDC and EPA guidance. HUD does have a new, and timely, two-pager on how HUD multifamily housing owners should dispose of medical waste. The article also links to the recording of a HUD disinfection webinar.

Provider Relief Fund Update
Yesterday, HHS confirmed in writing, that it is ONLY those who have NOT yet received a 2nd payment who need to attest and submit financial data as of yesterday, June 4th. This article from LeadingAge provides greater detail and clarity on this issue.

From the LeadingAge LTSS Center

The LeadingAge LTSS Center @UMass Boston is sharing research studies and research-based articles focusing on how the coronavirus pandemic is affecting older adults and the people who care for them. Check out the brief summaries of the latest data and analysis, including these recently posted articles:


COVID-19 Information Pages
In addition to these daily email updates, LeadingAge North Carolina is updating our COVID-19 resource page every day with information from trusted sources, including from our business members. Click here to view the entire page. Click here to view the section of the page that highlights business member expertise in areas such as investments, financing, human resources, and rehabilitation as those topics relate to COVID-19. In addition, LeadingAge national keeps their page updated. Be sure to bookmark these pages today!

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








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Member Update May 22, 2020

Posted By Leslie Roseboro, Wednesday, July 8, 2020
May 22, 2020

Covid Udpate
Advocacy & Policy
| Member Question | Platinum Member Spotlight




Next Week’s LeadingAge NC COVID-19 Call-in Moved to May 26
In recognition of Memorial Day, next week’s LeadingAge North Carolina “COVID-19 Call-in” will be held on Tuesday, May 26 at 2 pm. Call-in to share what you’re hearing, seeing, and doing and learn from your peers across the state. To access the call, dial (201) 616-0673 and, when prompted, enter the passcode 841692.

“Reopening” Documents for LPC, Affordable Housing Providers
LeadingAge national has posted a series of “reopening”/crisis recovery documents that we hope will help guide CCRCs and affordable housing providers through the next phases of the COVID-19 pandemic. Documents include: a Decision Matrix; Operational Issues and Guidance Charts; Recovery Tools; and Resiliency Roadmaps. You can find the documents online here (for CCRCs) and here (for affordable housing).

Additional Provider Relief Funds Released to Skilled Nursing Facilities
HHS announced officially this morning that $4.9B went out to 15,600 certified SNFs and 333 Medicaid-only nursing homes TODAY. We have received word that members are already seeing this in their bank accounts. Of note, the final formula that HHS used to determine payments is different from the one outlined in the notice sent to providers yesterday. It is more. SNFs will each receive $50,000 base payment plus $2,500 per bed. Click here for an article that provides more detail.

Lifting of Restrictions in Facilities

LeadingAge North Carolina is serving on the state’s task force working on issues surrounding the lifting of restrictions in long term facilities. A part of this work includes testing and PPE considerations. To that end, we would appreciate your comments and observations about testing and PPE based upon your community’s experiences. Please email Tom Akins at tom.akins@leadingagenc.org.

Updated HUD FAQs
HUD has once again updated their MFH coronavirus FAQs with key information for housing providers. The new FAQs address residual receipt remittance, carrying over late fees during the eviction moratorium, messaging to residents about confirmed cases on site, delayed CNAs and audits, and more. You can find a summary online here.

GAO study on nursing home infection control

The Government Accountability Office issued a report today on infection control deficiencies in nursing homes, titled “Infection Control Deficiencies were Widespread and Persistent in Nursing Homes Prior to COVID-19 Pandemic.” The investigators found that nursing homes frequently fell short on preventive measures like hand hygiene or isolating sick residents (this is prior to COVID). Of course, they note that all the deficiencies they found were not severe; residents were not harmed by the oversight. Here’s an article from the Washington Post on the report.

Practical Tools for Staff Conversations
In an effort to help our leaders inspire and motivate their teams, here is today’s short tool:

From The Ersatz Elevator, written by Daniel Handler:

"Are you ready?" Klaus asked finally.

"No," Sunny answered.

"Me neither," Violet said, "but if we wait until we're ready we'll be waiting for the rest of our lives, Let's go."

Today's challenge: You are making a difference in the lives of the frailest of the frail when they are shut away from the very people they hold most dear. You are their caretaker, their confidant, their companion, their strength, their life. You share their joys and feel their pain. You are a hero! Your work is priceless; your story is real. We've waited long enough for somebody to tell your story. Don't wait until you're ready. Start telling your story.

COVID-19 Information Pages
In addition to these daily email updates, LeadingAge North Carolina is updating our COVID-19 resource page every day with information from trusted sources, including from our business members. Click here to view the entire page. Click here to view the section of the page that highlights business member expertise in areas such as investments, financing, human resources, and rehabilitation as those topics relate to COVID-19. In addition, LeadingAge national keeps their COVID-19 resource page updated. Be sure to bookmark these pages today!

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Housing Action Alert. Today’s action alert for the House senior affordable housing relief bill. The bill, HR 6873, would provide $845 million for HUD-assisted senior housing relief, $300 million for new Service Coordinators, $50 million for wireless internet installation and service fees, and a 1-year extension of HUD’s IWISH demonstration.


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Your peers across the state have questions and you have answers. It's incredibly helpful. So ask away! Responses to the most recent question are available by clicking the text below.

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Platinum Member Spotlight

Thank you platinum members for your continued support!

 

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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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COVID-19 Update May 20, 2020

Posted By Leslie Roseboro, Thursday, May 21, 2020


May 20, 2020

 

COVID-19 Update


Next Week’s LeadingAge NC COVID-19 Call-in
Moved to May 26

In recognition of Memorial Day, next week’s LeadingAge North Carolina “COVID-19 Call-in” will be held on Tuesday, May 26 at 2 pm. Call-in to share what you’re hearing, seeing, and doing and learn from your peers across the state. To access the call, dial (201) 616-0673 and, when prompted, enter the passcode 841692.

NHSN Reporting
CDC’s NHSN COVID-19 LTC Module reporting is now required by CMS. Providers have until May 24 until CMS will implement enforcement remedies. If you are still awaiting something in order to report, please email me at tom.akins@leadingagenc.org and cc: Cindy Deporter at DHSR at cindy.deporter@dhhs.nc.gov on the note.

PPP Member Survey
LeadingAge national is fielding a short (5 question) member survey on the Paycheck Protection Program loans. The survey link is here: https://www.surveygizmo.com/s3/5606132/PPP-Survey. National is looking to gauge whether members are accessing these loans and which member types are doing so more than others. National is also using this to gather stories both from those who have and have not received PPP loans to support advocacy efforts in this area.

CMS Reopening Guidelines for Nursing Homes
CMS issued recommendations to state and local officials on Monday related to reopening of nursing homes. These recommendations are to be considered along with a number of other community- and nursing home-specific factors and must be adopted and implemented by the state. CMS released a FAQ document to accompany this memo. LeadingAge provided a high-level analysis of these recommendations, available here.

States may choose from a number of options for how nursing homes within the state will progress through the phases of reopening. States must also consider a number of factors in determining when nursing homes may begin reopening. Reopening is contingent upon a testing strategy outlined by CMS, in which all nursing home residents and staff receive an initial baseline COVID-19 test. The testing strategy then outlines subsequent testing of residents and staff, which will be maintained throughout the 3 phases of reopening. The feasibility of this testing strategy and other factors such as adequate PPE and staffing, will impact reopening. We’re working with the state and other key stakeholders and will keep you updated as North Carolina finalizes its plans.

Medicare Payment for COVID-19 Diagnostic Tests
CMS has developed two codes that laboratories can use to bill for certain COVID-19 lab tests, including serology tests. CMS has updated its guidance to include payment details for additional CPT codes created by the American Medical Association. There is no cost-sharing for Medicare patients.

Springmoor, Sharon Towers Share Good News
Two of our member communities, Sharon Towers in Charlotte and Springmoor in Raleigh, recently shared good news from their communities with us. Click here for Sharon Tower’s story and click here for the one from Springmoor. Please send us your stories so we can share those with others around the state!

SBA Loan Forgiveness Application
The Small Business Administration has released the forgiveness application for the Paycheck Protection Program loans. The application form is linked in the handout. Lenders will likely program the application into their own websites, and borrowers will need to fill out the application with their lender to get their loan principal forgiven. The PDF document in handouts, though, outlines the information and data that PPP borrowers will need to submit to get their loan forgiven. Borrowers will need to provide detailed information on how their funds were used, including payroll data at the employee level. We will have more information on this in the coming days.

FTC Blog on Stimulus Checks
On Friday, a new blog post came out from the Federal Trade Commission on the $1,200 stimulus checks that went out last month as they relate to nursing homes and assisted living. The blog posts states what we already know: that the stimulus checks are considered tax credits and cannot be taken from Medicaid residents. The article’s framing suggests that state attorneys general should get involved if facilities are taking these checks, so we definitely encourage you to read this piece.

LeadingAge Leadership Summit Cancelled
After thoughtful consideration for the health and welfare of member organizations and the people they serve, LeadingAge national has decided to cancel the 2020 Leadership Summit, scheduled for August 10-12 in Washington DC. While members may not come together for a live event in August, LeadingAge national is actively planning a series of online learning and networking opportunities to enable LeadingAge members to connect and share ideas. They look forward to sharing more about these opportunities in the coming weeks.

Those who have already registered for the 2020 Leadership Summit will be contacted directly regarding their registration fees. LeadingAge national will honor requests for credits or full refunds. They hope that those who have registered will take advantage of the option to apply their registration credit to a future event. Please look for an email with details on these options soon. Any hotel reservations booked through the Omni have been cancelled. No further action is required on your part.

Practical Tools for Staff Conversations
In an effort to help our leaders inspire and motivate their teams, here is today’s short tool:

Ralph Waldo Emerson asked “how much of life is lost waiting?”

Check in question: For many – our residents, our teams, our families – the pandemic has left us waiting for a sense of certainty, of connection, and of comfort. As we continue our vital work, what kinds of things can we do to instill a sense of purpose and hope in our lives and the lives of those around us?

COVID-19 Information Pages

In addition to these daily email updates, LeadingAge North Carolina is updating our COVID-19 resource page every day with information from trusted sources, including from our business members. Click here to view the entire page. Click here to view the section of the page that highlights business member expertise in areas such as investments, financing, human resources, and rehabilitation as those topics relate to COVID-19. In addition, LeadingAge national keeps their COVID-19 resource page updated. Be sure to bookmark these pages today!


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






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COVID-19 Update May 18, 2020

Posted By Leslie Roseboro, Thursday, May 21, 2020


May 18, 2020

 

COVID-19 Update

 

NCDHHS Updates Guidance on Who Should be Tested for COVID-19
The North Carolina Department of Health and Human Services issued updated guidance Friday on who should be tested for COVID-19. The new guidance recommends that clinicians test any patient in whom COVID-19 is suspected. The new guidance recommends clinicians ensure the following populations have access to testing, regardless of symptoms:

  • Anyone with symptoms suggestive of COVID-19
  • Close contacts of known positive cases, regardless of symptoms
  • Persons who live in or have regular contact with high-risk settings (e.g., long-term care facility, homeless shelter, correctional facility, migrant farmworker camp)
  • Persons who are at high risk of severe illness (e.g., people over 65 years of age, people of any age with underlying health conditions)
  • Persons who come from historically marginalized populations
  • Health care workers or first responders (e.g. EMS, law enforcement, fire department, military)
  • Front-line and essential workers (grocery store clerks, gas station attendants, etc.) in settings where social distancing is difficult to maintain

Testing, along with contact tracing and supplies of personal protective equipment, is part of the state’s strategy to slowly ease restrictions, while protecting North Carolinians from COVID-19. The state is looking at a composite of metrics to guide its path forward, including the number of cases, the percent of tests that are positive, the number of hospitalizations and the number of emergency department visits for COVID-like illness. Friday, Governor Roy Cooper and NCDHHS Secretary Cohen shared these metrics remain stable for the first week of Phase 1.

The new guidance updates testing criteria for the North Carolina State Laboratory of Public Health. Those include hospitalized patients, health care workers or first responders, persons who live in or have regular contact with a high-risk setting, persons who are at higher risk of severe illness and for whom a clinician has determined that results would inform clinical management, and uninsured patients.

PPE Available Through Value First
Value First, the group purchasing organization owned by LeadingAge North Carolina and 24 other state LeadingAge associations, has a number of PPE supplies available. For more information or to coordinate orders, please reach out to our Value First representative, Bobby Bernal, at (850) 509-8112:

  • Reusable personal safety masks – America Knits, Standard Textile – American Knits is caught up on orders, so any orders placed today will ship in 2 days.
  • Reusable gowns – America Knits, Standard Textile, Encompass – American Knits has capacity of approximately 8k – 10k gowns per week starting the 3rd week of June. Value First is just starting to promote this to members.
  • Disposable gowns – Jostens – they were initially overwhelmed with member orders and stopped accepting new orders, but the latest update this week is they plan to have tripled their capacity in the next two weeks and hope to be caught up by then. Value First is currently telling members to allow 4-6 weeks for new orders, but that may be improving.
  • Face shields – Cintas, Hubert as well as a number of local manufacturers – this item doesn’t seem to be much of a challenge to find anymore.
  • Hand Sanitizer – Cintas, US Foods, Sysco – Cintas requires a minimum purchase of a full pallet. US Foods has an agreement with Bevolution to distribute hand sanitizer and Sysco has partnered with a manufacturer and should have product available to their customers.
  • COVID-19 test kits – This is a new development, but Vizient entered into a contract with a company that can provide test kits with a seven-day lead time. One of the complicating issues is this is just the test kit, so the member would then need to send the sample to a lab for analysis.


Don’t Forget!
Our weekly LeadingAge North Carolina “COVID-19 Call-in” will be held this afternoon at 2 pm. Call-in to share what you’re hearing, seeing, and doing and learn from your peers across the state. To access the call, dial (201) 616-0673 and, when prompted, enter the passcode 841692.

Free Basic Care Aide Skill Competency Training Tool
Maximize your workforce and maintain quality standards with LeadingAge’s new Basic Care Aide Skill Competency Training Tool. The new, free, 9-hour training will help you redeploy current staff, and train displaced workers and others new to our field. Developed by EduCare©, this new program is designed specifically for the Basic Care Aide role and provides a foundation for the skills for a variety of settings. The training tool is FREE to members and is available now on the Learning Hub.

Protecting Mental Health and Wellbeing During the Pandemic
The impact of the coronavirus pandemic goes beyond physical health. The mental health and wellbeing of residents, clients, leadership, and staff are also at risk. LeadingAge is offering resources to help you address these aspects of the public health crisis.
The LeadingAge Knowledge Center continues to add new content, including learning tools for the wellness and mental health challenges. The third of the new Virtual Sessions will be held June 4 at 2:00 p.m. ET:

Free QuickCasts offer on-demand, short-form learning opportunities:

Access these and other resources for free on the Learning Hub page.

Practical Tools for Staff Conversations

In an effort to help our leaders inspire and motivate their teams, here is today’s short tool:

Albert Einstein, the German-American physicist who is probably the most well- known scientist of the 20th century, said that, “No problem can be solved from the same level of consciousness that created it.”

Check in question: How has your response to COVID-19 forced you to look at things in a different way? How can you work to constantly change the lenses through which you see the pandemic and your response to it?

COVID-19 Information Pages
In addition to these daily email updates, LeadingAge North Carolina is updating our COVID-19 resource page every day with information from trusted sources, including from our business members. Click here to view the entire page. Click here to view the section of the page that highlights business member expertise in areas such as investments, financing, human resources, and rehabilitation as those topics relate to COVID-19. In addition, LeadingAge national keeps their COVID-19 resource page updated. Be sure to bookmark these pages today!


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









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COVID-19 Update May 15, 2020

Posted By Leslie Roseboro, Thursday, May 21, 2020


May 15, 2020

 

COVID-19 Update

 

Clarification from NC Department of Insurance on Semi-annual Meetings
We reached out to the North Carolina Department of Insurance with a question about the statutory requirement that CCRCs “hold semiannual meetings with the residents of each facility operated by the provider for free discussions of subjects including, but not limited to, income, expenditures, and financial trends and problems as they apply to the facility and discussions of proposed changes in policies, programs, and services.” The department replied that “given that there is no specific date that the meetings have to be held by, and the fact that we are only a little less than 2 months into this, we are going to wait before we do anything. We obviously will work with providers as things move along. We also would encourage any providers that have the ability to hold meetings virtually to do so, but also understand that may not be a good alternative since residents may not have the ability to participate in such a manner.” Please let us know if you have questions or contact Nancy Wise at the department.

Chief State Fire Marshal Provides Information on Inspections

One of our member communities contacted us with a question about inspections by local fire marshals. We reached out to the Chief State Fire Marshal, Brian Taylor, who indicated that fire officials are not going on site to do any type of inspections. He also said that, “some inspection jurisdictions are doing Live Remote (Facetime) Inspections with site maintenance personnel and emailing annual fire protection reports to Fire Marshal/Fire Official.” He also said that he has not 'heard of anybody doing inspections” and that they "would like to hear if anyone is.” Chief State Fire Marshal Taylor and his team are tremendously helpful and we would encourage you to reach out to them at brian.taylor@ncdoi.gov if you have any questions.

DHHS LTC Call

Yesterday’s long term care call with NC DHHS featured a number of helpful issues and commentary from departmental staff. A recording of the one-hour meeting can be found by clicking here, and the PowerPoint used in the meeting can be found by clicking here. And remember these resources that are updated on a daily basis:

  • Governor’s COVID-19 task force website specific to long term care facilities https://www.ncdhhs.gov/divisions/public-health/covid19/long-term-care-facilities
  • Long term care facility toolkit https://www.ncdhhs.gov/divisions/public-health/covid19/covid-19-guidance#long- term-care-facilities

NHSN enrollment
LeadingAge national had a good call with CDC yesterday to discuss issues we have been hearing around NHSN enrollment and reporting. CDC confirmed that the issues that we reported are consistent with the issues they have identified. Work-arounds are in progress for a few specific problems, one of which was identified by CDC only shortly before the scheduled call. We brainstormed a few ways to address some of the other issues and will be assisting CDC with some of these tasks. National received information on in-progress responses or suggested responses to the following main themes: confusion around CDC requests vs. CMS requirements, issues with SAMS registration, issues with completing enrollment, and issues with accessing the module once enrollment has been completed (or activating the module for previously-enrolled facilities). We also notified them of consistent themes for which members seem to be reaching out for assistance: group reporting and access for multi-site organizations, updating facility administrator and contacts, and updating login for those who were previously enrolled but have not accessed NHSN for a while. We will continue advocacy efforts with these two agencies and welcome feedback along the way.

Death, Grief, and Funerals in the Age of COVID-19
A few key thoughts on grief from LeadingAge national’s recent update call. These thoughts came from Karen Hartfield of Hospice of Western Reserve in Ohio.

  • Grief doesn't always show up the way we expect it to.
  • It is important that we acknowledge losses during this time and validate the varied grief reactions of those with whom we work.
  • Remember that if someone is acting in a way you are not accustomed to or that you do not understand, they may be experiencing a grief or trauma reaction.
  • It's OK if you don't quite understand it. Most important to validate and allow people to have space to experience their emotions.

The Virtual Funeral Collective banded together as part of a larger initiative called the Global COVID-19 Relief Coalition. The Global COVID-19 Relief Coalition is a 501c3 project of The Giving Back Fund bringing together world leading labs and organizations to provide solutions for the current COVID-19 pandemic. This White Paper contains a collection of resources and best practices from our collective to help you during this stressful time.

New QuickCast Available…Managing Mental Health: Considerations in COVID-19
In this 13-minute LeadingAge national QuickCast, Elizabeth Hale explains how the current global pandemic is affecting our mental health and emotional wellbeing—and ways we can manage it. Click here to register.

CDC Guidance on Memory Care
CDC released new guidance yesterday on COVID-19 considerations for memory care. We note that this information and guidance can be useful for work with all residents with cognitive impairments, regardless of the level of care or placement on a designated memory care unit. While much of this information is standard practice for working with those with cognitive impairments, one interesting recommendation is that CDC recommends that staff working on a memory care unit wear eye protection and N95 respirators at all times when on the unit to minimize risk of exposure from ill, wandering residents. CDC also recommends maintaining consistency in staff, activities, and environments as much as possible, including continuing to allow safe physical activity such as walking the unit or walks outdoors.

COVID-19 Symptoms: A Primer

According to the CDC, people with COVID-19 can have a wide range of symptoms — ranging from mild symptoms to severe illness. Symptoms may appear 2-14 days after exposure to the virus. People with these symptoms may have COVID-19:

  • Cough
  • Shortness of breath or difficulty breathing
  • Fever
  • Chills
  • Muscle pain
  • Sore throat
  • New loss of taste or smell

Learn more by clicking here.

Telehealth Video: Medicare Coverage and Payment of Virtual Services
CMS updated a video that answers common questions about the expanded Medicare telehealth services benefit during the COVID-19 public health emergency. New information includes how CMS adds services to the list of telehealth services, additional practitioners that can provide telehealth services, and the distant site services that Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) can provide. Further, the video includes information about audio-only telehealth services, telehealth services that hospitals, nursing homes and home health agencies can provide, along with how to correctly bill for telehealth services.

Heroes Act
Yesterday, at the request of House leadership, LeadingAge national released a media statement on the Heroes Act. LeadingAge supports the proposed measure as a good start and seeks additional provisions in a final relief bill. In particular, the media statement highlights our requests for: (a) a $100 billion emergency fund specifically for aging services providers; (b) significant investments in PPE and testing for aging services providers; (c) a $1.2 billion investment in relief for HUD-assisted affordable housing; and (d) reimbursement for home health telehealth services. LeadingAge national posted this article on provisions of the proposal that would affect nursing homes.

Practical Tools for Staff Conversations
In an effort to help our leaders inspire and motivate their teams, here is today’s short tool:

A big part of our role in providing hope to those who live on our campuses is being realistic with expectations around when certain restrictions may be lifted. As you and others look forward to some limitations going away, what’s the one thing you look forward to doing?

COVID-19 Information Pages
In addition to these daily email updates, LeadingAge North Carolina is updating our COVID-19 resource page every day with information from trusted sources, including from our business members. Click here to view the entire page. Click here to view the section of the page that highlights business member expertise in areas such as investments, financing, human resources, and rehabilitation as those topics relate to COVID-19. In addition, LeadingAge national keeps their COVID-19 resource page updated. Be sure to bookmark these pages today!

 

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






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COVID-19 Update May 13, 2020

Posted By Leslie Roseboro, Thursday, May 21, 2020


May 13, 2020

 

COVID-19 Update

 

Q and A with Cindy Deporter
Cindy Deporter with DHSR sent two clarifications yesterday afternoon that we want to share:
Question: Facilities are calling the state about their residents that are in the assisted living area of the nursing home. In NC we call these combination homes. They are asking should they include both the assisted living and the SNF numbers on the reporting data? It does not seem that this is covered in the QAs.
Answer: The data should only include those residents and staff in the certified portion of the facility.
Question: Does CMS expect that providers in states that are licensed only have to report COVID information through the CDC?
Answer: The Reporting requirement is a federal requirement for participation, and does not apply to non-certified or licensed only nursing homes.

CDC/NSHN Issues Continue to Plague System

LeadingAge continues to field a number of questions about reporting requirements and even more concerns about issues with enrollment with the National Healthcare Safety Network (NHSN), which nursing homes will soon be required to use to report COVID-19 data. LeadingAge is sharing concerns with CMS. While the CDC will be the body to address actual enrollment issues, LeadingAge feels it is important for CMS to understand that the process is not running smoothly and that providers want to comply but may be unable to do so for reasons beyond their control. Please share your concerns with LeadingAge's Jodi Eyigor at jeyigor@leadingage.org.

CMS Issues Additional Blanket waivers

Late yesterday, CMS announced that they are issuing additional blanket waivers. The waivers include:

Flexibility to allow hospitals to establish “swing beds” to accommodate patients who no longer require acute care but are unable to find placement in a SNF. To qualify for the Swing Bed waiver, hospitals must not use the swing beds for acute care, must comply with the hospital and SNF conditions of participation in 42 CFR 482.58(b) to the extent not waived, and be consistent with the state’s emergency preparedness/pandemic plan. To establish swing beds pursuant to the waiver, the hospital must call the CMS MAC enrollment hotline to add swing bed services and attest that they have made a good faith effort to exhaust all other options, there are no skilled nursing facilities within the hospital’s catchment area that under normal circumstances would have accepted SNF transfers, but are currently not willing to accept or able to take patients because of the COVID-19 public health emergency. This waiver is permissible for swing bed admissions during the COVID-19 PHE with an understanding that the hospital must have a plan to discharge swing bed patients as soon as practicable, when a SNF bed becomes available, or when the PHE ends, whichever is earlier.
Paid Feeding Assistants. CMS is modifying the requirements at regarding required training for paid feeding assistants to reduce the training from a minimum of 8 hours to a minimum of 1 hours. CMS is not waiving any of the requirements related to paid feeding assistants or the required training content.

Certain Life Safety Codes were also waived, they include:
Alcohol-based Hand Rub (ABHR) Dispensers: CMS is waiving prescriptive requirements related to the placement of ABHR dispensers for use by staff and others due to the need for the increased use of ABHR in infection control. However, ABHRs do contain ethyl alcohol which is considered flammable so do need to have restricted access by certain resident populations to prevent accidental ingestion, and bulk containers of ABHR (over 5 gallons) should still be stored in a protected hazardous materials area. (See 483.90(a)(4) for more information).
Fire Drills: CMS will permit a documented orientation training program related to the current fire plan, which considers current facility conditions in lieu of drills that move and mass staff together. The training will instruct employees on their duties, life safety procedures and the fire protection devices in their assigned areas.
Temporary Construction: CMS is waiving requirements that would otherwise not permit temporary walls and barriers between patients.

Provider Relief Fund
Nick Uehlecke, Senior Advisor to HHS Secretary Azar, spent some time on the 3:30 LeadingAge national call yesterday talking about the Provider Relief Fund. One caveat: this conversation was not “official policymaking;” but Nick recognized he was talking to 950 people, too. He indicated that HHS is thinking that the funds can be used for any purpose related to dealing with COVID, including for example increased costs of laundry or food. He said more FAQs are continually being written based on the thousands of questions the department receives. He added that there’s a new question (either just posted or appearing soon) that talks about all the CARES Act funding sources and suggests how to view Provider Relief Funds in coordination with those other sources. He encouraged LeadingAge members to send more questions – if members, send questions to Nicole Fallon at nfallon@leadingage.org.

National Gallery of Art Guided Meditation for Front Line Staff

The National Gallery of Art created a guided meditation for front line workers that is free and simple to use.

Association of Professionals in Infection Control and Epidemiology Free LTC Resources
The Association of Professionals in Infection Control and Epidemiology (APIC.org) is offering LTC-focused resources free to non-members, until September, 2020. The library includes APIC's Infection Prevention Guide to Long Term Care.

HEROES Act Relief Bill
U.S. House of Representatives Democrats released their draft $3 trillion relief package yesterday afternoon. The Health and Economic Recovery Omnibus Emergency Solutions Act or the HEROES Act proposal includes many LeadingAge requests or elements that address our asks in part. Here’s an article on the housing highlights.

Here are some health highlights:

  • Two of LeadingAge national's big Medicaid asks are included: FMAP is increased by a total of 14% from July 1, 2020 through June 30, 2023, giving states additional funds to help recover. MFAR, the Medicaid Fiscal Accountability Regulation that we lobbied vigorously to rescind, cannot be finalized under the end of the COVID-19 public health emergency.
  • The health care provider relief fund is increased by $175 billion, with $100 billion for providers and $75 billion for testing, contact tracing, vaccines and other items.
  • For aging services employers who want to provide some extra pay to their essential staff, the Heroes Fund that was developed in the Senate, is included.
  • There are a number of provisions addressing nursing homes: The only new reporting requirement is to report age, race/ethnicity and preferred language of residents with COVID 19 or symptoms and all residents who have died, an effort to understand the impact on minority communities that we support. LeadingAge national asked for funds to help nursing homes develop extended care centers and the bill contains incentive payments for SNFs that want to develop a COVID-only treatment center. We have asked for assistance not punishment, and the bill contains funds for state strike force teams to provide assistance to nursing homes with COVID cases, and a provision for the QIOs to provide assistance with infection control, which is not exactly what we asked for but does indicate that some of our concerns were heard. Much more, so stay tuned.

LeadingAge National Coronavirus Daily Member Updates
LeadingAge is sharing the very latest with members twice daily. Morning updates go out via email, and they are hosting daily live online updates each weekday afternoon. Subscribe to "LeadingAge Need to Know" via communications preferences in your MyLeadingAge account to receive email updates. Register for live online updates. You can find an archive of all member updates there.

Practical Ideas From Members
LeadingAge is offering even more ways for members to learn from one another by gathering examples of the innovative solutions you’re deploying. Read new stories on topics including:

Practical Tools for Staff Conversations
In an effort to help our leaders inspire and motivate their teams, here is today’s short tool:

Margaret Atwood wrote in The Handmaid's Tale, "We were the people who were not in the papers. We lived in the blank white spaces at the edges of print. It gave us more freedom. We lived in the gaps between the stories."

Check in questions: How many residents have lived under your care? How many resident stories have you heard and retold? How many of their joys have you shared? How many of their tears have you dried? But, what about you as a caregiver? Don’t you have a story to tell about the value of the work you do? The focus always seems to be on someone else – the other heroes, the other caregivers, the other essential employees. No longer is it acceptable to live in the white spaces of print or in the gaps between the other stories. Our time has come. What is the story you will tell and to whom will you tell it? Help share our message of compassionate care and keeping individuals safe.

COVID-19 Information Pages
In addition to these daily email updates, LeadingAge North Carolina is updating our COVID-19 resource page every day with information from trusted sources, including from our business members. Click here to view the entire page. Click here to view the section of the page that highlights business member expertise in areas such as investments, financing, human resources, and rehabilitation as those topics relate to COVID-19. In addition, LeadingAge national keeps their COVID-19 resource page updated. Be sure to bookmark these pages today!

 

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







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COVID-19 Update May 11, 2020

Posted By Leslie Roseboro, Thursday, May 21, 2020


May 11, 2020

 

COVID-19 Update

By the Numbers…
As of 10:30 am this morning, North Carolina has had 15,045 laboratory-confirmed COVID-19 cases, with 550 deaths. 195,865 tests have been completed and 99 counties – all but one of the state’s 100 counties – have seen a positive case. Click here for a look at the state’s COVID-19 Dashboard.

DHHS COVID-19 LTC Call Scheduled for Thursday Morning

The North Carolina Department of Health and Human Services will be holding a COVID-19 Long Term Care Update call on Thursday, May 14 at 10 am. Topics to be covered include updates on new CDC guidance, hospital to long term care discharge flow charts, PPE updates, working staffing, and Medicaid. Please click here for a sheet with more details and call-in information.

Nursing Home Reporting on COVID-19
We continue to hear a number of questions about reporting requirements and even more concerns about issues with NHSN enrollment. We are sharing concerns with CMS. While CDC will be the body to address the actual enrollment issues, we feel it is important for CMS to understand that the process is not running smoothly and that providers want to comply but may be unable to do so for reasons beyond their control. Please let us know what challenges you may be encountering with the enrollment process.

StoryCorps Connect Toolkit
A few weeks ago, we spoke with Dave Isay from StoryCorps on a 3:30 LeadingAge national update call to talk about our collaboration to bring StoryCorps Connect to LeadingAge member communities across the country. StoryCorps Connect is a new free digital platform developed to address the pressing need for connection during the coronavirus pandemic, to older adults, their families, and caregivers across America, with the goal of conducting and recording meaningful remote conversations between loved ones. LeadingAge worked with StoryCorp to create a toolkit specifically for older adults. The toolkit is on the LeadingAge website and the link is LeadingAge.org/storycorps-connect

USDA COVID-19 Telehealth Service Changes
The US Department of Agriculture Office of Rural Development issued a document summarizing telehealth changes during the pandemic.

HUD Tenant Brochure in Lots of Languages
LeadingAge was the first to receive versions of HUD’s COVID brochure for multifamily tenants in several non-English languages, which will help our members greatly. Under the “Updates from Federal Agencies” section of the LeadingAge housing / COVID-19 page, find the brochure in Farsi, Arabic, Chinese, Spanish, Russian, and Vietnamese.

CDC Resources From Nimalie Stone
Nimalie Stone, lead of the LTC team within CDC’s Division of Healthcare Quality Promotion, sent a list of CDC resources that are relevant to LeadingAge members. The list includes an infection preventionist training course that offers approximately 20 CE hours upon completion and live Q and A sessions on COVID and LTC facilities on May 12 and May 14 (space is limited).

This Week’s Virtual Session: Ethical Dilemmas: Decision-Making in a Pandemic
The Knowledge Center is launching new Virtual Sessions, live online presentations with extended Q&A. Space is limited, so register for free today.

Daily Online Live Member Updates
Every weekday at 3:30 pm, LeadingAge national policy experts continue to share the most up-to-date coronavirus information, and talk with a range of guests. Presentation materials and summaries of recent guest are available:

Need to miss a session? LeadingAge Coronavirus Spotlights are brief but informative podcasts featuring these guest presentations. New podcasts are available now or register to join us live each afternoon.

Practical Ideas From Members
LeadingAge is offering even more ways for members to learn from one another by gathering examples of the innovative solutions you’re deploying. Read new stories on topics including:

Practical Tools for Staff Conversations
In an effort to help our leaders inspire and motivate their teams, here is today’s short tool:

In The Second Mountain, David Brooks writes that, “Every once in a while, you meet people who radiate joy. They are kind, tranquil, delighted by small pleasures and grateful for large ones. They are not perfect, but they live for others and not for themselves. They are interested in you and take delight in your good.”

Check in: Tell us about a resident that has had some of these qualities and inspired you in the past?

COVID-19 Information Pages
In addition to these daily email updates, LeadingAge North Carolina is updating our COVID-19 resource page every day with information from trusted sources, including from our business members. Click here to view the entire page. Click here to view the section of the page that highlights business member expertise in areas such as investments, financing, human resources, and rehabilitation as those topics relate to COVID-19. In addition, LeadingAge national keeps their COVID-19 resource page updated. Be sure to bookmark these pages today!

 

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







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COVID-19 Update May 8, 2020

Posted By Leslie Roseboro, Thursday, May 21, 2020


May 8, 2020

 

COVID-19 Update


DHSR Offers Clarification on Construction
Officials with the North Carolina Division of Health Service Regulation yesterday provided LeadingAge North Carolina with clarification regarding construction projects on CCRC campuses. DHSR indicated that construction may continue (with adherence to CDC guidance and screening protocols). They also said that building inspectors are not considered “visitors” and can enter your campus to do their work. Please let us know if you have any questions or need additional information.

“Want to Slash Coronavirus Deaths? Start (Really) Caring About Long Term Care”
This article from “The Hill” makes the case for prioritizing resource allocation to skilled nursing facilities…required reading for every elected official and all of your stakeholders.

Nursing Home Reporting
The interim final rule that includes nursing home reporting requirements goes into effect today. CMS released guidance, including updated survey tools and a FAQ document. The memo is here and the LeadingAge analysis is on the COVID page. The first report to CDC needs to be submitted by 11:59 pm on May 17. CMS will begin publicly reporting data on May 31. CMS has unveiled 2 new F-tags for these reporting requirements and failure to report to CDC will be met with civil money penalties. In addition to reporting, nursing homes should use the updated infection control survey tool to complete self-assessments. Recall that they will be asked for these self-assessments on survey. LeadingAge national will be submitting comments on this rule.

Provider Relief Fund Deadline Now 45 days – May 24 for First Payment

HHS has announced that it is extending the time providers have to attest to the terms and conditions for payments received from the Provider Relief Funds. Providers will now have 45 days (previously 30 days) to make a decision about whether to keep the payments received and agree to the terms and conditions. No additional FAQs were provided as part of this announcement so questions remain. LeadingAge national continues to seek additional information to ensure that providers have the answers they need to make a good decision on attestation by the May 24 deadline.

Overview of “Opening Up America Again"
The White House’s “Opening Up America Again” guidelines provide three phases for the country’s reopening. State and regional areas cannot proceed to the first, second, or third reopening phase before “gating criteria” are met for a first, second, or third time, respectively.

Paycheck Protection Program Repayment Extended to May 14

A reminder that the Department of Treasury/Small Business Administration issued a new question in its FAQs a couple of days ago, extending the deadline for borrowers’ safe harbor repayment one week, from May 7 to May 14. This gives SBA time to provide additional guidance on how it will review certification. We are sending a follow up email to SBA reminding them of our letter seeking a resolution of the problems that have arisen related to SBA loans to affordable housing providers.

FEMA PPE Distribution
Here’s the official FEMA announcement about the distribution of PPE to all Medicare and/or Medicaid certified nursing homes in the country. According to the release, shipments of the first 7-day supply are going out now and should arrive this week or next. The second shipment will go out in June. We’ve been asked by the press about members who have received the FEMA shipments. If you or a member wants to let us know, please email Lisa Sanders (LSanders@leadingage.org)

LeadingAge National CEO Meeting with HHS Deputy Secretary Today

Katie Sloan, LeadingAge national CEO, will be meeting with HHS Deputy Secretary Eric Hargan today. Among other things, she will discuss aging services providers’ (across the continuum) desperate need for testing and PPE, as well as staffing shortages; and ask him for relief on these challenges. She’ll give him a picture of what we’re hearing from members about how things look for providers, their staff, and the people they serve. She’ll also push for answers to the questions we submitted about the Provider Relief Fund. In addition, she will raise our concerns about the double (or triple) reporting now required of nursing homes.

COVID-19 Illness and Minority Groups

We’re monitoring the impacts of the virus on racial and ethnic minorities. A recent CDC report showed substantially higher death rates among minority groups; HUD Secretary Carson has been tasked with leading a White House effort to support underserved communities through the crisis. Our analysis here.

Recovery Tools for Affordable Housing Operations
As some housing providers pivot from crisis-management to recovery, HUD has encouraged the use of capacity building tools to safely shift operations. The toolkit offers several key worksheets for use by housing providers moving into the recovery phase.

Ethical Decision-Making Virtual Session

There are still seats remaining in the May 14, 2:00 Eastern, free-to-members Ethical Decision Making Virtual Session. In this session, Michael Gillette will explore the simple and complex ethical decision-making leaders face during the COVID-19 pandemic. Click here for details and to register.

Value First and Information Regarding “Reusable” Gowns
Bobby Bernal, our Value First representative, has new information about reusable gowns now available for order. For details, please reach out to Bobby at (850) 509-8112 or email him at rbernal @valuefirstonline.com.

Practical Tools for Staff Conversations

In an effort to help our leaders inspire and motivate their teams, here is today’s short tool:

In Of Mice and Men, John Steinbeck wrote, "Maybe ever’body in the whole damn world is scared of each other."

Check in questions: Is this what we have become -- a society where we all are scared of each other -- scared of who is infected with COVID-19, who might infect us, and who we might infect? Is this how we want future generations to see us? If not, how are we going to rise above this? How do we stop feeling frustrated, overwhelmed, and defeated? What will you do to stop being scared and start to live again?

By the way, Of Mice and Men was published in 1937.

COVID-19 Information Pages

In addition to these daily email updates, LeadingAge North Carolina is updating our COVID-19 resource page every day with information from trusted sources, including from our business members. Click here to view the entire page. Click here to view the section of the page that highlights business member expertise in areas such as investments, financing, human resources, and rehabilitation as those topics relate to COVID-19. In addition, LeadingAge national keeps their COVID-19 resource page updated. Be sure to bookmark these pages today!

 

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










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