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Membership Update May 17, 2019

Posted By Jennifer Gill, Friday, May 17, 2019
Updated: Thursday, May 16, 2019


May 17, 2019

63rd Annual Conference Draws Rave Reviews!

More than 500 attendees, speakers, and business partners attended the 63rd annual LeadingAge North Carolina annual conference last week. Be on the lookout for an email next week with links to session presentations.

In addition to outstanding educational sessions, a packed trade show floor, the renewal of friendships with colleagues and the introduction to first-time attendees, the LeadingAge NC board of directors welcomed new members. Congratulations to each of our new and returning board members!



Contents
Click on the section you would like to view.
Advocacy & Policy
On the Road for You

Strategic Thinking
News & Notes
Professional Development



Advocacy & Policy

Long Term Care Financing Reform is Happening in the States
A 2018 survey that showed support for a government-administered long-term care insurance program similar to Medicare soared from 51% in 2013 to 70% last year. The aging of boomers is a strong reason why political action to address long-term care is on the rise. Resources required to provide even the current level of inadequate long-term care services are projected to triple by 2030, partly because of the rapid growth in the 85 and older population. This informative article from Forbes details new efforts underway around the country at the state level to proactively look for solutions.

New Optimism for Hearing on ‘Observation Status’ Bill
Industry advocates are praising proposed bipartisan legislation that says patients under “observation status” at a hospital would be eligible to satisfy Medicare’s three-day requirement necessary for skilled nursing coverage. Read more about the bills introduced in the Senate and House to breathe new life into this effort.

State Revenue Surplus Now Tagged $700 Million Higher Than Forecast
The NC General Assembly announced last week that state tax collections will be about $700 million higher than expected for the current fiscal year. State economists are still analyzing how much of this revenue surplus is likely to be repeated in future years. The surplus revenue is much larger than the $151 million in excess revenue that the NC House of Representatives included in its version of the state budget, which passed its Chamber two weeks ago. The NC Senate is likely to put most of the additional revenue into savings or use some of it to pay for additional tax cuts.

Report Explores Financing Options for Housing Plus Services Models
A new report from the LeadingAge LTSS Center @UMass Boston explores how Medicare and Medicaid funds might be used to finance delivery models that use affordable senior housing as a platform for coordinating health and supportive services to help older adults remain healthy and independent and reduce their use of costly health care services. Exploring Financing Options for Services in Affordable Senior Housing Communities is based on a yearlong exploration conducted by staff from the LTSS Center, the National Well Home Network, and the Harvard Medical School Department of Health Care Policy. A detailed description of the findings is included in a 35-page full report. An 8-page research snapshot provides an overview of the exploration and its findings.

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LeadingAge North Carolina staff travels the state offering education, advocacy, networking, and collaborating with agencies that share a common vision. Here’s where we've been recently:

  • NC Institute of Medicine Serious Illness Care Task Force, Morrisville
  • 63rd annual LeadingAge North Carolina conference, Myrtle Beach
  • LeadingAge North Carolina Leadership Academy, Myrtle Beach
  • Coalition on Aging meeting, Raleigh

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Strategic Thinking

Managing Burnout
This recent episode from Harvard Business Review’s “Women at Work” podcast focuses in on stress and how it can enhance performance at work — but not if it leads to burnout. Listen to an expert on workplace well-being talk about how women experience burnout and how to manage its causes, symptoms, and repercussions.

Preparing for Work in the Aging Economy: Colleges Adapt to Attract More Students
May 13, 2019, Stria
As colleges adapt to attract and prepare more students for a career in aging, the pipeline for graduates improves. But it is still lagging. How could communities partner with local educators to attract more students to the field?

How North Carolina is Preparing its Future Healthcare Workforce
The new issue of the North Carolina Medical Journal, underwritten in part by LeadingAge North Carolina, reflects on North Carolina’s health workforce, describes new health professions and educational programs, and provides examples for effective healthcare pipeline initiatives in the state. Read it here.

Newly-Signed Law Will Help Washington Residents Pay for Long-Term Care
May 13, 2019, The New York Times
Washington is the first state in the nation to establish a program to help offset the costs of long-term care, under a new law signed Monday by Gov. Jay Inslee. Starting in 2025, the program promises a benefit for those who pay into the program, with a lifetime maximum of $36,500 per person, indexed to inflation, paid for by an employee payroll premium.

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News and Notes

*DEADLINE EXTENDED: 2019 Compensation and Benefits Survey
CEOs and Human Resources professionals, the 2019 LeadingAge North Carolina Compensation and Benefits Survey is available through the end of business Friday, May 24. As in the past, please complete each position that is the closest match to a position in your organization. Only provide compensation information for positions that currently exist at your community. Submit one survey per community. A Survey Worksheet is also available in case you would like to fill out a hard copy of the survey before you complete the online version.

New Monthly Update from LeadingAge National
LeadingAge is excited to introduce a new monthly update, Workforce Matters. Stay up-to-date on the workforce news and trends that matter most. Subscribe to Workforce Matters by managing your subscription at My.LeadingAge.org.

Recognize an Outstanding Nurse at Your Community
Looking for a way to acknowledge an outstanding Director of Nursing or Assistant Director of Nursing in your organization? Nominate him or her for the Joan Anne McHugh Award for Leadership in Long-Term Services and Supports Nursing. Read more.

New Toolkit: Connecting Generations in Senior Housing
A new toolkit from the LeadingAge LTSS Center @UMass Boston and Generations United provides practical information, guidance, and templates to help your community implement high-quality intergenerational programs. It offers:

  • Tools to start intergenerational programs, including organizational assessments and survey templates to assess resident interests.
  • Tools for designing high-quality programs, including concrete planning and implementation strategies and tips, ideas for short- and long-term activities, and examples of promising practices.
  • Tools to measure program success, including sample evaluation forms to help organizers determine whether a program is fulfilling its goals and understand its impact.

To get more information and download a copy of the toolkit, click here.

2019 Beers Criteria for Potentially Inappropriate Medications for Older Adults
The American Geriatrics Society “Beers Criteria for Potentially Inappropriate Use in Older Adults” is widely used by clinicians, educators, researchers, healthcare administrators, and regulators. The 2019 update is a must have resource for all geriatric nurses and prescribers.

Celebrate All Month Long in May and June
Mark your calendar for the days and weeks to celebrate in May and June!

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).

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Professional Development

Click on the images below to learn more and register.
Click here to view the entire Catalogue of all 2019 Events

Maintenance Workshop
June 6
10:00am - 3:00pm
Glenaire in Cary



PDPM Intensive
June 27
10am-2pm
Salemtowne, Winston-Salem



Beans and Dreams Roundtable
July 12
9 - 10:30am
The Cypress of Charlotte in Charlotte



Finance Symposium
July 25
9am-3pm
WindsorMeade in Williamsburg, VA


 

Beans and Dreams Roundtable
August 9
9 - 10:30am
Givens Estates, Asheville




Management Leadership Series
August 21
10am-3pm
Friends Homes West, Greensbor
o




Dining Symposium
August 22
10am-3pm
Arbor Acres in Winston-Salem




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


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



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



Wellness Workshop
September 26
10am-3pm
Carol Woods in Chapel Hill




Beans and Dreams Roundtable
October 11
9 - 10:30am
WeaverCooke, Greensboro


Other Professional Opportunities

LeadingAge National Webinar
RoPs Overview: Compliance and Ethics Enforcement

Tuesday, June 18
2-3 p.m. ET


Neil Medical
16th Annual Educational Summit
June 19-20
High Point


CapTel NC
Division of Services for the Deaf and the Hard of Hearing
AHEC
4th Annual Hearing Loss and Accessibility Workshops
May 21st in Cary



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

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



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Membership Update May 3, 2019

Posted By Jennifer Gill, Friday, May 3, 2019
Updated: Thursday, May 2, 2019


May 3, 2019

Contents
Click on the section you would like to view.
Advocacy & Policy
On the Road for You

Strategic Thinking
News & Notes
Professional Development


Advocacy & Policy

NC House Committees Release Budget Proposals
The House Appropriations subcommittees released their budgets on April 25 and 26.  The full House Appropriations committee is scheduled to review all subcommittee budgets on Wednesday, May 1, beginning at 8:30 a.m. (room 643 of the Legislative Office Building).  You can listen to the Appropriations committee meeting here.  The House is expected to have full floor votes on the budget on May 2 and 3 and then send it on to the Senate.  The Senate is expected to pass its budget by the end of May.  A conference committee of House and Senate members will be charged with ironing out the final budget, hopefully before the current fiscal year ends on June 30. Click here for a summary of key items in the House subcommittee budgets, prepared by the North Carolina Coalition on Aging.

Task Force on Aging Initiative Moves Forward
HB 915 (Establish Task Force on Aging) was unexpectedly heard in the House Homelessness, Foster Care, and Dependency Committee meeting this past Wednesday. Rep. Donna White did a very nice job of presenting the bill and it went through with no debate and no objection. Rep. Pat Hurley, another bill co-sponsor, was also there. The bill was referred to the House Rules Committee. As was discussed at last Friday's Coalition on Aging meeting, the bill provides a good opportunity to keep a focus on aging issues outside of when the General Assembly is in session and to make recommendations on how to address needs.

Long-Term Quality Alliance Report Reveals Long-Term Services and Supports Reduce Expenses
On Wednesday, the Long-Term Quality Alliance released the Final Report from a study on “Medical Utilization in Plans that Integrate Long-Term Services and Supports.” The study was completed with assistance from researchers at the Lipitz Center for Integrated Care at Johns Hopkins University and with support from the Laura and John Arnold Foundation. In recent years, policymakers have focused on the small population with the most complex care needs that account for more than half of health spending, and on interventions that can address functional needs and social determinants of health. This study provides new evidence of the potential for health plans that provide high-need beneficiaries with non-medical supports and services (including LTSS) to reduce avoidable and expensive hospital and institutional utilization.

SNF Quality Reporting Program Deadline – May 15
Skilled Nursing Facilities can potentially avoid a 2% reduction on their Medicare Fee for Service rates by ensuring they have submitted all necessary MDS data for admissions and discharges between October 1 – December 31 (Q4) of calendar year 2018 as part of the required reporting for the SNF Quality Reporting Program. Four new measures pose the greatest threat to SNFs not meeting the reporting requirements for CY2018. Click here for more information you need to know about these four measures.

HUD Multifamily Income Limits Changed on April 24
On April 24th HUD released the 2019 Income Limits for Multifamily Housing. All new certifications effective April 24 or later will include the new income limits. The new tax credit income limits are available on the same site but can be implemented within the next 45 days. To access the new income limits, visit the HUD User website.

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LeadingAge North Carolina staff travels the state offering education, advocacy, networking, and collaborating with agencies that share a common vision. Here’s where we've been recently:

  • LeadingAge NC Beans and Dreams Roundtable - Abernethy Laurels
  • LeadingAge NC Foundation board of trustees meeting — Burlington
  • LeadingAge NC Management Leadership Series - Salemtowne
  • Member Community visit — Carolina Village, Hendersonville
  • Member Community visit — Galloway Ridge, Pittsboro
  • NC Institute of Medicine Task Force meeting on Health Services for Individuals who are Deaf and Hard of Hearing - Morrisville

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Strategic Thinking

How Will the Fed Fight the Next Recession?
April 30, 2019, The New York Times
In this insightful article from The Times, author Neil Irwin posits that the central bank has fewer arrows in its quiver to protect the economy from normal ups and downs. A great read for strategic planners, CFOs, and your board.

Ageism: A ‘Prevalent and Insidious’ Health Threat
April 26, 2019, The New York Times
The World Health Organization has begun four studies intended to define ageism, its health impact, ways to measure it, and ways to combat it. The results will be published in a United Nations report within a year.

AARP NC Caregiver Survey
A new survey of North Carolina registered voters ages 40 plus finds that the vast majority of respondents (83.5%) of current caregivers said that they will provide future caregiving or assistance on an unpaid basis to an adult loved one. It also found that over 95 percent think it is important to have services available in their communities to help older adults live independently. Current working caregivers are feeling stressed (59.8%), with the primary cause of their unease being balancing work and family (66.1 %). AARP North Carolina President Dr. Catherine Sevier explains, “More than half (56 %) of current and former caregivers are taking care of parents, meaning that many have to balance the demands of work, their own children and other needs.” Other than balancing work and family, the survey found that the other major sources of stress for current caregivers are getting enough rest (58%), finding time to exercise (51%) and difficulty maintaining a healthy diet (40%).

Resource for Cultural Competence in Long Term Care
Cultural competence is a key aspect of delivering person-centered long term services and supports. Find strategies for cultural competence in a new resource compendium from "Resources for Integrated Care." Valuable information with guides on training, research, and links to organizations.

Hearing Aids’ Reputation Is Lagging Behind the Technology
April 10, 2019, The Atlantic
People with hearing loss are at greater risk for a host of other problems: social isolation, abuse, depression, lower overall incomes, restricted career choices, and occupational stress. The WHO estimates that unaddressed hearing loss comes with an annual global cost of at least $750 billion. Manufacturers say the devices can benefit just about everyone, but first they have to become cool. LeadingAge North Carolina serves on the NC Institute of Medicine Task Force on Health Services for Individuals who are Deaf and Hard of Hearing. Click here to learn more about their ongoing work on behalf of this growing population in our state.

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News and Notes

Protect and Expand Affordable Housing for Older Adults
Excitement is building for the Senior Housing NOW Rally on May 8 on the West Lawn of the U.S. Capitol. Senior Housing advocates from around the country will be joining together to let Congress know that we need Senior Housing NOW. Joining Katie Smith Sloan of LeadingAge national on May 8 is our own Steve Fleming (of Well-Spring in Greensboro and LeadingAge board chair), who will be the Master of Ceremonies. Also scheduled to speak is North Carolina Representative David Price.

2019 Compensation and Benefits Survey
CEOs and Human Resources professionals, the 2019 LeadingAge North Carolina Compensation and Benefits Survey is available through May 17. As in the past, please complete each position that is the closest match to a position in your organization. Only provide compensation information for positions that currently exist at your community. Submit one survey per community. A Survey Worksheet is also available in case you would like to fill out a hard copy of the survey before you complete the online version.

If you have any technical questions before or during the survey process, please contact Dr. Harold Urman at
or call him toll-free at 888-848-2511. If you have any additional questions, please contact Leslie Roseboro at 919-571-8333.

New Learning Tool - Dementia: The Lived Experience
NEW! The LeadingAge Learning Hub has posted new dementia content. Watch the latest spotlight which challenges assumptions about dementia and what it truly means to support individuals living with the disease. This spotlight aims to dispel the many myths surrounding the realities of living with Alzheimer’s and other dementias. A great learning tool and a must-see for all staff!

Ever Wonder What LeadingAge National Does for You?
Here is a rundown of all of the things that LeadingAge has done recently for membership. Topics include engagement in advocacy efforts, focus on affordable housing, speaking out for nursing homes, new resources and future events.

Celebrate All Month Long in May and June
Mark your calendar for the days and weeks to celebrate in May and June!

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).

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Professional Development

 

LeadingAge North Carolina
ANNUAL CONFERENCE & TRADE SHOW

We can't wait to see you in Myrtle Beach, SC next week from May 6-9 for our largest educational gathering of the year.

Great news for HR professionals! For the first time, the Annual Conference has been certified for 12 CEUs through the Human Resources Certification Institute (HRCI).

Exciting news for all administrators ... the LeadingAge North Carolina Annual Conference has been approved for 12.5 CEUs by the National Association of Long Term Care Administrator Board!!!

This year's conference includes:

  • An art-related opening session to tap into your creativity. Yes ... you are creative!
  • Return of the very important Town Hall Conversation - please be sure to attend. Not sure about policy? That's okay, listen and learn.
  • LeadingAge North Carolina Leadership Academy Alumni and Coaches - a super fun and special Shared Learning session just for you.
  • Another sold-out Expo to explore new technologies and meet with new and existing product and service providers.
  • An awards ceremony that always lifts the spirit by honoring the field.
  • Plus all of the fellowship, networking, and learning you have come to enjoy and expect from your state association.

More information.
Register here.


Registration is open...hope you can join us!

LeadingAge North Carolina
Maintenance Workshop
June 6
10:00am - 3:00pm
Glenaire in Cary
$125 first person/$99 additional person(s) from the same community

Topics

  • State surveys, codes and levels of concern
  • Emergency protocol and communication methods
  • Setting up door access control systems
  • Water, mold, fire and storm restoration
  • Value First program

Speakers

  • Steve Lewis, Section Chief, NC Division of Health Service Regulation
  • Caleb Allen, ASSA ABLOY
  • David Hudson,  Modern Systems, Inc.
  • Bobbie Bernal, Value First
  • Steve Garner, RestorePro
  • Ross Cohen, RestorePro

Click here to register now!

If you have any questions, please don't hesitate to contact Leslie Roseboro at 919-571-8333.


LeadingAge North Carolina
PDPM: Prepare. Execute. Succeed.
June 27
10am-2pm
Salemtowne, Winston-Salem


Join us for a program facilitated by Kristy Yoskey of HealthPRO Heritage to help you transition to the Patient Driven Payment Model (PDPM). Take a deep dive look into PDPM and what it will take to prepare in the last three months leading up to the PDPM transition, execution process, education and success beyond October 1, 2019. Financial impact, high level strategies and education needed to be on the winning side of PDPM will also be discussed. Register online or click here to download and mail registration form.

Members: $125 or $99 for each additional attendee
Non-Members: $175

Participants earn 3 NHA CEUs

Download flyer.
Register online now.



LeadingAge North Carolina
2019 Management Leadership Series

"Lead Your People. Manage Your Process."
August 21
10am-3pm
Friends Homes West, Greensbor
o

Rich Schlentz of EXTRAordinary! Inc. is back by popular demand! Explore the tactical tools for leading and managing including: constructive coaching, influential communication, and interviewing for success. Attendees last year asked Rich to include information for new managers as well as those who would like to improve their management skills. He listened and plans to deliver on that this year!

Department directors, mid managers, team leaders, and supervisors - be sure to register today. Members: $125; Non-members: $175; 4.0 NHA CEUs.

Download the brochure.
Register online now.


Neil Medical
16th Annual Educational Summit
June 19-20
High Point

LeadingAge North Carolina Platinum member, Neil Medical, is offering an educational summit that offers 10 continuing education hours for nurses and nursing home administrators. Click here to view the list of sessions, speakers, and registration information. Registration cost is $85.


CapTel NC, Division of Services for the Deaf and the Hard of Hearing (DSDHH) and AHEC are hosting the 4th Annual Hearing Loss and Accessibility Workshops for healthcare providers and consumers. Workshops will take place May 9th in Asheville, May 16th in Wilmington, and May 21st in Cary.

Morning sessions are for professionals interested in obtaining CEU credits from AHEC. Afternoon sessions are for consumers and other professionals who do not want CEUs but who work with older adults and those with hearing loss. Click here to register online. First register as an AHEC member which is just an email and password. Then go back to the link, open and register as a consumer (no fee) for the specific workshop you will attend.


Education Calendar Available
The LeadingAge North Carolina education and event calendar can be accessed by clicking here. This calendar is packed with more than 25 offerings across the state with something for everyone including maintenance, dining, wellness, marketing, finance, human resources, direct care staff, and more.

We are particularly pleased to bring you a roundtable series called Beans and Dreams. Join your peers for coffee and conversation on second Fridays from June to December from 9-10:30am. This is an opportunity for members to connect regionally to discuss relevant topics. Each roundtable will be different! Topics continue to be added and updated.


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 through November this year at 2pm eastern time.

Registration
Individual session: $75 members / $125 non-members

NAB Approved Contact Hours: 1.25 each session

This webinar series guides providers in implementing a step-wise action plan to manage the industry changes taking effect this year 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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LeadingAge North Carolina
222 N. Person Street Suite 205
Raleigh, NC  27601
Ph. 919.571.8333 | Fax 919.869.1811 | www.LeadingAgeNC.org




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Advocacy in Action April 26, 2019

Posted By Jennifer Gill, Friday, April 26, 2019
Updated: Thursday, April 25, 2019


April 26, 2019


And the Crystal Ball Says…

With the caveat that “those who live by the crystal ball soon learn to eat ground glass,” our quick and unscientific survey of leading voices at the North Carolina General Assembly forecasts adjournment of the “long session” perhaps as early as late July. As with most sessions involving the first year of the two-year biennium, key to legislators heading back home is resolution of the budget. LeadingAge North Carolina continues to work hard on the issues most important to you and we’ll continue pushing for our priorities as Senators and Representatives consider our issues.

New Changes to CMS Nursing Home Compare Released Yesterday
Changes in methodology with the CMS Nursing Home Compare numbers kicked in yesterday. In conjunction with LeadingAge New York, we’ve done a preliminary run of the impact by state and sponsorship type for the overall 5 star rating and each of the 3 components (staffing, health inspections, and quality). Overall, 15% of nursing homes nationally gained 1 or more stars and 36% lost one or more stars. The variation by state and provider type can be substantial. We’ve dovetailed pretty closely to national averages here in North Carolina, with 21% of nursing homes gaining one or more stars and 35% losing one or more stars. A complete look at state numbers can be found by clicking here.

As expected, the inspection rating was almost equal for the ups and the downs on a national level. On staffing, there were 3 times as many facilities losing a star as gained a star. On the quality measures, 47% of facilities lost 1 or more stars and only 7% gained 1 or more stars.

Make Sure to Attend the Town Hall Conversation at the Annual Conference
The LeadingAge North Carolina Town Hall Conversation is your opportunity to provide input to LeadingAge – both at a national and state level – about ways public policy is affecting you, the older adults you serve, and how policy could be changed for the better. This year’s Conversation will be held on May 6 from 2:30-4pm at our annual conference in Myrtle Beach. Results of the Conversation will be shared with LeadingAge’s Policy
Committee, Board of Directors and staff, and will be used to set public policy priorities to better represent your interests and the interests of older adults in Washington, DC.

Federal Updates
Overview
Congress is pushing forward with work on budget and appropriations measures for fiscal year 2020, which begins on October 1. One of the first considerations will be raising caps on discretionary spending that were imposed by the Budget Control Act of 2011. The budget caps would require draconian cuts in
funding for a wide range of federal domestic programs, including affordable housing and home- and community-based services for older people. The House Budget Committee has approved an increase in the spending caps for fiscal years 2020 and 2021.

Affordable Senior Housing
Preliminary work has begun on determining spending levels for housing programs for fiscal 2020. In conjunction with LeadingAge national, we are advocating for the following:

  • Expanded funding for new Section 202 homes to $600 million.
  • Full funding for rental assistance contracts renewal. • Full Service Coordinator funding, as well as $30 million to expand Service Coordinators to more communities.
  • Enactment of legislation to improve and expand the Low Income Housing Tax Credit program.
  • Protection of the National Housing Trust Fund, Capital Magnet Fund, and Private Activity Bonds.

Medicare Observation Days
Legislation has been introduced in both the House and the Senate, H.R. 1682 and S. 753 respectively, to resolve the observation days issue by requiring all time Medicare beneficiaries spend in a hospital to count toward the three-day stay requirement for coverage of any subsequent post-acute care. Both bills are bipartisan. In conjunction with LeadingAge
national, we strongly support the legislation and are urging legislators to cosponsor these bills.

Home and Community-Based Services
Money Follows the Person: Both the House and Senate have passed H.R. 1839, the “Medicaid Services Investment and Accountability Act,” to extend the Medicaid home- and community-based services spousal impoverishment protections through September 2019 and provide an additional $20 million for Money Follows the Person. We are hearing that the President plans to sign the bill into law.


Older Americans Act
The law that funds a wide range of home and community-based services, including congregate and home-delivered meals, family caregiver support, and transportation, is due for reauthorization this year. In conjunction with LeadingAge national, we are working with other stakeholders on reauthorization legislation, including an increase in funding to meet the needs of an aging population.

Workforce
In conjunction with LeadingAge national, we are working for passage of S. 299, the “Geriatrics Workforce Improvement Act” introduced by Senators Susan Collins (R-ME) and Bob Casey
(D-PA). This bill would help to ensure a more adequate supply of health care and other professionals trained and educated to meet the special needs of people as they age.

Nurse Aide Training Lock-Out

Since the automatic loss of training authority is statutory, LeadingAge national has worked with Rep. Sean Duffy (R-WI) on the introduction of the “Nursing Home Workforce Quality Act,” H.R. 1265. The bill has bipartisan cosponsorship and in conjunction with LeadingAge national, we are working to get more House members to sign onto it.

Proposed Fiscal 2020 Medicare Rule
CMS posted the proposed rule late on Friday, April 19, along with a fact sheet. Among many other provisions, the proposed rule, “projects aggregate payments to SNFs will increase by $887 million, or 2.5 percent, for FY 2020 compared to FY 2019. This estimated increase is attributable to a 3.0 percent market basket increase factor with a 0.5 percentage point reduction for multifactor productivity adjustment.” CMS again reminded nursing homes that the Patient Driven Payment Model reimbursement system will take effect for fiscal 2020. LeadingAge national is analyzing the rule and will file comments on it; the comment deadline is June 18.

Bill Trackers
Both LeadingAge North Carolina and LeadingAge national maintain legislative “bill trackers.” Click here for LeadingAge North Carolina’s version; click here for LeadingAge national’s version.

Information About Memorials for Mike Walsh
The First Presbyterian Church in Burlington was packed to the rafters earlier this week for Mike Walsh’s memorial service. Mike, executive director at The Village at Brookwood, was one of the most beloved colleagues for many of us in North Carolina. His service was a celebration of his life, his passions, and his legendary humor. In lieu of flowers, memorials may be made to the “Michael D. Walsh Family Trust” in care of the Village at Brookwood, 1860 Brookwood Avenue, Burlington, NC 27215 for his children’s education. We hope that you will consider a contribution to Mike’s kid’s future educational needs.

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 April 19, 2019

Posted By Jennifer Gill, Friday, April 19, 2019
Updated: Thursday, April 18, 2019


April 19, 2019

Contents
Click on the section you would like to view.
Advocacy & Policy
On the Road for You

Strategic Thinking
Volunteer Spotlight
News & Notes
Professional Development


Advocacy & Policy

Nancy Wise Named New Manager of Special Entities at Department of Insurance
Nancy Wise has been named Manager of Special Entities for the North Carolina Department of Insurance. She replaces Steve Johnson, who recently retired from the Department. Nancy has been with DoI since 2017, first as a Collateral Securities Manager and then as a Senior Financial Analyst. She has a degree from North Carolina State University with experience in both public accounting (Deloitte Haskins & Sells and Daniel G. Matthews & Associates) and corporate banking (Four Oaks Fincorp, Inc. and Four Oaks Bank & Trust Company). LeadingAge North Carolina joins our member communities in welcoming her to her new position!

“What is the Path to Quality Nursing Home Care?”
Katie Smith Sloan, LeadingAge national’s CEO, penned an Op-Ed yesterday for “Morning Consult.” Click here for her insightful article that’s a must-read for your residents, staff, family members, boards, and key stakeholders.

What Will EPA’s New Rule on Pharmaceuticals Mean for You?
A new rule from EPA establishes regulations for disposing of hazardous waste pharmaceuticals. Effective Aug. 22, 2019, providers of aging services with nursing home settings will no longer be allowed to dispose of pharmaceuticals by flushing them down a toilet or sink drain. The final rule has 3 major sections, but the one with the most immediate impact is related to the practice of disposing of certain pharmaceuticals by flushing them down a toilet or sink drain. The list of pharmaceuticals covered by the rule includes, but is not limited to:

  • Prescription drugs.
  • Over-the-counter drugs.
  • Compounded drugs.
  • Drugs remaining in a non-empty container.
  • Clean-up materials from spills of pharmaceuticals.
  • Homeopathic drugs.
  • Dietary supplements.
Join the New Monthly LeadingAge Congressional Action Calls
On the 4th Wednesday of every month, LeadingAge is hosting a legislative update call for state associations and members. These calls give us an opportunity to discuss and answer any questions about what is going on in the House and Senate, particularly on (though not limited to) our legislative priorities. The next call will be on Wednesday, April 24, at 1:00 Eastern. Call-in information: phone (646) 749-3129, access code: 633-107-693.

Senior Housing Rally Scheduled for May 8 in Washington, DC
Senior housing advocates from around the country will gather in Washington, DC on May 8 for a rally on the steps of our nation’s capital to bring attention to the senior housing crisis and advocate for solutions. The rally, building on the success of the wildly successful one held in 2017, is sponsored once again by LeadingAge national. You can find information about the rally, access a detailed flyer, and even watch a nifty video from LeadingAge CEO Katie Smith Sloan. Sign up today and bring your voice to the conversation!

Make Sure to Register for the Town Hall Conversation at the Annual Conference
The LeadingAge North Carolina Town Hall Conversation is your opportunity to provide input to LeadingAge about ways public policy is affecting you, the older adults you serve – and how policy could be changed for the better. The most important part of LeadingAge's policy setting process is a Town Hall Conversation in each state. LeadingAge state and national staff and a member of the LeadingAge national Board of Directors will participate to hear directly from you. Results of the Conversation will be shared with LeadingAge’s Policy Committee, Board of Directors and staff, and will be used to set public policy priorities to better represent your interests and the interests of older adults in Washington, DC. The feedback from each Town Hall will be aggregated so we can identify the most pressing issues across states, themes and emerging issues.

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LeadingAge North Carolina staff travels the state offering education, advocacy, networking, and collaborating with agencies that share a common vision. Here’s where we've been recently:

  • National Church Residences national board meeting – Asheville
  • Resident Council presentation – Glenaire, Cary
  • North Carolina PACE Conference – Charlotte
  • NC Institute of Medicine Serious Illness Task Force meeting – Morrisville
  • NC Institute of Medicine Task Force meeting on Health Services for Individuals who are Deaf and Hard of Hearing - Morrisville
  • Department of Health and Human Services meeting - Raleigh
  • Friends of Residents of Long Term Care meeting – Raleigh

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Strategic Thinking

Employer Wake-Up Call: It’s Time to Become “Caring Companies”
April 8, 2019, Stria
Experts weigh in on why care benefits will only increase in importance as Americans live longer.

The Unexpected Way We Might One Day Diagnose Alzheimer’s
April 2, 2019, gatesnotes
In his blog, Bill Gates talks about the future of Alzheimer's diagnosis, which may be more accessible, less expensive, and available sooner than you think.

How to Avoid Ageism
March 30, 2019, Society for Human Resource Management
Check out this valuable introduction to an important workplace issue that has implications for all generations. A relevant read for any Human Resources department.

Patient Portal Adoption Tops 90%, Patient Registrations Lag
April 11, 2019, Patient Engagement
More than 90 percent of organizations offer patient portal access, but most hospitals see fewer than 25 percent patient adoption.

13 Ways We Justify, Rationalize, or Ignore Negative Feedback
February 14, 2019, Harvard Business Review
Don't let your ego get in the way of important learning. Check out this article for constructive ways to process negative feedback.

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Volunteer Spotlight


Hector McEachern
Children's Home Society of NC
LeadingAge NC Foundation Board of Trustees

Trustees of the LeadingAge North Carolina Foundation volunteer their time and expertise with the sole purpose of enriching the field of aging services. Hector McEachern is Vice President of Operations for Children's Home Society of North Carolina. He spent 30 years in the financial services industry with Wachovia Corporation, now Wells Fargo, retiring as an executive vice president in human resources. We are grateful for his four years of service to the Foundation board.

1. Why did you become involved in LeadingAge North Carolina?
I deeply believe in the mission and important work of LeadingAge NC. Having served on the River Landing Board and now the Friends Homes Board, the work that these communities are involved with is critical.

2. What makes our mission meaningful to you?

The future of our seniors is critical to the success of our country and its longevity.

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?

Assure that people of all races, genders and communities benefit from having a safe and secure place to live throughout their final years.

4. If you could swap jobs with a staff member for a day, what would you want to try and why?
I would prefer to swap places with a resident instead of a staff member to gain this type of valuable experience.

5. What do you do to relax, to get away, to recharge your batteries?

Read, teach and serve the community in any way I can.

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News and Notes

2019 Compensation and Benefits Survey
CEOs and Human Resources professionals, the 2019 LeadingAge North Carolina Compensation and Benefits Survey is available from through May 17. As in the past, please complete each position that is the closest match to a position in your organization. Only provide compensation information for positions that currently exist at your community. Submit one survey per community. A Survey Worksheetis also available in case you would like to fill out a hard copy of the survey before you complete the online version.

The research consulting firm of Vital Research developed the online format and is conducting the survey for LeadingAge North Carolina, thus ensuring confidentiality of community data. Vital Research headquartered in Los Angeles, California has worked with other LeadingAge state affiliates, and is familiar with our membership.

If you have any technical questions before or during the survey process, please contact Dr. Harold Urman at
or call him toll-free at 888-848-2511. If you have any additional questions, please contact Leslie Roseboro at 919-571-8333.

The information provided in this survey is important to every member, so we hope you will join us in ensuring 100% participation. Thank you in advance for your participation in the 2019 Compensation and Benefits Survey.

Application Deadline Approaching for Leading Age National Leadership Academy
Join a select group of Leadership Academy fellows for a year of personal and professional growth that will deepen your commitment to those you serve, prepare you to address the future of aging services, and help you build a nationwide network of peers that will be a resource of support and expertise well into the future.

Academy fellows visit innovative LeadingAge members across the country and glean knowledge from dozens of leaders representing the field of aging. They engage in individual and team projects that advance their organizations and address gaps in the field. And, through immersion in foundational leadership theory and practice, they learn to tap into their natural talents and uncover their own authentic leadership style.

Fellows emerge from their Academy experience with greater confidence and a stronger sense of who they are and how they can best contribute to their organizations and a reimagined future of aging services. Click here to apply today.

Converting Financial Stress into Financial Wellness for Caregivers
Date: Thursday, April 25, 2019
Time: 1:00 p.m. ET
Free Webinar from LeadingAge’s Member Solutions Partner, PayActiv

Learn about how Aging Service providers are tackling key challenges and engaging their workforce through financial wellness solutions. Join us as we discuss ways some LeadingAge members are addressing pressing workforce issues and improving the work culture at their businesses in areas such as:

  • Industry Attractiveness and Recruitment
  • Retention and Culture
  • Competitive Benefits and Compensation
  • Understanding the Needs of the Workforce

Make sure to join PayActiv's Sabina Bhatia, Chief Customer Officer and Jay Huston, Channel Manager to learn more about how providing holistic financial wellness to employees has helped Aging Service Providers improve employee engagement and retention in their organizations. Click below to register today.

Register Now and Join the Conversation

After registering, you will receive a confirmation email containing information about joining the meeting.

2019 Nonprofit Town Halls
Join the North Carolina Center for Nonprofits and organizations across the state for a Nonprofit Town Hall meeting later this month. Discussion will include briefings on the top federal and state issues affecting nonprofits in North Carolina. Cost of attendance is $25 for Center Members and Sustainers, and $35 for all others. Pre-registration is required.
Click here to learn more and register for the April 29th meeting in Elizabeth City.

Scam DNA Tests May Be New Target for Health Fraud, States Warn
April 17, 2019, Bloomberg
Authorities in several states are warning about an alleged scam in which people visit senior-living communities and low-income neighborhoods, offering to perform DNA tests and collecting information from people in government health programs. The alleged DNA-testing scams appear to be a new twist on an old tactic, in which people are tricked into giving away personal information or participating in medical services they don’t need. Perpetrators of such schemes can bill the government for unneeded medical tests and procedures, or use the information they collect — such as Medicare and Medicaid identification data — to commit identity theft and fraud.

For Alzheimer’s and Dementia Patients, Thoughtful Design Can Have Big Impact
April 8, 2019, USC News
New research from a University of Southern California professor reinforces the value of designing to maximize natural light, especially for aging adults with a variety of health issues.

Alzheimer's and Dementia Caregiving Stories
One of the more beautiful aspects of this collection of stories is that the authors are not famous. They’re not celebrities. They’re ordinary people who lived the Dementia Caregiver life and opted to share their stories. Check it out today and decide if it would be a good resource for residents, staff, and families in your community.

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).

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Professional Development

 

LeadingAge North Carolina
ANNUAL CONFERENCE & TRADE SHOW

We can't wait to see you in Myrtle Beach, SC next month May 6-9 for our largest educational gathering of the year.

Great news for HR professionals! For the first time, the Annual Conference has been certified for 12 CEUs through the Human Resources Certification Institute (HRCI).

Exciting news for all administrators ... the LeadingAge North Carolina Annual Conference has been approved for 12.5 CEUs by the National Association of Long Term Care Administrator Board!!!

This year's conference includes:

  • An art-related opening session to tap into your creativity. Yes ... you are creative!
  • Return of the very important Town Hall Conversation - please be sure to attend. Not sure about policy? That's okay, listen and learn.
  • LeadingAge North Carolina Leadership Academy Alumni and Coaches - a super fun and special Shared Learning session just for you.
  • Another sold-out Expo to explore new technologies and meet with new and existing product and service providers.
  • An awards ceremony that always lifts the spirit by honoring the field.
  • Plus all of the fellowship, networking, and learning you have come to enjoy and expect from your state association.

More information.
Register here.


CapTel NC, Division of Services for the Deaf and the Hard of Hearing (DSDHH) and AHEC are hosting the 4th Annual Hearing Loss and Accessibility Workshops for healthcare providers and consumers. Workshops will take place May 9th in Asheville, May 16th in Wilmington, and May 21st in Cary.

Morning sessions are for professionals interested in obtaining CEU credits from AHEC. Afternoon sessions are for consumers and other professionals who do not want CEUs but who work with older adults and those with hearing loss. Click here to register online. First register as an AHEC member which is just an email and password. Then go back to the link, open and register as a consumer (no fee) for the specific workshop you will attend.



Registration is open...hope you can join us!

LeadingAge North Carolina
Maintenance Workshop
June 6
10:00am - 3:00pm
Glenaire in Cary
$125 first person/$99 additional person(s) from the same community

Topics

  • State surveys, codes and levels of concern
  • Emergency protocol and communication methods
  • Setting up door access control systems
  • Water, mold, fire and storm restoration
  • Value First program

Speakers

  • Steve Lewis, Section Chief, NC Division of Health Service Regulation
  • Caleb Allen, ASSA ABLOY
  • David Hudson,  Modern Systems, Inc.
  • Bobbie Bernal, Value First
  • Steve Garner, RestorePro
  • Ross Cohen, RestorePro

Click here to register now!

If you have any questions, please don't hesitate to contact Leslie Roseboro at 919-571-8333.


Neil Medical
16th Annual Educational Summit
June 19-20
High Point

LeadingAge North Carolina Platinum member, Neil Medical, is offering an educational summit that offers 10 continuing education hours for nurses and nursing home administrators. Click here to view the list of sessions, speakers, and registration information. Registration cost is $85.


LeadingAge North Carolina
PDPM: Prepare. Execute. Succeed.
June 27
10am-2pm
Salemtowne, Winston-Salem


Join us for a program facilitated by Kristy Yoskey of HealthPRO Heritage to help you transition to the Patient Driven Payment Model (PDPM). Take a deep dive look into PDPM and what it will take to prepare in the last three months leading up to the PDPM transition, execution process, education and success beyond October 1, 2019. Financial impact, high level strategies and education needed to be on the winning side of PDPM will also be discussed. Register online or click here to download and mail registration form.

Members: $125 or $99 for each additional attendee
Non-Members: $175

Participants earn 3 NHA CEUs

Download flyer.
Register online now.



LeadingAge North Carolina
2019 Management Leadership Series

"Lead Your People. Manage Your Process."
August 21
10am-3pm
Friends Homes West, Greensbor
o

Rich Schlentz of EXTRAordinary! Inc. is back by popular demand! Explore the tactical tools for leading and managing including: constructive coaching, influential communication, and interviewing for success. Attendees last year asked Rich to include information for new managers as well as those who would like to improve their management skills. He listened and plans to deliver on that this year!

Department directors, mid managers, team leaders, and supervisors - be sure to register today. Members: $125; Non-members: $300; 4.0 NHA CEUs.

Download the brochure.
Register online now.


Education Calendar Available
The LeadingAge North Carolina education and event calendar can be accessed by clicking here. This calendar is packed with more than 25 offerings across the state with something for everyone including maintenance, dining, wellness, marketing, finance, human resources, direct care staff, and more.

We are particularly pleased to announce a roundtable series called Beans and Dreams. Join your peers for coffee and conversation on second Fridays from June to December from 9-10:30am. This is an opportunity for members to connect regionally to discuss relevant topics. Each roundtable will be different! Topics continue to be added and updated.


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 through November this year at 2pm eastern time.

Registration
Individual session: $75 members / $125 non-members

NAB Approved Contact Hours: 1.25 each session

This webinar series guides providers in implementing a step-wise action plan to manage the industry changes taking effect this year 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.


Reducing Readmissions
“Go to the Hospital or Stay Here?"
A Decision Guide
April 23 in Rocky Mount
April 24 in Thomasville
April 25 in Cullowhee

Be a part of the Medicare Region IV research initiative to reduce avoidable hospital readmissions.  Click here to register for a CMS and State of North Carolina-endorsed no-cost workshop that will explain how the Resident and Family Guide can be used to reduce hospital readmissions. Target audiences for the sessions are Administrators, Directors of Nursing, Medical Directors, NPs, PAs and Department Heads and Staff. During the session, participants will be provided with an overview of the Decision Guide content, learning videos and techniques to introduce the information to staff, residents and family. Best practices on how to hardwire “The Guide” into your organization’s admission process as well as highlights from the pilot project will be discussed. For more information, contact: Frank Tappen.

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


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Advocacy in Action April 12, 2019

Posted By Jennifer Gill, Friday, April 12, 2019
Updated: Thursday, April 11, 2019


April 12, 2019


Legislation Requiring Emergency Generators Approved by House Committee
A bill introduced by Rep. Julia Howard requiring generators capable of providing “heat, air conditioning, lighting and other essential services” during power outages in skilled nursing facilities, combination facilities, and adult care homes was approved by the North Carolina House Committee on Aging. Cost estimates provided by the North Carolina Senior Living Association pegged the estimated price tag for outfitting the state’s adult care homes with emergency generators at $84 million. All LeadingAge North Carolina life plan communities/continuing care retirement communities have emergency generators. The bill now goes to the House Rules committee for further study. If passed by both chambers and signed by the Governor, the North Carolina Medical Care Commission would be tasked with writing rules to implement the legislation. LeadingAge NC has already had conversations with Medical Care Commission staff about the bill.

Nonopioid Opt Out Bill Introduced
A bill introduced by Reps. Mary Belk, MaryAnn Black, Josh Dobson, and Donna White would “recognize the desire and right of a patient to elect nonopioid prescriptions and treatments.” H318 (the Opioid Prescription and Treatment Opt Out Act) would require the Department of Health and Human Services, in consultation with the North Carolina Board of Medicine and the North Carolina Board of Pharmacy, to develop an official voluntary nonopioid advance directive form by January 1, 2020. The proposed legislation has been reviewed by the LeadingAge North Carolina Public Policy committee and their comments are in the process of being communicated to the bill’s sponsors.

Medicare-Certified Home Health Language Included in Senate Bill
Senators Jim Burgin, Ralph Hise, and Joyce Krawiec have introduced legislation that would exempt from certificate of need review the establishment of a home health agency by a continuing care retirement community. Senate Bill 646 would allow provision of home health services to one or more residents of a life plan community/continuing care retirement community who have entered into a contract to receive continuing care services with lodging. Similar exemptions for LPCs/CCRCs already exist in the State Medical Facilities Plan regarding adult care homes and skilled nursing facilities. It is our belief that if home health services had been as prevalent when those exemptions were placed in the State Medical Facilities Plan as they are now, an exception for home health would already be in the plan. To truly fulfill the duty of an LPC/CCRC, LeadingAge North Carolina and its member communities believe that the provision of Medicare-certified home health is a vitally important component within the post-acute continuum. LPCs/CCRCs have been historically successful in the operations of other care-related components within the campus (chiefly assisted living and skilled nursing for which exemptions already exist), even when faced with limited volumes. This petition would allow LPCs/CCRCs the option of applying for a Medicare-certified home health license and, ONLY if the State found their application compliant with all of its requirements, provide Medicare-certified home health services ONLY to the individuals with whom they have continuing care contracts, as defined by current North Carolina statute. And then, ONLY if the resident chose them. Watch for a special Advocacy in Action message next week.

Senior Housing Rally Scheduled for May 8 in Washington, DC
Senior housing advocates from around the country will gather in Washington, DC on May 8 for a rally on the steps of our nation’s capital to bring attention to the senior housing crisis and advocate for solutions. The rally, building on the success of the wildly successful one held in 2017, is sponsored once again by LeadingAge national. You can find information about the rally, access a detailed flyer, and even watch a nifty video from LeadingAge CEO Katie Smith Sloan. Sign up today and bring your voice to the conversation!

Blue Cross NC and Duke Health to Create New Health Insurance Company Targeting Seniors
If it’s approved by CMS, the new company named Experience Health will begin offering Medicare Advantage plans in the following counties on Jan. 1, 2020: Alamance, Durham, Franklin, Granville, Lee, Orange, Person, Vance and Wake. Blue Cross Blue Shield will provide billings, claims, and enrollment services while Duke Health will provide medical care and facilities.

NEW! LeadingAge North Carolina Bill Tracker
The LeadingAge North Carolina bill tracker is a quick and easy way to help members track current legislation in front of the General Assembly in Raleigh. The spreadsheet is simple to navigate and will be updated and sent to you on a regular basis.


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



Tags:  Advocacy in Action 

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Professional Development Update April 2019

Posted By Jennifer Gill, Thursday, April 11, 2019
Updated: Thursday, April 11, 2019


April 11, 2019

 

2019 ANNUAL CONFERENCE & TRADE SHOW
REGISTER TODAY!

We can't wait to see you in Myrtle Beach, SC for our largest educational gathering of the year.

NOTE: Due to high demand for the room block, hotel reservation requests should be made directly through Leslie Roseboro. Email Leslie by tomorrow, Friday, April 12 with name of attendee, contact information, arrival/departure dates and bed preference. Also contact Leslie if you currently have a reservation that is outside the room block. If you are holding rooms within the room block that you no longer need, please do not cancel them directly with the resort. Contact Leslie Roseboro in order to make room for others who are on the waiting list.

Great news for HR professionals! For the first time, the Annual Conference has been certified for 12 CEUs through the Human Resources Certification Institute (HRCI).

Exciting news for all administrators ... the LeadingAge North Carolina Annual Conference has been approved for 12.5 CEUs by the National Association of Long Term Care Administrator Board and is now offering NAB CEUs for the first time!!!

This year's conference includes:

  • An art-related opening session to tap into your creativity. Yes ... you are creative!
  • Return of the very important Town Hall Conversation - please be sure to attend. Not sure about policy? That's okay, listen and learn.
  • LeadingAge North Carolina Leadership Academy Alumni and Coaches - a super fun and special Shared Learning session just for you.
  • Another sold-out Expo to explore new technologies and meet with new and existing product and service providers.
  • An awards ceremony that always lifts the spirit by honoring the field.
  • Plus all of the fellowship, networking, and learning you have come to enjoy and expect from your state association.

More information.
Register here.


Tomorrow!                                
PDPM: Prepare. Execute. Succeed.
2-Part Series
Facilitated by Kristy Yoskey of HealthPRO Heritage


Join us for a two-part series to help you transition to the Patient Driven Payment Model (PDPM). We encourage members to register for both sessions for maximum benefit. However, individual session registrations are welcome. Register online or click here to download and mail registration form.

Part 1: Introduction (a Beans and Dreams Roundtable)
April 12 | 9:00am-10:30am | Abernethy Laurels | Newton (NOTE: Location Change)

Discuss the changes to Medicare A reimbursement beginning on October 1, 2019 under the Patient Driven Payment Model and considerations to evaluation of care based on the clinical characteristics of the resident and their needs. The transition from RUG IV to PDPM and things to consider in order to be prepared and successful in the new world shifting toward value based care will be discussed. This session is open to members only.

Part 2: Intensive
June 27 | 10:00am - 2:00pm | Salemtowne | Winston-Salem


Take a deep dive into PDPM and what it will take to prepare in the last three months leading up to the PDPM transition. Financial impact, high level strategies and education needed to be on the winning side of PDPM will be discussed.

Registration Rates
Part 1: Members only $25
Part 2: $125/$99 add'l attendee(s) or Non-Members $175

Participants earn 1 NHA CEU for Part 1 and/or 3 CEUs for Part 2.

Download flyer.
Register online now.




One Week from Today!
2019 Management Leadership Series

Lead Your People. Manage Your Process.
Facilitated by Rich Schlentz
10am-3pm
April 18 at Salemtowne in Winston-Salem
August 21 at Friends Homes West in Greensboro

Rich Schlentz of EXTRAordinary! Inc. is back by popular demand! Explore the tactical tools for leading and managing including: constructive coaching, influential communication, and interviewing for success. Attendees last year asked Rich to include information for new managers as well as those who would like to improve their management skills. He listened and plans to deliver on that this year!

Department directors, mid managers, team leaders, and supervisors - be sure to register today. Members: $200 for the series or $125 per session; Non-members: $300 for the series or $175 per session; 4.0 NHA CEUs per person.


Download the brochure.
Register online now.


Education Calendar Available
The LeadingAge North Carolina education and event calendar can be accessed by clicking here. This calendar is packed with more than 25 offerings across the state with something for everyone including maintenance, dining, wellness, marketing, finance, human resources, direct care staff, and more.

We are particularly pleased to announce a roundtable series called Beans and Dreams. Join your peers for coffee and conversation on second Fridays starting tomorrow with the PDPM Introduction on April 12 (see above), and again in each month from June to December from 9-10:30am. This is an opportunity for members to connect regionally to discuss relevant topics. Each roundtable will be different! Keep an eye out for new topics each month.


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 through November this year at 2pm eastern time.

Registration
Individual session: $75 members / $125 non-members

NAB Approved Contact Hours: 1.25 each session

This webinar series guides providers in implementing a step-wise action plan to manage the industry changes taking effect this year 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.





Reducing Readmissions

“Go to the Hospital or Stay Here?"
A Decision Guide
April 23 in Rocky Mount
April 24 in Thomasville
April 25 in Cullowhee

Be a part of the Medicare Region IV research initiative to reduce avoidable hospital readmissions.  Click here to register for a CMS and State of North Carolina-endorsed no-cost workshop that will explain how the Resident and Family Guide can be used to reduce hospital readmissions. Target audiences for the sessions are Administrators, Directors of Nursing, Medical Directors, NPs, PAs and Department Heads and Staff. During the session, participants will be provided with an overview of the Decision Guide content, learning videos and techniques to introduce the information to staff, residents and family. Best practices on how to hardwire “The Guide” into your organization’s admission process as well as highlights from the pilot project will be discussed. For more information, contact: Frank Tappen.


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 April 5, 2019

Posted By Jennifer Gill, Friday, April 5, 2019
Updated: Thursday, April 4, 2019


April 5, 2019

Contents
Click on the section you would like to view.
Advocacy & Policy
On the Road for You

Strategic Thinking
Member Question
News & Notes
Professional Development


Advocacy & Policy

Proposed Bill Impacts Generator Requirements
Representative Julia Howard has introduced H410 in the North Carolina House of Representative to require generators at all nursing homes, combination homes and adult care homes located in the state. All LeadingAge North Carolina members subject to the proposed legislation currently have generators. The bill’s actual wording charges the North Carolina Medical Care Commission with adopting rules specifying “the essential electrical services nursing homes, combination homes, and adult care homes are required to provide through the use of emergency electrical services.” The bill specifies provision of emergency electrical service “sufficient to provide heat, air conditioning, lighting, and other essential electrical services.” LeadingAge North Carolina has been in touch with the construction section at the Medical Care Commission to offer our ongoing perspective (both now and in the event the legislation passes).

Trauma-Informed Care
Implementing Trauma-Informed Care: A Guidebook provides strategies for compliance with Phase 3 of the Requirements of Participation.

Prospective Payment System Calculator Tool Updated
LeadingAge has updated Medicare Part-A Skilled Nursing Facility (SNF) 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, that began on Oct. 1, 2018. Access to this tool requires login via My.LeadingAge.

CMS Policy Podcast Aims to Reach Stakeholders via Podcast Platform
CMS has launched a new podcast intended to help explain the agency's policies and programs. "CMS: Beyond the Policy," discusses updates and changes to policies and programs in an easily accessible and conversational format. New episodes of the podcast will be released periodically and will welcome a range of subject-matter experts and stakeholders, including Administrator Verma. The inaugural episode of the podcast focused on Evaluation and Management Coding (E/M Codes). This episode is available for download on iTunes and Google Play. You can also access the recording on the CMS website. Click here to learn more about this podcast.

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LeadingAge North Carolina staff travels the state offering education, advocacy, networking, and collaborating with agencies that share a common vision. Here’s a look at our recent visits:

  • Community Member visit - Givens Gerber Park, Asheville
  • Community Member visit - Givens Estates, Asheville
  • Community Member visit - Brooks-Howell Home, Asheville
  • Community Member visit - Deerfield, Asheville
  • Community Member visit - Tryon Estates, Columbus
  • Community Member visit - Friends Homes, Greensboro
  • Community Member visit - Carolina Village, Hendersonville
  • General Assembly Committee on Aging - Raleigh
  • Business Member meeting - GMK Interiors, Raleigh
  • Penick Village Leadership Academy - Southern Pines
  • LeadingAge National Leadership Summit - Washington, DC
  • Community Member visit - Arbor Acres, Winston-Salem

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Strategic Thinking

LTSS Center Releases Findings
LeadingAge wanted to get a better idea of how older adults view quality of life and aging, particularly should they develop physical or cognitive impairments and need long-term services and supports (LTSS). So, we teamed up with NORC, a research institution at the University of Chicago, to survey a representative sample of 1,200 older adults between the ages of 60 and 72. Those survey results, which we unveiled during the LeadingAge Leadership Summit in March, contain new information that challenges many commonly-held views about how baby boomers want to age. We think members will find the survey findings very enlightening as their organizations plan to serve future consumers.

Emotional Intelligence: The Social Skills You Weren't Taught in Schoo
l
April 14, 2015, Lifehacker
What do self-awareness, self-management, motivation, empathy, and social skills have in common? They make up five areas of something called emotional intelligence: those skills that make a huge difference in our ability to get ahead in life. Do have them? Read more.

Why Calendars are More Effective Than To-Do Lists
June 15, 2016, Observer
Would you believe that the likelihood of your getting anything done goes up significantly if you put it on your calendar? Switching from a list to a calendar might be that little change that makes a big difference. Could your team benefit from this approach? Read more.

Pressure Doesn’t Have to Turn into Stress
March 16, 2017, Harvard Business Review
The difference between pressure and stress is chronic worry, or rumination. Check out these four steps to help change your reaction to pressure and reduce stress in your life.

The Myth of Creative Inspiration
February 27, 2014, Pocket
Routines, schedules, and permission to create junk are the foundations of creative inspiration. Read more for this author's compelling ideas on how schedules spark creativity.


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Thanks to everyone who keeps the member question service going strong by responding. Click on a recent topic below to download a spreadsheet of corresponding responses.

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News and Notes

Protecting Your Internet Accounts Keeps Getting Easier. Here’s How to Do It.
March 27, 2019, The New York Times
There are many tools for setting up two-factor authentication, a security mechanism that prevents improper access. These four methods are the most compelling.

Health Rankings and North Carolina
A lack of affordable housing drives down health and keeps North Carolinians in poverty, according to the latest annual County Health Rankings & Roadmaps, released recently by the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute. Taken as a whole, residents in Wake County have the best health outcomes in North Carolina. Those in Robeson County have the worst outcomes. Urban areas tend to place higher in the rankings, but cities also struggle with affordable housing and have pockets where health outcomes are lower. In total, 14 percent of North Carolina households spend more than half of their income on housing costs. But a deeper dive into the numbers show wide racial disparities. Households headed by black residents are most burdened by severe housing costs at 21 percent, compared to white households at 11 percent.

Free Tax Return Preparation for Older Adults
The deadline to file 2018 tax returns is April 15. The Internal Revenue Service offers two programs that can help senior households make sure their filings are correct and on time – the Volunteer Income Tax Assistance (VITA) program and the Tax Counseling for the Elderly (TCE) program. Both are free and offered at convenient locations such as libraries, schools, and shopping malls across the country. Find the closest VITA/TCE site.

Thriving in a Managed Care World
The March/April edition of LeadingAge magazine explores how LeadingAge members are responding to the growth of managed care by forming networks, innovating in transitions of care, and building managed care plans of their own.

LeadingAge Learning Hub
There’s always something new on the LeadingAge Learning Hub, our online learning platform designed to address the professional development and education needs of aging services professionals. Check out our new QuickCast on What To Do About Bed Bugs? Learn about how to Preserve Your Aging HUD Property. Or check out our upcoming webinars on Recognizing the Financial Implications of PDPM and Get Ready for Advocacy: Housing Priorities Explained.

2019 Nonprofit Town Halls
Join the North Carolina Center for Nonprofits and organizations across the state for a Nonprofit Town Hall meeting later this month. Discussion will include briefings on the top federal and state issues affecting nonprofits in North Carolina. Cost of attendance is $25 for Center Members and Sustainers, and $35 for all others. Pre-registration is required.
Click here to learn more and register for a meeting in Wilmington or Elizabeth City.

Treating Diabetes in Older Adults Requires Simpler Medication Regimens, Looser Glycemic Targets
March 23, 2019, Endocrine Society
The Endocrine Society recently issued new practice guidelines to aid in treating diabetes, which currently affects about 33% of older adults in the U.S. Recommendations include targeting blood pressure levels of 140/90 mmHg to decrease the risk of developing cardiovascular problems, and administering annual eye exams to detect retinal disease.  The new guidelines, “Treatment of Diabetes in Older Adults: An Endocrine Society Clinical Practice Guideline,” will appear in the May issue of the Journal of Clinical Endocrinology & Metabolism.

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).

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Professional Development

 

ANNUAL CONFERENCE REGISTRATION OPEN!

We can't wait to see you in Myrtle Beach, SC next month for our largest educational gathering of the year.

NOTE: Due to high demand of the room block, hotel reservation requests should be made directly through Leslie Roseboro. Email Leslie by April 12 with name of attendee, contact information, arrival/departure dates and bed preference. Also contact Leslie if you currently have a reservation that is outside the room block. If you are holding rooms within the room block that you no longer need, please do not cancel them directly with the resort. Contact Leslie Roseboro in order to make room for others who are on the waiting list.

Great news for HR professionals! For the first time, the Annual Conference has been certified for 12 CEUs through the Human Resources Certification Institute (HRCI).

Exciting news for all administrators ... the LeadingAge North Carolina Annual Conference has been approved for 12.5 CEUs by the National Association of Long Term Care Administrator Board!!!

This year's conference includes:

  • An art-related opening session to tap into your creativity. Yes ... you are creative!
  • Return of the very important Town Hall Conversation - please be sure to attend. Not sure about policy? That's okay, listen and learn.
  • LeadingAge North Carolina Leadership Academy Alumni and Coaches - a super fun and special Shared Learning session just for you.
  • Another sold-out Expo to explore new technologies and meet with new and existing product and service providers.
  • An awards ceremony that always lifts the spirit by honoring the field.
  • Plus all of the fellowship, networking, and learning you have come to enjoy and expect from your state association.

More information.
Register here.


                               
One Week from Today!
PDPM: Prepare. Execute. Succeed.
A Beans and Dreams Roundtable
2-Part Series: April 12 and June 27

Join us for a two-part series facilitated by Kristy Yoskey of HealthPRO Heritage to help you transition to the Patient Driven Payment Model (PDPM). We encourage members to register for both sessions for maximum benefit. However, individual session registrations are welcome. Register online or click here to download and mail registration form.

Part 1: Introduction (a Beans and Dreams Roundtable)
April 12 | 9:00am-10:30am | Bernard Robinson & Company | Greensboro

Discuss the changes to Medicare A reimbursement beginning on October 1, 2019 under the Patient Driven Payment Model and considerations to evaluation of care based on the clinical characteristics of the resident and their needs. The transition from RUG IV to PDPM and things to consider in order to be prepared and successful in the new world shifting toward value based care will be discussed. This session is open to members only.

Part 2: Intensive
June 27 | 10:00am - 2:00pm | Salemtowne | Winston-Salem


Take a deep dive look into PDPM and what it will take to prepare in the last three months leading up to the PDPM transition, execution process, education and success beyond October 1, 2019. Financial impact, high level strategies and education needed to be on the winning side of PDPM will also be discussed.

Registration Rates
Part 1: Members only $25
Part 2: $125/$99 add'l attendee(s) or Non-Members $175

Participants earn 1 NHA CEUs for Part 1 and/or 3 CEUs for Part 2.

Download flyer.
Register online now.



Session One Takes Place in Fewer Than 2 Weeks!
2019 Management Leadership Series

"Lead Your People. Manage Your Process."

10am-3pm April 18 at Salemtowne in Winston-Salem
August 21 at Friends Homes West in Greensbor
o

Rich Schlentz of EXTRAordinary! Inc. is back by popular demand! Explore the tactical tools for leading and managing including: constructive coaching, influential communication, and interviewing for success. Attendees last year asked Rich to include information for new managers as well as those who would like to improve their management skills. He listened and plans to deliver on that this year!

Department directors, mid managers, team leaders, and supervisors - be sure to register today. Members: $200 for the series or $125 per session; Non-members: $300 for the series or $175 per session; 4.0 NHA CEUs.

Download the brochure.
Register online now.


Education Calendar Available
The LeadingAge North Carolina education and event calendar can be accessed by clicking here. This calendar is packed with more than 25 offerings across the state with something for everyone including maintenance, dining, wellness, marketing, finance, human resources, direct care staff, and more.

We are particularly pleased to announce a roundtable series called Beans and Dreams. Join your peers for coffee and conversation on second Fridays starting this month with the PDPM Introduction on April 12 (see above), and again in each month from June to December from 9-10:30am. This is an opportunity for members to connect regionally to discuss relevant topics. Each roundtable will be different! Keep an eye out for new topics each month.


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 through November this year at 2pm eastern time.

Registration
Individual session: $75 members / $125 non-members

NAB Approved Contact Hours: 1.25 each session

This webinar series guides providers in implementing a step-wise action plan to manage the industry changes taking effect this year 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.


“Staying Alive!”
North Carolina Culture Change Coalition
April 9 in Thomasville
April 10 in Black Mountain

Please mark your calendars for the North Carolina Culture Change Coalition's "Staying Alive." The symposium will feature guest speaker Susan Gilster, PhD, RN who has presented more than 150 national and international talks on Alzheimer’s care and treatment, organizational change, leadership, and employee satisfaction and retention. Click here to register.

Topics:

  • Sustaining culture change through leadership
  • Panel will discuss culture change in their facilities
  • Just culture
  • Regulatory perspective on culture change from Cindy Deporter, Division of Health Service Regulation

CEUs: LNHA, Assisted Living Administrators, and Nursing

April 9th
Davidson Community College
297 DCC Road
Thomasville, NC 27360

April 10th
Givens Highland Farms
200 Tabernacle Road
Black Mountain, NC 28711

Click here to register.


Reducing Readmissions
“Go to the Hospital or Stay Here?"
A Decision Guide
April 23 in Rocky Mount
April 24 in Thomasville
April 25 in Cullowhee

Be a part of the Medicare Region IV research initiative to reduce avoidable hospital readmissions.  Click here to register for a CMS and State of North Carolina-endorsed no-cost workshop that will explain how the Resident and Family Guide can be used to reduce hospital readmissions. Target audiences for the sessions are Administrators, Directors of Nursing, Medical Directors, NPs, PAs and Department Heads and Staff. During the session, participants will be provided with an overview of the Decision Guide content, learning videos and techniques to introduce the information to staff, residents and family. Best practices on how to hardwire “The Guide” into your organization’s admission process as well as highlights from the pilot project will be discussed. For more information, contact: Frank Tappen.

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




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Advocacy in Action March 22, 2019

Posted By Jennifer Gill, Friday, March 22, 2019
Updated: Friday, March 22, 2019


March 22, 2019

Capitol Hill Visits Impact Elected Officials

This week LeadingAge North Carolina members covered Capitol Hill to visit with their elected officials and reinforce the urgent needs of our aging population. With support from LeadingAge national regarding key messages, members banded together to articulate clearly and forcefully to our representatives in Washington on behalf of older adults. Our thanks to everyone who took on this task, conquering nerves and supporting one another's voices. Together, we can and do make a difference!


Above, LeadingAge North Carolina members Suzanne Pugh (far left)  from Aldersgate in Charlotte and Heather March (2nd left) from Croasdaile Village in Durham along with Katie Smith Sloan (3rd right) of LeadingAge national, Tom Akins, and Leslie Roseboro meet with Nora Blalock and Sean Maxwell from Representative David Price's office during Capitol Hill visits at the LeadingAge national Leadership Summit in D.C.




Above, the delegation from North Carolina, including staff from United Church Homes and Services in Newton, Givens Estates and Givens Communities in Asheville, Aldersgate in Charlotte, Croasdaile Village in Durham, Galloway Ridge in Pittsboro, along with Steve Fleming (far right) of The Well-Spring Group in Greensboro, Tom Akins, and Leslie Roseboro visit with staff members Bill Bode and Andrew Nam from Senator Thom Tillis's office and Rachel Soclof of Senator Burr's office in D.C. as part of Hill visits during LeadingAge national's Leadership Summit.



Above, Kenneth Jenzen (2nd left) and Teresa Stephens (center) from Givens Estates and Givens Communities in Asheville along with Lee Syria (2nd right) and Aimee Reimann (far right) from United Church Homes and Services in Newton visit with staff member Doug Nation (far left) from Representative Patrick McHenry's office.


Sign Up for the Seniors Action Network NOW

The Seniors Action Network is a grassroots movement organized to give America’s seniors a greater voice in public policy. The network recruits, educates, and trains advocates to take leadership in the formation of public policy by direct outreach to decision makers. Members of the Seniors Action Network engage in advocacy on issues that impact seniors by communicating directly with their Members of Congress through telephone calls, emails, and letter-writing campaigns. For more information about the Network and to sign up, CLICK HERE.

Medicare Observation Days Legislation
Legislation has been introduced in both the U.S. House and the Senate, H.R. 1682 and S. 753 respectively, to resolve the observation days issue by requiring all time Medicare beneficiaries spend in a hospital to count toward the three-day stay requirement for coverage of any subsequent post-acute care. We strongly support the legislation and are urging legislators to cosponsor these bills.

Urge the U.S. House and Senate to Fund New Housing for Older Adults
As Congress deliberates funding levels for HUD programs for the next fiscal year, fiscal year 2020, legislators must hear from you about the need to expand and preserve housing funding for older adults with very low incomes. The significant need for more Section 202 homes is nationwide and only growing. Today, only 1 in every 3 older adults eligible for housing assistance receives it because the programs are too small to meet need. Expansion of the Section 202 program would mean that fewer older adults will be forced to choose between housing, healthcare, and food. CLICK HERE to add your voice to those supporting affordable senior housing.

Provider Training Opportunity: Provider Transition to Medicaid Managed Care 101
The NC Division of Health Benefits has published a Special Medicaid Bulletin, Provider Training Opportunity: Provider Transition to Medicaid Managed Care 101, dated March 2019. Providers are encouraged to review this important information. For details, please refer to the 2019 Medicaid Bulletin web page.

Governor Signs Law Delaying Voter ID Requirements Until 2020 Election
Late last week, Governor Roy Cooper signed into law a bill (S.214) delaying photo ID requirements for voting until the 2020 elections. The delay was necessary because it would have been challenging for local elections boards to implement the voter ID in time for special elections to fill vacancies in the 3rd and 9th congressional districts later this year. Many nonprofits provide services to people who are eligible to vote but do not currently have photo IDs - including some seniors and individuals with disabilities. As North Carolina's election laws continue to evolve, it is important for nonprofits to provide clear, accurate, and nonpartisan information about elections to the people they serve.

Geriatric Workforce Enhancement Program Reauthorization
We are working for passage of S. 299, the Geriatrics Workforce Improvement Act introduced by Senators Susan Collins (R-ME) and Bob Casey (D-PA). This bill would help to ensure a more adequate supply of health care and other professionals trained and educated to meet the special needs of people as they age. Current Geriatric Workforce Enhancement Programs in North Carolina include sites at Duke University, East Carolina University, and the University of North Carolina.

Spousal Impoverishment Protections for Medicaid HCBS Clients
This program expired at the end of the 115th Congress. The Medicaid Extenders Act included a three-month extension of this protection for spouses of Medicaid beneficiaries receiving home and community-based services. (Note: Nursing home residents covered by Medicaid and their spouses have their own protections and are unaffected by this policy.) Reps. Debbie Dingell (D-MI) and Brett Guthrie (R-KY) have introduced H.R. 1343 to make home health spousal impoverishment protection permanent.

Older Americans Act
The law that funds a wide range of home and community-based services, including congregate and home-delivered meals, family caregiver support, and transportation, is due for reauthorization this year. We are working with other stakeholders on reauthorization legislation, including an increase in funding to meet the needs of an aging population.

Nurse Aide Training Lock-out
Since the automatic loss of training authority is statutory, we worked with Rep. Sean Duffy (R-WI) in the 115th Congress on the introduction of the Nursing Home Workforce Quality Act. We educated dozens of Congressional offices about the devastating impact of the CNA training lockout, and many LeadingAge members participated in our grassroots campaign. Rep. Duffy has reintroduced the bill as H.R. 1265, with Reps. Collin Peterson (D-MN) and Greg Gianforte (R-MT) as co-sponsors.

Money Follows the Person
This demonstration program that helps states rebalance their Medicaid programs expired at the end of 2018. Congress passed the Medicaid Extenders Act of 2019, now law, to provide three months of funding for MFP, allowing states to use the money through the end of September 2019. Reps. Debbie Dingell (D-MI) and Fred Upton (R-MI) have now introduced H.R. 1342 to permanently authorize the Money Follows the Person program. In the Senate, Senator Rob Portman (R-OH) has introduced the corresponding measure, S. 548.

CDC Report Paints Grim Picture of Rapidly Escalating Fentanyl Overdoses That Have Hit Vulnerable Communities Hard
The death rate among African Americans from fentanyl-involved drug overdoses rose 141 percent each year, on average, from 2011 to 2016, and the death rate for Hispanics rose 118 percent in that period every year on average. Altogether, the records revealed that more than 36,000 Americans died with fentanyl in their systems during the study period. The majority of those deaths — 18,335 — occurred in 2016 alone. Meanwhile, the nation's top medical advisers say that medication for addiction is vastly underused.

LeadingAge National Bill Tracker
The LeadingAge national Regulatory Roundup 2.0, is a quick and easy tracker to help members find pertinent rules and federal regulations, with timelines for submitting comments and links to any comments LeadingAge may have submitted.


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 March 15, 2019

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


March 15, 2019

Contents
Click on the section you would like to view.
Advocacy & Policy
On the Road for You

Strategic Thinking
Member Question
News & Notes
Volunteer Spotlight
Professional Development


Advocacy & Policy

President Releases Proposed Budget Blueprint
President Trump sent Congress a $4.7 trillion budget proposal Monday for the 2020 fiscal year. The plan includes major cuts to Medicaid and Medicare spending, as well as adding block grants to states for some Medicaid spending. The budget would curb the growth of Medicare and Medicaid by shaving $818 billion from projected spending on Medicare over 10 years and cutting nearly $1.5 trillion from projected spending on Medicaid.

Payments to a variety of health care providers would also be cut. The budget squeezes more than $100 billion over 10 years from Medicare payments to nursing homes and home health agencies that care for Medicare patients who have left the hospital. In addition, Medicare payments to hospitals for unpaid bills and uncompensated care would be reduced by $136 billion over 10 years. Mr. Trump would cut projected Medicare payments to hospital outpatient departments by $131 billion over 10 years.

The President also proposes spending $26 billion less on Social Security programs, including a $10 billion cut to the Social Security Disability Insurance program, which provides benefits to disabled workers.

While the President’s budget proposal will in all likelihood be a non-starter with Congress, it does paint a picture of the potential campaign themes over the next two years in the run-up to Presidential election in the fall of 2020.

Department of Labor Proposes Rules Changing Overtime Requirements
Late last week, the U.S. Department of Labor announced a proposed rule that would make more than a million more American workers eligible for overtime. Under currently enforced law, employees with a salary below $455 per week ($23,660 annually) must be paid overtime if they work more than 40 hours per week. Workers making at least this salary level may be eligible for overtime based on their job duties. This salary level was set in 2004. The proposed rules would boost the standard salary level to $679 per week (equivalent to $35,308 per year). Above this salary level, eligibility for overtime varies based on job duties.

Infection Control Training and Requirements
Cindy Deporter with DHSR shared information from CMS about their release of Infection Control Training for nursing homes. This regulation requires each facility to have an Infection Preventionist in the facility at least part time, starting in November. As a reminder, North Carolina has had a state law for many years that requires a staff member that has completed the necessary training for Infection Control. This requirement is fulfilled and will also be fulfilled for Phase 3 purposes by utilizing the UNC SPICE Infection Control Program.

New Medicaid Bulletin Now Online
The March 2019 North Carolina Medicaid Bulletin is now available online. Articles of particular interest include additional details on the transition to Medicaid managed care and updates to the North Carolina Medicaid Electronic Health Record Incentive Program.

Gov. Cooper Mostly Nixes any Additional Spending on Aging Services
March 8, 2019, NC Health News
In his $25 billion-plus budget plan, Gov. Roy Cooper ignored proposals that would have boosted spending on services for Adult Protective Services, increased the living allowance for North Carolinians in long-term care and offered more support to family caregivers.

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LeadingAge North Carolina staff travels the state offering education, advocacy, networking, and collaborating with agencies that share a common vision. Here’s a look at our recent itinerary:

  • NC House Committee on Aging meeting – Raleigh
  • Business Member meeting – Ziegler
  • Business Member meeting – BB&T Capital Markets
  • SNF Regulatory Policy meeting – Greensboro
  • LeadingAge national Health Policy meeting
  • Business Member meeting – Select Pharmacy
  • Business Member meeting – WeaverCooke
  • Business Member meeting – Remedi

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Strategic Thinking

What Great Listeners Actually Do
July 14, 2016, Harvard Business Review
Apparently we may not be as good at listening as we think we are. Being a good listener means creating a cooperative safe space that encourages discovery and builds the other person's self-esteem. It's a tough skill to master and involves bouncing ideas rather than absorbing them. Read more.

What Really Scares World Leaders?
February 21, 2019, Fortune
The Weather! Each year, the World Economic Forum surveys experts on what keeps them up at night. The answers are surprisingly consistent. Hint: "Aging Population" made the list.

A Game of Thrones in the Boardroom
February 24, 2019, Fortune
A new book explores what managers can learn from the Machiavellian fantasy series. In "Win or Die: Leadership Secrets From Game of Thrones" (Thomas Dunne Books) Columbia Business School professor Bruce Craven breaks down step-by-step exercises in self-advocacy, social awareness, and relationship management.

Why Talented People Don't Use Their Strengths
May 8, 2018, Harvard Business Review
As workers, we often undervalue the things we do effortlessly. Yet, research shows those are most likely our biggest strengths. Help identify your own and your team members' strengths by asking this handful of questions.

When Needs Arise These Older Women Have One Another's Backs
February 20, 2019, Stria
Currently this innovative model of transitional support in older age is offered in New York City, San Francisco, and Philadelphia. Could it be replicated in your community or town?


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Thanks to everyone who keeps the member question service going strong by responding. Click on a recent topic below to download a spreadsheet of corresponding responses.

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News and Notes

How Do Parent Child Relationships Work Later in Life?
To date, very little research has been done on the dynamics between old children and their very old parents. With people living longer, you may find more of these relationships at your community. That's why it's noteworthy that research on this population conducted at LeadingAge LTSS Center @ UMass Boston is yielding interesting early results. Interviews with 120 parent-child dyads will be complete this year with data analysis and results prepared in 2020.

Workforce Infographic Available for Members
If you are looking for a visual summary of factors contributing to the workforce crisis, click here to download an infographic from LeadingAge national that summarizes the issue in an appealing visual. You may also visit LeadingAge.org/Workforce for recruitment and retention practices yielding great results as well as tools, resource materials and more!

Alzheimer's Disease Facts and Figures 2018
The Alzheimer's Association annual report provides a number of data points at the national and state levels. This is a great resource for members seeking to understand the impact of cognitive impairment on caregiving resources, staff training, and future demand for services.

2019 Nonprofit Town Halls
Join the North Carolina Center for Nonprofits and organizations across the state for a Nonprofit Town Hall meeting in your area this month or in April. Discussion will include briefings on the top federal and state issues affecting nonprofits in North Carolina. Cost of attendance is $25 for Center Members and Sustainers, and $35 for all others. Pre-registration is required.
Click here to learn more and register for a meeting in Charlotte, Kernersville, Durham, Wilmington, or Elizabeth City.

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).

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Volunteer Spotlight

Anne Moffat
President and CEO
Sharon Towers

Board members of LeadingAge North Carolina volunteer their time and expertise with the sole purpose of enriching the field of aging services. Anne Moffat, President and CEO of Sharon Towers in Charlotte, serves on the LeadingAge North Carolina Foundation board of trustees as chair-elect. We are so grateful for her service.

1. Why did you become involved in LeadingAge North Carolina?
In 1996, when I was new to the non-profit CCRC world, I first started to understand what LeadingAge NC was all about by attending the annual meetings. I was impressed with the education offered and the advocacy efforts done on our behalf. So when I was approached and asked about serving on the Board I was honored knowing I could be a part of an organization that focused its efforts solely on the population I love and have chosen to work with throughout my career.

2. What makes our mission meaningful to you?
We all get caught up in our organization’s daily operation and planning for future growth. It is reassuring to know we have an organization whose mission it is to keep its eye on the regulatory environment, industry trends, and potential collaborations that ultimately advocate for our residents and promote our field.

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?
We are all questioning where our future workforce is going to come from. To benefit our residents, I would start a very large foundation to fund scholarships for anyone wanting to enter the field of aging i.e. administrators, nurses, CNAs, social workers, etc. (This would include funding their cost of living while working to get their degree or certification.)

4. If you could swap jobs with a staff member for a day, what would you want to try and why?
I would like to try one day as a physical therapist. They typically see residents after some sort of event and then help them set goals and work to attain them. I would like the ability to work with a resident toward that goal and then celebrate with them when they see improvement in their physical function.

5. What do you do to relax, to get away, to recharge your batteries?
Anyone who knows me knows there are two things (besides my husband) that make me very happy and relaxed – cycling and Oriental, NC. And, in all honesty, nothing makes me happier than to combine the two. Whenever possible my husband and I get away to Oriental and while there, we enjoy 30 to 40 mile bike rides throughout the area and along the river shores. It is total bliss!

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Professional Development

 

ANNUAL CONFERENCE
REGISTRATION NOW OPEN!

We can't wait to see you in Myrtle Beach, SC for our largest educational gathering of the year. Be sure to register today and reserve your hotel with the conference rate. More information is available here. And...

Great news for HR professionals! For the first time, the Annual Conference has been certified for 12 CEUs through the Human Resources Certification Institute (HRCI).

Exciting news for all administrators ... the LeadingAge North Carolina Annual Conference has been approved for 12.5 CEUs by the National Association of Long Term Care Administrator Board!!!

This year's conference includes:

  • An art-related opening session to tap into your creativity. Yes ... you are creative!
  • Return of the very important Town Hall Conversation - please be sure to attend. Not sure about policy? That's okay, listen and learn.
  • LeadingAge North Carolina Leadership Academy Alumni and Coaches - a super fun and special Shared Learning session just for you.
  • Another sold-out Expo to explore new technologies and meet with new and existing product and service providers.
  • An awards ceremony that always lifts the spirit by honoring the field.
  • Plus all of the fellowship, networking, and learning you have come to enjoy and expect from your state association.

More information.
Register here.


*NEW! Registration Now Open!                                   
PDPM: Prepare. Execute. Succeed.
2-Part Series
Facilitated by Kristy Yoskey of HealthPRO Heritage


Join us for a two-part series to help you transition to the Patient Driven Payment Model (PDPM). We encourage members to register for both sessions for maximum benefit. However, individual session registrations are welcome. Register online or click here to download and mail registration form.

Part 1: Introduction (a Beans and Dreams Roundtable)
April 12 | 9:00am-10:30am | Bernard Robinson & Company | Greensboro

Discuss the changes to Medicare A reimbursement beginning on October 1, 2019 under the Patient Driven Payment Model and considerations to evaluation of care based on the clinical characteristics of the resident and their needs. The transition from RUG IV to PDPM and things to consider in order to be prepared and successful in the new world shifting toward value based care will be discussed. This session is open to members only.

Part 2: Intensive
June 27 | 10:00am - 2:00pm | Salemtowne | Winston-Salem


Take a deep dive look into PDPM and what it will take to prepare in the last three months leading up to the PDPM transition, execution process, education and success beyond October 1, 2019. Financial impact, high level strategies and education needed to be on the winning side of PDPM will also be discussed.

Registration Rates
Part 1: Members only $25
Part 2: $125/$99 add'l attendee(s) or Non-Members $175

Participants earn 1 NHA CEUs for Part 1 and/or 3 CEUs for Part 2.

Download flyer.
Register online now.



2019 Management Leadership Series - Registration Now Open!
"Lead Your People. Manage Your Process."
Facilitated by Rich Schlentz
10am-3pm April 18 at Salemtowne in Winston-Salem
August 21 at Friends Homes West in Greensboro


Rich Schlentz is back by popular demand! And he can't wait to visit with you again and explore the tactical tools for leading and managing including: constructive coaching, influential communication, and interviewing for success. Department directors, mid managers, team leaders, and supervisors - be sure to register today. Members: $200 for the series or $125 per session; Non-members: $300 for the series or $175 per session; 4.0 NHA CEUs.

Download the brochure.
Register online now.


Education Calendar Available
The LeadingAge North Carolina education and event calendar can be accessed by clicking here. This calendar is packed with more than 25 offerings across the state with something for everyone including maintenance, dining, wellness, marketing, finance, human resources, direct care staff, and more.

We are particularly pleased to announce a roundtable series called Beans and Dreams. Join your peers for coffee and conversation on second Fridays starting next month in April, and picking up again June-December from 9-10:30am. This is an opportunity for members to connect regionally to discuss relevant topics. Each roundtable will be different! Keep an eye out for more information in the near future.


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 through November this year at 2pm eastern time.

Registration
Individual session: $75 members / $125 non-members

NAB Approved Contact Hours: 1.25 each session

This webinar series guides providers in implementing a step-wise action plan to manage the industry changes taking effect this year 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.


** New - “Staying Alive!”
North Carolina Culture Change Coalition
In Greenville, Thomasville, and Black Mountain
Dates in March and April

Please mark your calendars in March and April for the North Carolina Culture Change Coalition's "Staying Alive." The symposium will feature guest speaker Susan Gilster, PhD, RN who has presented more than 150 national and international talks on Alzheimer’s care and treatment, organizational change, leadership, and employee satisfaction and retention. Click here to register.

Topics:

  • Sustaining culture change through leadership
  • Panel will discuss culture change in their facilities
  • Just culture
  • Regulatory perspective on culture change from Cindy Deporter, Division of Health Service Regulation

CEUs: LNHA, Assisted Living Administrators, and Nursing

March 26th
Cypress Glen Retirement Community
100 Hickory Street
Greenville, NC 27858

April 9th
Davidson Community College
297 DCC Road
Thomasville, NC 27360

April 10th
Givens Highland Farms
200 Tabernacle Road
Black Mountain, NC 28711

Click here to register.


**New - SAVE THE DATE!
Reducing Readmissions
“Go to the Hospital or Stay Here?"
A Decision Guide
In Rocky Mount, Thomasville, and Cullowhee
Three dates in April

Be a part of the Medicare Region IV research initiative to reduce avoidable hospital readmissions.  Click here to register for a CMS and State of North Carolina-endorsed no-cost workshop that will explain how the Resident and Family Guide can be used to reduce hospital readmissions. Target audiences for the sessions are Administrators, Directors of Nursing, Medical Directors, NPs, PAs and Department Heads and Staff. The session will be offered April 23rd in Rocky Mount, April 24th in Thomasville and April 25th in Cullowhee. During the session, participants will be provided with an overview of the Decision Guide content, learning videos and techniques to introduce the information to staff, residents and family. Best practices on how to hardwire “The Guide” into your organization’s admission process as well as highlights from the pilot project will be discussed. For more information, contact: Frank Tappen.

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



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Advocacy in Action March 8, 2019

Posted By Jennifer Gill, Friday, March 8, 2019
Updated: Thursday, March 7, 2019


March 8, 2019

CMS to Lift Nursing Home 5-Star Freeze in April and Make Other Changes to Nursing Home Compare
CMS just announced that the freeze on health inspection ratings of long term care facilities that was instituted in February 2018 will be lifted in April. This is among several changes CMS says it is making to provide greater support to consumers looking to compare the quality of nursing homes via Nursing Home Compare. Major changes include:

  • End of the freeze on health inspections in April and a return to using three rounds of surveys for that score;
  • Higher thresholds for staffing stars and a tighter standard for weekend RN coverage. Currently, care centers that report seven or more days in a quarter with no RN onsite are automatically assigned a one-star staffing rating. In April 2019, the threshold for the number of days without an RN onsite in a quarter that triggers an automatic downgrade to one-star will be reduced from seven days to four days.
    • New quality measures added of long-stay hospitalization standards and emergency room transfers, and higher scoring standards for existing measures.
    • Separate quality ratings for short-stay and long-stay residents and revising the rating thresholds to better identify the differences in quality among nursing homes.
    • More details will be forthcoming from LeadingAge national and LeadingAge North Carolina.

READ the CMS press release and the memo CMS sent to state survey agencies.

North Carolina House Committee on Aging Meets
LeadingAge North Carolina was among organizations in attendance at a meeting earlier this week of the North Carolina House Committee on Aging. Committee members heard from Joyce Massey-Smith (Director for the NC Division of Aging and Adult Services) and Mary Bethel, (executive director for the NC Coalition on Aging). Both Massey-Smith and Bethel provided perspective to legislators on key aging issues in the state, with a particular emphasis on the changing demographic facing policymakers moving forward.

LeadingAge North Carolina Heads for Capitol Hill on March 20
Twenty-four of your LeadingAge North Carolina colleagues from across the state will be attending the upcoming “Day on Capitol Hill,” held in conjunction with LeadingAge national’s annual Leadership Summit in Washington, DC. The full day of Congressional visits will be held on March 20 and feature time with nearly every North Carolina federal officeholder or their staff. We’ll be reporting on those visits in a special March 29 “Advocacy in Action” update.

CMS Nursing Home Employee Satisfaction Survey and Staff Competency Assessment Tools Available for Free
The CMS Civil Money Penalty Reinvestment Program is a three-year effort focused on improving dementia care, reducing adverse events and more. CLICK HERE for more information about the release of new tools on employee satisfaction and staff competency assessments.

The SBA Office of Advocacy Wants to Hear from You About Burdensome Regulations
The federal Small Business Administration Office of Advocacy is gathering information from small businesses about burdensome federal regulations. They invite you to share your experience with burdensome federal regulations HERE. The information you provide is used by SBA in their advocacy efforts and scrubbed of identifying information then passed to the agency/agencies that are creating the burden/s. It is also taken into account by SBA as they plan regional regulatory reform roundtables.

LeadingAge National Public Policy Priorities
Last month, LeadingAge national released its comprehensive set of policy priorities. Together, we’ll be pursuing these short and long-term legislative and administrative advocacy priorities. The national priorities fall into three major categories:

  • Lead Priorities are a primary focus of our daily advocacy work. They include the aging services workforce, nursing homes, affordable housing, managed care/integrated services and home and community-based services.
  • Engage Priorities represent important work on which we collaborate with other organizations. They include Long Term Services and Supports financing reform, Medicare/Medicaid, home health services, hospice services, veterans affairs, behavioral health, rural concerns and elder justice.
  • Monitor Priorities are issues we continue to watch carefully. They include Alzheimer’s disease and related dementias, technology and telehealth, medical marijuana and tax policy.

Prospective Payment System Calculator Tool Updated
LeadingAge has updated the Medicare Part-A Skilled Nursing Facility Prospective Payment System calculator and the Medicare Part B therapy rate calculator to help members assess and estimate the impact of final payment changes for FY 2019. Access to this tool requires login via My.LeadingAge.

Medicare Observation Days Legislation to be Reintroduced
The 115th Congress did not consider legislation LeadingAge supports to resolve the observation days issue by requiring that all the time Medicare beneficiaries spend in a hospital counts toward the three-day stay requirement for coverage of any subsequent post-acute care. LeadingAge national is pursuing its reintroduction and passage in the new Congress.

Regulatory Tracker Launched
LeadingAge national has launched its new Regulatory Roundup 2.0, a quick and easy tracker to help members find pertinent rules and federal regulations, with timelines for submitting comments and links to any comments LeadingAge may have submitted.

Guidance on Medical Marijuana and Weapons Policies from LeadingAge National
LeadingAge national has published guidance for members on medical marijuana and weapons policies in aging services organizations. This guidance is a starting point for members who are having discussions around these two issues.


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



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6/5/2019
PDPM: Rehab program transitions and provider insight for SNF PT, OT & SLP service reimbursement

6/6/2019
Maintenance Workshop

6/14/2019
Beans and Dreams

6/27/2019
PDPM Part 2: Intensive

7/3/2019
Phase 3: Next Steps for the Infection Preventionist

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