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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.

Back to top


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

Back to top


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.


Back to top



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.

Back to top


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).

Back to top


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.

Back to top

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




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Advocacy in Action 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



Tags:  Advocacy in Action 

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Professional Development Update March 2019

Posted By Jennifer Gill, Thursday, March 7, 2019


March 7, 2019

 

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...

New this week!!! 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).

We've got 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.


*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 1st, 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.


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.




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.

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 1, 2019

Posted By Jennifer Gill, Friday, March 1, 2019
Updated: Thursday, February 28, 2019


March 1, 2019

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...

We've got exciting news for all administrators..the LeadingAge North Carolina Annual Conference has been approved by the National Association of Long Term Care Administrator Board and is now offering NAB CEUs!!!

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.
  • State 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 up with new and existing product and service providers.
  • State and national administrator CEUs now available to help keep your state and national administrator's license current - all at one conference!
  • 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.


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

North Carolina Revenue Surplus on Track to Exceed Expectations
North Carolina state government is on track to have a $150.8 million revenue surplus for the current fiscal year, about 0.6 percent more than the expected number in this year's state budget. The estimate is part of the latest consensus revenue forecast released by the legislature's Fiscal Research Division and the Office of State Budget and Management.

Support Grows for Legislative Action to Adequately Fund Adult Protective Services
The North Carolina Coalition on Aging is calling on the General Assembly to invest state dollars in adult protective services (APS) that are mandated core services provided by county departments of social services. Despite a continuing increase in APS complaints – 30,128 reported cases in fiscal year 2017-2018 – the state only provided 0.01% of the $26.2 million expended on APS. Counties picked up the lion’s share of the cost – 82% - and the federal Social Services Block Grant covered 18%. Of the reported cases in SFY 17-18, 15,563 were “screened in” by county departments of social services and abuse, neglect, or exploitation was found in 6,066 cases, many of which were very complex in nature. The current level of funding does not provide adequate resources for staffing and for providing services to address substantiated abuse, neglect, or exploitation. In addition to funding for staffing and service delivery, there is a need to modernize the state APS statute which has not been examined in decades. Tommy Goldsmith with NC Health News did a recent article about the need for more funding for APS and the growing support for this.

Bill Filed to Amend State Constitution to End Gerrymandering
House Bill 140 has been introduced in the NC House of Representatives that would amend the North Carolina Constitution to require that the state's congressional and state legislative districts be drawn in a nonpartisan manner. The bill would establish standards that nonpartisan legislative staff would use to develop redistricting plans.

Subsequently, 67 of the 120 House members co-sponsored House Bill 69 that would create a nonpartisan commission to draw the state's congressional and legislative districts every 10 years. The commission would have a transparent process for seeking public input and developing maps that are compact, contiguous, and follow state and federal law.

LeadingAge Supports Bipartisan HCBS Bill Introduced by Key Lawmakers
Reps. Debbie Dingell (D-MI) and Fred Upton (R-MI) have reintroduced legislation that permanently protects Medicaid recipients of home and community-based services against spousal impoverishment (H.R. 1343). Currently, spousal impoverishment protections in Medicaid prevent unnecessary financial harm in cases where one spouse needs long-term services and supports in a nursing home or an institutional care facility. A provision of the Affordable Care Act that required state Medicaid programs to apply these rules to HCBS long-term care settings expired on December 31, 2018. The Medicaid Extenders Act of 2019, enacted in January, included a 3-month extension to protect Medicaid HCBS recipients against spousal impoverishment, through March 31, 2019.


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

  • Meetings at General Assembly - Raleigh
  • LeadingAge North Carolina Board Meeting - River Landing, Colfax
  • LeadingAge North Carolina Foundation Board of Trustees Meeting - River Landing, Colfax
  • Business member meeting - BB&T Capital Markets
  • Phone Meeting with LeadingAge Ohio Board of Directors
  • Business member meeting - McGriff Insurance Services
  • Business member meeting - Morrison Community Living

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Strategic Thinking

How Much a Dementia Patient Needs to Know
March 4, 2019, The New Yorker
What is the most dignified and fulfilling way to live with a diagnosis that leads, in many ways, to loss of self?

Tips for Ensuring a New Hire Feels Included from Day One
February 22, 2019, Harvard Business Review
If adding one new team member creates an entirely new team, how do you ensure success for the new team as well as the individual? This author offers important insights whether your perspective is team leader or new hire.

The Medical Tech that Helps You When Your Doctor Can’t
February 20, 2019, The New York Times
Hearing aids may be the next big thing in tech. Here's who's working on making them more affordable and accessible to the 48 million of us who suffer from some form of hearing loss. Remember, insurance does not usually cover the cost of these devices even though they are linked to helping achieve mental and physical well-being.

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News and Notes



 


 

2019 Leadership Academy Applications DUE in 1 WEEK!
Applications for the LeadingAge North Carolina Leadership Academy class of 2019-2020 are due one week from today on Friday, March 8th.

APPLY
Join a growing network of skilled contributors and thought leaders in our field and apply on behalf of your community today. Remember to coordinate with your CEO. Each community may have one applicant, and the application requires a letter of commitment signed by the CEO. Applications are due March 8, 2019. Begin the online application here.

Academy fellows will:

  • learn about leadership through reading, reflection, and discussion
  • engage with emerging leaders across the state
  • gain confidence
  • question established thinking
  • present an action learning project
  • visit the General Assembly and the Department of Insurance
  • meet leaders in the field
  • tour other communities

In short, fellows grow into even more valued contributors of their communities and become members of the growing Academy alumni network in North Carolina.

SCHEDULE & COST
Academy fellows meet four times a year, starting and ending with the LeadingAge North Carolina Annual Conference. Kick off for the 2019-20 class will be this May in Myrtle Beach, SC. Thanks to major underwriting by Ziegler, tuition for the program is a value at $1,700, and includes conference registration for both 2019 and 2020. The full schedule and more details are available by clicking here.


2019 Awards Submissions DUE in 1 WEEK!
Have you heard? The 2019 online awards submissions are due one week from today on March 8th! Awards season is your chance to tell us about the fantastic people and programs at your community. Toot your own horn! Let us know how great you are! Check out the award categories and submit your nomination(s) online today.


Medicare Launches New Coverage App
CMS has launched a new “What’s Covered” app that lets people with Original Medicare, caregivers, and others use their mobile device to check whether Medicare covers a specific medical item or service. The app is part of a broader eMedicare initiative using technology to inform and empower beneficiaries. Learn how to download the app.

County Housing Profiles Released
The North Carolina Housing Coalition’s 2019 County Profiles
provide a snapshot of housing needs for each of North Carolina’s 100 counties. They provide data on cost-burdened households paying at least 30% of their income for housing, a comparison of what different jobs pay and changes in home prices, foreclosures, and rental options in our communities. The County Profiles are designed to be used by advocates in their communities and with their local and state elected officials as an education tool around the housing issues in our cities and towns. In addition to the individual county profiles, a comparative tool depicting the comprehensive underlying data is available here.

February Was a Busy Month!
Click here
for a comprehensive look at LeadingAge national’s work on your behalf during February.

New Research: 7.8 Million Direct Care Jobs Will Need to Be Filled by 2026
The Bureau of Labor Statistics projects there will be 7.8 million direct care job openings from 2016 to 2026: 3.6 million workers will leave the labor force, 2.8 million workers will leave the field for other occupations, and 1.4 million new positions will be created due to rising demand. A new report shows that the direct care workforce will grow more than any single occupation in the country. Drilling down even further, from 2016 to 2026, the direct care workforce will add the greatest number of new jobs (as compared to other occupations) in 38 states.

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 Raleigh, Charlotte, Kernersville, Durham, or Wilmington.

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

 

2019 Management Leadership Series - Registration Now Open by Fax and U.S. Mail
(Online registration coming soon)

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 for more information and register by fax or U.S. mail.


2019 Education Calendar Released
The LeadingAge North Carolina education and event calendar for 2019 is now available by clicking here. This year we have 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 round table series called Beans and Dreams. Join your peers for coffee and conversation on second Fridays in April, and June-December from 9-10:30am. This is an opportunity for members to connect regionally to discuss relevant topics. Each round table 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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Advocacy in Action

Posted By Jennifer Gill, Friday, February 22, 2019


February 22, 2019


Watch for Webinar on North Carolina’s Transition to Medicaid Managed Care
With the State’s recent announcement of additional details surrounding its transition to Medicaid Managed Care (including identifying the providers selected to serve North Carolina’s Medicaid population), LeadingAge North Carolina is gearing up to help member communities navigate the changing landscape. We’re currently finalizing details for a series of webinars to help you assess the transition's impact on your organization and what you need to be doing in this new payment and service environment. Watch for a special announcement with times and dates for this webinar series that will include state regulators and providers.

LeadingAge NC Continues to Advocate for Member Communities on DHSR Rules Proposal
The North Carolina Division of Health Service is proposing rules that would require all skilled nursing home beds in the state to be surveyed using federal standards. Those communities that have made the business decision to not accept federal money would be forced to play by federal rules. Switching from being surveyed using state rules (as is the current practice for strictly private pay facilities) to being surveyed by federal rules would potentially cost communities millions of dollars — additional costs that would in all probability be borne by the residents we currently serve. In a particularly cruel twist, many of those communities are prohibited from even applying for federal money by the state’s CON process, which prohibits their participation in Medicare or Medicaid services. We are continuing to work with those member communities directly impacted by the proposed rules changes, as well as leadership at the General Assembly.

Ask Your Representative to Cosponsor H.R. 1265 to End the Mandatory CNA Training Lockout
Congress has just re-introduced the bipartisan Nursing Home Workforce Quality Act (H.R. 1265) and we need your help to get it passed! Right now, nursing homes that are assessed penalties above a certain dollar level automatically lose their authority to train certified nursing assistants for 2 years. This “CNA Training Lockout” runs counter to a nursing home’s ability to provide the highest quality of care. The Nursing Home Workforce Quality Act (H.R. 1265) would end this mandatory lockout, instead leaving it as a discretionary penalty available to survey agencies. In addition, nursing homes subject to a lockout would regain their authority to train CNAs once the deficiencies for which they were cited are corrected. Now is the time to use your voice and help us build momentum for this legislation. Call or email your representative TODAY by visiting our action alert page!

Finally, Enactment of FY19 HUD Bill
For HUD, the bill provides $51 million for new housing under HUD’s Section 202 Housing for the Elderly program, full funding needed to renew existing rental assistance contracts, including for Section 202 Project Rental Assistance Contracts and Project-Based Rental Assistance, funds to renew Service Coordinators, and $10 million for a new HUD program to assist older adults with the modification of their homes. Enactment of the bill is a relief for housing providers and residents who had just weathered a 35-day federal shutdown and then a three-week Continuing Resolution, which was attempting to keep afloat HUD programs at fiscal year 2018 levels five months into this new fiscal year.

HUD’s Restart Priorities; Expedited Contract Renewals
On February 12, HUD headquarters issued an important announcement regarding prioritized effort focused on February contract expirations. One day later, during Congressional hearings on February 13 to explore reasons for the gap in contract renewals, HUD committed to Congress that it will take the necessary steps to get funding out as quickly as possible for contracts that expired during the shutdown or will expire this month. HUD initiated the process with the following message:

You are receiving this message because you have a rental subsidy contract that has expired, or is due to expire in February 2019. Understanding that Continuing Resolutions generally create uncertainty, HUD staff are prioritizing the renewal of all expired or February expiring contracts.
If you’ve been in communication with HUD or PBCA staff about the status of your contract and have returned contract paperwork, you do not need to take further action at this time. If you do not know your contract status, please respond promptly to all inquiries from HUD or PBCA staff related to your contract renewal, including rent setting and most importantly, signing and returning your contract via emailed PDF if possible. Please reach out to your assigned Account Executive or the managers listed below if you have any questions about your contract or this process.


North Carolina Institute of Medicine Taps LeadingAge North Carolina Perspective
LeadingAge North Carolina staff is an integral part of two current North Carolina Institute of Medicine Task Forces. NCIOM task forces and projects bring together stakeholders to identify evidence-based solutions to address health issues in North Carolina. Jennifer Gill, LeadingAge NC’s Director of Strategic Communications, has been appointed to NCIOM’s Task Force on Health Services for Individuals who are Deaf and Hard of Hearing, which has been established to study the current state and limitations of health services for the deaf and hard of hearing population in North Carolina and the consequences of those limitations. Scope of work will include, but not be limited, to interpreter training, distribution of interpreters, appropriate use of technology solutions, qualifications of sign language interpreters, and provider education. The NCIOM in partnership with the North Carolina Department of Health and Human Services, Division of Service for the Deaf and Hard of Hearing will convene six meetings through 2019 to develop consensus-based, evidence-based, and actionable recommendations that will be published in a final report and disseminated to key stakeholders across the state.

Tom Akins, LeadingAge NC’s President and CEO, has been appointed to NCIOM’s Task Force on Serious Illness Care, which has been established to develop a workable plan to meet the needs of individuals living with serious illness and their caregivers across the state of North Carolina. The NCIOM, in partnership with agencies and organizations that provide care and advocacy around issues of aging, palliative care, hospice care, and long-term supports and services, will convene the Task Force ten times through 2019 and issue a final report in early 2020. This Task Force is supported by the Duke Endowment, with additional support from AARP NC, Leading Age NC, the NC Health Care Facilities Association, American Cancer Society NC, the Association for Home & Hospice Care of North Carolina, the NC Medical Society, and the Carolinas Center.

LeadingAge North Carolina Bill Tracker Back in Action for 2019 Long Session
LeadingAge North Carolina has a dedicated tracking list of legislation in front of the General Assembly with particular relevance to member communities. Developed and maintained by Carolina State Strategies under the direction of Lu-Ann Perryman, our lobbyist, the bill tracker helps keep us focused on those issues most important to LeadingAge NC. Click here for a look at the most recent listing…and email us with questions or for additional information.


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

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Inclusion Insights February 2019

Posted By Jennifer Gill, Thursday, February 21, 2019


February 22, 2019

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


Strategic Framework

Fixing the Flawed Approach to Diversity
January 17, 2019, Boston Consulting Group
Boston Consulting Group surveyed roughly 16,500 people worldwide to identify the most effective diversity and inclusion measures. Through that research, they identified specific solutions that companies can implement to accelerate their progress on diversity. These solutions fall into three categories: 1) Back-to-basics measures that all groups, regardless of age, gender, race or ethnicity, or LGBTQ status, agree are necessary and effective; 2) Proven measures that employees of each diverse group—along with management—agree are effective; 3) “Hidden gems” for each group—initiatives that members of that group cite as effective yet are undervalued by company leaders. Read more from this extensive survey and share it with your stakeholders.

Companies that Discard Old Thinking about Ability Are Ahead of the Curve
January 18, 2019, Entrepreneur
According to the U.S. Department of Labor, employers who have embraced disability as a component of their talent strategy report a: 1) 90 percent increase in retention of valued employees; 2) 72 percent increase in employee productivity; and 3) 45 percent increase in workplace safety. In addition, 38 percent report savings in workers' compensation or other insurance costs. And did you know that less than 40 percent of individuals with disabilities require accommodations in the workplace, and those that are required cost less than $500 per employee, on average? Finally, 90 percent of consumers surveyed “specifically agreed that they would prefer to give their business to companies that hire individuals with disabilities.”

To Retain Employees, Focus on Inclusion — Not Just Diversity
December 4, 2018, Harvard Business Review
Employees who differ from most of their colleagues in religion, gender, sexual orientation, socio-economic background, and generation often hide important parts of themselves at work for fear of negative consequences. The diversity and inclusion community calls this “identity cover,” and it makes it difficult to know how they feel and what they want, which makes them vulnerable to leaving their organizations. Read this article for inclusion strategies to help retain these employees.


Diversifying Leadership

Diverse Boards are Better. So How Do You Build One?
January 18, 2019, World Economic Forum
Research shows that top performing boards tend to have more female directors than their bottom-quartile counterparts. Similarly, on age diversity, research indicates that a wide range of age representation on a board is a positive indicator of a company’s performance. Despite those pledges progress remains slow. Read this article for five simple steps to bolster your board's diversity.

Race to Lead: Women of Color in the Nonprofit Sector
Building Movement Project
Building Movement Project, a nonprofit research group, surveyed more than 4,000 nonprofit workers to figure out why there were so few leaders of color in the sector. Statistically, it found ample evidence of recruiting and hiring bias. But women of color face perhaps the steepest challenges. Read the report to better understand the issue and for a series of recommendations for institutional fixes.

How Organizations Are Failing Black Workers — and How to Do Better
January 16, 2019, Harvard Business Review
Research shows that when women are more highly represented on corporate boards and in the C-suite, conditions improve for other women in the organization. This downstream effect is a compelling reason to make sure that your organization is hiring black workers in positions of authority and influence.


Creating an Inclusive Culture

Nurse Practitioner Group Uses Its Expertise to Treat LGBT Elderly
February 4, 2019, Columbia News
A group of Columbia nursing faculty holds a special clinic for LGBT older adults in Manhattan. Why do they offer this clinic in addition to their other clinics? Read more to learn about this population's unique needs and challenges in the health care setting, and how your community might be more successful in meeting their needs.

Cultural Sensitivity Speeds Up Recovery
February 4, 2019, McKnight's Long-Term Care News
You may already believe it's important to create a homelike environment in your community. But whose home is reflected? Does your community's physical environment reflect diverse cultures? The next time your community purchases art, consider work that features people of color or art by an African-American, Asian, or Hispanic artist. The positive impact on someone's health and sense of welcome in your community may depend upon it.

The Ways Inequality Affects Black Americans at the End of Life
November 2, 2018, Next Avenue
Read this article to increase your cultural literacy regarding end of life issues. Consider sharing it with staff as well. Doing so may increase sensitivity to those whose experiences in the health care system are shaped by their racial, ethnic, or religious background. A more culturally literate staff could also result in more person-centered care and informed end of life decision making.


Resources

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



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Membership Update

Posted By Jennifer Gill, Friday, February 15, 2019


February 15, 2019

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

Strategic Thinking
News & Notes
Volunteer Spotlight
Professional Development


Advocacy & Policy

DHHS Announces Contracts for Medicaid Managed Care
The North Carolina Department of Health and Human Services announced the five managed care companies that will manage the state's Medicaid system as Prepaid Health Plans. Last year, DHHS published a white paper to help providers understand more about this process.

About 1.6 million Medicaid and NC Health Choice beneficiaries will enroll in a Standard Plan, which will provide integrated physical health, behavioral health and pharmaceutical services. To ease the transition to Medicaid Managed Care, Standard Plans will launch in two phases. In Regions 2 and 4, Medicaid Managed Care will launch in November 2019 (impacting approximately 565,000 beneficiaries):

  • Region 2: Alleghany, Ashe, Davidson, Davie, Forsyth, Guilford, Randolph, Rockingham, Stokes, Surry, Watauga, Wilkes, and Yadkin counties.
  • Region 4: Alamance, Caswell, Chatham, Durham, Franklin, Granville, Johnston, Nash, Orange, Person, Vance, Wake, Warren, and Wilson counties.

Beneficiaries in Regions 2 and 4 will receive information and enroll in a plan between July and September of 2019. In all other regions, (including Regions 1, 3, 5, and 6), Medicaid Managed Care will launch in February 2020:

  • Region 1: Avery, Buncombe, Burke, Caldwell, Cherokee, Clay, Graham, Haywood, Henderson, Jackson, Macon, Madison, McDowell, Mitchell, Polk, Rutherford, Swain, Transylvania, and Yancey counties.
  • Region 3: Alexander, Anson, Cabarrus, Catawba, Cleveland, Gaston, Iredell, Lincoln, Mecklenburg, Rowan, Stanly, and Union counties.
  • Region 5: Bladen, Brunswick, Columbus, Cumberland, Harnett, Hoke, Lee, Montgomery, Moore, New Hanover, Pender, Richmond, Robeson, Sampson, and Scotland counties.
  • Region 6: Beaufort, Bertie, Camden, Carteret, Chowan, Craven, Currituck, Dare, Duplin, Edgecombe, Gates, Greene, Halifax, Hertford, Hyde, Jones, Lenoir, Martin, Northampton, Onslow, Pamlico, Pasquotank, Perquimans, Pitt, Tyrrell, Washington, and Wayne counties.

An additional 500,000 people with complex behavioral health needs will remain on the current fee-for-service model until moving to separate tailored managed care plans over the next five years.

New LeadingAge Tool Helps Track SNF Deadlines in One Place
LeadingAge has developed a quick glance tool that contains the deadlines Skilled Nursing Facility (SNFs) must meet for submitting data under the SNF Value-Based Payment (VBP) program, the SNF Quality Reporting Program (QRP), and the Payroll Based Journal (PBJ) reporting requirements. The table provides a month-by-month look at when SNFs must report under the three programs. It also notes the timing when CMS will update SNF performance on VBP and QRP measures on the CMS Nursing Home Compare website.

Learn More About Potential Challenges to Nonprofit Tax Exemption in 2019
LeadingAge North Carolina is a member of the North Carolina Center for Nonprofits, an organization that works tirelessly on issues of importance to nonprofits. Most 501(c)(3) nonprofits in North Carolina are exempt from paying most state and local taxes. For many nonprofits, this tax exemption is essential for their viability. If nonprofits had to pay state and local taxes, they would have significantly fewer resources available to provide essential programs and services in communities throughout North Carolina. We encourage you to check out the Center's predictions - and their prescriptions - for potential threats (and a few opportunities) to nonprofit sales tax refunds, the property tax exemption and the franchise tax exemption.

State Board of Elections Begins Development of Photo ID Rules
Last week, the new N.C. State Board of Elections met to begin the process of developing rules to implement the requirements that North Carolinians provide photo identification when voting in elections in person. The draft rules for a voter photo ID card for voting will be open for public comment. The State Board will have a public hearing on these proposed rules on March 13.

NC Coalition on Aging's 2019 Legislative Priorities
The North Carolina Coalition on Aging, a statewide network of agencies, organizations, and individuals that represent and support our state’s aging population has released their 2019 Legislative Priorities. Each year — after dialogue among its members — the Coalition develops legislative priorities. LeadingAge North Carolina is a proud member of the Coalition and will keep you updated on the status of their priorities as the session unfolds.


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

  • Medicaid Managed Care Transition meeting — DHHS (Raleigh)
  • Meeting with Association partners — Cary
  • LeadingAge State Executive Forum meeting — Raleigh
  • Member Community Visit - Galloway Ridge
  • Business Member Visit - Direct Supply (Chapel Hill)
  • Meeting at General Assembly — Raleigh
  • LeadingAge NC finance committee meeting - Raleigh
  • Meeting with NC Health Care Facilities Association — Raleigh
  • Member Community Visit — Salemtowne
  • Meeting with LeadingAge NC executive committee — Raleigh

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Strategic Thinking

Member Questions
Responses to the most recent member questions may be downloaded by clicking on the topic below.

Strategic Focus
Our publication, Strategic Focus, examines a specific governance topic. This edition focuses on strategy. A big thank you to our friends at LeadingAge Virginia for sharing their content for use in this publication.

Disruption in Senior Living
Check out this Senior Housing News article which foresees that, if some senior housing providers don’t act fast, they could end up like Blockbuster Video—largely dismissed by once-loyal consumers and ultimately cast aside to make room for a newer, more innovative competitor. And read more on the concept of disruptive innovation, a term coined by Clayton Christensen, which describes a process by which a product or service takes root initially in simple applications at the bottom of a market and then relentlessly moves up market, eventually displacing established competitors.

Two New Takes on Our Loneliness Crisis
Two new reports focus on the growing health risks associated with prolonged loneliness and isolation. AARP shares results of a recent survey on the prevalence and causes of loneliness in the United States, and the British government provides a strategy for tackling the problem.

Loneliness is such a big issue in Great Britain that Prime Minister Theresa May recently appointed the country’s first-ever Ministerial Lead on Loneliness and announced £20 million in funding to support efforts by voluntary, community, and charitable organizations to tackle loneliness. Last fall, the initiative published A connected society: a strategy for tackling loneliness. The report’s main takeaway: government, local authorities, businesses, the voluntary sector, local communities, families, and isolated individuals must work together “to create a more socially connected society.” The report offers four recommendations that could apply to your community.

In the U.S. one in 3 adults age 45 and older are lonely, and that loneliness is costly for the affected people and for the nation, according to a new report from AARP. People who are lonely and socially isolated are more likely to have health problems, which can have serious financial implications, says Loneliness and Social Connection. Every month, Medicare spends approximately $134 more for each socially isolated older adult than it would if the person were connected. That translates into an additional $6.7 billion in annual Medicare spending for an estimated 4 million socially isolated older adults. The AARP report contains findings from a June 2018 national survey that the AARP Foundation conducted among more than 3,000 adults age 45 and older.

Barbara Ehrenreich on the Absurd Contradictions of Trying to Age ‘Successfully’
February 13, 2019, Los Angeles Times
"We need to think about how we think and talk about dying." Author Barbara Ehrenreich on the absurd contradictions of trying to age ‘successfully.' This article may inspire you to examine both your own beliefs about aging and the language you use to talk about it.

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News and Notes



 


 

2019 Leadership Academy Applications Now Accepted!
Applications for the LeadingAge North Carolina Leadership Academy class of 2019-2020 are now open. Join a growing network of skilled contributors and thought leaders in our field.

APPLY
Each community may nominate one person for the program and that person may be from any department with any amount of experience. Applications are due March 8, 2019. Begin the online application here.

If selected, your nominee will:

  • learn about leadership through reading, reflection, and discussion
  • engage with emerging leaders across the state
  • gain confidence
  • question established thinking
  • present an action learning project
  • visit the General Assembly and the Department of Insurance
  • meet leaders in the field
  • tour other communities

In short, your nominee will grow under the personalized guidance of our seasoned coaches and facilitator. He or she will return to your community an even more valued contributor and a member of the growing Academy alumni network in North Carolina.

SCHEDULE & COST
Academy fellows meet four times a year, starting and ending with the LeadingAge North Carolina Annual Conference. Kick off for the 2019-20 class will be this May in Myrtle Beach, SC. Thanks to major underwriting by Ziegler, tuition for the program is a value at $1,700, and includes conference registration for both 2019 and 2020. The full schedule and more details are available by clicking here.


2019 Awards Submissions Now Open!
Have you heard? The 2019 online awards submissions are now open! Awards season is your chance to tell us about the fantastic people and programs at your community. Toot your own horn! Let us know how great you are! Check out the award categories and submit your nomination(s) online today. Submissions are due March 8, 2019 by 5pm.


LeadingAge Catalysts Program Launches
Every day, members across the country serve and care for older adults with skill and compassion in an increasingly challenging environment. To recognize the work you do every day, LeadingAge national recently launched the LeadingAge Catalysts program. Each month, the association will spotlight a LeadingAge member who demonstrates excellence in many areas: supports for people living with dementia, creative community partnerships, recruitment and retention practices for staff, intergenerational programs, individual leadership, and much more. The first recognition went to Avera Prince of Peace Retirement Community in Sioux Falls, SD. Read more about this community's impressive continuum of care in an interview with its administrator, Justin Hinker. If you’d like to nominate an organization or an individual to be a LeadingAge Catalyst, please contact Gene Mitchell.

Landmark Research Shows Life Plan Communities Improve Quality of Life for Older Adults
Recent research by Mather Lifeways in The Age Well Study shows that Life Plan Community residents report more healthy behaviors and have greater emotional, social, physical, intellectual, and vocational wellness than those living in the community at large. The study results could be a useful marketing tool. The study measures residents' self-reported health and wellness metrics through a survey taken annually over five years. Results are being compared against a demographically similar sample drawn from the Health and Retirement Study (HRS) conducted by the University of Michigan. Mather LifeWays Institute on Aging's research partners include Northwestern University, ASHA, LeadingAge, Ziegler, Novare®, Life Care Services, and National Investment Center.

Re-Thinking Guardianship Summit - Free Registration, New Location
The Guardianship Summit that will be held on Monday, February 25, from 1:00 to 4:30 p.m. (with reception to follow) has been moved from the JC Raulston Arboretum to the Royal Banquet Center in Raleigh (3801 Hillsborough St., Suite 109) due to registration which has exceeded the capacity of the Arboretum. Click here to view a flyer about the Summit. Registrations are still being accepted. There is no cost to attend, but registration is required. Instructions for registering are on the flyer.

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 during February and March. 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 Asheville, Raleigh, Charlotte, Kernersville, Durham, or Wilmington.

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

 
David Lacy
President and CEO
Southminster

Board members of LeadingAge North Carolina volunteer their time and expertise with the sole purpose of enriching the field of aging services. David Lacy, President and CEO of Southminster in Charlotte, serves as the Chair of the LeadingAge North Carolina Foundation board of trustees. We are so grateful for his service with the Foundation. Let's learn a little more about him.

1. Why did you become involved in LeadingAge North Carolina?
I became involved with LeadingAge NC (then NCANPHA) very soon after I switched careers and joined Carol Woods in the early 1980s. LeadingAge NC was a very small organization then, with one part-time staff member. But its primary focus even then was education and public policy. The educational content at the annual meetings – usually done in conjunction with SC – was great for managers. The association created a welcoming atmosphere for those of us new to the field. The association also provided significant leadership in public policy as tax and LPC legislation and regulation was developed in our state. Having worked for an LPC in another state, I can truly appreciate the benefit of being part of an association that has a significant focus on LPCs.

2. What makes our mission meaningful to you?
Continuing to serve our member communities in such a successful and supportive way. That is not always easy, and the staff and both LeadingAge NC boards are clearly dedicated to making that successful. Three other things are particularly meaningful for me. The first is the commitment of LANC (and at the national level) to leadership development. It has long been something our state has supported, but it is particularly robust with the current programs. The second is the potential offered to LANC and our member communities through the re-commitment to a strong LANC Foundation. The biggest problem our Foundation Board is currently having is to narrow down potential initiatives! Third, the fact that we are all non-profits enables us to openly share and support each other in truly unique ways.

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?
Have ways to serve a broader base of clients – whether that is through more home and community based programs, affordable senior housing, or broader availability of financial assistance to help more people experience our programs and services.

4. If you could swap jobs with a staff member for a day, what would you want to try and why?
If that means at LeadingAgeNC, I’d definitely pick Tom’s job – because I know how hard Leslie and Jennifer work! If that means at my community, I think I’d cheat on the question and swap with the president of the resident association to better understand the pressures faced in that job as a resident.

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

Grandkids and boating have become the focus over the last few years – but young grandkids and relaxing are not always compatible notions! My wife and I are also increasing our travel as my retirement plans come closer to reality.


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Professional Development

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

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

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

NAB Approved Contact Hours: 1.25 each session

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

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

Register online today.
Download flyer.


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

Nursing staff and management please join us in one of three cities 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. She served as co-facilitator of the Leadership and Culture training for the Practice Change Fellowship program. Dr. Gilster has published more than 50 professional articles and has written two books, "A Way of Life: Developing an Exemplary Alzheimer’s Disease and Dementia Program" and "SERVICE First: Changing Culture, Changing Care."  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, State Survey Agency

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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Calendar

6/27/2019
PDPM Part 2: Intensive

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

7/12/2019
Beans and Dreams: Successfully Navigating the Regulatory Landscape: A Former Surveyor's Perspective

7/25/2019
NC and VA Finance and Strategy Symposium

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