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Member Update June 21, 2019

Posted By Jennifer Gill, Friday, June 21, 2019
Updated: Thursday, June 20, 2019


June 21, 2019

The LeadingAge North Carolina Member Update is published twice monthly. Click on the section you would like to view.

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



 


Surprise Move Removes CON Language from Senate Bill

Senate Bill 361, the CON Reform bill that included a provision exempting CCRCs from CON review for Medicare-certified home health, was presented in the Rules and Operations Committee of the Senate yesterday where major, unexpected changes were made. All language in the legislation referencing CON rules was removed and then the bill was reported out favorably. The bill has been calendared for a full Senate hearing June 24. We’ll be sending additional information about the hearing over the weekend. We’ll also be providing additional information on House Bill 966, the budget bill…it appears that both chambers are very close on a compromise that can be sent to the Governor.

LeadingAge National Policy Update
Back in session following the Memorial Day recess, the House is pushing forward with appropriations measures for fiscal year 2020, which begins on October 1. There still is no agreement, however, among the U.S. House, the Senate, and the White House on raising caps on discretionary spending that were imposed by the Budget Control Act of 2011. Meanwhile, draft legislation to reauthorize the Older Americans Act is circulating in the Senate Committee on Health, Education, Labor and Pensions, bills have been introduced to expand and make a wide range of improvements in the Low-Income Housing Tax Credit, and the Senate Finance Committee leadership continues moving forward on legislation to continue the income tax medical expense deduction’s 7.5% adjusted gross income threshold. The update provides information on the following items:

  • Nursing home regulation
  • Skilled Nursing Facilities: Proposed Fiscal 2020 Medicare Rule
  • Reduction in Regulatory Burden: Patients Over Paperwork
  • Workforce
  • Immigration
  • Medicare Observation Days legislation
  • Hospice: Proposed Fiscal 2020 Medicare Rule
  • PACE Final Rule for 2020
  • Tools and Resources
  • And MUCH More

Efforts Build to End Lockouts of In-House CNA Training
McKnight’s Long-Term Care News reported earlier this week on the growing number of co-sponsors of legislation to end the 32 year-old rule prohibiting penalized skilled nursing facilities from providing in-house CNA training. LeadingAge supports House Bill 1265, which now has 13 co-sponsors. Civil monetary penalties can often be unrelated to improvement efforts and the current law makes it more difficult for nursing homes to recruit and retain direct care staff.

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

  • Business Member Meeting with Marsh & McLennan Agency - Raleigh
  • General Assembly Senate Health Care Committee - Raleigh
  • LeadingAge Professional Development Network meeting - San Diego
  • Meeting with NorCCRA’s Sindy Barker - Chapel Hill
  • Member Community visit - Aldersgate, Charlotte
  • Member Community visit - Galloway Ridge, Pittsboro
  • NC Institute of Medicine Task Force on Health Services for Individuals who are Deaf and Hard of Hearing - Morrisville

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Microsoft's Peter Lee, Greg Moore on the Role of Tech Giants in Healthcare

May 31, 2019, Fierce Healthcare
Peter Lee is Microsoft Healthcare's corporate vice president and Greg Moore, M.D. is Microsoft's new corporate vice president for health technology and a neuroradiologist by training. In this interview they discuss technology's growing footprint in healthcare.

The Globe Is Going Gray Fast, U.N. Says in New Forecast
June 17, 2019, The New York Times
According to projections by the United Nations, the world’s population may stop growing completely by 2100. The 2019 projection cited declining fertility as an underlying trend. It also said people 65 or older were the fastest-growing segments of the global population.

Move-in Crucial Time to Support Resident Mental Health, Suicide Study Suggests
June 17, 2019, McKnight's Senior Living
New research suggests retirement communities could play a role in supporting the mental health of its residents, particularly when new residents are transitioning into the community. Please share this article with your wellness and marketing staff. Included are links to two toolkits they may find helpful, one from the the federal Substance Abuse and Mental Health Services Administration and the other from LeadingAge national.

The Elderly Are Getting Complex Surgeries. Often It Doesn’t End Well.
June 7, 2019, The New York Times
Surgical complication rates are high among the oldest patients. Now a surgeons’ group will propose standards for hospitals operating on the elderly. Those standards may include geriatric-friendly physical spaces, patient pre-habilitation prior to surgery, intensive communication efforts, and more. The medical staff at your community may want to consider these findings when consulting with residents about surgery.

5 Articles for June
The LTSS Center @UMass Boston recommends these five articles for your June reading list.

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Thanks to everyone who keeps the member questions going strong. Click here to download a PDF that contains several redacted woodworking shop policies that were submitted in response to that member question.

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Complete the Member Survey Today

Earlier this month, LeadingAge National launched a member survey. Please check your inboxes! The survey is designed to produce an array of meaningful data that will help LeadingAge National and LeadingAge North Carolina conduct data-driven planning and decision making. Please take 10-12 minutes out of your day to complete this important survey. Each individual who completes the survey by July 5 will receive a $5 Starbucks gift card and will be entered in a raffle to win free registration and lodging at the host hotel for the 2019 Annual Meeting and EXPO. For more information, visit LeadingAge.org/2019MemberSurvey or email membersurvey@leadingage.org. Thank you for helping LeadingAge continue to be the trusted voice for aging.

Your Member Directory Update

At this time every year we ask for your help updating our member directory. A detailed email was sent to CEOs Wednesday. Please act now to update your community's data by sharing that email with the most appropriate staff person. If you have any questions about accessing your profile, feel free to contact Jennifer Gill or Leslie Roseboro at (919) 571-8333.

In Case You Missed It
Click below to read newsletters from the past two weeks.

Follow @LeadingAgeNC on Social Media
Before you leave on vacation this summer, be sure you are following LeadingAge NC on Twitter, Facebook, and Instagram. You'll be up-to-date when you return!

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

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Trustees of the LeadingAge North Carolina Foundation volunteer their time and expertise to enrich the field of aging services. We are grateful for Dale Melton's four years of service to the Foundation board. Read on to learn a little more about Dale, who recently became executive director of Covenant Village in Gastonia.

1. Why did you become involved in Leading Age NC?
In my earlier career in higher education fundraising and advancement I depended upon the high value and strong professional development resources provided by quality professional associations. As a leader in the senior living industry over the past seven years, I have continued this practice in order to strengthen my leadership and guide our community to provide resident care that is on the leading edge of service and quality.

2. What makes our mission meaningful to you?
One of life’s grace-filled, but hardest lessons is that the best results are accomplished together—and few, if any, are accomplished alone!! At Covenant Village, our motto is Living Longer Better—and we have added Together.

As someone committed fully to lifelong learning and continuous improvement, the educational aspect of our collective work is deeply meaningful. The annual conference and continuing education offerings throughout the year are vital resources to our community. Additionally, I have found that interactions with LeadingAge NC colleagues offer vital learning experiences. As a new executive, I have been blessed by countless emails and phone calls to colleagues throughout the state and at the NC LeadingAge office that provide just the right guidance and insight I have needed.

I have also relied upon the LeadingAge role of Advocacy. I have leaned upon this benefit with recent issues regarding state vs. federal regulations for our uncertified health centers.

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?
Ensure that every senior adult, no matter their income or zip code, has access to the qualitative impact and holistic wellness aspects that our communities currently provide to a limited population.

4. If you could swap jobs with a staff member for a day, what would you want to try and why?
I would overwhelmingly want to trade places with a frontline, heart-of-the-house service position—particularly a CNA!! These vital positions are the touchpoint where we truly impact and enhance life lived in community. These are the relationships and presence in our communities that incarnate who we are and why we exist. Our frontline, heart-of-house staff are LeadingAge NC!!

5. What do you do to relax, to get away, to recharge your batteries?
I recharge with quiet time. So, I read. I particularly love books about leadership and emotional intelligence. One that I would currently recommend is Grit: The Power of Passion and Perseverance by Angela Duckworth.

When I want to be inspired, I connect with family. Time with family is a high value for Michelle and me! Our daughter recently shared with us—unsolicited—that she is done accumulating in life (and she is really young!). All that matters now is quality time with family and friends. Amen. I feel very blessed when we seek out good conversation and life-sharing experiences over great food and engaged table fellowship.

Now … Throw in a couple of rounds of golf, a trip to an art gallery, or watching a college sports event. . . then Life is golden, and all things are possible!!

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


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



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



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


 

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




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




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




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


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



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



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



Direct Services Staff Symposium
Choose your date:
October 9 at Aldersgate in Charlotte - OR -
October 10 at The Forest at Duke in Durham
Both sessions 10am - 2pm


 



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


Other Professional Opportunities

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

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



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Advocacy in Action June 14, 2019

Posted By Jennifer Gill, Friday, June 14, 2019
Updated: Friday, June 14, 2019

    
June 14, 2019


Senate Health Care, Finance Committees Move Forward with CON Exemption for CCRCs

Earlier this week, the Senate Health Care and Senate Finance committees each passed Senate Bill 361. Included in the bill is a provision exempting CCRCs from CON review for Medicare-certified home health. The bill now goes to the Rules and Operations Committee of the Senate. During Wednesday’s Senate Health Care Committee hearing, Sen. Joyce Krawieck (the bill’s primary sponsor and co-chair of the Health Care committee) indicated that she had heard from “so many staff and residents of continuing care retirement communities over the past several days.” At the same time that the Senate is hearing Senate Bill 361, a conference committee made up of a select group of Representatives and Senators has been meeting to hammer out a compromise on the budget. Contained in the budget bill (House Bill 966) is a provision that mirrors the language in Senate Bill 361 on our exemption from CON for Medicare-certified home health (included on page 144 of the bill that was available at press time).


General Assembly in Final Negotiations Over State Budget
The North Carolina House of Representatives and Senate have formed a conference committee to negotiate a final version of the state’s two-year budget. Once the two chambers have reached agreement, their version of the budget will go to Governor Roy Cooper. It is widely believed that Cooper will veto the budget if it does not contain Medicaid expansion. The budget continues to honor the state’s longstanding tax policy provisions affecting nonprofits, including the property tax exemption and the sales tax refund. While the Senate Health Care committee has approved a bill (Senate Bill 361) exempting CCRCs from the CON need determination process for Medicare-certified home health (see article above), the Senate’s budget proposal also includes the language. The North Carolina Center for Nonprofits has prepared a helpful comparison chart highlighting many key nonprofit provisions in the House and Senate versions of the budget.


LeadingAge NC Participates in PACE Final Rule Information Sharing
Earlier this week, LeadingAge NC participated in a call with LeadingAge national and PACE sites from around the country to discuss the impact of the final rule for PACE recently announced by CMS. Brendan Flinn, Director of Home and Community-Based Services for LeadingAge national, provided information and context for those participating. As a reminder, late last month CMS announced a new final rule for PACE programs. The final rule increases flexibility for PACE programs and may have the effect of expanding access to PACE among consumers. LeadingAge has prepared a summary analysis of the final rule (also in PDF). Members with questions or comments about the Final Rule are encouraged to reach out to Brendan.


Hill Action on Spending, Medical Expense Deduction, and Housing Credit
Congress is abuzz with activity. The House is considering a package of spending bills, including its fiscal year 2020 (FY20) HHS appropriations bill. Next week, the week of June 17, the House will consider its FY20 HUD appropriations bill as part of another spending package. In addition to these appropriations measures, three non-appropriations issues are also in motion.

First, LeadingAge national is supporting H.R. 2073 and S. 110, bi-partisan legislation to make permanent the 7.5% threshold for the medical expense deduction. LeadingAge national has joined over 50 other consumer and aging services organizations in a letter supporting these bills. Second, national is pouring over the Senate Health, Education and Labor (HELP) Committee's bipartisan discussion draft to reauthorize the Older Americans Act (OAA). Of note, the draft does not address any changes to Title V, the SCSEP Programs, that are a priority for LeadingAge and were included in the recommendations of the Leadership Council of Aging Organizations to the HELP Committee. Third, we were thrilled to see the June 4 introduction of Senate and House bills to expand and strengthen the Low Income Housing Tax Credit program. The bills would expand state Housing Credit allocations by 50% and make several improvements, including clarifying some year-15 issues to help nonprofits attain communities after investors absorb their tax benefits and a basis boost for communities serving extremely low-income households.


New Edition of Research Update Now Online
The LeadingAge LTSS Center @UMass Boston just released the latest edition of Research Update, their regular online newsletter about recent developments in the long-term services and supports world. Check out articles on what we can learn from state efforts to finance LTSS, family caregiving from a distance, and the home-care workforce.



LeadingAge National Webinar
RoPs Overview: Compliance and Ethics Enforcement

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


How did you become involved in LeadingAge North Carolina?
I met the previous executive director down in New Bern as we were both sailors. I was fortunate when Tom Akins came on board that we hit it off and have had a great working relationship ever since.

What makes our mission meaningful to you?
The options that our community residents (and not quite residents) have in choosing how they want to spend their later years, knowing that the CCRC/LPC staff will be there in good times and trying times. That has to be such a gift of peace of mind.


If you had a magic wand, what is the one thing you as our lobbyist would like to do for the population we serve?

CON REFORM!!!

If you could share one gold nugget of information with the LeadingAge North Carolina membership, what would you want them to know?
Although, I am at the legislative building everyday they are in session and a lot of days they are out, the LeadingAge NC membership has a more powerful voice collectively than I do. They should use it more often.


What do you do to relax, to get away, to recharge your batteries?
Ride my horse, sailing, hiking and a really good glass of Bourbon, Pinot Noir or Cabernet.

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



Tags:  Advocacy in Action 

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Professional Development Update June 2019

Posted By Jennifer Gill, Thursday, June 13, 2019
Updated: Wednesday, June 12, 2019

    
June 13, 2019


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

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



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



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


 

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




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




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




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


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



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



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



Direct Services Staff Symposium
Choose your date:
October 9 at Aldersgate in Charlotte - OR -
October 10 at The Forest at Duke in Durham
Both sessions 10am - 2pm


 



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


Other Professional Opportunities

LeadingAge National Webinar
RoPs Overview: Compliance and Ethics Enforcement

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


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


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

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



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Membership Update June 7, 2019

Posted By Jennifer Gill, Friday, June 7, 2019
Updated: Thursday, June 6, 2019


June 7, 2019

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

Strategic Thinking
Member Questions
News & Notes
Volunteer Spotlight

Professional Development
Value First



Advocacy & Policy

Medicare Observation Stays and Surprise Medical Billing
When the U.S. House Ways and Means Health Subcommittee held a hearing May 21 on Protecting Patients from Surprise Medical Bills, LeadingAge joined a coalition of other stakeholders in telling the subcommittee that the Medicare "observation stays" issue is a big part of the problem that needs to be resolved. LeadingAge’s statement for the hearing record pointed out that Medicare beneficiaries whose hospital stays are designated as outpatient/observation are "surprised" when confronted with bills for post-acute care not covered by Medicare because of the beneficiary's failure to meet the three-day inpatient stay requirement. In this situation, Medicare beneficiaries are hit with the same high out-of-pocket spending that confronts other patients encountering surprise medical bills. LeadingAge urged the committee to take the action necessary to prevent surprise billing of Medicare beneficiaries who have been hospitalized on an outpatient basis for observation. The remedy supported by LeadingAge is H.R. 1682/S. 753, the "Improving Access to Medicare Coverage Act." This legislation would count all time a Medicare beneficiary spends in a hospital bed, whether as an inpatient or an outpatient, toward satisfaction of the three-day stay requirement. The legislation is a simple, straightforward means of eliminating the observation stays problem and has bipartisan cosponsorship.

CMS Announces PACE Final Rule
On May 28, 2019, the Centers for Medicare and Medicaid Services announced a new final rule for PACE (Programs of All-Inclusive Care for the Elderly) programs. The final rule increases flexibility for PACE programs and may have the effect of expanding access to PACE among consumers. LeadingAge is hosting a briefing on the Final Rule for members on June 11 at 4pm EST. Email Brendan Flinn of the LeadingAge staff if you are interested in participating in the call. LeadingAge has prepared a summary analysis of the final rule (also in PDF). Members with questions or comments about the Final Rule are encouraged to reach out to Brendan Flinn of the LeadingAge staff.

CMS 2020 SNF Policy Rule Comment Deadline Approaching
June 18 marks the deadline for making comments to CMS on the recently released 2020 SNF policy rule. Click here for a detailed summary of the proposed rule from our friends at CliftonLarsonAllen.

A Closer Look at the North Carolina Medicaid Program
Founded in November 2011 as a North Carolina nonprofit, North Carolina Health News is an independent news organization devoted to covering health care in the state. Their most recent edition included an excellent piece about what you need to know about North Carolina Medicaid, a big sprawling program that looms large in the state budget and will be in the news in coming months.

Senate Aging Committee Seeks Recommendations
LeadingAge national will be submitting comments to the U.S. Senate Aging Committee, which is producing a report focused on the prevention and management of falls and fall-related injuries. Click here to view a letter from Chairman Susan Collins and Ranking Member Bob Casey inviting stakeholders to provide recommendations that will inform their work. Members are invited and encouraged to submit recommendations to the committee. Responses are due on June 26th and all written comments to the Special Committee on Aging should be submitted via email to AnnualReport@aging.senate.gov.

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

  • LeadingAge NC Maintenance Workshop - Glenaire, Cary
  • Member Community visit - The Cedars of Chapel Hill, Chapel Hill
  • Member Community visit - Aldersgate, Charlotte
  • LeadingAge National Alignment Agreement Meeting - Chicago
  • Member Community visit - River Landing at Sandy Ridge, Colfax
  • The Presbyterian Homes, Inc. Board Retreat - Colfax
  • Member Community visit - LIFE/PACE St. Joseph of the Pines, Fayetteville
  • Member Community visit - United Church Homes and Services, Newton
  • Member Community visit - Piedmont Crossing, Thomasville

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Strategic Thinking

The Bond Market is Trying to Tell Us Something (Worry)
May 30, 2019, The New York Times
The bond market is full of important clues about the economy. Here's what to make of it.

Middle-Income Seniors Risk Falling Through Cracks in Housing Market
May 28, 2019, The Washington Post
In the next decade, the number of seniors who are middle income is projected to soar, and a large share of them will be unable to afford housing and care, according to a recent study published in the journal Health Affairs. Over the past 40 years, the housing market for seniors has expanded widely, but new development has focused largely on higher-end facilities.

Is the Sandwich Generation Financially Sound?
PNC
The sandwich generation is defined as those who are simultaneously caring for their children and elderly family members. PNC surveyed members of this group to gauge the generation’s financial stressors and preparedness.

Study: Immigrants Account for 25.7% of Workforce in Long-Term Care Sector (Includes Senior Living)
June 4, 2019, McKnight's Senior Living
According to a study published Monday by the journal Health Affairs, immigrants accounted for 25.7% of the workforce in the nonformal long-term care sector in 2017, including senior living. Theirs is the first study to examine the role of immigrants, including unauthorized immigrants, directly hired by private households and nonmedical facilities, such as senior housing and independent living sections of continuing care retirement communities, to assist older adults and disabled people.

All the Ways Google Tracks You—And How to Stop It
May 27, 2019, Wired
Set aside a few minutes to consider what you want to allow Google to track about you, and what you'd like to block. This article will show you how.

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Thanks to everyone who keeps the member questions going strong by responding. Click on the links below to view redacted disaster plans submitted in response to the member question on that topic.

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News and Notes

Complete the Member Survey Today
Yesterday, LeadingAge National launched a member survey. Please check your inboxes! The survey is designed to produce an array of meaningful data that will help LeadingAge National and LeadingAge North Carolina conduct data-driven planning and decision making. Please take 10-12 minutes out of your day to complete this important survey. Each individual who completes the survey by July 5 will receive a $5 Starbucks gift card and will be entered in a raffle to win free registration and lodging at the host hotel for the 2019 Annual Meeting and EXPO. For more information, visit LeadingAge.org/2019MemberSurvey or email membersurvey@leadingage.org. Thank you for helping LeadingAge continue to be the trusted voice for aging.

Your Member Directory Update

At this time every year we ask for your help updating our member directory. A detailed email will be sent to CEOs soon. Please act now by asking the most appropriate staff person to update your community's data. If you have any questions about accessing your profile, feel free to contact Jennifer Gill or Leslie Roseboro at (919) 571-8333.

Deadly Falls in Older Americans Are Rising. Here’s How to Prevent Them.
June 4, 2019, The New York Times
The rate of deaths after falls is rising for people over 75, a new study shows. But falls are avoidable for most seniors. This article offers some tips.

Deadline Extended to June 14: LeadingAge Annual Awards
The 2019 LeadingAge National Awards deadline has been extended to Friday, June 14. If you'd like to submit a nomination for the Award of Honor, the RWJF Health Equity Award, or the Joan Anne McHugh Award for Leadership in LTSS Nursing please do so here.

The Unpaid Cost of Long-Term Care
June 4, 2019, Axios
Family members, especially spouses, are providing a lot of end-of-life care right now, with little or no support, per Health Affairs. By the numbers: Nearly 15 million Americans (often family) act as unpaid caregivers for older people, often family — and spouses, especially, often have to go it alone.

  • 55% of spouses who are married to someone with a disability and who’s not living in a nursing home serve as solo caregivers.
  • Among those who had help, most got it from their children, rather than trained professionals.
  • Looking after an older family member is a full-time job — solo caregivers averaged more than 40 hours a week.

In Case You Missed It
Click below to read newsletters from the past two weeks.

Follow @LeadingAgeNC on Social Media
Before you leave on vacation this summer, be sure you are following LeadingAge NC on Twitter, Facebook, and Instagram. You'll be up-to-date when you return!

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

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Volunteer Spotlight


Jane Baker
Executive Director
NC Board of Examiners
  for Nursing Home Administrators

Trustees of the LeadingAge North Carolina Foundation volunteer their time and expertise to enrich the field of aging services. If you hold a nursing home administrator license in North Carolina you may already know Foundation trustee Jane Baker. We are grateful for her four years of service to the Foundation board. Read on to learn a little more about Jane.

1. Why did you become involved in Leading Age NC?
As Executive Director of the NC State Board of Examiners for Nursing Home Administrators, I try to be involved as much as I can with both Associations in order to spend time with my AITs and Administrators to learn their personalities and their career goals. Therefore, when I was asked to serve on the Foundation Board, I was honored and thought this would enhance my knowledge further about Continuing Care Retirement Communities. By attending, I witness the education, policy making and advocacy for your members that LeadingAge provides on a regular basis.

2. What makes our mission meaningful to you?
The mission is meaningful to me because I see how all the communities work together to serve the physical, emotional and spiritual well-being of the seniors of our state who deserve the very best.

3. If you had unlimited resources, what is the one thing you as a board member would like to do for the population we serve?
I see senior living in both the for-profit facilities and the not-for-profit communities and my wish would be for all seniors to live in a beautiful environment and be cared for by quality staff who take a special interest in their residents and show them love and respect.

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 be a resident in a facility and/or community so that I could share that experience with my AITs. It would also be valuable knowledge when creating model curricula for our interns in this ever-changing profession.

5. What do you do to relax, to get away, to recharge your batteries?
I love to cook and entertain; people say I am crazy, but I find it relaxing to have family and friends around the table. I also find reading very relaxing. My husband and I both enjoy time at the beach and the mountains to get away and recharge.

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Professional Development

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


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



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



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


 

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




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




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




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


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



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



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



Direct Services Staff Symposium
Choose your date:
October 9 at Aldersgate in Charlotte - OR -
October 10 at The Forest at Duke in Durham
Both sessions 10am - 2pm


 



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


Other Professional Opportunities

LeadingAge National Webinar
RoPs Overview: Compliance and Ethics Enforcement

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


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


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

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Value First

 

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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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Inclusion Insights May 2019

Posted By Jennifer Gill, Friday, May 31, 2019
Updated: Thursday, May 30, 2019


May 31, 2019

Welcome to the twelfth 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.


Research

CCRC Diversity Studies from UNC's Kenan Institute of Private Enterprise
Click on the titles below to view studies conducted by James Johnson, Jr., Ph.D. who led LeadingAge North Carolina's recent diversity research.

The Business Case for Diversity in the Workplace is Now Overwhelming
April 29, 2019, World Economic Forum
Bookmark this article for a resource packed with links to research on a variety of diversity and inclusion issues including its impact on innovation and performance, as well as the impact of millennials, the state of women in the workforce, and more.

Why Hasn't Mentoring Brought More Diversity to Senior Management?
April 16, 2019, Fortune
A recent survey of more than 3,000 full-time white-collar employees and executives nationwide found that 71% of self-described sponsors (mentors) say their top protégé is the same race or sex as they are. Read this article to learn how to avoid the "mini-me" mentoring syndrome - especially if the goal of your mentoring program is to increase diversity.



Leadership

Fast-Tracking Board Diversity: New Report Defines Strategic Approach to Changing Board Composition
May 21, 2019, Diversity Best Practices
A new report from WomenCorporateDirectors with audit, tax and advisory firm KPMG LLP's Board Leadership Center shows specific steps organizations can take to increase diversity at the board level – and how this effort can drive change deeper in the organization. The full report, Diversity in the Boardroom: Pushing Forward, Reaching Back, is available from this article, along with overall recommendations and a video.

Why Inclusive Leaders Are Good for Organizations, and How to Become One
March 29, 2019, Harvard Business Review
Inclusive leadership assures that all team members feel they are treated respectfully and fairly, are valued and sense that they belong, and are confident and inspired. What specific actions can leaders take to be more inclusive? The authors have researched and identified 17 behaviors that are equally important and mutually reinforcing.

Breaking Bias: Diversity and Inclusion in Healthcare Cannot be Left to Chance
May 18, 2019, Modern Healthcare
The president and CEO of the Cleveland Clinic shares specific initiatives taken to increase the clinic's cultural competence including a Time's Up Healthcare pledge, Hispanic clinic, LGBT clinic, and the strategic leadership of its Office for Diversity and Inclusion and more.

 


Workforce

Recruiting, Empowering, Developing and Retaining Diverse Talent
April 23, 2019, Diversity Best Practices
Two years ago Fifth Third Bank launched an initiative to establish key relationships with and recruit from historically black colleges and universities. Hosetta Coleman is Senior Vice President, University Relations at Fifth Third Bank and holds a Senior Professional in Human Resources designation. She is also a member of the Society for Human Resource Management. Read her first hand account of the program development and evolution. And please note that North Carolina is home to ten four-year historically black colleges and universities.

Employers Incorporate Diversity and Inclusion into Healthcare, Benefits and Perks
April 9, 2019, HR Dive
To attract and retain talent, and to drive employee engagement, employers are expanding the concept of diversity and inclusion by incorporating it into workplace culture, benefits and perks, compensation and well-being programs. This, according to a Willis Towers Watson report entitled 2019 Emerging Trends in Health Care Survey which polled 535 employers.

Inclusion Is Invisible: How To Measure It
April 21, 2019, Forbes
Whereas diversity is relatively easy to measure, inclusion is typically described in qualitative, often subjective terms. Using a healthcare metaphor, the author helps us reconcile the importance of creating an inclusive organization with the difficulty of defining and measuring inclusion.


Upcoming Events

NC Chamber
Workplace Diversity and Inclusion Conference

June 13, 2019
8:30 a.m. – 2:30 p.m.
Sheraton Imperial Hotel & Convention Center
4700 Emperor Blvd.
Durham, NC 27703

SAGE: Advocacy and Services for LGBT Elders

Help preserve the stories of LGBTQ elders. During the month of June 2019, SAGE is asking people across America to pick up their mobile devices and use the StoryCorps App to record the personal stories of people within the LGBT community, particularly those who were born before the 1969 Stonewall Riots. Each of these interviews will become a permanent part of American history at the American Folklife Center at the Library of Congress.

Diversity and HR Solutions
The 2019 Diversity and Inclusion Conference

Reimagine Diversity: Driving Cultural Intelligence
August 7, 2019
8:00 am – 4:00 pm
Brier Creek Country Club
Raleigh, NC


Resources


Diversity Holidays

June

June is Lesbian, Gay, Bisexual, and Transgender Pride Month, established to recognize the impact that gay, lesbian, bisexual and transgender individuals have had on the world. LGBT groups celebrate this special time with pride parades, picnics, parties, memorials for those lost to hate crimes and HIV/AIDS, and other group gatherings. The last Sunday in June is Gay Pride Day.

June 3-4 (sundown to sundown): Eid al-Fitr, the first day of the Islamic month of Shawwal, marking the end of Ramadan. Many Muslims attend communal prayers, listen to a khutuba (sermon), and give Zakat al-Fitr (charity in the form of food) during Eid al-Fitr.

June 8-10 (sundown to sundown): Shavuot, a Jewish holiday that has double significance. It marks the all-important wheat harvest in Israel and commemorates the anniversary of the day when God gave the Torah to the nation of Israel assembled at Mount Sinai.

June 9: Pentecost, the celebration of the giving of the Ten Commandments by God at Mount Sinai.

June 14: Flag Day in the United States, observed to celebrate the history and symbolism of the American flag.

June 15: St. Vladimir Day, a Roman Catholic feast celebrating St. Vladimir.

June 15: Native American Citizenship Day, commemorating the day in 1924 when the U.S. Congress passed legislation recognizing the citizenship of Native Americans.

June 16: Martyrdom of Guru Arjan Dev, observed by members of the Sikh faith. Guru Arjan Dev was the fifth Sikh guru and the first Sikh martyr.

June 16: Trinity Sunday, observed in the Western Christian faith as a feast in honor of the Holy Trinity.

June 19: Juneteenth, also known as Freedom Day or Emancipation Day. It is observed as a public holiday in 14 U.S. states. This celebration honors the day in 1865 when slaves in Texas and Louisiana finally heard they were free, two months after the end of the Civil War.

June 19, therefore, became the day of emancipation for thousands of African-Americans.

June 19: New Church Day, according to Christian belief, on this day the Lord called together the 12 disciples who had followed him on earth, instructed them in the Heavenly Doctrine of the New Jerusalem, and sent them out to teach that “the Lord God Jesus Christ reigns, whose kingdom shall be for ages and ages.” This was the beginning of the New Christian Church.

June 20: Corpus Christi, a Catholic holiday celebrating the presence of the body and blood of Christ, in the Eucharist.

June 21: Litha, the summer solstice celebrated by the Wiccans and Pagans. It is the longest day of the year, representing the sun’s “annual retreat.”

June 21: First Nations Day, a day that gives recognition to the indigenous populations affected by colonization in Canada.

June 23: All Saints’ Day, celebrated by many Eastern Christian churches on this day in June, in recognition of all known and unknown saints.

June 28: Sacred Heart of Jesus, the Feast of the Most Sacred Heart is a solemnity in the liturgical calendar of the Roman Catholic Church

.June 29: Feast Day of Saints Peter and Paul, a liturgical feast in honor of the martyrdom in Rome for the apostles St. Peter and St. Paul in Eastern Orthodox Christianity.

Last Sunday in June: Lesbian, Gay, Bisexual, Transgender (LGBT) Pride Day in the United States. It celebrates the Stonewall Riots on June 28, 1969.


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



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Advocacy in Action May 24, 2019

Posted By Jennifer Gill, Friday, May 24, 2019
Updated: Thursday, May 23, 2019


May 24, 2019


North Carolina House Approves Budget Proposal; Senate Plan Expected Soon
The House approved its $23.9 billion budget proposal (HB 966 – 2019 Appropriations Act) earlier this month and sent it on to the Senate which is expected to release its own budget plan soon. A conference committee of House and Senate members will be charged with ironing out the differences in the two documents, hopefully in time for final approval of the budget before the current fiscal year ends June 30.

A Quick Recap of Where We’re at with Key Legislative Items

S 646 - Certificate of Need Reform and Medicare-certified Home Health: This is a small step forward in CON reform, but a large step in helping control healthcare costs for NC citizens. In addition to other CON reforms, this bill would exempt continuing care retirement communities from the need determination process for Medicare-certified home health. This has been one of the Association's key public policy priorities for the past five years. The controversy over Certificate of Need healthcare regulations is a perennial one at the legislature, but Sen. Ralph Hise, R-Mitchell, said May 15 at a press conference with fellow House and Senate Republicans who want to repeal or scale back CON regulations that, "I predict there will be large movements in CON laws in this session." According to the State Medical Facilities 2020 plan, it would only affect two-tenths of one percent of the total population that would receive home health care in 2020…but it’s so important to North Carolina seniors who live in our state’s nonprofit continuing care retirement communities (a group of communities that has an estimated $2 billion impact on the state’s economy each year).

HB 410Require Generators in Nursing Homes and Adult Care Homes: This bill was amended from what was originally introduced to create the House Select Committee on Emergency Electrical Service for Nursing & Adult Care Homes. The Committee is to study the feasibility of requiring all nursing homes, combination homes, and adult care homes, to provide emergency electrical service for use in the event of failure of the normal electrical service. The legislation would require the Committee to report its findings and recommendations to the Joint Legislative Oversight Committee on Health and Human Services no later than March 1, 2020. The bill passed the House and is in the Senate Rules Committee.

Special Care Unit Moratorium: The budget plan approved by the House includes a provision extending the moratorium on special care units until June 30, 2021. There are some exceptions to this moratorium contained within the legislation.

HB 708 – Legislative Research Commission –  Study Affordable Housing: This bill directs the legislative research commission to study the availability of affordable housing in North Carolina. The LRC is to report its findings, together with any proposed legislation, to the 2020 Regular Session of the 2019 General Assembly upon its convening. The bill passed the House and is in Senate Rules Committee.

HB 724 – Truth in Caller ID Act: This bill would prohibit the use of misleading telephone identification methods for telephone solicitations by voice or text. The practice, known as "spoofing" or "cloning," is commonly used by scammers posing as tax collectors or kidnappers.  Even some legitimate telemarketers often use what's called "neighbor spoofing" to make their calls or texts appear to be coming from local numbers. Under this bill (which passed the House unanimously and is now in the Senate Rules Committee), telemarketers who use misleading information to hide the origin of their calls could be sued by a citizen or fined from $500 to $5,000 by the state attorney general. 

Revenue Surplus: Much of the surge in North Carolina income tax collections this spring cannot be counted on to repeat in 2020 and 2021, state government economists said on May 14. That could limit options on further spending or tax breaks in the upcoming two-year budget.  An updated examination of April tax collections by legislative staff and Gov. Roy Cooper's budget office forecasts a $643 million surplus for the year ending June 30, according to separate memos from the executive and legislative branches. That's 2.7% above what was anticipated last summer when the current-year state budget was finalized. The figure is slightly below the $700 million the legislature's top economist, Barry Boardman, said earlier this month was possible when all April collections were examined. But it still marks the largest state government surplus since the Great Recession, and a surplus for the fifth consecutive year.  In February, state economists projected a $151 million surplus this year, but it grew because individual income tax payments in April were 46% higher compared to last year.  (Gary D. Robertson, THE ASSOCIATED PRESS, 5/14/19)

State of Washington Leads the Way in Innovative Approach to LTSS Funding
John O’Connor, McKnight’s editorial director, offers his take on Washington state’s innovative new program to help pay for long-term care expenses for individual consumers.

Time to Comment on DOL Overtime Proposed Rule
May 21
 is the deadline for nonprofits, employees, for-profit businesses, and interest groups to provide real-world context to the Department of Labor (DOL) about proposed changes to the overtime rules. In March, the Labor Department proposed, among other things, adjusting the minimum salary level that exempts white-collar employees from overtime pay by raising the threshold to $679 per week ($35,308 per year) from the current level of $455 per week ($23,660 per year) set 15 years ago. The salary level is one step of a three-part test for determining whether a person is properly treated as an executiveadministrative, or professional worker, and thus exempt from overtime pay. Learn more about what’s being proposed by reading this brief abridged version of the draft regulations and the Council of Nonprofits’ updated analysis.

LeadingAge National's Bill Tracker
LeadingAge national’s 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 May 17, 2019

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


May 17, 2019

63rd Annual Conference Draws Rave Reviews!

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

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



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

Strategic Thinking
News & Notes
Professional Development



Advocacy & Policy

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

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

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

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

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

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

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Strategic Thinking

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

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

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

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

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News and Notes

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

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

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

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

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

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

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

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

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

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Professional Development

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

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



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



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



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


 

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




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




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




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


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



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



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




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


Other Professional Opportunities

LeadingAge National Webinar
RoPs Overview: Compliance and Ethics Enforcement

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


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


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



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

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



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Membership Update May 3, 2019

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


May 3, 2019

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

Strategic Thinking
News & Notes
Professional Development


Advocacy & Policy

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

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

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

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

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

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

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

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Strategic Thinking

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

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

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

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

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

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News and Notes

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

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

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

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

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

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

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

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Professional Development

 

LeadingAge North Carolina
ANNUAL CONFERENCE & TRADE SHOW

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

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

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

This year's conference includes:

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

More information.
Register here.


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

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

Topics

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

Speakers

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

Click here to register now!

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


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


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

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

Participants earn 3 NHA CEUs

Download flyer.
Register online now.



LeadingAge North Carolina
2019 Management Leadership Series

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

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

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

Download the brochure.
Register online now.


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

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


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

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


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

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


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

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

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

NAB Approved Contact Hours: 1.25 each session

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

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

Register online today.
Download flyer.

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




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Advocacy in Action April 26, 2019

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


April 26, 2019


And the Crystal Ball Says…

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

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

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

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

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

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

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

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

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


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

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

Nurse Aide Training Lock-Out

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

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

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

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

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



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Membership Update April 19, 2019

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


April 19, 2019

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

Strategic Thinking
Volunteer Spotlight
News & Notes
Professional Development


Advocacy & Policy

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

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

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

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

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

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

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

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

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Strategic Thinking

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

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

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

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

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

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Volunteer Spotlight


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

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

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

2. What makes our mission meaningful to you?

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

3. If you had unlimited resources, what is the one thing you as a board member would like to do for the population we serve?

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

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

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

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

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News and Notes

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

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

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

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

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

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

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

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

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

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

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

Register Now and Join the Conversation

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

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

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

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

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

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

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Professional Development

 

LeadingAge North Carolina
ANNUAL CONFERENCE & TRADE SHOW

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

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

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

This year's conference includes:

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

More information.
Register here.


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

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



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

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

Topics

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

Speakers

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

Click here to register now!

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


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

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


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


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

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

Participants earn 3 NHA CEUs

Download flyer.
Register online now.



LeadingAge North Carolina
2019 Management Leadership Series

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

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

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

Download the brochure.
Register online now.


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

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


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

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

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

NAB Approved Contact Hours: 1.25 each session

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

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

Register online today.
Download flyer.


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

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

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


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Calendar

8/21/2019
Leadership Series: Tactical Tools for Leading and Managing, Part 2

8/22/2019
Dining Symposium - POSTPONED

9/4/2019
Phase 3: Trauma Informed and Culturally Competent Care

9/13/2019
Beans and Dreams: Cybersecurity

9/18/2019
Mid-Atlantic CCRC/Life Plan Marketing Symposium

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