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Membership Update August 29, 2014

Posted By Jennifer Gill, Thursday, August 28, 2014

Member Update
August 29, 2014
In this Issue


Advocacy and Policy

Medicare to Start Paying Doctors and Nurse Practitioners Who Coordinate Needs of Chronically Ill Patients
CMS: Discharge Assessments Must be completed when Residents Transfer to a Non-Certified Bed Within the Nursing Facility
DEA Reschedules Hydrocodone from Schedule 3 to Schedule 2
Updated CDC Travel Guidelines
Changes to Chronic Care Management Codes Proposed by CMS
OIG: Nursing Homes Correctly Reported 53% of Abuse or Neglect Allegations in 2012

Professional Development
Regulatory Conference and Tech Expo
HR Workshop
Upcoming Educational Sessions
LeadingAge Annual Meeting and Expo
Free Teleconference to Help Organize Your Fundraising
Employment Law Update and Legal Trends

Strategic Thinking
The Cost of Caring for Aging Parents
Daughters Provide Twice as Much Care for Aging Parents Than Sons Do, Study Finds
A Lot of Us Will Run Out of Money In Retirement
Help in Choice of Care Facility After Hospital Discharge
Want to Keep Your Home and Your Independence As You Age? Prevent Falls
Updated EHR Selection Tools Released by LeadingAge CAST
Medicare Advantage is More Expensive, but it May Be Worth It
Portrayal of Seniors in Advertising Falls Flat with Audience
More Evidence Adult Daycare Eases Stress on Dementia Caregivers
Elder Law: Special Needs Adult Children Need a Plan for Their Future

We wish everyone a safe and relaxing Labor Day weekend. In observance of the holiday, the LeadingAge North Carolina office will be closed on Monday, September 1.


Advocacy and Policy

Medicare to Start Paying Doctors and Nurse Practitioners Who Coordinate Needs of Chronically Ill Patients

In a policy change, the Obama administration is planning to pay doctors and nurse practitioners to coordinate the care of Medicare beneficiaries, amid growing evidence that patients with chronic illnesses suffer from disjointed, fragmented care. Click here to understand what this will mean for patients at a doctor’s visit and why such coordination is important.

CMS: Discharge Assessments Must be Completed when Residents Transfer to a Non-Certified Bed Within the Nursing Facility

Federal regulations define transfer and discharge as when a resident moves from a Medicare- or Medicaid-certified bed to a non-certified bed, "whether that bed is in the same physical plant or not,” according to a memo sent to state survey agency directors. Click here to be sure you are meeting requirements.


DEA Reschedules Hydrocodone from Schedule 3 to Schedule 2

Effective October 6, 2014, hydrocodone combination products (HCP) have been rescheduled from schedule 3 to schedule 2 of the Controlled Substances Act according to a final rule published by the Drug Enforcement Administration. Click here for more about what is in the DEA Final Rule.

Updated Centers for Disease Control Travel Guidelines

We know that our members have residents and staff who travel internationally. We wanted you to know that CDC has upgraded their travel restrictions from an advisory to a warning for travel to certain parts of Africa due to the Ebola outbreak. Please click here to view the updated CDC travel restrictions.

Changes to Chronic Care Management Codes Proposed by CMS

On July 11, CMS released the physician fee schedule proposed rule, which includes provisions relating to implementation of separate payment for chronic care management (CCM) services. Click here to view what the three adjustments are to the CCM and the Transition Care Management codes and to read the proposed rule.


CMS Needs to get Nursing Staff Information Directly from Payroll Systems, Congressional Leaders Say

In a letter to top healthcare officials, members of the Congressional Seniors Task Force noted that staffing data from nursing homes is not routinely audited as is required by the Affordable Care Act. CMS already has missed the March 2012 deadline for implementation. Click hereto learn what may have prompted the letter.

OIG: Nursing Homes Correctly Reported 53% of Abuse or Neglect Allegations in 2012

The Office of the Inspector General reported that CMS should take a number of steps to increase nursing facility compliance with reporting abuse and neglect allegations. Click here to see what steps the report recommended.




Professional Development

Regulatory Conference and Tech Expo

With the participation of experts in the areas of compliance and technology we have planned a day and a half packed with CCRC-specific regulatory information and technology solutions to enhance your community. Our first annual Tech Expo and Regulatory Conference will be September 9 from 1:30pm – 5:30pm and September 10 from 8:00am – 5:30pm in Winston-Salem. You may choose to attend either or both. Regulatory conference attendees may earn 8.5 NHA CEUs. Regulatory Conference registration is $150/person and $100/additional attendee from the same community. Registration includes Tech Expo, continental breakfast, lunch with a guest speaker, and educational materials. Registration for the Tech Expo only is $25/person or $100 for four or more people from the same community. Register now by clicking here.


HR Workshop
Registration for the HR Workshop on September 24 is open. Click hereto register today and earn recertification credits toward PHR and SPHR or 5.0 continuing education credits for Nursing Home Administrators. Topics include recognizing and defusing aggressive behavior, developing an active shooter safety action plan, an HR legal update, and Department of Labor Audit List. Attorneys from Womble Carlyle Sandridge and Rice, Benefit Controls Companies, and the COO of Sorenson Wilder and Associates will be our speakers.

Please save the date for these upcoming educational sessions:

· September 9-10, Regulatory Conference and Technology Show, Winston-Salem

· September 24, HR Workshop, Whitestone: Masonic and Eastern Star Communities, Greensboro

· October 19-22, LeadingAge Annual Meeting, Nashville, TN

· October 20, LeadingAge NC State Night Out

· October 28, Mid Managers Series, River Landing at Sandy Ridge, Colfax

· November Dates TBD, Workshop for Frontline Staff, Arbor Acres and The Cedars of Chapel Hill

· May 11-14, 2015 Spring Conference and Trade Show at Pinehurst Resort in Pinehurst, NC


LeadingAge Annual Meeting and Expo

Be sure to register for the LeadingAge Annual Meeting and Expo October 19-22, 2014 in downtown Nashville, TN. Participants choose from over 150 in depth education sessions for more than 10 professional disciplines. Click here to register now.

Ten Things You Can Do Right Now to Organize Your Fundraising

It happens every year. The calendar just seems to get away from you and before you know it, you are scrambling to get everything done before the fundraising year ends. The LeadingAge Philanthropy Network has a plan to make your year-end more orderly so that you, too, can enjoy the holidays. Please plan to join Stephanie Titus, Vice President of Philanthropy for Retirement Housing Foundation in Long Beach, CA and member of the Philanthropy Network Steering Committee for ten things you can do right now to keep that calendar under control and your fundraising running smoothly. No need to pre-register. Just dial in. PowerPoint slides will be made available a couple of days before the program so that you can follow along.

FREE Lunch and Learn teleconference
Wednesday, September 10th at Noon
Call-in Number: 1-866-266-3378
Conference ID: 2025089494
Pass Code: 0588




What are the employment law issues surrounding pre-employment and employee screening? Background checks, drug testing, physical testing, E-Verify, I-9 compliance, and confidentiality agreements will be discussed at this workshop presented by Tuggle Duggins Law Firm and Cathy Allen, SPHR.

Raleigh Employment Law Update and Legal Trends
Senn Dunn Insurance
Tuesday, September 16, 2014
9:00am – 10:30am
Raleigh, NC

1.0 recertification hours (General) toward PHR, SPHR, and GPHR recertification through the Human Resource certification Institute (HRCI). Click hereto register.

 



Strategic Thinking

The Cost of Caring for Aging Parents

The author of this article cites the book by Gail Sheehy entitled, "Passages in Caregiving,” as well as research on the sandwich generation by the Family Wealth Advisors Council. Click here to read an article you could share with co-workers, people you supervise, as well as with family members of residents who might benefit from knowing they are not alone if they are struggling with caring for an aging parent, holding down a job, and raising their own children simultaneously.

Daughters Provide Twice as Much Care for Aging Parents than Sons Do, Study Finds

This study found that men shift the physical and mental stress of providing care, as well as the financial burden, by foisting most of their caregiving duties onto women. Click here to gain more insight into the burdens that female family members of residents and female staff members of aging parents may carry.

A Lot of Us Will Run Out of Money in Retirement

A detailed analysis of who is likely to run out of money and when, conducted by the Employee Benefits Research Institute, shows that a number of people in every income category could be facing shortfalls in the future. The complex model looks at income patterns and expenditures, longevity, investment performance, and the possibility of costly health care requirements. Click here to read a breakdown by income categories and learn how to help prevent a retirement shortfall.

Help in Choice of Care Facility After Hospital Discharge

"More Than Just Location: Helping Patients and Families select an Appropriate Skilled Nursing Facility”, a recent article published online (ahead of print distribution) in the Annals of Long-Term Care, lays out a roadmap to assist hospitals in providing the support that patients and families need to select a facility that offers what the patient requires to return to health. Click here to read the author’s suggestions with regard to care team education, patient and family education, and interpretation of regulations.

Want to Keep Your Home and Your Independence as You Age? Prevent Falls

Falls cause 95% of hips fractures and one in five people with hip fractures die within a year of the injury according to the Centers for Disease Control and Prevention. Annually, falls among seniors are responsible for 20,000 deaths, 2.3 million visits to emergency rooms and more than $30 billion in direct medical costs. Click here to learn about the impact of programs such as A Matter of Balance on one’s ability to remain at home more safely by creating an environment and developing personal habits that decrease the risk of falls.

Updated EHR Selection Tools Released by LeadingAge CAST

The updated portfolio of free tools released by LeadingAge’s Center for Aging Services Technologies (CAST) is designed to aid in the decision process for selecting an electronic health record system. Click here to access an online tool for identifying products that meet your requirements, a selection matrix that allows you to find the right EHR based on more detailed criteria, a whitepaper to guide you through interdisciplinary planning, and a set of four case studies of providers’ implementations of EHR.

Medicare Advantage is More Expensive, but it May Be Worth It

Medicare Advantage plans – private plans that serve as alternatives to the traditional, public program for those that qualify for it – underperform traditional Medicare in one respect: they cost 6 percent more. But they outperform traditional Medicare in another way: They offer higher quality. Click here to weigh cost against program benefits according to one research study conducted by Harvard health economists.

Portrayal of Seniors in Advertising Falls Flat with Audience

In a recent survey of 400 seniors, GlynnDevins found that 60% of adults over the age of 70 felt that seniors featured in advertising are portrayed as stereotypes. Respondents, however, were polarized around two distinct, yet opposite stereotypes. Click here to learn what those two stereotypes were and how this might impact your community’s marketing.

More Evidence Adult Daycare Eases Stress on Dementia Caregivers

Researchers found that caregivers who used even one day of adult daycare services for a family member living with dementia had fewer care-related stressors and more positive experiences on the days their loved ones were at daycare. Click here to learn how researchers monitored and measured stress among participants.

Elder Law: Special-Needs Adult Children Need a Plan for their Future

Elder law attorneys say that establishing a decision-making process during the parents’ lifetime reduces distress for the adult child who is disabled when transitioning from home to community services. Social Workers please click here to understand several ways to be proactive in helping residents who have adult children with special needs.




News and Notes

Looking ahead to the Annual Meeting and Expo in Nashville, please:

Save the Date for
LeadingAge North Carolina’s Night Out
Omni Nashville
Grandview Terrace
October 20, 2014
6 – 7:30pm

Mandatory Staff Hours, Better High-Acuity Care Could Improve Quality of Life in Nursing Homes, Researchers Suggests

A nursing home’s staffing patterns and admissions trends are among the most important factors driving residents’ quality of life over time, according to recently published research findings. Directors of Nursing, Administrators, and Human Resources professionals may want to click here to understand the myriad factors that impacted quality of life in a four-year study of 370 nursing homes.

Five Reasons Health Insurance Didn’t Pay Your Bill

Click here to access a handy list of reasons why (and what to do when) health insurance did not pay your bill.

Antipsychotic Use Tied to Acute Kidney Injury, Increasing Pressure on Nursing Home Reduction Efforts

Newly published research findings out of Canada report that older people who take antipsychotic medications are at a markedly increased risk of acute kidney injury. Click hereto read the full findings including why the study supports ongoing efforts to reduce the number of nursing home residents on these drugs.

Common Soaps Could Endanger Healthcare Workers, Study Finds

The chemical triclosan, which is an ingredient in many antibacterial soaps, has been tied to worse infection control outcomes than alternatives and has been linked by research to a variety of adverse effects, including hormonal interference and developmental problems in fetuses and newborns. The study concludes that healthcare facilities should err on the side of caution and opt for plain soaps. Click here to read the specific suggested alternatives.

Washing Without Water is More Efficient and Improves Outcomes Versus Traditional Bed Bathing, Nursing Home Study Finds

Nursing homes could improve resident skin care and save money by using disposable wash gloves rather than giving traditional soap-and-water bed baths, according to results from a study in the Netherlands. Click here to learn more about the type of gloves recommended and they improved results.

Poor Sleep Quality Associated with Increased Risk of Suicide in Older Adults

Researchers have found that, after controlling for depressive symptoms, participants in a recent study who reported trouble sleeping had a 1.2 times greater risk of suicide during a 10-year observation period. Participants were selected in North Carolina and three other states. Click here to read the full article and thoughts on the topic from Cheryl Phillips, a gerontologist and LeadingAge’s vice president of advocacy.

Harvard Releases 2014 State of the Nation’s Housing Report

The recent report from Harvard’s Joint Center for Housing Studies documents a growing "crisis of affordability” as greater number of Americans, especially extremely low-income families, pay large portions of their income toward housing costs. Click here to read excerpts from the report.

Dementia: The Genius of Marian Film Premieres on PBS on September 8

The Genius of Marian, a documentary about one family’s struggle to come to terms with Alzheimer’s disease, will premiere on PBS on September 8, 2014. The film might be a good tool for staff or family education. Click here to read more about the family featured in the film, and to download a discussion guide.



LeadingAge North Carolina | 100 Carolina Meadows, Chapel Hill, NC 27517 | 919-571-8333 info@leadingagenc.org | www.leadingagenc.org

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Office Closed in Observance of Labor Day

Posted By Jennifer Gill, Wednesday, August 27, 2014
In observance of the Labor Day holiday, the LeadingAge North Carolina office will be closed on Monday, September 1st.  We wish everyone a safe and relaxing holiday.

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August 15, 2014 Membership Update

Posted By Jennifer Gill, Thursday, August 14, 2014

Member Update
August 15, 2014
In this Issue

Special Note
Suicide Prevention Lifeline

Advocacy and Policy

SNF Payment Rate Updated for FY 2015
New DHSR Webpage Explains Periodic Review of Existing Rules
Where do Aging Services Stand on Capitol Hill?
ICD 10 Compliance Date Delayed until 2015
Federal Investigators Urge Crackdown on Medicaid Supplemental Payments
CMS 2015 Hospice Final Rule

Special Note


Suicide Prevention Lifeline

The tragic death of Robin Williams at age 63 is a somber reminder that depression and suicide can affect anyone at any age. In fact, suicide rates for Americans age 65 and older are higher than the national average. If you or someone you know is in crisis, contact the National Suicide Prevention Lifeline at 1-800-273-8255 or visit www.suicidepreventionlifeline.org



Advocacy and Policy

SNF Payment Rate Updated for FY 2015

Payment rates used under the skilled nursing facility (SNF) prospective payment system (PPS) for fiscal year (FY) 2015 were updated on Aug. 5 in a final rule issued by the Centers for Medicare and Medicaid Services (CMS). Click here to view the final rule.


New DHSR Web Page

DHSR now has a web page to explain the Periodic Review of Existing Rules (a.k.a. HB 74) process and provide current information. Click here to view the new page.

This page includes:

• An explanation of the process and requirements of G.S. 150B-21.3A

• The five year review schedule for all rules under the DHSR, N.C. Medical Care Commission, and the N.C. Radiation Protection Commission

• The rules currently posted for public comment (with a link to the rules and comment page)

• A link to the *NEW* DHSR Rule-making Interested Parties LISTSERV! Click on this link to add your name to the listserv. Listserv members will receive email updates on all DHSR rule-making and rule review actions. Individuals can subscribe and unsubscribe themselves to this list.

*Please note that only licensed providers and individuals on the Rule-making Interested Parties listserv will receive notifications of DHSR rule actions and reviews. To sign up on the listserv, go to the web page above or click here.

Federal Update: Where do Aging Services Stand on Capitol Hill?

The U.S. Congress stands in recess until after Labor Day. When the regular session resumes in September, there will be little time left for Congress to resolve outstanding issues before adjourning in early October for the election season. Congress then will return in November for a lame duck session. Click here to see where the issues affecting long-term services and supports providers stand at this point and what opportunities may remain.

 

ICD 10 Compliance Date Delayed until 2015

Oct. 1, 2015, is the new ICD-10 compliance date for providers, according to a final rule issued July 31 by the U.S. Department of Health and Human Services (HHS). Click hereto understand who is affected and to view several training materials.

 

Federal Investigators Urge Crackdown on Medicaid Supplemental Payments

Based on the recommendations of the General Accountability Office (GAO), State Medicaid programs and providers should expect further guidance from the Center for Medicare and Medicaid Services (CMS) on supplemental payments, more auditing, and more reporting. At a recent congressional hearing, CMS acknowledged there are weaknesses in the current reporting system and ultimately agreed it will do more to ensure transparency in the public reporting of supplemental payments.

At a July 29, 2014 hearing at the House Committee on Oversight and Government Reform Subcommittee on Energy Policy, Health Care and Entitlements, several federal officials testified on the growing use of supplemental payments and provider taxes and donations. According to a recent GAO report, States are now using over $46 billion in funds from providers and local governments to finance the nonfederal share of Medicaid Use of such funds grew by 21 percent between 2008 and 2012.

GAO and the OIG highlighted several examples of questionable Medicaid overpayments due to a lack of transparency, including two hospitals that received $416 million in supplemental Medicaid payments compared to $70 million in regular payments. GAO explained to the Subcommittee that supplemental payments and provider taxes and donations are allowing states to shift the financial responsibility of the Medicaid program onto providers and local government.


CMS 2015 Hospice Final Rule

The Centers for Medicare and Medicaid Services (CMS) released the fiscal year 2015 Hospice final rule (CMS – 1609 – F; RIN 0938-AS10) on August 4, 2014. According to the final rule, payments to hospices serving Medicare beneficiaries will rise 1.4%, or $230 million, in fiscal year 2015. The final rule will be published in the Federal Register August 22, 2014. The rule will be effective on Oct. 1. On May 2, 2014, the Centers for Medicare and Medicaid Services issued a proposed rule for Medicare Hospice Providers for FY 2015 (CMS – 1609 – P) that went on display in the Federal Register. Click here to view the final rule.




Professional Development

Regulatory Conference and Tech Expo

Register today for the Regulatory Conference on September 10 at the Winston-Salem Marriott from 8:00am – 5:30pm. Regulatory information at this event will be specific to continuing care retirement communities. Also register for the Technology Expo the day before on September 9at the Embassy Suites Winston-Salem from 1:30-5:30pm. Click here to register for either or both.


Please save the date for these upcoming educational sessions:

· September 9-10, Regulatory Conference and Technology Show, Winston-Salem

· September 24, HR Workshop, Whitestone: Masonic and Eastern Star Communities, Greensboro

· October 19-22, LeadingAge Annual Meeting, Nashville, TN

· October 20, LeadingAge NC State Night Out

· October 28, Mid Managers Series, River Landing at Sandy Ridge, Colfax

· November Dates TBD, Workshop for Frontline Staff, Arbor Acres and The Cedars of Chapel Hill

· May 11-14, 2015 Spring Conference and Trade Show at Pinehurst Resort in Pinehurst, NC


LeadingAge Annual Meeting and Expo

Be sure to register for the LeadingAge Annual Meeting and Expo October 19-22, 2014 in downtown Nashville, TN. As of this week, more than 100 of our members in North Carolina have signed up to attend! Participants choose from over 150 in depth education sessions for more than 10 professional disciplines. Click here to register now.




Strategic Thinking


New Features and New Training for Quality Metrics

LeadingAge’s free nursing home quality comparison website, Quality Metrics, has recently added important new features. Data from 2012 is now available on long term and short term quality measures allowing you to see how your nursing home has progressed over the past 2 years. Time series analyses of quality measures allows you to review the success of quality improvement projects, spot trends that need to be addressed, and see how you compare to your competition over time. (LeadingAge Insights is a collection of tools to help members better understand their own performance and their market position. For a complete menu of the available tools under LeadingAge Insights, including the Quality Metrics data, please click here. If you are interested in receiving training on the new features of Quality Metrics as well as to review several case use scenarios sign up for free Intermediate level training by clicking here. This link will also direct you to introductory training sessions.

 

Evaluating the CEO

Evaluating an organization's chief executive officer (CEO) is one of the most important responsibilities of a board. It may also be one of the most difficult. Click here to view an article your board chair may want to read.


Clearing the Path Home

Health researchers know that transitions — the hand-offs from one setting to another, as in hospital to home — often go awry. Social workers might want to click here to read about a common sense approach that might help your residents transition home more easily.




News and Notes


Wage and Benefit Survey


LeadingAge North Carolina has made available its Wage and Benefit survey and is asking you to please complete it no later than August 29. All communities are encouraged to participate in order for numbers to be consistent from year to year. Please have only one person from your community complete the on-line survey. Participants completing the survey will receive a complimentary copy of the results. Non-participating members can request a copy of the results for a fee of $450. Thank you in advance for your participation. Please email or call Leslie Roseboro at 919-571-8333 if you need help accessing the survey.


LeadingAge NC Night Out

Looking ahead to the Annual Meeting and Expo in Nashville, please save the date for:
LeadingAge North Carolina’s Night Out
Omni Nashville Hotel
Grandview Terrace
October 20, 2014
6 – 7:30pm


Adult Day Services Annual Conference

National Association of Adult Day Services Annual Conference with the North Carolina Adult Day Services Association presents
The Power of Adult Day Services: The Future of Care
October 9-11, 2014
The Westin Charlotte
LeadingAge North Carolina has partnered with North Carolina Adult Day Services to provide continuing education credits for nursing home administrators for this conference. Click here for the conference registration brochure.


NC Culture Change Coalition Educational Session

The NC Culture Change Coalition invites activities professionals to save the date for:
Getting Away from the 5 B’s (Bible, Bingo, Beauty Shop, Birthdays, and Bulletin Boards)
Pick a Date
October 9 at Carolina Village in Hendersonville,
October 16 at Cypress Glen in Greenville, or
November 13 at St. Joseph of the Pines in Southern Pines
10:15am – 4:45pm
Activity Staff and Administrator CEUs
Please email Becky Wertz with questions.


Nursing Home Salary and Benefits Report

Nursing Home Salary & Benefits Report, published by Hospital & Healthcare Compensation Service (HCS) has just been released. The 270-page national report had 2,031 participating Nursing Homes, and is published in cooperation with LeadingAge.Data are reported according to revenue size, bed-size, profit status, geographic region, state, and county. 1,619 for-profit and 412 not-for-profit nursing homes provided data. Also covered are 18 fringe benefits, turnover rates by department, and projected salary increases by department. Data are effective as of March2014.The price for LeadingAge members is $250. Please click here to order yours now.



Member News

LeadingAge 2015 National Leadership Academy Fellows

LeadingAge has announced the 2015 National Leadership Academy Fellows. Congratulations to these folks who have been selected from North Carolina!

Amy Gorely, Carolina Meadows
Cheryl Laughter Justus, Carolina Village
Dale Melton, Salemtowne

Click here to view the complete list of new fellows.


LeadingAge North Carolina | 100 Carolina Meadows, Chapel Hill, NC 27517 | 919-571-8333 info@leadingagenc.org | www.leadingagenc.org

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August 1, 2014 Membership Update

Posted By Jennifer Gill, Thursday, July 31, 2014

Member Update
August 1, 2014
In this Issue

Advocacy and Policy
General Assembly Nears Agreement on Budget
Custom Data on Length of Stay Now Available
Trend Update: Antipsychotic Drug Use in Nursing Homes
Medicare Should Pay for Skilled Nursing Services Without a Qualifying Hospital Stay, Experts Tell Senators
Skilled Nursing Facility Medicare Rate Calculation Tool Update
CMS Revises Guidance on Hospice Drugs
Bill Would Affect Pay, Scheduling for Some Nursing Home Housekeeping Staff

Advocacy and Policy

General Assembly Nears Agreement on Budget

Legislators in Raleigh were poised late this week to approve a spending plan, a full month after the beginning of the new fiscal year. The 260-page budget was released late Wednesday night and provided insight into the two issues that had stymied negotiations: teacher salaries and Medicaid reform. Elementary and secondary school teachers will receive on average a 7% salary increase. It is our understanding that Medicaid reform discussions were far enough apart as to prohibit passage of the budget bill; it appears that Medicaid reform discussions will resume at some point in the future, most probably after the mid-term elections in November. We are continuing to analyze the budget bill and will be providing a more substantive review next week.

Custom Data on Length of Stay Now Available

The newest report from LeadingAge Insights is now available for members to request and download. The third report from Avalere Health uses calendar year 2012 Medicare fee for service claims data to provide information on length of stay. It provides market-based data around 3 topics: hospital length of stay overall and by condition; average length of stay across the market's post-acute care settings; and post-acute care average length of stay. To access your organization's report, please visit Market Position Reports by Avalere on LeadingAge Insights and log in with your LeadingAge ID. If you have previously requested a report, your third report should be available for download once you log in. If this is your first request, Avalere will email you all three data reports from this year within five business days. We hope this series of reports will help you identify new relationship opportunities and prioritize investments. If you have any difficulties, please send an email to MyLeadingAgeSupport@LeadingAge.org or call 1-855-333-5323.


Trend Update: Antipsychotic Drug Use in Nursing Homes

The latest CMS antipsychotic drug use in nursing homes trend data have been released and North Carolina still ranks 6th in the United States despite our reduction efforts. Surveyors have been given the individual facility breakdowns and during rectification surveys will be sharing this information with communities that have a high long and short-term rate of usage of antipsychotics. Administrators may want to click here to understand the rates and be informed.


Medicare Should Pay for Skilled Nursing Services Without a Qualifying Hospital Stay, Experts Tell Senators

Experts told a Senate committee the time has come to eliminate hospital stay requirements for beneficiaries to qualify for Medicare coverage of skilled nursing services. They noted that CMS has waived the hospital requirement for beneficiaries receiving care through some accountable care organizations and bundled payment systems. The current rule, they said, is a holdover from Medicare's earliest days and is no longer relevant in today's healthcare system. Click hereto read more about what legislation is being proposed to replace the current "two-midnight" rule.


Skilled Nursing Facility Medicare Rate Calculation Tool Update

LeadingAge national has updated its SNF Part B calculator. Click here to access the tool and to read an explanation of the Bipartisan Budget Act signed into law December 2013, which allowed for a 0.5% average increase in Medicare payments rates and extended the 2% sequestration cut for all health care providers for another two years, through 2023. To access the tool you will need to sign into My.LeadingAge or create an account, which takes only a few minutes.


CMS Revises Guidance on Hospice Drugs

The Centers for Medicaid & Medicare Services has revised guidance on authorization of hospice drugs for those under Medicare Advantage and Part D plans, according to a new memo. Click here to read more about the new requirements for prior authorization now required only for analgesics, antiemetics, laxatives and anti-anxiety drugs.


Bill Would Affect Pay, Scheduling for Some Nursing Home Housekeeping Staff

The "Schedules that Work Act” is meant to provide protections for certain low-wage workers that face scheduling challenges. Some "cleaning employees” are among the covered workers. As a result, nursing homes could face more stringent scheduling requirements for housekeeping workers and might be asked to compensate them for last-minute shift changes under a bill proposed in both houses of Congress. While we think the prospects for passage at this point are slim, those who supervise housekeeping staff may want to click here to access the full text of the bill.




Professional Development

Please save the date for these upcoming educational sessions:

· September 9-10, Regulatory Conference and Technology Show, Winston-Salem - Registration opens next week!

· September 24, HR Workshop, Whitestone: Masonic and Eastern Star Communities, Greensboro

· October 19-22, LeadingAge Annual Meeting, Nashville, TN

· October 20, LeadingAge NC State Night Out

· October 28, Mid Managers Series, River Landing at Sandy Ridge, Colfax

· November 12, Workshop for Frontline Staff, The Cedars of Chapel Hill



Strategic Thinking

New Case Studies Provide Real Life Examples of Technology in the Field of Aging

CAST has released 3 new case studies to help long-term and post-acute care (LTPAC) providers learn from their peers about how to select and implement telehealth and remote patient monitoring (RPM) technologies. Click hereto read real life examples of the impact on the users of these technologies, the potential revenue streams, and business models that support them.


Study Finds Coaching Sessions Reduce Hospital Readmissions

A new study finds that patient-centered coaching that included an hour-long educational session and up to three follow-up phone calls reduced readmissions by 39% among Medicare patients. The intervention involved sending someone (who did not need to be a healthcare professional) to the patient's home to discuss the patient's clinical issues, making sure patients understood how and what medication to take, and when and how to reach out for further assistance. Click here to read more.


New Study Demonstrates Benefits of Service Enriched Housing for Older Adults

Researchers spent more than 2 years studying the health and health care utilization of older adults residing in affordable housing communities that were participating in the University of Pittsburgh Medical Center’s Staying-at-Home program. The study demonstrates that service-enriched housing for older adults can lead to better health outcomes and potentially reduced health care costs. Click here to read the article published in the July 9 edition of the Journal of Applied Gerontology.


Using Electronic Health Records May Reduce Medication Errors

A recent presentation at the 2014 American Geriatrics Society annual scientific meeting emphasized that while many long-term care facilities still use paper documentation, the proper use of an electronic health record can significantly reduce medication errors. Click here to read the results of a quality improvement project conducted in Rochester, NY.


Eight Questions to Ask Before Selecting a CCRC

Marketing folks might want to offer this article as a tool to help prospective residents select a CCRC. Click here to read the article written by a former producer for CNN and Oprah.com.


Financial Characteristics of Approved Medicaid Applicants

A new report from the U.S. Government Accountability Office (GAO) examines the financial characteristics of approved Medicaid applicants and the methods used by individuals to reduce assets to qualify for nursing home coverage. Click here to read the findings.


Site-Neutral Payments Likely to Move Forward, Experts Believe

As the Centers for Medicare and Medicaid Services and the Medicare payment Advisory Commission evaluate site-neutral payments, a new brief from Health Affairs and the Robert Wood Johnson Foundation explores the debate and proposals. Click here to read more about proposals to reduce payment differences between inpatient rehabilitation facilities and skilled nursing facilities.




News and Notes

LeadingAge Annual Meeting and Expo

Be sure to register for the LeadingAge Annual Meeting and Expo October 19-22, 2014 in downtown Nashville, TN. Participants choose from over 150 in depth education sessions for more than 10 professional disciplines. Click here for more information and to register.


Count the Ways: Please Complete the Social Accountability Survey

LeadingAge national is partnering with Holleran to create baselines of information on the status and outcomes of our social accountability efforts. This confidential survey has been extended a couple of weeks and is part of the "Count the Ways” campaign to assist members with their social accountability programs. The questions are designed to help identify key components of a social accountability/public benefit plan. We hope that every member will collect and report this information and that, through this survey we can report to all of our members and friends about our collective results.

In this lighthearted 1:43 minute video LeadingAge CEO Larry Minnix gets help from a "professional counter” to ask for your participation. Click here for a chuckle. Click here to participate in the survey.



Stroke Rates Declining

The incidence of stroke in the United States has declined significantly over the past two decades, a new analysis has found. Click here to read more.

Engage with Age at LeadingAge’s 2014 HackFest

The LeadingAge HackFest challenges participants to brainstorm, develop, design, implement, and market a technology-driven tool aimed at improving the lives of older adults and their families. The winning team earns a $5,000 grand prize! The competition takes place at the Renaissance Nashville Hotel October 18-20, 2014 in conjunction with the LeadingAge Annual Meeting and Expo. Click here to learn more about how to apply for a spot on a HackFest team. Developers, designers, marketers, clinicians, and business experts should apply!

 



Value First

National Collaborative/Pre-Commit on Linens

LeadingAge, LeadingAge North Carolina and other LeadingAge affiliates announce a National Collaborative starting this week that members can participate in to save money on purchased linens. The National Collaborative, also known as a pre-commit bid, is being offered by Value First and by MedAssets, Inc. Together, we are looking to aggressively negotiate how linens are priced in order to bring costs down for the Value First community. All LeadingAge North Carolina members are welcome to participate. Vendors participating in the National Collaborative include the Encompass Group, Medline and Standard Textile Co. Click here to learn how you can be a part of this National Collaborative and save money on your linen purchases.


 

LeadingAge North Carolina | 100 Carolina Meadows, Chapel Hill, NC 27517 | 919-571-8333 info@leadingagenc.org | www.leadingagenc.org

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Membership Update July 18, 2014

Posted By Jennifer Gill, Thursday, July 17, 2014

Member Update
July 18, 2014
In this Issue

Advocacy and Policy
General Assembly Update
Government Plans Call For Increased Surveillance, Prosecution to Combat Elder Abuse

Professional Development
CFO Workshop
Mid Managers Series
Upcoming Educational Events
Fundraising Leadership: Building a Strong Base

Strategic Thinking
Toolkit for Person-Centeredness in Assisted Living Now Available
Got Innovation?
Survey: Nurses are 'Dangerously' Stressed Due to Lack of Authority, Poor Management
New Census Data Offers Insight Into 65+ Demographic
NPR Survey Reveals Despised and Acceptable Terms for Aging

Advocacy and Policy

General Assembly Update

The General Assembly continues to struggle with agreement on a budget blueprint. Negotiations between House and Senate Republicans have snared on several big items, including teacher raises, funding for teacher assistants, and Medicaid enrollment. Governor Pat McCrory’s Medicaid budget included a $60 million assessment of local mental health managed care organizations that the federal government said the state was not allowed to take. Coupled with a Senate plan that would make deep cuts to teacher assistants and remove thousands of elderly and disabled people from Medicaid, the state and federal government insurance program, the two chambers are still quite a bit apart in finding common ground. The Senate budget proposal includes new figures for Medicaid savings from eliminating people who are medically needy from eligibility. Those are people who have extraordinary medical expenses, but whose incomes would not otherwise qualify them for Medicaid. The change jumped the estimated savings from $3.5 million to more than $100 million. The Senate budget had originally stated that 3,342 medically needy could be affected. According to a Kaiser Family Foundation report, the state’s medically needy program enrollment in 2010 was 54,100. This drastic change – both in terms of projected savings and the number of aged, blind, and disabled people impacted – has interjected a new dynamic into the discussions. Discussions between the two chambers remain fluid, with the latest development being Senate movement on a number of issues. Wednesday of this week brought a new proposal from the Senate around managed care for Medicaid recipients. We’re convening a group of providers to provide insight on the Senate proposal. All in all, it appears that the General Assembly will be continuing its work in Raleigh at least through the end of the next week.


Government Plans Calls for Increased Surveillance, Prosecution to Combat Elder Abuse

The government has identified 5 priorities for combating elder abuse in long-term care settings. Click here to read about strategic thinking around supporting some of our most vulnerable citizens, who depend upon us for their safety.




Professional Development

CFO Workshop
July 23
9:00am – 5:00pm
Croasdaile Village, 2600 Croasdaile Farm Parkway, Durham, NC

Topics include IT Security, Reporting Requirements, Bond Renewal, Philanthropy, and Value First (the group purchasing organization owned by LeadingAge NC and 24 other LeadingAge state affiliates). New this year – attend the Durham Bulls game versus Rochester with your CFO Workshop colleagues the night before on July 22 at 7:05pm. If you register by July 8, group seating for the ballgame is guaranteed. For members the workshop is $99 for the first attendee and $50/additional attendee. For non-members the fee is $125/attendee. Earn 5.5 NHA credits or 6.5 CPEs through NASBA. Lunch and refreshments are included. Click here to register for this event sponsored by Platinum business members BB&T Capital Markets, BB&T Insurance Services, and CliftonLarsonAllen.

Mid Managers Series
July 30
10am-3:30pm
Carolina Village, Hendersonville, NC

$99 for this session if you have not registered for the series.

Forget about slides and a lecture, the focus of this session will be on applying different management techniques to real-world situations and everyday management challenges! Managers are caught in the middle: somewhere between the leader at the top and the staff member they are supervising. Often they struggle to find the best way to connect the bigger vision of the organization to their team’s work, but when they do, anything is possible! These influential frontline leaders have the ability to drastically enhance the resident’s experience and improve staff engagement by becoming a stronger link in the management chain. Specific topics include: behaviors that support high performance teams; actionable tools to support strategic thinking, recruitment and retention; strength-based management; and empowerment of non-supervisory staff. Denise Boudreau-Scott, a passionate senior living speaker, teacher, and consultant, will be our presenter. Denise is a former nursing home and assisted living administrator who likes to use her operational experience to help organizations see what’s possible and then reach it! Committed to giving back, Denise co-founded and chairs the NJ Alliance for Culture Change, is a member of both NAB’s Exam Writing Committee and Advancing Excellence’s Person Centered Care Committee. Click here to register.

Please save the date for these upcoming educational sessions:

· September 9-10, Regulatory Conference and Technology Show, Winston-Salem

· September 24, HR Workshop, Whitestone: Masonic and Eastern Star Communities, Greensboro

· October 19-22, LeadingAge Annual Meeting, Nashville, TN

· October 20, LeadingAge NC State Night Out

· October 28, Mid Managers Series, River Landing at Sandy Ridge, Colfax

· November 12, Workshop for Frontline Staff, The Cedars of Chapel Hill


Fundraising Leadership: Building a Strong Base

One of LeadingAge ‘s Philanthropy Network members, Sophie Penney, is teaching a new online course sponsored by Penn State University, entitled "Fundraising Leadership: Building a Strong Base.” The course is asynchronous, enabling enrollees to participate based on their schedule during the week. The sessions will focus on topics such as the: perspectives of philanthropists, donor pyramid and cycle of giving, leadership principles as outlined in the book Good to Great, communication - both personal style and donor communication, corporate and foundation relations and planned giving. Students will engage in self- assessments, case studies, and dialogue with one another.

Those interested in enrolling can visit the World Campus website. Then go to thecourse catalog at the top of the page. Find a specific course, then search on Course Abbreviation: LA, and Course number: 402.




Strategic Thinking

Toolkit for Person-Centeredness in Assisted Living Now Available

The toolkit for person-centeredness in assisted living was developed through a close partnership between the University of North Carolina at Chapel Hill and the national Center for Excellence in Assisted Living (CEAL), along with assisted living providers, residents, family members, and organizational representatives. It is available for free and includes questionnaires for assisted living residents and staff and easy instructions for scoring and interpreting results.Click here to read more about using this tool to benchmark and monitor person-centered practices in your community.

Got Innovation?

For our field to thrive well into the future, innovation is not only necessary it is essential. With that in mind LeadingAge national is launching a 5-month learning experience that kicks off in conjunction with the Annual Meeting and Expo in Nashville, TN and concludes at the 2015 PEAK Leadership Summit in D.C. Participants will work with Richard Brynteson, Ph.D. to create innovative cultures through a multi-dynamic prototype-driven process that can be applied to the organization and to the field as a whole. The goal is to help you develop a renewal or change in your organization that is poised to tackle today’s challenges and tomorrow’s opportunities. Click here for more details on the program schedule, to view the calendar, the locations of meetings, cost, and suggested reading for participation in this program. Registration will open in late July.

Survey: Nurses are ‘Dangerously’ Stressed Due to Lack of Authority, Poor Management

Supervisors interested in supporting their nursing staff might find it useful to read this colorful and engaging report that summarizes survey responses of 3,300 nurses across the age and experience continuum. Click here to read why the institute that conducted this survey concluded that reducing nurse stress should be a national priority.

New Census Data Offers Insight on the 65+ Demographic

The U.S. Census Bureau recently released a report, funded by the National Institute of Aging, part of NIH, that offers a comprehensive look at the nation’s population aged 65 and older, comprising 40.3 million in 2010. Click here to view both the key findings and the entire report.

NPR Survey Reveals Despised and Acceptable Terms for Aging

Even journalists have a difficult time finding their words sometimes. Click here to read this brief transcript of an NPR interview seeking listener input on what to call older adults. Scroll to the comments section to read a couple of comments by LeadingAge national.

 



News and Notes

Innovations Fund Offers 2 New Grant Categories

LeadingAge national’s Innovations Fund is back for its third round, with two new grant categories! These grants are an exclusive member benefit designed to encourage the development of programs that have the potential for demonstrable impact on residents, clients, families, employees, or the broader community, and that have the potential for replication. Applications are being accepted until August 4 so you still have time to apply. Click here to read the details.

Nursing Home Inventory Shrank, Assisted Living Hit Highest Ever Growth Rate, Quarterly Data Shows

With household confidence on the rise and the lowest unemployment rates since 2008, the improving economy is likely driving the demand for senior housing. Click here to read more details about this trend.

Chance of a Senior Developing Alzheimer’s Has Dropped Over the Last Three Decades, Large U.S. Study Shows

The Framingham Study, a federally funded initiative of several thousand people over multiple five-year periods shows that new Alzheimer’s cases were 44% lower from 2006-2011 than they were between 1978-1982. Click here to read what factors may be contributing to this trend.

Congressional Budget Office: Medicare Spending Growth Will Slow Down Over the Next 25 Years, Despite Pressures from Aging Population

By 2039 spending on Social Security and major healthcare programs is set to rise sharply and account for 14% of gross domestic product. Yet the CBO projects Medicare and Medicaid spending over this time period will be $250 billion less than the agency projected in 2010. Click here to read more about the CBO’s annual budget outlook.

The Impact of Using Outdoor Spaces on the Physical and Mental Well-Being of Those with Dementia

There has been increasing interest in the use of nonpharmacological interventions to improve dementia symptoms and the well-being of residents with dementia and their caregivers. Prior to this study there had been no attempt to evaluate the evidence of the therapeutic impact of such an environment on people living with dementia. Click hereto read their findings and recommendations regarding garden design and accessibility. While this is a research article, there is a large qualitative section that includes anecdotal reports in addition to other sections on the quantitative outcomes. Your life enrichment staff would likely find this very interesting.

Engage with Age at LeadingAge’s 2014 HackFest

The LeadingAge HackFest challenges participants to brainstorm, develop, design, implement, and market a technology-driven tool aimed at improving the lives of older adults and their families. The winning team earns a $5,000 grand prize! The competition takes place at the Renaissance Nashville Hotel October 18-20, 2014 in conjunction with the LeadingAge Annual Meeting and Expo.Click here to learn more about how to apply for a spot on a HackFest team. Developers, designers, marketers, clinicians, and business experts should apply!

 



Member News

Casual for a Cause: A Fundraiser for Alzheimer’s North Carolina, Inc. at The Cedars of Chapel Hill

July 25, 2014
11:30a.m. to 1:30p.m.
The Cedars of Chapel Hill - Club House Ballroom


Music, hot dogs, Bob’s famous chili, and all the fixin’s!
Cash and check donations are welcomed.
Please make your checks payable to: Alzheimer’s North Carolina, Inc.

 

LeadingAge North Carolina | 100 Carolina Meadows, Chapel Hill, NC 27517 | 919-571-8333 info@leadingagenc.org | www.leadingagenc.org

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July 3, 2014 Membership Update

Posted By Jennifer Gill, Wednesday, July 2, 2014

Member Update
July 3, 2014
In this Issue

Advocacy and Policy
General Assembly Short Session Carries into July
How States Rank in Long Term Services and Supports
Second Quarter 2014 OSCAR Reports Available
Nursing Home Worker Fired for Facebook Post

Professional Development
CFO Workshop
Mid Managers Series
Upcoming Educational Events
Wake AHEC: Person-Centered Care
Webinar: Bridging the Gap Between Clinicians and IT

Strategic Thinking
Protecting Residents from Financial Exploitation
Doctors Helpful When it's Time for Seniors to Stop Driving
5 Signs of Bedbugs
Updated Practice Guidelines for Skin and Soft Tissue Infections
HIPAA Compliance and Easing Transitions
When Advance Directives are Ignored
Nursing Home Care May Be Out of Reach for Aging Boomers
U.S. Healthcare Spending Shows Dramatic Reduction in Growth
What is a comprehensive risk assessment?
3 Steps to Move First Time Givers to Major Donors
Frequently Asked Fundraising Questions

The staff of LeadingAge North Carolina wishes everyone a safe and fun Independence Day. Our office will be closed Friday, July 4 in observance of the holiday.



Advocacy and Policy

General Assembly Short Session Carries into July

The General Assembly’s work on bringing an end to its current short session continues, with the major impediment to adjournment centering on revisions to the state’s current budget. While a number of pieces remain unresolved in modifying last year’s two-year budget, Medicaid expenditures and teacher salaries are the critical elements requiring resolution before legislators can head back to their districts. The Senate has remained resolute in its efforts to require more funding for potential Medicaid overruns, as well as demanding cuts in services to aged, blind, and disabled recipients. House Bill 1202 that would restore a portion of the medical expense deduction that was a victim of last year’s tax reform efforts remains bottled up in the House Committee on Finance.


How States Rank in Long-Term Services and Supports

The AARP Public Policy Institute held a solutions forum in the U.S. Senate Dirksen Office Building on June 19 to release and to discuss the new edition of its report, Raising Expectations: A State Scorecard on Long-Term Services and Supports for Older Adults, People with Physical Disabilities, and Family Caregivers, 2014. Click here to read more about where North Carolina ranks in the state scorecards based on 5 dimensions: Affordability and Access, Choice of Setting and Provider, Quality of Life and Quality of Care, Support for Family Caregivers, Effective Transitions.


Second Quarter 2014 OSCAR Reports Now Available

The Online Survey Certification and Reporting (OSCAR) is a network of statistics collected by the Centers for Medicare and Medicaid Services (CMS) from state surveyors using data collected from nursing facilities at the time of the annual survey. These reports feature information on several topics, including staffing levels, inspection results, and other statistics by state and type of ownership. Using this data, LeadingAge prepares quarterly OSCAR reports that offer LeadingAge members and state affiliates a comprehensive overview of survey deficiency trendsonregional, state, and national levels. Click here for more information and access to the complete report.


Nursing Home Worker Fired for Facebook Post

A former nursing home worker in Idaho was fired for a Facebook status update. He has not succeeded in an appeal to the Idaho Supreme Court. The language of the skilled nursing facility’s social media policy was an important factor in the recent ruling. Whether or not you have a social media policy, click here to read more about the impact of the community’s policy on the recent ruling.




Professional Development

CFO Workshop
July 23
9:00am – 5:00pm
Croasdaile Village, 2600 Croasdaile Farm Parkway, Durham, NC

Topics include IT Security, Reporting Requirements, Bond Renewal, Philanthropy, and Value First (the group purchasing organization owned by LeadingAge NC and 24 other LeadingAge state affiliates). New this year – attend the Durham Bulls game versus Rochester with your CFO Workshop colleagues the night before on July 22 at 7:05pm. If you register by July 8, group seating for the ballgame is guaranteed. For members the workshop is $99 for the first attendee and $50/additional attendee. For non-members the fee is $125/attendee. Earn 5.5 NHA credits or 6.5 CPEs through NASBA. Lunch and refreshments are included. Click here to register for this event sponsored by Platinum business members BB&T Capital Markets, BB&T Insurance Services, and CliftonLarsonAllen.

Mid Managers Series
July 30
10am-3:30pm
Carolina Village, Hendersonville, NC

$99 for this session if you have not registered for the series.

Forget about slides and a lecture, the focus of this session will be on applying different management techniques to real-world situations and everyday management challenges! Managers are caught in the middle: somewhere between the leader at the top and the staff member they are supervising. Often they struggle to find the best way to connect the bigger vision of the organization to their team’s work, but when they do, anything is possible! These influential frontline leaders have the ability to drastically enhance the resident’s experience and improve staff engagement by becoming a stronger link in the management chain. Specific topics include: behaviors that support high performance teams; actionable tools to support strategic thinking, recruitment and retention; strength-based management; and empowerment of non-supervisory staff. Denise Boudreau-Scott, a passionate senior living speaker, teacher, and consultant, will be our presenter. Denise is a former nursing home and assisted living administrator who likes to use her operational experience to help organizations see what’s possible and then reach it! Committed to giving back, Denise co-founded and chairs the NJ Alliance for Culture Change, is a member of both NAB’s Exam Writing Committee and Advancing Excellence’s Person Centered Care Committee. Click here to register.

Please save the date for these upcoming educational sessions:

· September 9-10, Regulatory Conference and Technology Show, Winston-Salem

· September 24, HR Workshop, Whitestone: Masonic and Eastern Star Communities, Greensboro

· October 19-22, LeadingAge Annual Meeting, Nashville, TN

· October 20, LeadingAge NC State Night Out

· October 28, Mid Managers Series, River Landing at Sandy Ridge, Colfax

· November 12, Workshop for Frontline Staff, The Cedars of Chapel Hill

Making it Home: Enhancing Residents’ Well-Being through Person-Centered Care

Wake AHEC is sponsoring a half day program in Raleigh on Wednesday, August 27 from 8:30am-12:30pm at Transitions LifeCare. The goal of Making it Home: Enhancing Residents’ Well-Being through Person-Centered Care is to define person-centered care, discuss the role of staff in providing it, and CMS initiatives that support it. Please click here for more information.

Free Webinar Sponsored by CDW Healthcare and HIMSS

Point of Care Technology: Bridging the Gap between Clinicians and IT
Thursday, July 17th
2-3pm

Click here to register and please be aware that their announcement says 1-2pm, but that is Central Time. The webinar will take place from 2-3pm Eastern Time.

 



Strategic Thinking


Protecting Residents from Financial Exploitation

A new manual from the Consumer Financial Protection Bureau offers guidance on how to recognize, manage, and prevent financial exploitation of residents. Click here to view the manual and learn practical steps you can take.


Doctors Helpful When It’s Time for Seniors to Stop Driving

While physicians are rarely included in such discussions, when surveyed many older adults said a doctor’s recommendation and their own recognition of their declining physical abilities are the top reasons they would limit or stop driving, according to a recent telephone survey. Social workers and other staff who have these difficult conversations might appreciate this article. Click here to read.


5 Signs of Bedbugs

The U.S. is experiencing an increase in the number of bedbug populations according to the Centers for Disease Control and Prevent and the U.S. Environmental Protection Agency. In addition to taking preventative measures, those working in long-term care settings can look for the following signs to ensure that places where sleeping occurs are free from the pests. Your housekeeping and nursing staff might benefit from this article.

Updated Practice Guidelines for Skin and Soft Tissue Infections (SSTI)

The number of SSTI has skyrocketed due to the spread of MSRA, but many SSTIs, even those caused by MSRA, are minor and either heal on their own or are easily treated without antibiotics according to the updated practice guidelines published by the Infectious Diseases Society of America. Click here to read a full article that includes a link to those practice guidelines.


HIPAA Compliance and Easing Transitions

A study from several universities including the University of North Carolina at Chapel Hill found that transitions within multilevel communities are more challenging than most residents anticipate. From the 250 interviews conducted with residents, staff, and family members of senior living communities, researchers learned that many residents would be willing to give permission for some information about their transition within the community to be shared under certain circumstances. Perhaps your staff could help make a transition easier by asking a resident his or her preferences. Click here to understand more about this issue related to HIPAA compliance.


When Advance Directives are Ignored

Health care professionals, ethicists, and advocates continually urge older people to document their preferences about end of life medical decisions, and a growing proportion do. A recent large national study concluded that having advance directives had little effect on whether people were hospitalized and how often, or whether they died in hospitals. Yet where someone dies has considerable impact on how. Click here to read more about the complexities of "enforcing” advance directives and start a conversation in your community about how to make sure advance directives are honored.


Nursing Home Care May Be Out of Reach for Many Aging Boomers

Read this article if you are interested in more specifics about the caregiving crisis we anticipate as Boomers age with chronic diseases, have fewer children to care for them, and may not be able to afford nursing home care.


U.S. Healthcare Spending Shows Dramatic Reduction in Growth

Despite several reforms to expand health care coverage and decrease the number of uninsured, the U.S. spends more money on healthcare per person than any other country in the world. Click here to read how and why the U.S. differs from other countries and the complexities of our system.


What is a comprehensive risk assessment?

Prevention of skin ulcers and skin breakdown begins with a comprehensive risk assessment. Most providers use a skin assessment tool such as the Braden or Norton scale. While those tools have been validated to predict pressure ulcer development, their use alone isn’t considered a comprehensive assessment, and frequently the individual risk factors they identify aren’t carried through to the plan of care. Click here to read about how to audit your system and records to ensure your assessment is the best is can be.


3 Steps to Move First Time Givers to Major Donors

Shy or uncomfortable about asking people to give to your community? Read this article for some practical tips about how to turn a first time giver into a major donor. It makes sense and it’s very doable. Hint: you probably use a lot of these skills in your current work in your community.


Frequently Asked Fundraising Questions

Should you move your fundraising online? What’s the easiest way for donors to give? Do you make giving to your community as easy as possible? Development folks, click here to find answers to these questions and more about fundraising fundamentals.



News and Notes

 

Member Directory Update

At this time every year we update the LeadingAge North Carolina membership directory which is a valued resource for members around the state, prospective residents and their families as well as discharge planners, hospitals and state agencies. Please take a moment to review for accuracy your community’s current listing and make any necessary changes by logging onto our website. All community information is linked to the CEO’s profile and changes should be made there. Please make every effort to include all information and please make all changes by 5:00pm on July 11. Contact our office at (919) 571-8333 with any questions about the directory or about accessing your profile. We’d be glad to help.


Telehealth Selection Resources

Leading Age national’s CAST has released updated versions of 3 resources designed to help long term care and post acute care organizations identify and select telehealth products. The 3 resources include a white paper, a selection matrix, and an online selection tool. Click here for access to all three.


Death or Immobility Often Follows Hip Fractures in Nursing Homes

Half of nursing home residents who have a hip fracture either die or lose the ability to walk on their own six months after the injury according to a new study. Most residents started out with the ability to get around on their own or with minimal help before the injury. Click here to read more about the role age, gender, and the choice to have surgery play in recovery and share with your direct care staff.


U.S. Nursing Home Population Declines

The number of American nursing home residents 65 and older decreased by 20% from 2000 – 2010 according to the Census Bureau. Read here for more highlights from the report.


Aging Services Directory is Live

LeadingAge national’s newly redesigned Aging Services Directory is now live. The directory showcases your community with photos, social media links, service and feature listings, quotes and more. For a quick tutorial on how to create an enhanced listing, view this brief video and 3-step guide.


New Videos Help Providers Double Check Injection Practices

CDC continues to investigate outbreaks as a result of unsafe injection practices. Their One and Only campaign created two short videos to make healthcare safer one injection at a time. These videos detail critical information to help all providers double check their injection safety knowledge and help keep patients safe from unnecessary harm. These videos along with other training materials at the One and Only website can help make sure you and your staff are properly trained.

·Check Your Steps! Make Every Injection Safe - For Healthcare Providers, 3:45

·Managing Patient Safety, One Injection at a Time - For Healthcare Managers, 2:33


Emergency Preparedness for Residents who use Parenteral and Enteral Nutrition

On the heels of the 2014 hurricane season researchers are calling for parenteral and enteral nutrition (HPEN) consumers to contact their utility company and identify themselves as a power-dependent customer and to have an HPEN emergency kit in addition to the usual emergency kit. Click here for more specifics on emergency preparedness measures for your HPEN residents.


CDC's New Sepsis Website

Sepsis is a consequence of infection that is difficult to predict, diagnose, and treat. Patients who develop sepsis have an increased risk of complications and death and face higher health care costs and longer treatment. CDC is working to increase sepsis awareness and improve treatment among the public, healthcare providers, and healthcare facilities. Click here for the new CDC website that houses basic information, clinical guidelines and tools, quality improvement efforts, medical bibliography, data reports, and links to other resources.


 
Value First – Your Member-Owned Savings Solution

As with every contract Value First offers, the goal is to save you money. Linens are an important (and often overlooked) necessity in the long term care community. Value First is planning to "aggressively negotiate” how linens are priced for senior service providers.

The Encompass Group, Medline, and Standard Textile Co. are going head-to-head to compete for your business. While Value First already provides access to these vendors at significant discounts, it wants to deliver even greater savings to our members.

How can Value First do this? By leveraging the buying power of our GPO members who will pre-commit their linen purchases to the vendor that offers the most competitive pricing. (Last year Value First was able to save participants of the Nestle-Abbott nutritional supplements pre-commit 93% on their purchases!)

Stay tuned for additional details on how you can participate in the linen pre-commit and sign on for savings. Contact Vanessa Ceasar, North Carolina’s Value First representative at (404) 421-3956 or Jennifer Gill at LeadingAge North Carolina (919) 571-8333 if you have questions in the meantime.

 

LeadingAge North Carolina | 100 Carolina Meadows, Chapel Hill, NC 27517 | 919-571-8333 info@leadingagenc.org | www.leadingagenc.org

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LeadingAge NC Office Closed for Independence Day

Posted By Jennifer Gill, Tuesday, July 1, 2014
The LeadingAge North Carolina office will be closed on Friday, July 4th in observance of Independence Day.  We hope you enjoy a safe and fun holiday!

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June 20, 2014 Membership Update

Posted By Jennifer Gill, Thursday, June 19, 2014

Member Update
June 20, 2014
In this Issue

Advocacy and Policy
General Assembly Update
FAQs About Hospital Observation Care and Medicare Coverage
3 NCTracks Updates
Service Coordinator Grants Available
How to Use LeadingAge Insights
Latest Forms on HUDClips

Professional Development
CFO Workshop
Upcoming Educational Events

Strategic Thinking
Efficacy of Employee Wellness Programs
4 Keys to Preventing Infection in Nursing Home Residents
Strong Market Intelligence Builds Partnership Opportunities
Providers of Elder Abuse Shelters Meet in Ohio
Advocacy and Policy


General Assembly Update

The North Carolina General Assembly continues its march toward adjournment, which could come as soon as the end of next week. A conference committee of House and Senate negotiators has been busy this past week crafting a compromise budget plan in an attempt to reconcile the two chambers’ individual fiscal blueprints. Key sticking points in the effort to come up with a budget that can garner a majority of votes in both the House and Senate prominently feature Medicaid issues, including rates and whether the Medicaid organizational structure should be removed from the Department of Health and Human Services and housed in its own department. While residents and staff at our member communities have worked hard to try and obtain a committee hearing on a House bill that would have restored a portion of the medical expense deduction, it’s going to be an uphill battle to get a hearing during this session of the General Assembly.


For Use With Your Residents: Frequently Asked Questions about Hospital Observation Care and Medicare Coverage

Despite the fact that hospital observation patients have the same health problems as patients who are admitted, the number of Medicare beneficiaries entering the hospital under observation status rose 88% over the past six years according to the Medicare Payment Advisory Commission. Click here to read what you need to know for your residents and well as your own loved ones about the coverage gap that can result.


Three NCTracks Updates

Folks who use NCTracks please note that the CSC and the NC Tracks Call Center will be closed on Independence Day. The Pharmacy Prior Approval Unit will be available that day from 7:00am – 6:00pm. Also, in keeping with the posted schedule, the last checkwrite in June will be June 24 and the first checkwrite in July will be July 8. Due to the State Fiscal Year End there will be no checkwrite July 1. The 2014 checkwrite schedule can be found here.

Two new webpages have been added to the NCTracks Provider Portal: a Claims Page and Secondary Claims Page. The Claims Page contains all key information regarding claims submission and processing. The Secondary Claims Page includes information on third party insurance and Medicare crossover and other information unique to the submission and processing of secondary claims in NCTracks. Click here to access the new pages.

The Issues List on the NCTracks Provider Portal webpage has been updated. The most recent version can be found by clicking here. The list includes a brief explanation of the problem, the type(s) of providers affected, the status of the issue (open/closed), and comments/resolution of the issue. The list does not include every issue; instead, only those affect multiple providers and issues are added on a regular basis. Before contacting the Call Center you may want to check here first, in case it is a known issue.


Do you have affordable or HUD housing in your community? The next three articles may be of interest to you.

Apply Now for Service Coordinator Grants

The American Association of Service Coordinators has announced that if you have service coordinator programs that will expend all funds or whose three-year grant term ends between now and the end of calendar year 2014 you can begin to submit one-year grant extension requests to your HUD field office. Please click here for more information.


How Housing Members Can Use LeadingAge Insights

Click here to learn more about LeadingAge Insights tools including: 1) the "Ask the Expert” feature where you receive real time responses to your questions about finance and preservation and 2) market position reports that may help you understand which quality health care providers you might want to seek partnership with in your area.


Be Sure to Use the Latest Forms on HUDClips

Click here to catch up on the latest updates to forms.


Professional Development

CFO Workshop
July 23
9:00am – 5:00pm
Croasdaile Village, 2600 Croasdaile Farm Parkway, Durham, NC

Topics include IT Security, Reporting Requirements, Bond Renewal, Philanthropy, and Value First (the group purchasing organization owned by LeadingAge NC and 24 other LeadingAge state affiliates). New this year – attend the Durham Bulls game versus Rochester with your CFO Workshop colleagues the night before on July 22at 7:05pm. If you register by July 8, group seating for the ballgame is guaranteed. For members the workshop is $99 for the first attendee and $50/additional attendee. For non-members the fee is $125/attendee. Earn 5.5 NHA credits or 6.5 CPEs through NASBA. Lunch and refreshments are included. Registration will be open soon for this event sponsored by Platinum business members BB&T Capital Markets, BB&T Insurance Services, and CliftonLarsonAllen.

Please save the date for these upcoming educational sessions:

· July 30, Mid Managers Series, Carolina Village, Hendersonville

· September 9-10, Regulatory Conference and Technology Show, Winston-Salem

· September 24, HR Workshop, Whitestone: Masonic and Eastern Star Communities, Greensboro

· October 19-22, LeadingAge Annual Meeting, Nashville, TN

· October 20, LeadingAge NC State Night Out

· October 28, Mid Managers Series, River Landing at Sandy Ridge, Colfax

· November 12, Workshop for Frontline Staff, The Cedars of Chapel Hill


Strategic Thinking


Efficacy of Employee Wellness Programs

Human Resources folks may be particularly interested in a national report on the scope, nature, and impact of employee wellness programs. This first of its kind report surveyed senior living, long-term care, and hospital settings across the country. Click here to view the 92-page report.


Four Keys to Preventing Infection in Nursing Home Residents

Nurses: click here to learn four steps you can take to help prevent infection associated with multidrug resistant organisms or catheter use according to recent research.


Strong Market Intelligence Builds Partnership Opportunities

A keen understanding of the pressures facing the hospital you work with most can help you become a better post-acute care partner. Click here to understand more about gathering market data and how payment is being realigned.


Providers of Elder Abuse Shelters Meet in Ohio

Elders struggling to free themselves from abusive situations face unique challenges. Eight pioneer providers of shelters for older adults experiencing abuse are meeting to expand efforts, combine forces, and share best practices. Click here to understand your role in putting a stop to this preventable crime.


News and Notes


Music Licensing Concerns

Many of our members have told us they have been contacted by BMI, SESAC, or ASCAP, entities that hold copyrights to music. This article from LeadingAge national might help you determine if you need a license in your community. Click here to read.


OSHA’s Effort to Reduce Nursing Home Workers’ Injuries

OSHA reports that, compared with construction workers, residential staff and nursing staff experience nearly twice the rate of non-fatal occupational injuries and illnesses. Ask your safety committee members to take a look at this article that highlights OSHA’s efforts to reduce injury in the field by using safe patient handling techniques.


ICD-10 Implementation Training Opportunities

The Centers for Medicare and Medicaid Services is offering two free one-hour ICD-10 training sessions in Raleigh on June 26. ICD 10 Implementation: Practice Management Perspective will cover recommended actions to support a smooth transition for small physician practices. Click here to register for this session to be held June 26 at 1:00pm.

ICD 10 Implementation: Clinical Perspectives will provide clinicians with an understanding of the nature of ICD 10 and how to promote positive implementation within your practice. Click here to register for this session to be held June 26 at 5:00pm.

Sessions will be held at the Center for Leadership and Medicine at the headquarters of the North Carolina Medical Society at 222 North Person Street in Raleigh.

If you are looking for in-office training on ICD 10, the Centers for Medicare and Medicaid Services has also posted new webcasts on ICD 10 documentation. To view please click here.


SEC’s New Enforcement Initiative

CCRCs who have issued public debt in the last few years may wish to participate in a teleconference organized by ParkerPoe’s Public Finance Group. The agenda includes: Background on SEC’s increased activity in regulating the municipal market; Description of your continuing disclosure obligation under Rule 15c2-12; Information on the MCDC Initiative and practical implications; Question and Answer session. The teleconference will be held June 26 from 10:00am-11:00am. RSVP to rsvp@parkerpoe.com for information on dialing in.



 

LeadingAge North Carolina | 100 Carolina Meadows, Chapel Hill, NC 27517 | 919-571-8333 info@leadingagenc.org | www.leadingagenc.org

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June 6, 2014 Membership Update

Posted By Jennifer Gill, Friday, June 6, 2014
Updated: Friday, June 6, 2014

Member Update
June 6, 2014
In this Issue

Advocacy and Policy
State Budget Update
House Bill 1202

June Medicaid Bulletin

CMS Revision to Egg Preparation Guidelines
Medical Marijuana Law in Massachusetts
CMS Update to Infection Control Breaches

Professional Development
Wellness Workshop Registration is Now Open
Save the date for these educational sessions

Strategic Thinking
Special Lights Improve Life for Residents Living with Dementia
Joint Commission Offers Memory Care Certification
Webinars Introduce Market Intelligence Tools
Conversations about Giving Up Drivers' Licenses
Brand Management Webinar
Exercises for Residents that Use Wheelchairs
DNR Preferences and End of Life Care

Advocacy and Policy


State Budget Update
Shortly after midnight on May 31, the State Senate passed a $21.2 billion budget for the state fiscal year that begins July 1. The House is expected to release its budget by early next week. It should go through the Committee approval process and be sent to the House floor for approval by the end of next week. Once the House approves its version of the funding blueprint, a conference committee with members from both the House and Senate will be named to resolve the differences in the two budgets. It is very likely that the House and Senate budgets will differ significantly and that the negotiations to resolve those differences will be contentious.

House Bill 1202
We’re grateful for the work of a number of our member communities in contacting legislators about House Bill 1202, which would partially restore the medical expense deduction on the North Carolina state income tax form. NOW is the time to provide information to your elected officials about this important legislation and ask that the House Committee on Finance hold hearings on the bill.

June Medicaid Bulletin
Click here for the June 2014 Medicaid Bulletin from the NC Division of Medical Assistance. Topics in this issue include NC Tracks updates and procedure code updates.

CMS Revisions to Egg Preparation Guidelines
The Centers for Medicare and Medicaid Services has released new revisions to "Sanitary Conditions, Preparation of Eggs in Nursing Homes." They state that skilled nursing and nursing facilities should use pasteurized shell eggs or liquid pasteurized eggs to eliminate the risk of residents contracting Salmonella Enteritidis. Click here for a full explanation.

Medical Marijuana Law in Massachusetts
Massachusetts’ implementation of a "medical marijuana law,” and how it applies to assisted living facilities and skilled nursing facilities may hold lessons for our members. Click here to learn more about the law and how it is being implemented.

CMS Update to Infection Control Breaches
The Centers for Medicare and Medicaid Services has issued a new memo stating that certain infection control breaches warrant referral to public health authorities. Administrators will want to click here to view the four-page CMS memo that lists your public health contact person and the affected infection control standards.



Professional Development


Wellness Workshop
June 18, 2014
10am-3:30pm
Arbor Acres, Winston-Salem

Join us for an interactive day of discussion about

· High risk medications and appropriate usage of OTC drugs

· Diet restrictions

· Wellness at various levels

· Future of fitness centers

· Roundtable: Pool design and therapy programs

4.0 NHA credit hours are available. The cost is $99 for the first participant, $50 for each additional participant from the same organization. Click here to register.

Please save the date for these upcoming educational sessions:

· July 23, CFO Workshop, Croasdaile Village, Durham

· July 30, Mid Managers Series, Carolina Village, Hendersonville

· August, Executive Leadership Forum – To be announced

· September 9-10, Regulatory Conference and Technology Show, Winston-Salem (Note Date Change)

· September 24, HR Workshop, Whitestone: Masonic and Eastern Star Communities, Greensboro

· October 19-22, LeadingAge Annual Meeting, Nashville, TN

· October 20, State Night Out (in conjunction with LeadingAge meeting)

· October 28, Mid Managers Series, River Landing at Sandy Ridge, Colfax

· November 12, Workshop for Frontline Staff, The Cedars of Chapel Hill



Strategic Thinking


Special Lights Improve Life for Residents Living with Dementia
Installing a particular kind of light in nursing homes could soothe residents living with dementia and improve their sleep and eating patterns, according to recently published research findings. We think most of our members will be interested in learning more about the lights which were put in the rooms of 14 residents with dementia for a period of four weeks, during which researchers used standardized tools to track sleep quality and duration, depression and agitation. All improved significantly, the investigators found. Please click here to learn more.

Joint Commission Offers Memory Care Certification
The Joint Commission’s nursing care center accreditation program will begin offering a new memory care certification in July to recognize organizations that provide memory care services for those with dementia and other cognitive impairments. Developed with feedback from the Alzheimer’s Association and others, the program builds on new accreditation requirements addressing memory care services that also take effect in July for all nursing homes that are accredited or are seeking accreditation. Read more here.

Webinars Introduce Market Intelligence Tools
"LeadingAge Insights” is a new suite of market intelligence tools brought to you by LeadingAge national. Each tool is designed to be intuitive and easy to use. Introductory webinars that include a live demonstration of quality metrics are available to get you acquainted with each one and make it as streamlined as possible for you to access the information you need when you need it. To register for the June 11th webinar from 11am – Noon or the June 24th webinar from 11am – noon please click here.

Conversations about Giving Up Drivers' Licenses
Talking with residents about relinquishing their drivers’ licenses can be an emotional and challenging discussion. For anyone who would like some new perspective on how to hold these difficult conversations, click here to read how a social worker and a nurse in Pennsylvania approach the topic.

Brand Management Webinar
Marketing folks may want to pick up lunch and settle in to view this 46-minute webinar on brand management in an ever-changing media landscape. Click here to view.

Exercises for Residents that use Wheelchairs
We know that residents who rely upon wheelchairs for mobility run a greater risk of diminished mental acuity and depression, as well as complicated health issues. For residents in wheelchairs, physical exercise is essential for well-being. Wellness staff, click here for new exercises to support the health of residents who use wheelchairs.

DNR Preferences and End of Life Care
According to one study, most physicians would choose a do-not-resuscitate or "no code" status for themselves when they are terminally ill, yet they tend to pursue aggressive, life-prolonging treatment for patients facing the same prognosis. Click here for more insight into the disparity between what Americans say they want at the end of life and the care they actually receive.



News and Notes

 

Help LeadingAge "Count the Ways"
LeadingAge national is partnering with Holleran to create baselines of information on the status and outcomes of our social accountability efforts. This confidential survey is part of the "Count the Ways” campaign to assist members with their social accountability programs. The questions are designed to help identify key components of a social accountability/public benefit plan. We hope that every member will collect and report this information and that, through this survey we can report to all of our members and friends about our collective results.

 

In this lighthearted 1:43 minute video LeadingAge CEO Larry Minnix gets help from a "professional counter” to ask for your participation.Click herefor a chuckle.

 

Click here to participate in the survey.

  

Coding Pain Management Medication
This article from LeadingAge's MDS expert consultant, Judy Wilhide-Brant, RN, provides guidance on how to code pain management medication as part of section J0110A&B of the MDS. She offers a step-by-step guide to coding, and highlights a few relevant excerpts to assist with answering the necessary questions within the section. Click here for more instruction.

 

Daytime Engagement Minimizes Daytime Sleep
For our life enrichment staff, the findings of a recent study suggest that interventions to engage nursing home residents in more social activities during the day may be beneficial to minimize their daytime sleep, especially for those who have difficulties engaging socially on their own. Read the article here.

Norovirus Outbreaks More Common in Long-Term Care than in Hospitals


AMA Resources for End-of-Life Medical Consultations


 
Submit Nominations for Excellence in Technology
Members, you have until July 11 to enter the third annual McKnight's Excellence in Technology Awards competition. The McKnight’s awards recognize providers that have harnessed technology to achieve excellence in aging services. An independent panel of experts will judge entries. 6 LeadingAge members won awards in last year’s competition. Read here to nominate someone for any of the five award categories.

 

Free Professional Help Enhancing Fundraising and Philanthropy Efforts
Do you want to discover how to enhance your fundraising and philanthropy efforts by understanding the needs of your external community? If so, then plan to join Nikki Rineer, President of Holleran, on Wednesday, June 11th at Noon for a free Lunch & Learn teleconference on "Promoting Philanthropy through Community Engagement.” No need to pre-register for the event. Simply dial in to the teleconference on Wednesday, June 11th using the call-in information below.

Call-in Number: 1-866-266-3378

Conf. ID: 2025089494

Pass Code: 0588

 



Member News
 

Leslie Jarema - "Tar Heel of the Week"
Congratulations to Leslie Jarema, Director of Health Services at The Forest at Duke. Leslie was recognized as "Tar Heel of the Week” by theNews and Observer.Click hereto read the full article.

  

Well-Spring PACE Participants Advocate in Raleigh
A big thank you to Well-Spring PACE program participants who joined PACE of the Triad Executive Director, Ursula Robinson, and traveled to Raleigh to advocate at the State legislature to keep the cost-saving program intact. As a part of the North Carolina Coalition on Aging, LeadingAge North Carolina has been working with a group of about 30 aging services organization on a response to the Senate’s budget plan. Representatives of the Coalition’s organizations, including family caregivers and direct service recipients visited legislative offices and participated in a press conference to highlight concerns with the Senate budget. Click here and here to view photos from the visit.

 

LeadingAge North Carolina | 100 Carolina Meadows, Chapel Hill, NC 27517 | 919-571-8333 info@leadingagenc.org | www.leadingagenc.org

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LeadingAge North Carolina Office Closed for Memorial Day

Posted By Jennifer Gill, Thursday, May 22, 2014
The LeadingAge North Carolina office will be closed on Monday, May 26th in recognition of Memorial Day.  We will reopen on Tuesday, May 27th at 8:00am.

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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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