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Inclusion Inisghts June 2018

Posted By Jennifer Gill, Wednesday, June 13, 2018
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June 13, 2018


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



Leadership

Foundation’s Diversity Study Released

The closing general session at our annual conference featured Dr. Jim Johnson from UNC-Chapel Hill’s Kenan-Flagler Business School and the public release of “African American Voices Regarding Continuing Care Retirement Communities/Life Plan Communities.” This research study, commissioned by the LeadingAge North Carolina Foundation, provides valuable insight into the fundamental question of why aren’t CCRCs/LPCs in North Carolina more racially and ethnically diverse and, more specifically, why aren’t there more African Americans in North Carolina’s CCRCs/LPCs? The study provided recommendations and we are in the process of assembling a special task force that will be charged with developing specific tools that both LeadingAge North Carolina and its member communities can utilize moving forward. Click here for a copy of Dr. Johnson’s PowerPoint presentation from the closing session.

Making Your Board More Inclusive: Two Cases
February 20, 2018, Nonprofit Quarterly

Read this article to find out what correlates with board diversity and access a useful chart, “diversity by field of practice category.” Two successful nonprofit board diversity case studies are presented. They include: 1) attracting and developing young board leaders and 2) emerging from a merger with high board engagement. Our boards are always evolving and there are definitely lessons to be learned as we all strive to develop a board that reflects our population on the whole.

Diversity is Difficult
April 21, 2018, BU Research

Organizational behavior expert Evan Apfelbaum at Boston University wants to better understand exactly how diversity messaging helps retain - or lose - employees. This brief article might help human resource professionals and others working on attraction and retention of a diverse workforce.

Maintaining Dignity: A Survey of LGBT Adults Age 45 and Older
March 2018, AARP Research

In 2017 on behalf of AARP, Community Marketing and Insights collected data from 1,762 LGBT individuals through a 10-minute online survey of LGBT Americans age 45 and older. The article summarizes this community’s concerns in general as they age as well as concerns specifically about healthcare. This article might help you and your staff become more sensitive to and better meet the needs of current and future LGBT residents.

Fighting Health Disparities at the Barbershop
May 21, 2018, U.S. News and World Report

Barbershops in Dane County, Wisconsin are becoming more than just a place to receive a haircut. Read more about the innovation and partnership that is helping African-American men reduce health disparities and remove barriers to healthcare. Maybe you will be inspired to find innovative ways to reach more diverse populations as well.



Resources

DHHS Releases Interactive Map Showing Social Determinants of Health Across NC

Social determinants of health are underlying social and environmental factors that can be responsible for more than 70 percent of a person’s health. Check out DHHS’s new interactive map showing social determinants of health indicators across the state including economic, social and neighborhood, housing and transportation status. After following the link, click “North Carolina Social Determinants of Health.” The map is part of the department’s efforts to look beyond what is typically thought of as “health care” and invest more strategically in health.

From Intention to Action: Practical Strategies for Addressing Diversity and Inclusion in the C-Suite
May 2018, Joanne L. Smikle, Ph.D.

Thanks to Dr. Joanne Smikle for her Deep Dive presented at the 2018 Annual Conference last month. She discussed obstacles to creating diverse, inclusive organizational cultures and helped attendees generate practical strategies for removing those obstacles. Please click here to review her slide presentation for ideas that might take hold in your community.

Workplace Diversity and Inclusion Conference

   

LeadingAge North Carolina was a supporting organization of this timely NC Chamber event held yesterday in Durham. The program covered topics that will help us create a culture of true belonging among residents, board members, and staff in our membership. Thanks to board member, Ursula Robinson, for her presence, and to members from Carol Woods and Carolina Meadows who attended and learned about the prevalence of implicit bias, diversity and inclusion best practices, and demographics from Dr. Jim Johnson that underscored the urgency of our efforts in this area. We'll see you at next year's conference!

Triangle EXPO for LGBTQ Aging Adults
Saturday, June 23, 2018
Five Points Center for Active Adults
2000 Noble Road
Raleigh NC 27608

Please consider supporting this EXPO that will include non-profit service agencies that are aware of the special needs of senior populations and are prepared to handle them. It will connect LGBTQ-affirming health care professionals, housing providers, businesses, and many others with LGBTQ people throughout the Triangle. The intention is to inform senior community members of agencies and organizations that are welcoming to a population that has sometimes felt marginalized and not always welcomed as they navigate the services spectrum.




Celebrations

Carol Woods Hosts Racial Equity Institute

In April this year Carol Woods in Chapel Hill hosted the Racial Equity Institute's anti-racism workshop. Pictured here are staff and residents who participated in the discussion about the impact of race and racism on today's society. Carol Woods will also be hosting a booth at the Triangle Expo for LGBTQ Aging Adults in Raleigh on June 23rd.

United Church Homes and Services LGBTQ Hosts LGBTQ Event

Also in April this year, United Church Homes and Services (UCHS) partnered with the Ruth Frost Parker Center for Abundant Aging to host the first “Giving Voice to LGBTQ Older Adults” event in Ohio. The event included a showing of the “Gen Silent” movie and several workshops. North Carolina is home to several UCHS communities including Piedmont Crossing in Thomasville and Abernethy Laurels in Newton. Lee Syria, President and CEO of UCHS, is the Chair of the LeadingAge North Carolina board.


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


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Advocacy in Action

Posted By Jennifer Gill, Friday, June 8, 2018
Updated: Friday, June 8, 2018


June 8, 2018



Short Session Winds Down
Current word around the legislative building is that the General Assembly will adjourn the short session most likely by the end of June. Governor Roy Cooper Wednesday vetoed the budget bill passed last Friday by the General Assembly; there is little doubt that the two chambers will quickly override the veto. We continue to track legislation impacting our member communities and are in full planning mode for the long session which begins in January 2019.

Federal Tax Reform Impact Still Sorting Itself Out
The Tax Cuts and Jobs Act (TCJA) was signed into law in December 2017 and went into effect on January 1, 2018. This was the largest overhaul of the tax code since the 1980s. Although most of the major provisions of the TCJA addressed changes in the individual rates and deductions, many provisions will have an effect on nonprofit providers moving forward. While we are still waiting on guidance from the IRS, we urge members to speak to their accountants and financial consultants to explore how these changes will specifically affect their communities.

OPERATIONAL ISSUES
Unrelated Business Income Tax (UBIT) Changes
Prior to the passage of the TCJA, nonprofit organizations could calculate UBIT based on combining all of their unrelated business activities income. If one unrelated business activity had income it could be offset by another activity that had business losses. For example, if one unrelated business activity generated $20,000 and a separate unrelated business activity of the organization had a loss of $5,000, the organization would pay UBIT on $15,000. Under the TCJA, this is no longer allowed. Each unrelated business activity must now be accounted for separately for UBIT purposes. The change to the corporate tax rates, however, also changed the unrelated business income tax rate to 21 percent for UBIT over the $1,000 threshold.

Application of UBIT On Commuting/Parking and Other Fringe Benefits to Employees
Organizations that provide their employees with 1) transportation fringe benefits that are not included in their employees’ taxable income; 2) parking reimbursements; or 3) on-premises gyms must now include the value of such benefits as unrelated business taxable income subject to UBIT. Parking reimbursements include any expenses paid or incurred by the organization for a parking facility used by employees on or near the organization’s premises. To avoid the UBIT liability, an employer organization can either provide the benefits as taxable items to the employees or discontinue providing the benefits. This is a marked change for nonprofits to be subject to a tax on expense rather than on income. LeadingAge national has signed on to an American Society of Association Executives (ASAE) letter requesting a delay in implementation of this provision pending additional guidance from the IRS. For additional information, see IRS Publication 15-B – Employer’s Tax Guide to Fringe Benefits regarding descriptions of fringe benefits.

Repeal of Advance Refunding Bonds
Tax-exempt advance refunding bonds, a form of refinancing used by 501(c)(3) borrowers, has effectively been eliminated because the TCJA makes the interest on such bonds taxable. Advance refunding had been a common practice used by issuers to refinance bonds beyond 90 days from their call date to take advantage of a better interest rate.

FUNDRAISING ISSUES
Some TCJA provisions will affect donors and any tax benefits they might receive from making charitable contributions. These provisions are estimated to reduce charitable giving by billions of dollars per year.

Increase in the Standard Deduction
TCJA raises the standard deduction from $6,350 to $12,000 for single individuals and from $12,700 to $24,000 for married couples. This will likely reduce the number of taxpayers that will itemize their deductions because for many itemizing will not significantly reduce their taxable income. Estimates are that the number of filers who itemize will fall from 30% of taxpayers to 6% and, correspondingly, charitable giving could be reduced by $12 billion to $20 billion per year. See Tax Policy Center and National Council of Nonprofits resources

Limitations on State and Local Tax (SALT) and Mortgage Interest Deductions
Under the TCJA, deductions for all state and local taxes (income, property, real estate, and sales tax) combined cannot exceed $10,000. A substantial number of individuals in high cost of living/high tax states will exceed this cap. This greater tax burden for people in those states will probably have an adverse effect on non-profits as people will have less money available to donate. The TCJA also reduces the cap on the home mortgage interest deduction on new loans from $1 million to $750,000 in principal value and repeals the deduction for interest paid on home equity debt. These changes could have an impact on charitable donations similar to the effect of restrictions on SALT deductions. People will have higher taxes and less income available to donate.

Doubling of the Estate and Gift Tax Exemptions
The TCJA doubled the estate and gift tax exemptions to $11.2 million and so far, fewer wealthy taxpayers will be hit with a very hefty tax (40%) for leaving or gifting money to their children. Those who still have to pay estate taxes will have much more of their transferred wealth exempted from being taxed. Most wealthy taxpayers who are potentially subject to estate and gift taxes work with their tax planners to mitigate and minimize the taxes they would have to pay. Deductible charitable contributions are often a big part of their strategies. In 2010, the estate tax was temporarily repealed and there was a significant drop in charitable bequests in IRS tax filings from the prior year.

Charitable Contribution Deductions and “Pease” Limitation
Individuals can now take a greater deduction for charitable giving if they itemize their deductions. They can claim up to 60 percent of their adjusted gross income. Previously, the limit was capped at 50 percent. Also, the “Pease” limitation has been repealed. Therefore, there will be fewer restrictions for individuals who decide to itemize their deductions. This is good news as it could encourage high-income earners to contribute more to charity.

Efforts to Change/Amend the TCJA
In reaction to the changes in the TCJA, LeadingAge national has joined other organizations in supporting an effort for a “universal charitable deduction.” This concept would provide for an “above-the-line” income tax deduction for charitable contributions and thus likely would ameliorate the expected decline in charitable giving associated with the passage of the TCJA.

Guidance on IRS Rules Around Politically-Related Activity
As the nation prepares for mid-term congressional elections this year, many nonprofit aging services providers are concerned about staying within Internal Revenue Service rules for allowable politically-related activity. LeadingAge national has prepared a set of guidelines to help you stay in compliance. If you work for a nonprofit organization, can you contribute to political campaigns or participate in candidate fundraising? What kind of help can you give residents with learning about candidates who are running for office or getting to the polls to vote? Can your organization hold candidate forums? What if an elected official who is running for reelection wants to visit your community to talk to your residents? All of these questions are discussed in LeadingAge national’s new publication, Lobbying and Election Activity: Guiding Principles for Nonprofit Providers. As the campaign season heats up, we hope these guidelines will help you balance your and your residents' rights as citizens with the IRS restrictions on political activity by nonprofits.

Opioid Legislation Makes its Way Across the Federal Landscape
The House Energy and Commerce Committee has approved 57 separate bills incorporating a wide range of proposals to deal with the various aspects of the opioid crisis, the widespread misuse of addictive pain medications. The measures include proposals to encourage development and use of non-opioid pain relief alternatives; to increase physician and public awareness of the dangers of opioid addiction and of alternative treatments; to facilitate the use of telehealth and electronic health records to track use of opioid prescription medication; and to encourage communication among Medicare and Medicaid agencies, providers, quality improvement organizations, and pharmacies on the use of these medications. The next step for this legislation is consideration on the House floor. While this has not yet been scheduled, it could occur as early as this month. On the Senate side, Majority Leader Mitch McConnell (R-KY) has indicated that opioid legislation could be taken up while the Senate is in Washington in August, since the traditional recess has been cancelled. LeadingAge national understands the need to address the widespread abuse of these medications, which are a serious and growing public health threat. We welcome and support more research on effective alternatives to the use of opioids, to increased public awareness and knowledge of the dangers of the drugs and potential alternatives, and more effective communication among health care providers and payors on the use of the medications. We have to be concerned that legislation will not have unintended consequences for long-term services and supports providers, whose residents and clients often have valid medical needs for opioid pain relief medication. Federal law requires nursing homes to ensure that residents are free from pain to the extent possible. We are carefully monitoring the development of legislation to ensure that residents whose pain cannot be effectively managed without opioids continue to have access to the medications they need.

New Regulations Analyzed for Impact
Federal agencies were busy last month, releasing proposed rules and regulations that affect how our members serve older Americans. LeadingAge national's content experts responded by analyzing and sharing their insights on how these proposed regulations might affect your operations. Please be sure to check out the following analyses:
• The proposed rule for the FY2019 Skilled Nursing Facility (SNF) Prospective Payment System (PPS), and our updated SNF PPS Calculator;
• The proposed rule that would update FY2019 Medicare payment rates and the wage index for hospice programs serving Medicare beneficiaries; and
• A sub-regulatory guidance detailing an array of home and community-based services (HCBS) that Medicare Advantage plans can offer as supplemental benefits beginning in Calendar Year 2019.

In addition, check out LeadingAge national's newly updated Regulatory Roundup, which is designed to provide up-to-date information about important regulatory initiatives at the federal level. The suite includes products designed for nursing homes, HCBS and HUD housing providers.

Fighting Fraud Committed Against Older Adults
In its ongoing efforts to protect older adults from telephone and internet scams, the U.S. Senate Special Committee on Aging has released its 2018 Fraud Book on the top ten scam complaints reported in 2017 against older adults. According to the Government Accountability Office, financial fraud targeting older Americans is a growing epidemic that costs seniors an estimated $2.9 billion annually. Moreover, according to the Senate Aging Committee report, seniors often do not report fraud because they do not know where to report it, are too ashamed to admit they have been scammed, or may not even know that they are victims. In 2017, the Aging Committee’s Fraud Hotline received more than 1,400 complaints of fraud targeting seniors around the country.

The top ten scams reported in 2017 were:
• IRS Impersonation Scams
• Robocalls and Unsolicited Phone Calls
• Sweepstakes Scams / Jamaican Lottery Scam
• “Can You Hear Me?” Scams
• Grandparent Scams
• Computer Tech Support Scam
• Romance Scams
• Elder Financial Abuse
• Identity Theft
• Government Grant Scams

If you or someone you know are the victim of a scam or fraud attempt, please call the Special Committee on Aging’s Fraud Hotline at 1-855-303-9470. In addition, bipartisan legislation to strengthen banking laws to protect older adults against financial fraud now has passed both houses of Congress and is on its way to the White House to be signed into law. The Senior Safe Act will encourage banks, credit unions, insurance companies, investment brokerages, and other financial services to train their employees in spotting possible fraud against older customers and protect the companies and their employees from liability for reporting suspected fraud to regulatory agencies.


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


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Professional Development Update

Posted By Jennifer Gill, Wednesday, June 6, 2018
Updated: Tuesday, June 5, 2018


June 6, 2018

Thank you to everyone who attended our 2018 Spring Conference and Trade Show in Asheville. Be sure to save the date for the 2019 Spring Conference and Trade Show from May 6-9, 2019 in Myrtle Beach, SC.NOTE: These dates are a week earlier than usual!


Next week!

The Times They Are A-Changin':
Navigating the paradigm shift in third party reimbursement

Monday, June 11
Noon-2pm
Salemtowne, Winston-Salem
Presented by Functional Pathways

This luncheon is for you - administrators, DONs, CFOs, controllers, and other interested long-term care provider professionals! Join us over lunch and discuss how to strategize for your community around the paradigm shift in third party reimbursement from Medicare Advantage programs, bundled payment initiatives, accountable care organizations and proposed PPS reform.

Download flyer.
 
Register now.


Next Month!

Finance & Strategy Symposium
with LeadingAge Virginia
July 26, 2018
8am-4pm
Springmoorin Raleigh
7.0 CPE 6.0 NHA


CFOs, CEOs, Controllers, and other interested members, registration is now open for the Finance and Strategy Symposium with LeadingAge Virginia. Be sure to arrive in time for dinner the night before. Topics will include:

  • State of Aging Services
  • Use of data and analytics to improve management decisions
  • Ramifications of new tax law
  • Common coverage gaps in professional liability
  • Why HR and Finance should partner to reduce labor costs

Download brochure here.
Register here.


Reserve your seat for August!
Management Leadership Series

August 15, 2018
WhiteStonein Greensboro
10am-3pm
Facilitated by Rick Schlentz ofEXTRA!Ordinary, Inc.

Members: $125
Non-members: $175
4.0 NHA CEUs

Department directors, team leaders, supervisors, and mid managers - would you like a fresh perspective and new ideas about how to engage your team? Plan to join us and learn more about what it takes to create an effective team in this last session of the series. You are welcome to register even if you did not attend the first session.

Download brochure.
Register online. 


Workforce Summit
August 22, 2018
River Landing at Sandy Ridge
High Point, NC
9am-4pm

Topics will include:

  • Student internship programs
  • Respecting and embracing differences among staff
  • Workplace violence prevention
  • Best practices of a community that recently faced an active threat

Marketing and Communications Symposium
with LeadingAge Virginia and LeadingAge Maryland
September 19, 2018
Covenant Woods Retirement Community
Mechanicsville, VA



2018 Event and Education Calendar

Please click hereto view and print LeadingAge North Carolina's 2018Event and Education Calendarfor yourself and your staff.  Even after Spring Conference we continue to offer special events where you and your staff may learn, get inspired, and refresh yourself. We look forward to seeing you!



PLANNED GIVING 101
July 26, 2018
Abernethy Laurels in Newton, NC
10:00 am – 2:00 pm
Cost: $49

This seminar is for development professionals, executive directors or gift officers engaged in non-profit settings in North Carolina that would like to raise more money by beginning or running a planned giving program in a small shop. You will learn the basics on how to get started along with information on the three simple planned gifts that make up 85% of all planned gifts. There will be a basic overview of charitable gift annuities and other gift vehicles by the North Carolina Planned Giving Council.

The program is eligible for 3 hours of CFRE credit

Register here.


Workplace Diversity and Inclusion Conference
June 12, 2018
7:30am-3:30pm
Sheraton Imperial Hotel & Convention Center
Durham

At press time, only 25 tickets remained! Please register to join Tom and Jennifer at the NC Chamber's 2nd annual 2018 Workplace Diversity & Inclusion Conference June 12 in Durham. LeadingAge NC members register at the non-member rate and enter the discount code LA2018 when you reach the payment screen.

Click here to register.


This Friday! FREE Advance Care Planning Facilitator Training
June 8, 2018
8:30am-4pm
Land of Sky Regional Council
Asheville, NC

This one-day class is intended for those who would like to be able to assist individuals in completing their healthcare advance directives. Topics will include healthcare powers of attorney, living wills, and how to facilitate an effective advance care planning conversation.

For details or to register please contact
Joseph Jonesat 828-348-2839.


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



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Membership Update

Posted By Jennifer Gill, Friday, June 1, 2018



June 1, 2018

CONTENTS
Click on the section you would like to view.
Advocacy & Policy
Strategic Thinking
Professional Development
News & Notes
Value First


Advocacy & Policy

General Assembly Update
The NCGA is set to pass the short session budget bill this week in record breaking time. Using a procedure seldom seen in budget work, the budget bill language was dropped into a gutted conference report allowing the bill to move quickly through the chambers. This morning (Friday) the House of Representatives will convene for the final budget bill vote and the bill will be sent to the Governor for an expected veto.

The main purpose of the NCGA Short Session is to make necessary changes to the 2-year budget passed in 2017. The adjusted spending brings the total budget to $23.917 billion, an almost 4% increase over the plan approved in 2017.

Highlights

  • Adds $60 million for Hurricane Matthew recovery
  • Adds $161 million to the state's "rainy day fund" for future emergencies, bringing that fund up to about $2 billion total.
  • An average 6.5 percent pay raise for teachers
  • Offers a 2 percent permanent salary increase for most state employees and a one-time cost-of-living supplement for retirees.
  • Directs $60 million from the Medicaid Transformation Reserve to be used for start-up costs related to Medicaid Reform’s program design.

Missing

  • $27 million to fill a Medicaid rebase gap. This is expected to be fixed when the 2019-2020 NCGA convenes in January.

You can access the budget bill here: https://www.ncleg.net/Sessions/2017/Budget/2018/S99-CCSMMxr-2_v2.pdf

Prospective Payment System Proposed Rule
In late April of this year, CMS issued the FY 2019 Skilled Nursing Facility Prospective Payment System proposed rule. The rule also includes proposals related to the SNF Value-Based Purchasing program and the SNF Quality Reporting program. LeadingAge national will be sending comments to CMS and is interested in your feedback on the proposed rule. In order for them to incorporate your thoughts into their comments, please respond by June 13.
CLICK HEREfor an explanation of the proposed rule and information about how to forward your comments to LeadingAge national on this critical issue.

Medicare Observation Days Legislation
LeadingAge national is actively supporting H.R. 1421 and S. 568, the Improving Access to Medicare Coverage Act. The legislation would resolve the observation days issue by requiring all time Medicare beneficiaries spend in a hospital to count toward the three-day stay requirement for coverage of any subsequent post-acute care. We urge you to contact your Member of Congress and Senator and ask that they cosponsor these bills.

Note re: Glucometer Use from Cindy Deporter at DHSR
A heads-up from Cindy Deporter, State Agency Director and Assistant Section Chief (Acute Home Care) for the North Carolina Division of Health Service Regulation: "I wanted to share a recent trend that we are seeing with Glucometers in Nursing Homes. The problem seems to be that facilities have glucometers that are supposed to be used only for a single resident, but these glucometers are being shared with many residents. Or we are seeing glucometers that are a community glucometer and are not being cleaned and disinfected correctly. Neither one of these cases the glucometers are not being stored properly. We are not quite sure why this has become an issue again but we did recently cite this at a Jeopardy Level. So please review your policy and procedures. Please go to the UNC SPICE site or the CDC site and review the proper protocol for cleaning and disinfecting and storing glucometers. The recommendation from the indicated groups is that glucometers should not be shared."

North Carolina Coalition on Aging Releases Legislative Priorities
The North Carolina Coalition on Aging has released their 2018 Fact Sheet on Legislative Priorities. LeadingAge North Carolina is one of a number of organizations statewide that are members of the Coalition.

Make Plans NOW to Attend Aging Policy Listening Session in Your Area
The North Carolina Division of Aging and Adult Services has added two additional Aging Policy Listening Sessions for the 2019-2023 Aging Services Plan. These Listening Sessions, which are co-hosted by the NC Association of Area Agencies on Aging, will help identify the needs of the state’s older citizens, disabled adults, and their caregivers. As noted, the information gathered will also inform North Carolina’s 2019-2023 Aging Services Plan and will likely guide policy work for the Division, the Department of Health and Human Services, and other agencies of state government in the next several years.
The dates and locations of the listening sessions are as follows:

June 19, 2018
Pitt County Community Schools and Recreation Building
4561 County Home Road
Greenville, NC 27858
10 a.m. - 12 p.m.

June 27, 2018
Centralina Council of Governments
9815 David Taylor Drive
Suite 100
Charlotte, NC 28262
10 a.m. - 12 p.m.



Strategic Thinking

 

View Responses to Member Question re: Employee Child Care
What kind of child care, if any, do your colleagues across the state provide? Be sure to click here to download an Excel spreadsheet with responses to this member question. Thanks to everyone who helps sustain this service by taking time to respond!

Unseen Face of the Opioid Epidemic: Drug Abuse Among the Elderly Grows
May 25, 2018, The Washington Post

According to the Substance Abuse and Mental Health Services Administration, from 2002-2014 opioid abuse declined in younger groups aged 18-25, but the epidemic almost doubled among Americans over age 50. This is of particular concern given the drugs' addictive properties and the fact that, "taking opioids can lead to falls, falls can lead to pain, pain can lead to opioids and opioids can be abused. On top of that, doctors might not even realize the source of an elderly patient’s problem. Regrettably, health-care providers sometimes miss substance abuse among older adults, as the symptoms can be similar to depression or dementia.” Please take a moment to read this important article that may help residents in your community. In addition, you may click here to read the most recent edition of the North Carolina Medical Journal, which is focused entirely on the opioid epidemic.

What Not to Say to an Isolated Older Adult
April 16, 2018, nextavenue

Well-meaning folks sometimes say things that unintentionally worsen the pain of isolation for older adults. As staff members who are regularly in contact with residents who may feel isolated (even in our communities), this article might help provide guidance on what to say and what to avoid saying.

Hearing Aids Tied to Less Hospitalization for Older U.S. Adults
May 9, 2018, Business Insider

While the study needs further validation, this article highlights the results of research that seem to indicate that hearing aids help patients communicate with their doctors and to have a more active lifestyle, which might prevent hospitalization. Further, the lack of hearing aids seemed to correlate with lower patient satisfaction, less compliance with prescribed medications and recommended treatments, more utilization of health services and higher medical costs. All of this information seems to underscore the importance of access to hearing aids and audiologists in adult care settings.

Will We Still be Relevant 'When We're 64'?
May 15, 2018, The Washington Post

This article underscores the new public health focus on combating isolation and loneliness, in this case in older adults. Several resources and ideas are offered which makes this a good article to share with residents or prospective residents of your community, as well as an educational resource for staff.


Professional Development

Spring Conference Thank You

Thank you to everyone who attended our 2018 Spring Conference and Trade Show in Asheville. We had a great turn out and The Omni Grove Park Inn did a wonderful job hosting us. Special thanks to all of our exhibitors who helped to make our Leadership Academy service project a success. Through your support we were able to deliver more than 3,000 canned and nonperishable food items to the Council on Aging of Buncombe County. The gift may be more important than ever as indicated in this NC Health News article about older adults facing hunger in North Carolina.

And please be sure to save the date for the 2019 Spring Conference and Trade Show from May 6-9, 2019 in Myrtle Beach, SC. NOTE: These dates are a week earlier than usual!





In 10 days!

The Times They Are A-Changin':
Navigating the paradigm shift in third party reimbursement

Monday, June 11
Noon-2pm
Salemtowne, Winston-Salem
Presented by Functional Pathways

This workshop is for you - administrators, DONs, CFOs, controllers, and other interested long-term care provider professionals! Join us over lunch and discuss how to strategize for your community around the paradigm shift in third party reimbursement from Medicare Advantage programs, bundled payment initiatives, accountable care organizations and proposed PPS reform. Download flyer.  Register now.



Next Month!

Finance & Strategy Symposium
with LeadingAge Virginia
July 26, 2018
8am-4pm
Springmoor in Raleigh
7.0 CPE 6.0 NHA


CFOs, CEOs, Controllers, and other interested members, registration is now open for the Finance and Strategy Symposium with LeadingAge Virginia. Be sure to arrive in time for dinner the night before. Topics will include:

  • State of Aging Services
  • Use of data and analytics to improve management decisions
  • Ramifications of new tax law
  • Common coverage gaps in professional liability
  • Why HR and Finance should partner to reduce labor costs

Register here.
Download brochure here.




Reserve your seat for August!
Management Leadership Series

August 15, 2018
WhiteStone in Greensboro
10am-3pm
Facilitated by Rick Schlentz of EXTRA!Ordinary, Inc.

Members: $125
Non-members: $175
4.0 NHA CEUs

Department directors, team leaders, supervisors, and mid managers - would you like a fresh perspective and new ideas about how to engage your team? Plan to join us and learn more about what it takes to create an effective team in this last session of the series. You are welcome to register even if you did not attend the first session. Register online. Download brochure.


 

Workforce Summit
August 22, 2018
Location: TBD

Topics will include:

  • Student internship programs
  • Respecting and embracing differences among staff
  • Workplace violence prevention
  • Best practices of a community that recently faced an active threat


2018 Event and Education Calendar

Please click here to view and print LeadingAge North Carolina's 2018 Event and Education Calendar for yourself and your staff.  Even after Spring Conference we continue to offer special events where you and your staff may learn, get inspired, and refresh yourself. We look forward to seeing you!



Advance Care Planning Workshops in June

The NC Partnership for Compassionate Care provides tools for the public to talk about their wishes with family, friends and health care providers, and to execute written advance directives (Health Care Power of Attorney and living will) in accordance with North Carolina state laws. For a list of Advance Care Planning Workshops across North Carolina this month, please click here. For information on becoming a facilitator for advance care planning workshops, please click here.


News and Notes

Workplace Diversity and Inclusion Conference
June 12, 2018
7:30am-3:30pm
Sheraton Imperial Hotel & Convention Center
Durham

At press time, only 25 tickets remained! Please register to join Tom and Jennifer at the NC Chamber's 2nd annual 2018 Workplace Diversity & Inclusion Conference June 12 in Durham. LeadingAge NC members register at the non-member rate and enter the discount code LA2018 when you reach the payment screen. Click here to register.


FREE Advance Care Planning Facilitator Training
June 8, 2018

8:30am-4pm
Land of Sky Regional Council
Asheville, NC

This one-day class is intended for those who would like to be able to assist individuals in completing their healthcare advance directives. Topics will include healthcare powers of attorney, living wills, and how to facilitate an effective advance care planning conversation. For details or to register please contact Joseph Jones at 828-348-2839.


North Carolina Medical Journal May-June 2018
The latest issue of the North Carolina Medical Journal highlights the opioid epidemic and features an article entitled, "Emergency Providers' Opioid Prescribing Behaviors Among Medicare Part D Beneficiaries in North Carolina." LeadingAge North Carolina supports the Journal as a cosponsor, which is a publication of the North Carolina Institute of Medicine. Read the issue here.

And be sure to check out the article on opioid use among older adults in the Strategic Thinking section by clicking here.


Surprising Facts on Older Adult Suicide
More than 8,200 older adults committed suicide in 2016, according to the Centers for Disease Control and Prevention. Among men, those over age 65 are the likeliest to take their lives, and three-quarters of them use a gun. For more resources on this issue, please click here. Thank you to Ted Natt of St. Joseph of the Pines and Rebecca Sharp-Cassanego of Vaya Health for sharing their notes from Session 6A at Spring Conference this year entitled, "Older Adult Suicide: Recognition, Prevention and Support."



Newly-Released LeadingAge Member Resources

  • The Regulatory Round Up: This suite of three products is designed to provide LeadingAge members with valuable information about federal regulatory initiatives and developments;
  • The 2030 Aging Services Scenario Toolkit: This strategic planning toolkit explores the future need for and delivery of aging services in the context of expectable, challenging, and visionary futures. The toolkit includes a report and video presentation detailing the scenarios, and a discussion guide and PowerPoint presentation to use in your internal discussions;
  • LeadingAge Magazine: The magazine’s March/April issue examines how LeadingAge members are putting their best foot forward by learning about the changing landscape they face, examining how they communicate with their communities, asking how well their services correspond with what consumers want, and adapting to better serve older adults;
  • Social Connectedness and Engagement Technology Online Selection Tool: The Center for Aging Services Technologies (CAST) released an updated version of this tool in March; and
  • Issue Brief for Affordable, Service-Enriched Senior Housing: The issue brief requests $600 million in new Section 202 construction funding, increased funding for service coordinators and increased funding for Older Americans Act programs.


A group purchasing organization of LeadingAge and its State Affiliates.

GOOD HOUSEKEEPING

Janitorial and Housekeeping Supplies

How much does your community spend on janitorial and housekeeping supplies?  Do you know if you are getting the best prices?
 
A cost study is an excellent management tool for determining if you are getting competitive pricing for what you purchase. From paper towels to cleaning chemicals, LeadingAge’s group purchasing organization, Value First, can compare what you are currently paying to pricing available through the GPO.  Your community’s janitorial supplies distributor may already be affiliated with Value First.  To do a cost study, you provide the list of items you want to compare.  Value First does the analysis.

Does your community use a different group purchasing organization for janitorial supplies?

Even if you are purchasing through a group purchasing organization other than Value First, Value First can do a cost study for you.  The primary goal is to work with LeadingAge members to make sure they are getting the best pricing—with Value First or through other sources. 

Not sure if you want to use Value First for housekeeping supplies?

The choice is yours.  You can continue with your current arrangement. Or, if the cost study results indicate potential savings, you can consider purchasing through Value First.  This is your GPO!


How do you request a cost study for your community?

Contact Value First representative Vanessa Ceasar at vceasar@leadingagega.org. Call (404) 421-3956 or click here to submit your request https://form.jotform.com/61243365476155.
                                                                                _________

Value First is a group purchasing organization owned by LeadingAge national and twenty five state associations, including LeadingAge North Carolina.  Value First is designed to leverage the buying power of thousands of senior service providers across the country to get the best pricing on a comprehensive array of products and services.


 



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Memorial Day Observance

Posted By Jennifer Gill, Friday, May 25, 2018
Honoring those who lost their lives in service. LeadingAge North Carolina will be closed in observance of Memorial Day on Monday, May 28th.

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Advocacy in Action

Posted By Jennifer Gill, Friday, May 25, 2018


May 25, 2018


North Carolina General Assembly Convenes
The North Carolina General Assembly convened this year’s “short session” last week. House and Senate leadership huddled this past Wednesday to knock out final areas of disagreement on the state budget with a vote expected next week. The budget is being unveiled as a conference report, a process that precludes amendments once House and Senate negotiators sign off on a deal worked out behind closed doors. The new bill will be discussed in committee and on the House and Senate floors, but it is not subject to amendment. Each chamber will have an opportunity for a simple yes or no vote, forcing Democrats and rank-and-file Republicans not involved in negotiations into an all-or-nothing proposition. Senate Bill 99, until now an unrelated piece of legislation, will be the vehicle for the budget conference report. There are 40 House members on the bill's conference committee who are empowered to negotiate on the bill, but none is a Democrat. Legislators will have more money to work with this session, with the state expected to collect $357 million more than anticipated this current year. This makes the fourth consecutive year in which the state will record a surplus.

We continue to track legislation of interest to our members and will keep you updated as individual bills move forward. Predictions are that the short session may be over by the 4th of July holiday.

LeadingAge North Carolina Board of Directors Approves Public Policy Priorities
The LeadingAge North Carolina Board of Directors approved a set of Public Policy Priorities at their May 14 meeting in Asheville. Work on the priorities had been spearheaded by the Association’s public policy committee, chaired by Jonathan Erickson from United Methodist Retirement Homes. The priorities will be utilized during the short session and to guide our advocacy over the interim before the start of the long session in January 2019. CLICK HERE for a look at the priorities.

New Community College Association President Hears from Aging Services Providers
LeadingAge North Carolina joined with other aging services providers across the state in welcoming new North Carolina Community Colleges Association President Peter Hans to his job. In the letter, Hans was urged to consider the workforce needs faced by many of our member communities as he considers priorities for his association. Also, included with the letter was a fact sheet. We also requested a meeting to be able to begin establishing relationships that will be beneficial as we move forward. Special thanks for Lutheran Services Carolinas CEO Ted Goins for providing leadership on this initiative.

Make Plans NOW to Attend Aging Policy Listening Session in Your Area
The first of the NC Division of Aging and Adult Services’ five Aging Policy Listening Sessions for the 2019-2023 State Aging Services Plan was held on May 8 at the Folk Art Center on the Blue Ridge Parkway in Asheville. The Listening Sessions, which are co-hosted by the NC Association of Area Agencies on Aging, will help identify the needs of the state’s older citizens, disabled adults, and their caregivers. The information gathered will also inform North Carolina’s 2019-2023 Aging Services Plan and will likely guide policy work for the Division, the Department of Health and Human Services, and other agencies of state government for the next several years. The Session in Asheville drew over 160 people, with 24 people making remarks. Key issues identified by speakers were transportation challenges, support for senior centers, caregiver support, adult protective services, and housing issues. The dates and locations of the remaining listening sessions include:

May 30, 2018
New Hanover Senior Resource Center
2222 S. College Rd. Wilmington, NC 28403
Wilmington, NC
10 a.m. - 12 p.m.

June 19, 2018
Pitt County Community Schools and Recreation Building
4561 County Home Road
Greenville, NC 27858
10 a.m. - 12 p.m.

June 27, 2018
Centralina Council of Governments
9815 David Taylor Drive
Suite 100
Charlotte, NC 28262
10 a.m. - 12 p.m.

Attendees may register to speak upon arrival at the meetings or in advance by completing the on-line Listening Session Sign-Up Form. Speakers will be limited to three minutes and are encouraged to provide a written copy of their comments when registering. Those who are unable to attend one of the meetings may submit written comments by June 29, 2018 to: Aging Plan, NC Division of Aging and Adult Services, 2101 Mail Service Center Raleigh, NC 27699-2101. Comments may also be e-mailed to agingplan@dhhs.nc.gov or faxed to Aging Plan at (919)733-0443. The current Aging Services Plan is available at http://www.ncdhhs.gov/aging/plan.htm.

New Website for General Assembly
The General Assembly has unveiled a new look for its website, www.ncleg.net. The new site makes it easier to access audio streams for sessions and meetings, and it includes a redesigned search function to find bills and individual legislators’ pages. There is also a new dashboard feature to follow House and Senate sessions.

Looking Back on the Primary Elections
There were no statewide races in the primary elections earlier this month and only 14% of voters actually voted, but the 75 legislative primary elections and 18 Congressional primaries produced some interesting results. The surprise upset of 9th District Congressman Robert Pittenger by Republican Mark Harris now makes this seat in Congress very competitive and could help determine whether Democrats can gain the 24 seats they need to retake control of the U.S. House of Representatives. Three rating groups now list the seat as favoring the Democrat challenger, Dan McCready, a former Marine who drew more votes than Pittenger, Harris, and a third candidate. Eight incumbent members of the state General Assembly lost their seats: Rep. Justin Burr (R- Surry), Rep. Beverly Boswell (R-Dare), Rep. Duane Hall (D-Wake), Rep. Rodney Moore (D-Mecklenburg), Sen. David Curtis (R-Lincoln), Sen. Shirley Randleman (R-Wilkes), Sen. Ban Barrett (R-Davie), and Sen. Joel Ford (D-Mecklenburg). Rep. Sam Watford (R-Davidson) failed to win his party’s nomination for an open Senate seat and former Senator Bob Rucho who represented Mecklenburg County lost in his re-election effort, this time running in another district.

Star Rating System Survey
In 2008, the NC General Assembly passed legislation to establish a Star Rated Certificate program for assisted living facilities, which includes adult care homes and family care homes. This legislation was in response to requests for increased availability of public information about the care provided in facilities based on facility inspection reports. Since its inception, there have been increasing concerns raised that the Star Rating System, as currently designed, has numerous shortcomings and is of limited value as a tool in assisting consumers to help make informed decisions regarding care options. Based on concerns raised by both consumers and providers, the General Assembly passed legislation last year that directs the North Carolina Department of Health and Human Services to study the Star Rating Program (House Bill 657) and to report back to the General Assembly about this. One of the ways that the Department is getting input for the study is through a survey being done by the Division of Health Service Regulation which is heading up study efforts. DHSR will continue to collect surveys until July 31 so there is still time to provide input into ways to make the Star Rating System a more effective source of information. To complete the survey, click here. To read more about this go to this NC Health News article.


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


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Membership Update

Posted By Jennifer Gill, Friday, May 4, 2018
Updated: Thursday, May 3, 2018



May 4, 2018

CONTENTS
Click on the section you would like to view.
Advocacy & Policy
Strategic Thinking
Professional Development
News & Notes
Congratulations
Value First


Advocacy & Policy

Election Day is May 8; Early Voting Ends May 5
Early voting is open through May 5 for the 2018 primary election in North Carolina. Election Day is Tuesday, May 8. You can find out early voting hours and locations from your county board of elections. Here is basic information about the primary election that you can share with your residents, staff, board, and volunteers:

  • The primary ballot will include contested party races for congressional seats, state legislative positions, and county board membership.
  • Eligible voters who have never registered in North Carolina or have moved since the last election can still register during the early voting period but will not be able to register on May 8.
  • Unaffiliated voters can choose any party's ballot in the primary election.

The North Carolina State Board of Elections & Ethics Enforcement has posted sample ballots for all elections online. To find your sample ballot (and your polling place), enter your name in the Voter Search.

State Legislators Likely to Consider Nonprofit Bills Later This Spring
Later this month, the North Carolina General Assembly will return to Raleigh for its 2018 short session. Legislators are likely to vote on a variety of bills affecting nonprofits, including:

  1. Nonprofit annual reporting requirements. Last year, state legislators came close to passing a bill (S.114) that would improve the public's trust in nonprofits (without imposing much of a burden on nonprofits themselves) by creating a simple, no-fee annual reporting system for North Carolina nonprofits. Legislators will likely revisit this bill in the short session.
  2. Tax law changes. Because some of the federal tax law changes that passed in December will also impact the state tax code, the General Assembly will need to revisit state tax laws this year. For example, with state legislative action, nonprofits that offer parking or transportation benefits to their employees will be required to pay state income tax (at the 3% corporate income tax rate) on these expenses, in addition to 21% tax they now need to pay to the federal government.
  3. Constitutional amendments. Among the amendments that could be considered for the November 2018 ballot are an income tax cap (S.75) that could have unintended consequences for nonprofit tax exemption, state funding of nonprofits, and demand for nonprofits' services.

The short session will likely run through at least the end of June and is a great opportunity for your residents, staff, board members, and volunteers to talk with their state senators and representatives about their work and the ways that state policy affects them. Let us know if you'll be in Raleigh during this year's short session and would like to meet with your state legislators while you're in town. LeadingAge North Carolina can help you set up meetings, providing coaching on messaging and logistics, and even join you for your meetings.

Make Plans NOW to Attend Aging Policy Listening Session in Your Area
The North Carolina Division of Aging and Adult Services has added two additional Aging Policy Listening Sessions for the 2019-2023 Aging Services Plan. These Listening Sessions, which are co-hosted by the NC Association of Area Agencies on Aging, will help identify the needs of the state’s older citizens, disabled adults, and their caregivers. As noted, the information gathered will also inform North Carolina’s 2019-2023 Aging Services Plan and will likely guide policy work for the Division, the Department of Health and Human Services, and other agencies of state government in the next several years.
The dates and locations of the listening sessions are as follows:

May 8, 2018
The Folk-Art Center
Milepost 382 Blue Ridge Parkway
Asheville, NC
10 a.m. - 12 p.m.

May 22, 2018
Piedmont Triad Regional Council
1398 Carrollton Crossing Drive
Kernersville, NC 27284
10 a.m. - 12 p.m.

May 30, 2018
New Hanover Senior Resource Center
2222 S. College Rd. Wilmington, NC 28403
Wilmington, NC
10 a.m. - 12 p.m.

June 19, 2018
Pitt County Community Schools and Recreation Building
4561 County Home Road
Greenville, NC 27858
10 a.m. - 12 p.m.

June 27, 2018
Centralina Council of Governments
9815 David Taylor Drive
Suite 100
Charlotte, NC 28262
10 a.m. - 12 p.m.

Federal Tax Reform Means More Revenue for State
Changes in the recent federal tax cut bill will result in a $30 million increase in state revenue for the coming fiscal year, but proposed legislation presented in a legislative committee on April 11 which changes the state tax code would increase revenue by $54 million instead. The draft legislation would prevent aspects of the federal legislation that reduce state revenue from applying to North Carolina's tax code. It would stop the state from adopting several of the federal tax code changes including the new federal rules governing deductions for mortgage insurance premiums and tuition expenses, as well as tax incentives for making investments in areas deemed "opportunity zones" for new economic development. The bill didn't get a vote on the 11th but will be reviewed again at a future committee meeting.

State Budget Numbers Better Than Originally Forecast
The latest state revenue projections show a $265.8 million surplus over what was budgeted for the current fiscal year, but the state's budget director, Charlie Perusse, says that number will likely shrink a bit when the final numbers are released in early May. Perusse reports that this surplus which appeared in the Office of State Controller's February report reflects an unusually high number of early tax payments. The next consensus revenue forecast is scheduled for today and will be used by state leaders in making budget decisions. Perusse expects the surplus to be between $100 million and $200 million, which amounts to about 0.5% of this year's $23 billion budget.

Adult Care Home Star Rating System Under Review
Since 2009, North Carolinians looking for an adult care home have used a star rating system designed to show how well these assisted-living centers care for older residents and those with disabilities. Now a multi-disciplinary team mandated last year by the General Assembly is studying whether the four-star system should be retained, modified or scrapped. As a result of a 2017 act of the legislature, people can leave their opinions about the ratings on a statewide web-based survey through July 31. To read more about this go to this NC Health News article.



Strategic Thinking

Thoughts on Transportation…
A recent AAA Carolinas survey revealed that 71 percent of Carolinians are not yet comfortable with self-driving cars, with only 29 percent saying they were ready for a ride in a fully autonomous vehicle. Across the country, however, drivers are beginning to embrace self-driving vehicles. An annual survey reveals that 63 percent of U.S. drivers report feeling afraid to ride in a fully self-driving vehicle, a significant decrease from 78 percent in early 2017. Looking down the road, it was reported yesterday at a Triangle Business Journal symposium that in some new housing developments, builders are being required to install electric vehicle charging outlets in all garages and in front of retail settings.

How Humble Leadership Really Works
April 23, 2018, Harvard Business Review
Instead of focusing on outcomes, humble leadership focuses on increasing responsibility, autonomy, and ownership. Read this article for ideas on how to try out this concept for yourself and see if your followers begin to think more for themselves and try their own ideas.

DHHS Releases Interactive Map Showing Social Determinants of Health Indicators Across North Carolina
The conditions in which people live, work, play, and worship are known as Social Determinants of Health. These conditions can have influence on a wide range of health and quality of life outcomes. Learn more about the health indicators where you live and work. Select your region on the new interactive map from DHHS. Doing so will unlock a summary of that region's economic stability, education, social and community context, health and healthcare, and neighborhood and built environment.

Responses to Member Question re: Staff Alerts
How do your colleagues around the state contact staff in emergency situations? Be sure to click here to download an Excel spreadsheet that lists responses to the member question on this topic. Thanks so much to everyone who helps sustain this member service by taking time to respond!



Professional Development


2018 Spring Conference and Trade Show
The Omni Grove Park Inn
May 14-17, 2018
Register Now!

We are less than two weeks away from conference! It’s our largest gathering of the year so be sure to register. We could not be more excited about our lineup for you including:

  • Breakfast with Katie Sloan, President & CEO of LeadingAge national, on Tuesday, May 15 from 8-9am
  • Deep dives for more in-depth information on leadership principles and diversifying executive and board positions
  • A Town Hall Conversation on Monday, May 14 from 2-4pm that will give members an opportunity to provide input on public policy affecting you and those you serve
  • A community service project during trade show hours to fill at least 180 bags of food for the Council on Aging of Buncombe County
  • 2018 Leadership Academy graduation and 2019 class kick off
  • A update on the Diversity Study and much much more

Be sure to register to join us!



Town Hall Conversation
Monday, May 14
2-4pm
The Omni Grove Park Inn Asheville

Register Here

We hope you’ll make plans to join us for our first annual LeadingAge NC Town Hall Conversation. This is your opportunity to provide input about ways national public policy is affecting you, the older adults you serve, and how policy could be changed for the better. NOTE: While this is being held in conjunction with our annual conference, it is free and open to those who are not attending the conference.




NEW! Lunch and Learn

The Times They Are A-Changin':
Navigating the paradigm shift in third party reimbursement

Monday, June 11
Noon-2pm
Salemtowne, Winston-Salem
Presented by Functional Pathways

This workshop is for you - administrators, DONs, CFOs, controllers, and other interested long-term care provider professionals! Join us over lunch and discuss how to strategize for your community around the paradigm shift in third party reimbursement from Medicare Advantage programs, bundled payment initiatives, accountable care organizations and proposed PPS reform. Download flyer.  Register now.



Save the Date!
Finance & Strategy Symposium
with LeadingAge Virginia
July 26
Springmoor in Raleigh
More information coming soon. Watch our website, social media, and your inbox in the coming weeks.




Management Leadership Series 2018
Member reviews from session one:

  • "I truly benefited from this program. So much applicable info. Thank you!"
  • "This was a blessing (awesome presenter). I am most grateful for this knowledge."
  • "Rich is fantastic! He has an excellent mix of humor and truly worthwhile information and guidance."

August 15, 2018
WhiteStone in Greensboro
10am-3pm
Facilitated by Rick Schlentz of EXTRA!Ordinary, Inc.
Reserve your spot for the last session!

Members: $125
Non-members: $175
4.0 NHA CEUs

Department directors, team leaders, supervisors, and mid managers - would you like a fresh perspective and new ideas about how to engage your team? Plan to join us and learn more about what it takes to create an effective team in this last session of the series. You are welcome to register even if you did not attend the first session. Register online. Download brochure.



2018 Event and Education Calendar

Please click here to view and print LeadingAge North Carolina's 2018 Event and Education Calendar for yourself and your staff.  Be sure to reserve time to learn and refresh yourself at one or more LeadingAge North Carolina events this year. We look forward to seeing you!



Advance Care Planning Workshops in May
North Carolina Partnership for Compassionate Care

It is easy to avoid thinking about our own death or the death of loved ones. And making plans for our end of life may not seem like a priority with the demands of day-to-day life. But, your wishes for the end of life are actually very important and deserve time and attention. It's a delicate and emotional topic that is discussed in this heartfelt Slate article. Click here to read one person's story that might inspire you to take small steps toward advance care planning.

The North Carolina Bar Association, NC Partnership for Compassionate Care, Community Partners and local attorneys are partnering to provide information and tools for the public to talk about their wishes with family, friends and health care providers, and to execute written advance directives (Health Care Power of Attorney and living will) in accordance with North Carolina state laws. For a list of Advance Care Planning Workshops across North Carolina this month, please click here.


News and Notes

Please note: There will be no Member Update on May 18 due to the Spring Conference.

LeadingAge National Awards
*Deadline extended to May 7!
The 2018 national LeadingAge Awards Call for Submissions is now open. The LeadingAge Annual Awards honor LeadingAge member organizations and individuals that embody excellence in nonprofit aging services. Deadline for submissions has been extended to May 7, 2018.

Newly-Released LeadingAge Member Resources

  • The Regulatory Round Up: This suite of three products is designed to provide LeadingAge members with valuable information about federal regulatory initiatives and developments;
  • The 2030 Aging Services Scenario Toolkit: This strategic planning toolkit explores the future need for and delivery of aging services in the context of expectable, challenging, and visionary futures. The toolkit includes a report and video presentation detailing the scenarios, and a discussion guide and PowerPoint presentation to use in your internal discussions;
  • LeadingAge Magazine: The magazine’s March/April issue examines how LeadingAge members are putting their best foot forward by learning about the changing landscape they face, examining how they communicate with their communities, asking how well their services correspond with what consumers want, and adapting to better serve older adults;
  • Social Connectedness and Engagement Technology Online Selection Tool: The Center for Aging Services Technologies (CAST) released an updated version of this tool in March; and
  • Issue Brief for Affordable, Service-Enriched Senior Housing: The issue brief requests $600 million in new Section 202 construction funding, increased funding for service coordinators and increased funding for Older Americans Act programs.

Register Today for a North Carolina Center for Nonprofits Town Hall Meeting
Join the Center and their partners across the state (including LeadingAge North Carolina) for the 2018 Nonprofit Town Hall series. These town halls will include briefings on nonprofit sector public policy issues and trends in North Carolina's nonprofit sector. They will also offer nonprofit board and staff an opportunity to discuss hot topics in the nonprofit sector and talk about ways that we can all work together on public policy issues affecting our communities. Register for this upcoming Town Hall in Washington: May 7 from 2-4 p.m.

Flu Season Sets Record in North Carolina
March 31 was the official end of the 2017-18 flu season, but through the week that ended April 14 several additional deaths in the state were reported from the flu bringing the total deaths for the year to 372, a modern-day record. The 2016-17 and 2014-15 seasons each had 218 confirmed flu-related deaths.

New Restrictions on Opioid Prescriptions
North Carolina's largest health insurer, Blue Cross and Blue Shield of North Carolina, is clamping down on coverage of opioid prescriptions. It has announced it will no longer cover first-time prescription of short-acting opioids for more than a seven-day supply. Initial prescriptions for more than seven days of immediate-release opioids will be automatically rejected at the pharmacy. Limiting initial opioid prescription lowers the risk of addiction and chances of unused drugs hitting the street. Blue Cross says up to 4,000 opioid prescriptions filled each month were exceeding seven days. That's about one out of seven prescriptions of this kind, down from one out of five three months ago.

North Carolina’s Top 10 Prescription Medications
Data collected by GoodRx, a website and mobile app that tracks prescription drug prices which came from pharmacies and insurers around the country, shows the 10 most widely-prescribed drugs in each state. In North Carolina, Norco and Vicodin which are pain pills ranked number one as the most prescribed medication. The second most prescribed drug in the state was Synthroid, a hormone replacement used to treat hypothyroidism, followed by Adderall.

Long Term and Post Acute Health IT Summit
LeadingAge CAST is convening this year's long-term and post-acute (LTPAC) Health IT Summit, themed Technology Connecting the Healthcare Eco-System. The event will take place June 24-26, 2018 at the Washington Hilton. It will bring LTPAC providers together with acute care providers, payers, health IT vendors, health information exchange intermediaries, consultants, system integrators, and solution providers with a shared goal—to discuss how technology is connecting the healthcare ecosystem in the era of health and payment reforms. LeadingAge North Carolina members can use Coupon Code LA_CAST18 to get $100 off the registration fee. To learn more please click here. Register here.



Congratulations

Congratulations to two new executive directors who have joined the LeadingAge North Carolina membership. Please join us in welcoming Victoria DuVall to The Cypress of Charlotte and Derrick Moore to SearStone in Cary.

Victoria Duvall joined The Cypress of Charlotte in February serving as its Executive Director. The Cypress of Charlotte is managed by Life Care Services (for whom Victoria has been employed for 16 years). She is a licensed Nursing Home Administrator in Florida, Georgia, and Minnesota. She expects to become licensed in NC in 2018. She holds a Bachelor of Health Science degree with a specialization in physical therapy from Florida Atlantic University and a Master’s in Business Administration specializing in health care. Victoria has also been involved with Rotary, National Council on Aging, LeadingAge Florida and Minnesota, and the National Association for the Education of Young Children.

Derrick Moore joined SearStone Retirement Community in April as its Executive Director. SearStone is managed by Retirement Living Associates of Raleigh. Derrick has over 25 years of experience in the operations of Life Plan Communities. He spent over 19 years as Executive Director at his community in Louisville, KY and has most recently served as ED in the greater Atlanta area. He is a graduate of the University of Tennessee at Knoxville with a BS in Business Administration. Derrick is a licensed Nursing Home Administrator in Tennessee, South Carolina, Kentucky and Georgia.

 


A group purchasing organization of LeadingAge and its State Affiliates.

Medical Waste Cut in Half with Sharps

Sharps Compliance offers systems to better accommodate the medical waste, used healthcare material and unused medication disposal needs for senior care communities.

Sharps Recovery System™ or TakeAway Recovery System™.

Includes everything needed to collect medical waste and used healthcare materials for transport through USPS or UPS for proper treatment and repurposing. These systems include a collection container, shipping box, packaging, tracking manifest, instructions, pre-paid return, and proper treatment and repurposing.

Recovery System Advantages:
o Reduces costs by as much as 50% or more
o Is proven, convenient, and easy to use
o Offers online tracking and proof of treatment confirmation via SharpsTracer®
o Eliminates monthly fees– purchase as needed

For more information, contact:

Vanessa Ceasar
North Carolina Value 1st Representative
vceasar@leadingagega.org | P: 404-421-3956 | F: 404-872-1737



 


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Professional Development Update May 2018

Posted By Jennifer Gill, Thursday, May 3, 2018


May 3, 2018


2018 Spring Conference and Trade Show
The Omni Grove Park Inn
May 14-17, 2018

Register Now!

We are less than two weeks away from conference! It’s our largest gathering of the year so be sure to register. We could not be more excited about our lineup for you including:

  • Breakfast with Katie Sloan, President & CEO of LeadingAge national, on Tuesday, May 15 from 8-9am
  • Deep dives for more in-depth information on leadership principles and diversifying executive and board positions
  • A Town Hall Conversation on Monday, May 14 from 2-4pm that will give members an opportunity to provide input on public policy affecting you and those you serve
  • A community service project during trade show hours to fill at least 180 bags of food for the Council on Aging of Buncombe County
  • 2018 Leadership Academy graduation and 2019 class kick off
  • A update on the Diversity Study and much much more

Be sure to register to join us!



Town Hall Conversation
Monday, May 14
2-4pm
The Omni Grove Park Inn Asheville

Register Here

We hope you’ll make plans to join us for our first annual LeadingAge NC Town Hall Conversation. This is your opportunity to provide input about ways national public policy is affecting you, the older adults you serve, and how policy could be changed for the better. NOTE: While this is being held in conjunction with our annual conference, it is free and open to those who are not attending the conference.


NEW! Lunch and Learn

The Times They Are A-Changin':
Navigating the paradigm shift in third party reimbursement

Monday, June 11
Noon-2pm
Salemtowne, Winston-Salem
Presented by Functional Pathways

This workshop is for you - administrators, DONs, CFOs, controllers, and other interested long-term care provider professionals! Join us over lunch and discuss how to strategize for your community around the paradigm shift in third party reimbursement from Medicare Advantage programs, bundled payment initiatives, accountable care organizations and proposed PPS reform. Download flyer. Register now.


Save the Date!
Finance and Strategy Symposium

July 26
Springmoor in Raleigh
More information coming soon. Watch our website, social media, and your inbox in the coming weeks.




Management Leadership Series 2018
Reviews from session one,

  • "I truly benefited from this program. So much applicable info. Thank you!"
  • "This was a blessing (awesome presenter). I am most grateful for this knowledge."
  • "Rich is fantastic! He has an excellent mix of humor and truly worthwhile information and guidance."

August 15, 2018
WhiteStone in Greensboro
10am-3pm
Facilitated by Rick Schlentz of EXTRA!Ordinary, Inc.
Reserve your spot for the last session!

Members: $125
Non-members: $175
4.0 NHA CEUs

Department directors, team leaders, supervisors, and mid managers - would you like a fresh perspective and new ideas about how to engage your team? Plan to join us and learn more about what it takes to create an effective team in this last session of the series. You are welcome to register even if you did not attend the first session. Register online. Download brochure.



Looking ahead...SAVE THE DATE

Workforce Summit
August 22

Marketing Symposium
with LeadingAge Virginia and LeadingAge Maryland
September 19



2018 Event and Education Calendar

Please click here to view and print LeadingAge North Carolina's 2018 Event and Education Calendar for yourself and your staff. Be sure to mark your calendar for several programs. Be on the lookout for registration announcements by email, social media, and our website. We look forward to seeing you!



Advance Care Planning Workshops in May

North Carolina Partnership for Compassionate Care

The North Carolina Bar Association, NC Partnership for Compassionate Care, Community Partners and local attorneys are partnering to provide information and tools for the public to talk about their wishes with family, friends and health care providers, and to execute written advance directives (Health Care Power of Attorney and living will) in accordance with North Carolina state laws. For a list of Advance Care Planning Workshops across North Carolina this month, please click here.


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


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Membership Update

Posted By Jennifer Gill, Friday, April 20, 2018
Updated: Thursday, April 19, 2018



April 20, 2018

CONTENTS
Click on the section you would like to view.
Advocacy & Policy
Strategic Thinking
Professional Development
News & Notes
Volunteer Spotlight
Congratulations
Value First


Advocacy & Policy

Legislative Study Committee Considers Tax Changes Affecting Nonprofits
Last week, the North Carolina General Assembly’s Revenue Laws Study Committee reviewed a proposed bill to make various changes to state tax laws. Several of the changes (or lack thereof) could affect nonprofits. These include:
  1. A new state tax on nonprofits that provide transportation, parking, and on-site gym benefits to their employees. An under-the-radar provision in the federal "Tax Cuts and Jobs Act" that was passed and signed into law last December imposes a new tax on nonprofits that provide these fringe benefits to their employees. This new federal tax applies to parking, transportation, and on-site gym benefits provided beginning on January 1, 2018. By conforming to this new federal law, the proposed state tax legislation would require nonprofits that offer these fringe benefits to include them as unrelated business income on their state taxes and pay 3% corporate income tax to the state (in addition to a 21% tax they will need to pay to the federal government).

    2. Small changes to exemptions from the sales tax on admission fees to entertainment and live events. The proposal would expressly exempt charges for certain participatory activities - such as zip-lining, skating, skiing, rock climbing, and riding on boats, trains, horses, or chairlifts - from sales tax. However, the current version of the bill does not expressly exempt nonprofits from collecting and remitting sales tax on admission fees for fundraising events.

    3. No new state tax incentives for charitable giving. The tax changes in the "Tax Cuts and Jobs Act" are expected to reduce charitable giving by between 4% and 6.5% per year. To offset this expected reduction in donations to nonprofits, Congress and some other state legislatures have considered establishing a universal, non-itemizer deduction for charitable contributions.

    4. No substantive changes to nonprofit tax exemption. While the draft bill would make a technical change to the way nonprofit charter schools file for property tax exemption, it (thankfully!) does not include proposals for new taxes on nonprofits.

Long-Term Care Survey Process Q&A
The Centers for Medicare & Medicaid Services has provided questions and answers related to the new Long Term Care Survey Process. The surveyors will be making observations as they are completing their initial resident sample interviews. CMS has provided a response and clarification to this issue in a Q&A document.

U.S. Supreme Court Broadens Interpretation of FLSA Overtime Exemptions
The U.S. Supreme Court recently issued a ruling that found that exemptions from the overtime requirements under the Fair Labor Standards Act (FLSA) should be interpreted "fairly" rather than "narrowly." While the case involved a car dealership, the court's ruling applies to all employers, meaning that nonprofits may have greater leeway in classifying their employees as executive, professional,
or administrative workers who are exempt from FLSA's requirement of providing overtime pay.

Generally, FLSA requires employers to pay workers one-and-one-half times their usual rate of pay when they work more than 40 hours in a week. Employees are exempt from this requirement if they: (1) are paid on a salary basis; (2) are paid at least $455 per week ($23,660 per year); and (3) meet the duties test as an executive, administrative, or professional employee. The Supreme Court's latest ruling means that it will be easier for nonprofits to make the case that their employees meet one of these duties tests.

Congressional Committee Approves Bill to Require Electronic Filing of Form 990
A congressional subcommittee last week approved a series of bipartisan bills to restructure the Internal Revenue Service. Two of these bills are of particular importance for tax-exempt nonprofits:

  1. A proposal (H.R. 5443) to require tax-exempt organizations to file Form 990 electronically and to make information from 990s more easily available to the public. The legislation includes a two-year hardship delay for smaller nonprofits. In its comments to the committee in support of the bill, the National Council of Nonprofits noted that "mandatory electronic filing of Form 990s and other forms will likely improve accuracy and timeliness, thereby protecting public trust in the integrity of charitable nonprofits. The related provision directing the U.S. Treasury to make that information available to the public in machine-readable format will promote transparency, which is essential for continuing trust."

    2. A bill (H.R. 2901) to make permanent the Volunteer Income Tax Assistance (VITA) program. United Ways and many other nonprofits participate in this program, which provides free tax assistance to low-income taxpayers and people with disabilities.

DHHS Releases New Papers on Medicaid Managed Care
For the last several months, the NC Department of Health and Human Services has released Medicaid managed care concept papers which focus on specific subjects related to the proposed Medicaid and NC Health Choice managed care program design. On April 5, two concept papers that may be of particular interest to aging advocates were released. These are "North Carolina's Vision for Long-Term Services and Supports Under Managed Care" and "Using Social Determinants of Health Screening Questions to Identify and Assist Patients with Unmet Health-Related Resource Needs in North Carolina." A copy of these papers can be found by clicking here. Although these technical papers are primarily written for providers and health plans that want to participate directly in Medicaid managed care, aging advocates may wish to comment. Comments can be sent to Medicaid.Transformation@dhhs.nc.gov. The deadline for submitting comments on both papers is April 27.

Growing Federal Deficit Could Cause Congress to Revisit Spending Cuts
A new Congressional Budget Office report estimates that, largely because of the recently-enacted Tax Cuts and Jobs Act and omnibus spending bill, the federal deficit is projected to exceed $1 trillion annually, starting in 2020. In light of the growing national debt, politicians in Washington are looking for ways to cut federal spending. These spending cuts would likely include steep reductions to many programs that are important to the work of nonprofits.

Congress is contemplating two proposals to cut federal spending:

  1. The U.S. House of Representatives voted on a Balanced Budget Amendment (H.J.Res. 2) that would amend the U.S. Constitution to require a supermajority vote in both houses of Congress to approve a federal budget that spends more money than the total amount of revenue collected. The bill didn't receive the two-thirds support in the House that would be needed to send it to the Senate.

  2. President Trump and some leaders in the U.S. House of Representatives have discussed the possibility of rescinding some of the domestic spending increases in the omnibus bill that Congress passed last month. While it may be politically challenging for Congress to pass a rescission bill, it could technically rescind parts of the bipartisan spending package with a party-line vote.

Thank Congressional Champions for Increased Federal Investments in Affordable Housing
In March, Congress passed a 10% increase to federal housing programs for fiscal year 2018, including funds for Section 202 Housing for the Elderly new construction, increased funding for Service Coordinators, and RAD for PRAC authority. Now it’s our turn to say, “thank you!” Click here to share your appreciation with your elected officials in a quick and easy fashion.



Strategic Thinking

Firearms Policies in Aging Services Organizations
In the wake of recent mass shootings, LeadingAge has received many inquiries from member organizations regarding senior living communities' authority to institute weapons policies on their campuses. Click here for the latest information from LeadingAge national on this issue critical to you and the people you serve.

Would Americans Accept Putting Health Care on a Budget?
If you wanted to get control of your household spending, you’d set a budget and spend no more than it allowed. You might wonder why we don’t just do the same for spending on American health care. This thought-provoking New York Times article examines the nuances of this concept.

Responses to Member Question re: Housekeeping

How do your colleagues around the state schedule their campus housekeeping services? Be sure to click here to download an Excel spreadsheet that lists responses to the member question on this topic. Thanks so much to everyone who helps sustain this member service by taking time to respond!



Professional Development


2018 Spring Conference and Trade Show
The Omni Grove Park Inn
May 14-17, 2018
Register Now!

IMPORTANT message about rooms at The Omni Grove Park Inn

Our conference block is full and the April 13 cut off date for reservations has passed. However, you are encouraged to try to book at the resort first as numbers can change daily due to cancellations and reservation modifications. While we have always been able to fill the block in the past, this is the first time it has filled so quickly. If you need to cancel a room, please contact Leslie Roseboro prior to contacting The Omni Grove Park Inn. By doing so, we can give that available to room to another attendee.

A block of rooms is also available at the Renaissance Asheville Hotel located at 31 Woodfin Street, Asheville (approximately 15 minutes away). Contact the hotel directly at 828-252-8211 and request the LeadingAge NC rate of $169/night.

If you have any questions, please don't hesitate to contact the LeadingAge NC office at 919-571-8333.

See you next month!



Town Hall Conversation
Monday, May 14
2-4pm
The Omni Grove Park Inn Asheville

Register Here

We hope you’ll make plans to join us for our first annual LeadingAge NC Town Hall Conversation. This is your opportunity to provide input about ways national public policy is affecting you, the older adults you serve, and how policy could be changed for the better. NOTE: While this is being held in conjunction with our annual conference, it is free and open to those who are not attending the conference.




NEW! Lunch and Learn

The Times They Are A-Changin':
Navigating the paradigm shift in third party reimbursement

Monday, June 11
Noon-2pm
Salemtowne, Winston-Salem
Presented by Functional Pathways


This workshop is for you - administrators, DONs, CFOs, controllers, and other interested long-term care provider professionals! Join us over lunch and discuss how to strategize for your community around the paradigm shift in third party reimbursement from Medicare Advantage programs, bundled payment initiatives, accountable care organizations and proposed PPS reform. Download flyer.  Register now.



Save the Date!
Finance Symposium

July 26
Springmoor in Raleigh
More information coming soon. Watch our website, social media, and your inbox in the coming weeks.




Management Leadership Series 2018
Member reviews from session one,

  • "I truly benefited from this program. So much applicable info. Thank you!"
  • "This was a blessing (awesome presenter). I am most grateful for this knowledge."
  • "Rich is fantastic! He has an excellent mix of humor and truly worthwhile information and guidance."

Reserve your spot for the last session!

August 15, 2018
WhiteStone in Greensboro
10am-3pm
Facilitated by Rick Schlentz of EXTRA!Ordinary, Inc.

Members: $125
Non-members: $175
4.0 NHA CEUs

Department directors, team leaders, supervisors, and mid managers - would you like a fresh perspective and new ideas about how to engage your team? Plan to join us and learn more about what it takes to create an effective team in this last session of the series. You are welcome to register even if you did not attend the first session. Register online. Download brochure.



Download 2018 Event and Education Calendar

Please click here to view and print LeadingAge North Carolina's 2018 Event and Education Calendar for yourself and your staff.  Be sure to reserve time to learn and refresh yourself at one or more LeadingAge North Carolina events this year. We look forward to seeing you!



Advance Care Planning Workshops in April
North Carolina Partnership for Compassionate Care

The North Carolina Bar Association, NC Partnership for Compassionate Care, Community Partners and local attorneys are partnering to provide information and tools for the public to talk about their wishes with family, friends and health care providers, and to execute written advance directives (Health Care Power of Attorney and living will) in accordance with North Carolina state laws. For a list of Advance Care Planning Workshops across North Carolina this month, please click here.


News and Notes

Remember to Incorporate Fair Housing Into Staff Training
2018 marks the 50th anniversary of the Fair Housing Act. Training staff and volunteers in fair housing may help prevent avoidable fair housing complaints being filed against you. Here are some low-cost (or no-cost) suggestions to keep on top of issues.

Advance Your Leadership Capacity  *Deadline Extended to May 1!

The LeadingAge national Larry Minnix Leadership Academy is a leadership development program designed to strengthen the core competencies of nonprofit leaders in aging services, at all levels and across the spectrum of providers within the LeadingAge membership. The year-long, graduate-level program consists of 5 face-to-face meetings, monthly virtual gatherings, and project-based learning.

Take the first step in discovering your fullest leadership potential and be part of this transformative experience. Deadline for applications has been extended to May 1, 2018. Join the more than 25 individuals from North Carolina who have already completed the year-long academy experience by applying today. Learn more and apply today.

LeadingAge National Awards
The 2018 national LeadingAge Awards Call for Submissions is now open. The LeadingAge Annual Awards honor LeadingAge member organizations and individuals that embody excellence in nonprofit aging services. Deadline for submissions is April 30, 2018.

Long Term and Post Acute Health IT Summit
LeadingAge CAST is convening this year's long-term and post-acute (LTPAC) Health IT Summit, themed Technology Connecting the Healthcare Eco-System. The event will take place June 24-26, 2018 at the Washington Hilton. It will bring LTPAC providers together with acute care providers, payers, health IT vendors, health information exchange intermediaries, consultants, system integrators, and solution providers with a shared goal—to discuss how technology is connecting the healthcare ecosystem in the era of health and payment reforms. LeadingAge North Carolina members can use Coupon Code LA_CAST18 to get $100 off the registration fee. To learn more please click here. Register here.

Register Today for a North Carolina Center for Nonprofits Town Hall Meeting
Join the Center and their partners across the state (including LeadingAge North Carolina) for the 2018 Nonprofit Town Hall series. These town halls will include briefings on nonprofit sector public policy issues and trends in North Carolina's nonprofit sector. They will also offer nonprofit board and staff an opportunity to discuss hot topics in the nonprofit sector and talk about ways that we can all work together on public policy issues affecting our communities.
Register for an upcoming Town Hall in your region:
High Point: April 27 from 9:00-11:00 a.m.
Wilmington: April 30 from 1:30-3:30 p.m.
Washington: May 7 from 2-4 p.m.


Volunteer Spotlight


Mark Kolada
LeadingAge NC Board Member


Board members of LeadingAge North Carolina are leaders of our nonprofit membership and volunteers who offer their time and expertise with the sole purpose of enriching the field of aging services. Thanks to Mark Kolada, Director of Operations Management for Life Care Services and Executive Director of WhiteStone in Greensboro, for his service to the board since 2016. We are so glad to get to know you better through this new monthly Volunteer Spotlight.

1. Why did you become involved in LeadingAge North Carolina?
Leading Age NC is such a strong organization that has brought tremendous value to our communities and the residents we serve. The advocacy they do on our behalf is priceless. I felt an obligation to get involved and give back.

2. What makes our mission meaningful to you?
It’s the success of our communities and thus our ability to serve others.

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

I would like to see more progress made on affordable senior housing. There is a significant gap in available options in North Carolina. While improving access to community based services will help to keep people in their own homes, the value and social connectedness of living in a tight knit community, whether it is a Life Plan community or subsidized senior housing is unmatched.

4. If you could swap jobs with a staff member for a day, what would you want to try and why?
Who doesn’t want to be Tom Akins for a day! I think we are very blessed as an organization to have Tom as our leader and it would be great to walk in his shoes and see how he gets it all done.

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

For me nothing is better than a long bike ride to clear the mind and hit the reset button. Whether it is near my home in Greensboro or someplace new on our many travels through the years (Maine, Adirondacks, Siesta Key, Gatlinburg to name a few) it’s a blessing to hit the open road.


Congratulations

Congratulations and thanks to everyone who came out to Glenaire in Cary on April 7 for the Glenaire 5K and 1 Mile Fun Run. Almost 400 people registered and about 250 participated early on a rainy day. Glenaire raised $29,000 in sponsorships and all net proceeds will go to residents financial assistance. Mark your calendar for April 6, 2019 for the 3rd annual.



A group purchasing organization of LeadingAge and its State Affiliates.

Medical Waste Cut in Half with Sharps

Sharps Compliance offers systems to better accommodate the medical waste, used healthcare material and unused medication disposal needs for senior care communities.

Sharps Recovery System™ or TakeAway Recovery System™.

Includes everything needed to collect medical waste and used healthcare materials for transport through USPS or UPS for proper treatment and repurposing. These systems include a collection container, shipping box, packaging, tracking manifest, instructions, pre-paid return, and proper treatment and repurposing.

Recovery System Advantages:
o Reduces costs by as much as 50% or more
o Is proven, convenient, and easy to use
o Offers online tracking and proof of treatment confirmation via SharpsTracer®
o Eliminates monthly fees– purchase as needed

For more information, contact:

Vanessa Ceasar
North Carolina Value 1st Representative
vceasar@leadingagega.org | P: 404-421-3956 | F: 404-872-1737



 




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Membership Update

Posted By Jennifer Gill, Friday, April 6, 2018
Updated: Thursday, April 5, 2018



April 6, 2018

Advocacy & Policy

What’s New With Therapy Coverage After the Congressional Budget Deal

The February congressional budget deal eased long-standing concerns by lifting a threat that some types of therapy might be restricted. But potential barriers to accessing this type of care remain. Click here for a look at how Medicare now covers such services.

New Medicare Cards

This month, CMS will begin mailing new Medicare cards to all people with Medicare on a flow basis, based on geographic location among other factors. Housing providers and their service coordinators should know that residents can expect to receive their cards at different times than others in the same community. Cards will have new and unique numbers for each person, instead of incorporating personalized Social Security Numbers. Medicare has created a new frequently asked questions document entitled 10 things to know about your new Medicare card.

2017 LeadingAge National Accomplishments

2017 was a busy year for LeadingAge national staff as they advocated for our member communities on Capitol Hill. Click here for a look back at last year’s accomplishments — a fascinating look at your dues in action!



Professional Development


2018 Spring Conference and Trade Show
The Omni Grove Park Inn
May 14-17, 2018
Registration Now Open


Register Now!

IMPORTANT message about rooms at The Omni Grove Park Inn
We have been informed that the block offering discounted room rates we set aside for our conference is currently full.  However, you are encouraged to try to book at the resort first as numbers can change daily due to cancellations and reservation modifications.  While we have always been able to fill the block in the past, this is the first time it has filled so quickly.  If you need to cancel a room, please contact Leslie Roseboro prior to contacting The Omni Grove Park Inn.

A block of rooms is also available at the Renaissance Asheville Hotel located at 31 Woodfin Street, Asheville (approximately 15 minutes away).   Contact the hotel directly at 828-252-8211 and request the LeadingAge NC rate of $169/night.

If you have any questions, please don't hesitate to contact the LeadingAge NC office at 919-571-8333.

See you in May!




Management Leadership Series 2018
First Session - Next Week!

Reserve your spot!

April 11, 2018 at Arbor Acres in Winston-Salem
August 15, 2018 at WhiteStone in Greensboro
Both sessions 10am-3pm
Facilitated by Rick Schlentz of EXTRA!Ordinary, Inc.

$200 for series and $125 per session
Non-member: $300 for series and $175 per session
4.0 NHA CEUs per session

Department directors, team leaders, supervisors, and mid managers - would you like a fresh perspective and new ideas about how to engage your team? Plan to join us and learn more about what it takes to create an effective team. Sessions will be highly interactive. We encourage you to register for the entire series for maximum benefit. However, individual session registrations are welcome. Register online. Download brochure.



NEW! Lunch and Learn

The Times They Are A-Changin':
Navigating the paradigm shift in third party reimbursement

Monday, June 11
Noon-2pm
Salemtowne, Winston-Salem
Presented by Functional Pathways

This workshop is for you - administrators, DONs, CFOs, controllers, and other interested long-term care provider professionals! Join us over lunch and discuss how to strategize for your community around the paradigm shift in third party reimbursement from Medicare Advantage programs, bundled payment initiatives, accountable care organizations and proposed PPS reform. Download flyer.  Register now.



Download 2018 Event and Education Calendar

Please click here to view and print LeadingAge North Carolina's 2018 Event and Education Calendar for yourself and your staff.  Be sure to reserve time to learn and refresh yourself at one or more LeadingAge North Carolina events this year. We look forward to seeing you!


Certified Eden at Home Associate Training
April 24-26, 2018
8:30am-5pm
Carol Woods Retirement Community
Chapel Hill

This 3-day training empowers participants to serve as change agents, prepared to infuse person-directed practices into the daily operations of their organizations. Participants learn how to apply the Eden Alternative Ten Principles across all settings to create a life worth living for all members of the care partner team.

Register Online
More Information

19.5 CEUs NAB/NCERS
$75
Communities may register up to 2 participants, space is very limited.
Questions? Call 585-461-3951



Advance Care Planning Workshops in April
North Carolina Partnership for Compassionate Care

The North Carolina Bar Association, NC Partnership for Compassionate Care, Community Partners and local attorneys are partnering to provide information and tools for the public to talk about their wishes with family, friends and health care providers, and to execute written advance directives (Health Care Power of Attorney and living will) in accordance with North Carolina state laws. For a list of Advance Care Planning Workshops across North Carolina this month, please click here.



Strategic Thinking

American Society on Aging Conference Highlights Future Trends
March 28, 2018, Forbes

Last week’s American Society on Aging Conference, held in San Francisco, included a panel discussion with four of Next Avenue’s “Influencers in Aging.” This article from Forbes magazine details their individual takes on the key drivers moving forward in our field.

Lyft expands medical transit options with Acuity Link partnership
March 29, 2018, HealthcareDive


Lyft has partnered with Acuity Link to expand non-emergency medical transit options for hospitals, the latest in the ride sharing app's expansion into healthcare. Read more about Lyft's ambitious goal to eliminate transportation barriers to healthcare.

Photo Op (or Not)
March 9, 2018, Venable LLP

What organization doesn't like a good photo to illustrate a program, event, or promotion? However, copyright issues may be a little hazy if your nonprofit didn't snap the shot. For clarity on the do's and don'ts of using photography, check out Venable's Can My Nonprofit Use that Photo? No. Yes. Maybe?

Responses to Member Question re: Random Drug Testing

If you are curious about how your colleagues in the state handle random drug testing, be sure to click here to download an Excel spreadsheet that lists responses to the member question on this topic. Thanks so much to everyone who helps sustain this member service by taking time to respond!


News and Notes

Advance Your Leadership Capacity

The LeadingAge national Larry Minnix Leadership Academy is a leadership development program designed to strengthen the core competencies of nonprofit leaders in aging services, at all levels and across the spectrum of providers within the LeadingAge membership. The year-long, graduate-level program consists of 5 face-to-face meetings, monthly virtual gatherings, and project-based learning during which fellows will:

  • Study leadership theory and practice.
  • Explore gaps in care and service delivery.
  • Engage in shared learning with a richly diverse group of aging services professionals.
  • Visit innovative member organizations across the country and interact with seasoned leaders in the field.

Take the first step in discovering your fullest leadership potential and be part of this transformative experience. Deadline for applications is April 20, 2018. Join the more than 25 individuals from North Carolina who have already completed the year-long academy experience by applying today.

Learn more and apply today.

LeadingAge National Awards

The 2018 national LeadingAge Awards Call for Submissions is now open. The LeadingAge Annual Awards honor LeadingAge member organizations and individuals that embody excellence in nonprofit aging services. Deadline for submissions is April 30, 2018.

Long Term and Post Acute Health IT Summit

LeadingAge CAST is convening this year's long-term and post-acute (LTPAC) Health IT Summit, themed Technology Connecting the Healthcare Eco-System. The event will take place June 24-26, 2018 at the Washington Hilton. It will bring LTPAC providers together with acute care providers, payers, health IT vendors, health information exchange intermediaries, consultants, system integrators, and solution providers with a shared goal—to discuss how technology is connecting the healthcare ecosystem in the era of health and payment reforms. LeadingAge North Carolina members can use Coupon Code LA_CAST18 to get $100 off the registration fee. To learn more please click here. Register here.


Social Media

Facebook

Last month, the most popular Facebook post for LeadingAge North Carolina was related to Facebook privacy. Click here to view the article that is referenced in the post below. Be sure you and your community follow LeadingAge North Carolina on Facebook to get the latest news, registration information and more!


Twitter

Last month the most popular LeadingAge North Carolina tweet was about advocacy work by the Association during PEAK. Be sure you and your community follow LeadingAge North Carolina on Twitter to stay current on advocacy issues and trends in the field.



"Books We Love" Campaign Closes Next Week! Post Your Book Today!

Visit our Facebook page and Twitter pages and post the title of a book that has been inspirational to you professionally and why (briefly). When you post please use the hashtag #LANCBooks and be sure to like and follow us. We'll compile the book titles and share the list with everyone after the close of the campaign, April 13.

Everyone who submits a post will be entered into a drawing to win one of three $200 Barnes and Noble gift certificates. Three lucky winners' names will be drawn at our Spring Conference this May in Asheville, but you do not have to be present to win. One winner will be from a member community and another from a member business...a third certificate will be presented to an individual who is not a staff person of a member community or business. Let's build our reading list together!



A group purchasing organization of LeadingAge and its State Affiliates.


Medical Waste Cut in Half with Sharps

Sharps Compliance offers systems to better accommodate the medical waste, used healthcare material and unused medication disposal needs for senior care communities.

Sharps Recovery System™ or TakeAway Recovery System™.

Includes everything needed to collect medical waste and used healthcare materials for transport through USPS or UPS for proper treatment and repurposing. These systems include a collection container, shipping box, packaging, tracking manifest, instructions, pre-paid return, and proper treatment and repurposing.

Recovery System Advantages:
o Reduces costs by as much as 50% or more
o Is proven, convenient, and easy to use
o Offers online tracking and proof of treatment confirmation via SharpsTracer®
o Eliminates monthly fees– purchase as needed

For more information, contact:

Vanessa Ceasar
North Carolina Value 1st Representative
vceasar@leadingagega.org | P: 404-421-3956 | F: 404-872-1737



 



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Calendar

3/6/2019
SNF Quali Reporting (QRP) and SNF Value Based Purchasing (VBP) Programs

4/3/2019
PDPM: Developing ICD.10 Expertise for Effective Coding of Clinical Categories & Non-Therapy

5/1/2019
Phase 3: Implementing Successful Staff Training & Competency Programs

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