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COVID-19 Update March 24, 2020

Posted By Jennifer Gill, Tuesday, March 24, 2020

                                              
 March 24, 2020


COVID-19 Update
March 24, 2020
6pm


 

Infection Control Worksheet
Cindy Deporter with NC DHSR sent out a Nursing Home Infection Control Worksheet that you may find helpful to review.

Dining Room Guidance from the State
Governor Cooper’s Executive Order No. 118 which included the shuttering of bars and restaurants now has a companion FAQ that provides specific guidance around dining rooms.

Conversations Revisiting End-of-Life Wishes and Advance Directives
In light of the high mortality rate (20-30%) for nursing home and assisted living community residents who become infected with COVID-19, a few things to keep in mind:

  • Have conversations with residents and families about their end-of-life wishes now before someone becomes ill. 
  • Ensure residents’ advance directives, Provider Orders for Life-Sustaining Treatment (POLST), and other documents are all up to date with current documented wishes, and physician orders are consistent with these wishes.

In the coming weeks, we expect to have hospital surges across the country that will exceed the capacity to transfer nursing homes and assisted living communities' residents with suspected or confirmed COVID-19. Discussing with residents and families now as to how they want to be cared for in place in the nursing center or assisted living community will be helpful to inform how to best meet their wishes, in advance of the anticipated continued spread of COVID-19, and its increased strain on the health care system.

1135 Waiver Request Approved
CMS has approved North Carolina’s 1135 waiver request. During times of emergency, states are allowed to waive certain Medicaid regulations. Among other things, this waiver allows North Carolina’s Medicaid program to:

  • Pay doctors who aren’t currently licensed in the state for providing care
  • Temporarily enroll providers who are licensed for Medicare or Medicaid in another state
  • Waive screening requirements upon enrollment of providers
  • Provide care at facilities which currently do not have a Medicaid license
  • Suspend patient pre-admission screening
  • Suspend other prior-authorization requirements

The waiver approved by CMS will grant North Carolina’s Medicaid program and the providers who are currently licensed or not currently licensed in the state with much more flexibility to treat patients and get paid for it. Similarly, Medicaid beneficiaries will have fewer requirements to meet to receive care.

North Carolina Board of Nursing Update
Julia George, CEO with the North Carolina Board of Nursing, has provided an update on alternate testing sites for nursing graduates, “graduate nurse” status, and efforts to reengage inactive and retired nurses. Click here for a look at her letter.

LeadingAge National Returns to Daily 3:30 Call-in
The LeadingAge national daily call-in is back and better than ever! 
Each day’s call will also provide up-to-the minute policy news and talk about implications for day-to day-operation of provider organizations across the continuum and highlight the latest Congressional actions that can provide relief and support for aging services providers.

Please note: whether you’ve participated in the calls before or not, you’ll need to register again. You’ll only have to register one time and you’ll will be registered for a 3:30 pm call every day (seven days a week) through April 26 .

CMS Survey Prioritization Memo
On March 23, CMS announced further suspension and re-prioritization of survey activity in response to the COVID-19 pandemic. 
Memo QSO-20-20-ALL highlights this re-prioritization, as well as new guidance for non-nursing home settings on visitors and screening, and access to all settings for health care providers.  The analysis on survey re-prioritization follows below.

Effective immediately for a period of 3 weeks only beginning March 20, the following types of surveys will be prioritized:

  • IJ complaint and facility-reported incident surveys: State survey agencies (SSAs) will conduct surveys related to complaints and facility-reported incidents (FRIs) that are triaged at the Immediate Jeopardy (IJ) level, including revisits necessary to confirm removal of IJ.
  • Targeted Infection Control Surveys: Federal and state surveyors will conduct targeted Infection Control surveys of providers identified through collaboration with the Centers for Disease Control and Prevention (CDC) and the HHS Assistant Secretary for Preparedness and Response (ASPR). 
  • Initial certification: Initial certification surveys will be authorized within current guidance and prioritization in order to help increase capacity.

The following surveys will not be conducted during this 3-week period of prioritization:

  • Standard surveys, including the Life Safety Code and Emergency Preparedness components of these surveys.
  • Complaint surveys triaged at a level below IJ. 
  • Revisit surveys that are not related to situations of IJ.

Surveys that are in process and do not meet the above criteria will be ended and surveyors will exit. When a survey is conducted due to a complaint or facility-reported incident triaged at IJ level, but the facility is ultimately not cited at IJ level, a revisit will not occur during the prioritization period. The case will be held and the facility has the option to hold submission of the plan of correction during the prioritization period. CMS will issue forthcoming guidance to address these scenarios. 

Hill Happenings
As we await action in the United States Senate on their latest coronavirus bill, the United States House of Representatives  is now working on its own bill.  Their bill includes a lot more money that would benefit many of our members.  Eldercare is on equal footing with childcare and employers with more than 500 employees would be included in the benefits.  But don’t take this to the bank yet.  We just received a new version of their “
Take Responsibility for Workers and Families Act .” Our analysts at LeadingAge national are good and are wading through the 1,404 pages to pull out the provisions most important to our members.

SNF 3-Day Stay Explainer
Here’s a shorter, clearer
explanation of the 3 day stay blanket waiver .

Medicaid HCBS Guidance
Here’s 
an article  explaining the new CMS guidance on HCBS what it means for those providers. It includes a section highlighting implications for adult day services.  While all providers are in a difficult position during the coronavirus crisis, adult day providers are at especially high risk because many have been forced to close.

Quality Reporting Relief
Click here
for a short article explaining the Quality Reporting guidance from CMS.  Click here for a revised SNF reporting deadline chart, taking the new guidance into account.  The important point is that while the guidance appears to offer some relief for providers, in reality you will need to continue submitting assessments as they are used for other purposes, such as determining payment.

Phishing Efforts by Scammers on the Rise
Click here for guidance from Skytel about an increase in phishing efforts by scammers eager to take advantage of the current crisis by victimizing your residents and your community.

LeadingAge NC COVID-19 Information Page
In addition to daily email updates, LeadingAge North Carolina is updating our COVID-19 information page daily with resources from trusted sources.  Click here  to view the page.  LeadingAge national has also set up a resources page.

 

 

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


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COVID-19 Update March 23, 2020

Posted By Jennifer Gill, Monday, March 23, 2020

                                              
 March 23, 2020

Coronavirus Update
March 23, 2020

4pm

As of this morning, North Carolina has 297 cases of confirmed COVID-19 in 45 counties. More than 8,400 individuals have been tested, ranking North Carolina in the top ten nationwide in this category.


New Executive Order from Governor Roy Cooper
Governor Roy Cooper earlier this afternoon announced a new Executive Order that lowers the ban on mass gatherings to no more than 50 people and continues the current closure of schools until at least May 15. The order also closes gyms, movie theatres, sweepstakes parlors, health clubs, hair and nail salons, barber shops, and massage therapists as of 5 PM Wednesday.

Essential Employee Designations
We continue to receive questions about “essential employee” designations. A LeadingAge member community in Ohio has provided its staff with letters that they think will help clarify the vital role they play during the current crisis. Governor Cooper’s Executive Order from last week provides wording about essential employees regarding child care that may be instructive.

New CDC Guidance on Risk Categories
The CDC last night issued new guidance around COVID-19 and risk categories.

Media Support & Materials
We know that members need help managing the media as the situation in their community changes or gets worse. LeadingAge national has a set of
crisis communications materials and a sample media statement already posted (along with news releases and relevant media coverage).

Let Congress Know What You Think
At the time of this writing, Congress is still working to pass a new coronavirus stimulus bill. This legislation must include strong support for aging services providers.
Urge Congress to include LeadingAge priority provisions in this bill today. Encourage your residents and staff to consider clicking on this Action Alert link to make their voices heard.

National Guard Deployments
We have received inquiries about the deployment of the Public Health Service Corps and the National Guard, which the President called up in New York, California, and Washington yesterday. And here are some
FAQs from LeadingAge national.

CDC Issues COVID-19 Guidance for Federally-Assisted Housing
The CDC has issued Interim Guidance, “Preventing the Spread of COVID-19 in Retirement Communities and Independent Living Facilities.” This guidance is for owners, administrators, operators, workers, volunteers, visitors, and residents of independent living facilities and retirement communities that are not healthcare facilities, including federally-subsidized senior housing. 

The Interim Guidance notes several different kinds of independent housing “that is usually age-restricted” with support services for older adults it is applicable to various housing, including:

  • Public housing for low- to-moderate income elderly (i.e., HUD-assisted housing)
  • Assisted living homes that do not provide medical services
  • Continuing Care Retirement Communities, which include a range of housing options including independent living.

The CDC Interim Guidance takes into account that residents in retirement communities generally care for themselves. HUD senior housing communities are generally very porous buildings, where each resident may have their own network of service providers and volunteers that helps them age in community, in addition to any non-health and wellness visitors coming and going from the building. 

Telehealth Resources
Thanks for our friends at LeadingAge Iowa, here's a compendium of helpful telehealth templates and information.

LeadingAge COVID-19 Member Community
The LeadingAge COVID-19 member community is growing by leaps and bounds. Members from across the country are submitting lots of great examples, ideas, and questions and answers. Please join the community if you haven’t done so already by going to community.leadingage.org and signing up.

Handmade Face Masks
If you think that a handmade mask cannot be used, think again. Even the Centers for Disease Control and Prevention (CDC) has a place for them — in times of crisis, like the one we are in right now. On the CDC page: Strategies for Optimizing the Supply of Facemasks, they explain that as a last resort, a homemade mask is acceptable. Frankly, we are at that stage right now. Here’s how they explain it in the Crisis Strategy section, When No Facemasks Are Available, Options Include:

“Healthcare personnel (HCP) use of homemade masks:

In settings where facemasks are not available, HCP might use homemade masks (e.g., bandana, scarf) for care of patients with COVID-19 as a last resort. However, homemade masks are not considered PPE, since their capability to protect HCP is unknown. Caution should be exercised when considering this option. Homemade masks should ideally be used in combination with a face shield that covers the entire front (that extends to the chin or below) and sides of the face.”

Click here to view five DIY face mask tutorials.

Practical Tools for Staff Conversations
In an effort to help our leaders inspire and motivate their teams, we will be providing a short excerpt or tool that you can use each day:

Today’s offering includes a poem with a question to offer to your team. 

“And did you get what you wanted from this life, even so?

I did.

And what did you want?

To call myself beloved, to feel my self Beloved on the earth.”
Late Fragment by Raymond Carver

Check in with your team…what is one thing that we can do to ensure that our residents and/or team members feel beloved today?

LeadingAge NC COVID-19 Information Page
In addition to daily email updates, LeadingAge North Carolina is updating our COVID-19 information page daily with resources from trusted sources. Click here to view the page. LeadingAge national has also set up a resources page.

 

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

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COVD-19 Update March 20, 2020

Posted By Jennifer Gill, Friday, March 20, 2020
Updated: Friday, March 20, 2020

                                              
 March 20, 2020

Coronavirus Daily Update
March 20, 2020
2pm



The United States has crossed the 10,000 line in COVID-19 cases. Our shared work continues. Your dedication to residents and staff is an inspiration to all of us to keep pushing information and resources out. Here is today’s update:

Letter to the Postmaster General
letter to the Postmaster General  pointing out the nationwide issues with mail delivery has been sent (this is a widespread concern in North Carolina). Some postal carriers are refusing to comply with COVID-19 screening (required by CMS, many states, and most providers) and insisting they must enter communities and deliver the mail. They point to a directive from the Postmaster General. The US Postal Service has said the Postal Workers Union won’t allow screening. As the letter says, “many of our organizations have large communities with hundreds of residents and their staff are stretched very thin right now.” While we will continue to work in partnership with LeadingAge national, we would encourage you to contact your local Member of Congress to voice your concern about this critical issue.

Small Business Administration Loans
Today the Small Business Administration posted COVID-19 disaster categories on its website, 

https://disasterloan.sba.gov/ela/Declarations/Index
. This means that small entities, including not for profits, are now able to apply for SBA disaster loans as a result of economic injury caused by COVID-19. This could apply to members across settings but particularly adult day services who will have no revenue if they voluntarily or are forced to close.  Be on the lookout soon for an article that explains to members how to apply.

U.S. Tax Filing Deadline Moved to July 15
Americans will have an additional three months to file their taxes amid the coronavirus pandemic, the US treasury secretary said on Friday. We’ll be providing additional information on this in next week’s updates.

Joint Letter with NCHCFA to Governor Cooper and Secretary Cohen
Working in collaboration with the North Carolina Health Care Facilities Association, we sent a joint letter to Governor Roy Cooper and Secretary Mandy Cohen offering our assistance and perspective on the things we think would be most helpful in providing safety, security, and comfort to the tens of thousands of elders we serve across North Carolina.

CDC Memo on Returning to Work
CDC posted this 
Return to Work Criteria memo in the last few days.  It is very short, less than one page, and describes strategies to determine when health care personnel may return to work after confirmed or suspected COVID-19 infection.  It covers test-based and non-test based strategies.

Summary of Second Coronavirus Bill
The President signed the Families First Coronavirus Response Act into law. Most important for LeadingAge members are the two weeks (100%) paid sick leave and extended (2/3) paid family medical leave to care for a sick family member. The provisions apply to employers who employ fewer than 500 workers.  Those with 50 or fewer have the option to ask for an exemption if paying the benefits would jeopardize the viability of the business.  The benefit will be paid through credits against the employer’s payroll taxes.  The bill also includes a 6.2% FMAP bump in Medicaid and an expansion of SNAP benefits and senior nutrition programs. You can find a summary of these provisions on the LeadingAge
resources page.

Summary of LeadingAge's Affordable Housing Relief and Resources Work
Here is an
article summarizing LeadingAge's housing asks for the third and future coronavirus bills.

CDC Alert for Older Adults
CDC posted this page, 
“Older adults, 65 years and older, are at higher risk for severe illness,” yesterday.  It has a good graphic showing hospitalizations, ICU admissions and deaths, and notes that eight of ten deaths reported in the US have been people age 65 or older.                                                                                          

LeadingAge National 3:30pm Daily Coronavirus Call In
Here is the registration information for people who want to register for the first time for these LeadingAge calls:
https://attendee.gotowebinar.com/rt/4536979006994957837 .  Anyone who is already registered, should not register again.  You will receive a notification one hour before the call with call in information. We are encouraging people who can to use their computers rather than phones for the call to ease demand on the system.  These calls will be held through Sunday, with recordings posted on the resources page.

LeadingAge National COVID-19 Member Community
Lots of conversation and collaboration is occurring nationwide between members on the COVID-19 Member Community.  Go to
community.leadingage.org to join it.

Practical Tools for Staff Conversations
In an effort to help our leaders inspire and motivate their teams, here is our practical tool for today: Harvard Business Review’s "In Praise of the Incomplete Leader" tells us, “No leader is perfect. The best ones don’t try to be-they concentrate on honing their strengths and find others who can make up for their limitations.” Check in question for your team: Understanding that we can’t be all things to all people, what areas can the team help to support you in your work today?

LeadingAge NC COVID-19 Information Page
In addition to daily email updates, LeadingAge North Carolina is updating our COVID-19 information page daily with resources from trusted sources. Click here to view the page.

 

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


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Member Update March 20, 2020

Posted By Jennifer Gill, Friday, March 20, 2020
Updated: Friday, March 20, 2020

March 20, 2020

LeadingAge NC 2020 Annual Conference registration is open!
So be sure to register today then reserve your room. The LeadingAge NC Annual Conference will be May 18-21, 2020 at The Omni Grove Park Inn in Asheville. We can't wait to see you there.
Details and registration.


The LeadingAge NC Member Update is published twice monthly.
Click on a section header to view that section.

Advocacy & Policy  |  On the Road
Strategic Thinking
  |  News & Notes 
Professional Development  |  Value First


General Assembly Update
The North Carolina General Assembly postponed committee meetings and cancelled student tours for at least three weeks as precautionary measures against coronavirus. Top staff for legislative leaders released directives that should lessen foot traffic dramatically at the Legislative Building complex through the end of March. Committee meetings and school group visits will be discontinued until April 1 at the earliest, while legislative assistants or other employees can work from home during a similar period if there's agreement with lawmakers or supervisors. The Legislative complex went through an intensive cleaning last week, as well. Additional guidance will be provided as April 1 approaches to determine whether the restrictions should remain in place. The April 28 start of the annual General Assembly session currently remains unchanged. President Pro Tempore of the Senate Phil Berger and House Speaker Tim Moore said the legislature is keeping apprised of the state's response to the virus outbreak and stand ready to help with potential policy or financial needs.

Legislative Groups to Consider Relief for those Impacted by the COVID-19 Pandemic
State House Speaker Tim Moore (R-Cleveland) is forming crisis response legislative groups to work remotely on policy measures addressing the COVID-19 crisis and is seeking input from North Carolina residents on reforms that will support families and businesses during the unprecedented emergency. Speaker Moore said the groups would prepare emergency response measures across policy sectors including healthcare, education, tax, economic support, and government operations. Each group will be chaired by members of both parties. Issues affecting professional licensure, providing state government services in compliance with containment guidelines, helping families who have lost income, assisting residents with tax complications, and supporting healthcare providers, are specific issues that Speaker Moore said Wednesday the legislative groups are looking to address. LeadingAge NC has reached out to Speaker Moore to offer policy initiatives that will help our residents and staff during the pandemic.

Guidance on April 15th Extended Payments
On March 18th, the IRS issued Notice 2020-17 providing additional guidance related to the extension of the upcoming April 15th deadline. The following is a summary of the relief that is being provided.

  • There is currently no extension of time to file a taxpayer’s return that is due April 15th. Therefore, at this point in time, all taxpayers that have a return due April 15th must either file their return or file an extension request by April 15th.
  • All taxpayers, whether they file or extend their return, may delay payments of their federal income tax that would normally be due April 15th to July 15, 2020 subject to certain limitations.
  • The extension of time to pay applies only to federal income tax payments otherwise due April 15th including amounts due with 2019 income tax returns as well as 1st quarter 2020 estimated tax payments.
  • The following limits apply:
    • C-Corporations may delay up to $10 million of federal income tax payments otherwise due April 15th, including 1st quarter 2020 estimates.
    • All other taxpayers, including individuals, trust and estates, may delay up to $1 million of federal income tax payments otherwise due April 15th, including 1st quarter 2020 estimates.
  • Interest and penalties on amounts deferred up to the applicable amounts listed above will begin to accrue on July 16, 2020 if they are not paid by the extended due date. Amounts in excess of these limitations not paid by April 15, 2020 will begin accruing interest and penalties as of April 15th.
  • At this time, there is no extension of any other type of tax and the extension only applies to income taxes that are originally due April 15th. Therefore, we will have to wait for additional guidance for deadlines beyond April 15th.

For the latest, ongoing, revised information regarding the upcoming April 15th tax filing deadline click here to view a blog post from our friends at Bernard Robinson & Company.

2-1-1 Service Now Live
NC 2-1-1 is now available as a resource for people to call for assistance related to the COVID-19 coronavirus. NC 2-1-1 is an information and referral service that families and individuals can call to obtain free and confidential information on health and human services resources within their community. To access this service, simply dial 2-1-1 24 hours a day, seven days a week, 365 days a year. You can also text COVIDNC to 898211 to get alerts and North Carolina COVID-19 updates.


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  • LeadingAge North Carolina Executive committee meeting - Thomasville
  • NC DHHS Coronavirus Health Care Coalition - Raleigh
  • LeadingAge North Carolina Public policy committee meeting - Raleigh


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Resident Engagement and Social Well-Being
The National Certification Council for Activity Professionals provides guidance for best practices related to providing in-room and virtual programming for residents. This is excellent information for your staff and includes tips on Zoom and Skype.

Coronavirus: Fact vs. Fiction
In these brief daily podcasts, CNN Chief Medical Correspondent Dr. Sanjay Gupta provides the latest news about the coronavirus. Most podcasts are shorter than 15 minutes.

Managing the Stress and Uncertainty of Coronavirus
Harvard Business Review; March16, 2020
The rapid onset of the coronavirus is changing our work – and our lives. When we don’t know what the future will hold, or are working in isolation, what can we do? This 43-minute podcast offers guidance.

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COVID-19 Support Call for LeadingAge NC Members
LeadingAge North Carolina is hosting a support phone call for members every Monday at 3pm.  These calls allow members to ask questions, share resources and problem-solve together. We encourage you to participate by dialing 201-616-0673, passcode 841692

LeadingAge NC Link to COVID-19 Resources
For information on the latest recommendations and regulations related to COVID-19 please click here.

LeadingAge National Daily Call-in Briefings
LeadingAge national has scheduled daily briefing calls at 3:30 p.m. EST. On these calls, members will hear from LeadingAge policy experts about the most up-to-date information on guidance, regulation, and legislation related to the pandemic and its impact on aging services providers. They’ll also answer member questions or, if they don’t have the answers, they’ll do our best to find them. Recordings will be posted on the LeadingAge website daily, so you can listen even if you can’t dial in. To join the call, register now.

LeadingAge National Member Community COVID-19 Group
LeadingAge national has created a new group in the MyLeadingAge Member Community: COVID-19. This group is a place to connect with your peers to share and discuss everyday practices related to the coronavirus. Take a moment now to log into your my.leadingage.org account and join the group to stay connected.

Positive Stories for LeadingAge National Media Outreach
LeadingAge national is looking for positive stories around recent events. They have gotten some press inquiries and would like to build up a bank of stories for potential outreach as well. Ideas for stories include: heroism, acts of kindness, staff camaraderie, innovative solutions to the crisis, and more. Please email Tessa at national directly at tatkinson-adams@leadingage.org. Thank you for all you are doing!

LeadingAge National Leadership Summit in Washington DC Postponed
In light of the President’s national emergency declaration to address the coronavirus pandemic, LeadingAge national is postponing the 2020 Leadership Summit originally scheduled April 20-22. Please note: those who registered for the conference will be sent an email regarding their hotel and registration for national’s rescheduled program – August 10-12, 2020 at the Omni Shoreham Hotel. LeadingAge national will be transferring all registrations over to the new date, and allowing members to cancel at a full refund if the new dates do not work for them.

 


In Case You Missed It

Follow @LeadingAgeNC on Social Media
Stay connected in 2020. Be sure you are following @LeadingAgeNC on Twitter, Facebook, and Instagram. You'll be up-to-date on the latest regarding COVID-19 and other matters affecting your community.

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Click to view a specific program.

Manager Training Seminar 2020

2020 Event & Education Calendar

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2020 Event and Education Calendar Now Available
Mark your calendar for these LeadingAge North Carolina events and programs in 2020. New this year is a Fall Conference on September 24 in Colfax designed specifically for Department Directors and Managers/Supervisors in HR, marketing, finance, social work, nursing, maintenance, wellness, and fundraising. Watch for more details!

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A Note from your Value First Representative


When it comes to balancing resident satisfaction and food service costs, you face many challenges. As specialists working with senior living and long-term care communities, Value First can help you provide your residents with nutritious and satisfying meals that fit your budget. However, our support goes far beyond helping you reduce food costs. Our tools and resources can support your entire operation by reducing costs and improving efficiencies at every step of your supply chain.

It all starts with a cost study where we’ll work with your purchasing team to analyze your current expenses and give you line item comparison on exactly how we can help you save. As the new year started we have already seen successes in a number of food cost studies.

Please take advantage of this, it only takes a few minutes from your end, and Value First does all the leg work.

If you are currently using CINTAS but not through our program, please take a look at this. CINTAS and Value First in partnership with Vizient are offering members with incredible savings, click here for more information.

Please contact me, Bobby Bernal, at 850-509-8112 or email me.

I will walk you through the few easy steps.

Please click here for the NEW Value First vendor catalog.

Thank you and I look forward to seeing you on the road.

Robert "Bobby" Bernal, Value First Regional Southeast Manager
C: (850) 509-8112 |
Email

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


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COVID-19 Update March 19, 2020

Posted By Jennifer Gill, Thursday, March 19, 2020
Updated: Thursday, March 19, 2020

       
COVID-19 Update March 19, 2020 @ 3pm

97 Confirmed Coronavirus Cases in North Carolina
As of 9:45 am this morning, there were 97 confirmed cases of coronavirus in North Carolina. Click here for access to the latest numbers and other information from the state.

Summary of LeadingAge National’s Call with CMS
LeadingAge along with AHCA, AAPACN, NADONA, and AMDA have a weekly call with CMS staff to share what they are hearing from members. Here is a Q & A that LeadingAge put together after the call. It is very important for people who read this Q & A to fully understand that this is not CMS official guidance, it was written by LeadingAge based on what was heard from CMS staff.  

LeadingAge COVID-19 Member Community
The LeadingAge COVID-19 member community is growing by leaps and bounds. Members from across the country are submitting lots of great examples, ideas, and questions and answers. Please join the community if you haven’t done so already by going to community.leadingage.org and signing up.

Second Coronavirus Bill Signed Into Law
President Trump signed into law the "Families First Coronavirus Response Act." This legislation includes paid sick leave for some workers. For a summary of what is in the bill, please click here.

3 Day Waiver Clarifications
According to LeadingAge national, the 3 day stay waiver is a blanket waiver and applies across the board. You do not have to have active COVID-19 in the nursing home and the person being admitted does not have to have COVID-19. The individual can come from a hospital, doctor’s office, community, or anywhere else.

CDC Long Term Care Webinar
Yesterday the CDC hosted a webinar on infection prevention and control, steps facilities should be taking, and management and treatment of COVID-19. Here is the summary and article on yesterday’s CDC LTC webinar.  The recording of the call and the webinar slides are available here

CDC Provides Information on Facemasks
The CDC has posted “Strategies for Optimizing the Supply of Facemasks.” The purpose of the document is to help optimize supply in a shortage using conventional capacity strategies, and strategies for various levels of shortages. The number of infected individuals is increasing and shortages make this guidance extremely important and helpful.

Legislative Groups to Consider Relief for those Impacted by the COVID-19 Pandemic
State House Speaker Tim Moore (R-Cleveland) is forming crisis response legislative groups to work remotely on policy measures addressing the COVID-19 crisis and is seeking input from North Carolina residents on reforms that will support families and businesses during the unprecedented emergency. Speaker Moore said the groups would prepare emergency response measures across policy sectors including healthcare, education, tax, economic support, and government operations. Each group will be chaired by members of both parties. Issues affecting professional licensure, providing state government services in compliance with containment guidelines, helping families who have lost income, assisting residents with tax complications, and supporting healthcare providers, are specific issues that Speaker Moore said Wednesday the legislative groups are looking to address. LeadingAge NC has reached out to Speaker Moore to offer policy initiatives that will help our residents and staff during the pandemic.

 

Guidance on April 15th Extended Payments
On March 18th, the IRS issued Notice 2020-17 providing additional guidance related to the extension of the upcoming April 15th deadline. The following is a summary of the relief that is being provided.

  • There is currently no extension of time to file a taxpayer’s return that is due April 15th. Therefore, at this point in time, all taxpayers that have a return due April 15th must either file their return or file an extension request by April 15th.
  • All taxpayers, whether they file or extend their return, may delay payments of their federal income tax that would normally be due April 15th to July 15, 2020 subject to certain limitations.
  • The extension of time to pay applies only to federal income tax payments otherwise due April 15th including amounts due with 2019 income tax returns as well as 1st quarter 2020 estimated tax payments.
  • The following limits apply:
    • C-Corporations may delay up to $10 million of federal income tax payments otherwise due April 15th, including 1st quarter 2020 estimates.
    • All other taxpayers, including individuals, trust and estates, may delay up to $1 million of federal income tax payments otherwise due April 15th, including 1st quarter 2020 estimates.
  • Interest and penalties on amounts deferred up to the applicable amounts listed above will begin to accrue on July 16, 2020 if they are not paid by the extended due date. Amounts in excess of these limitations not paid by April 15, 2020 will begin accruing interest and penalties as of April 15th.
  • At this time, there is no extension of any other type of tax and the extension only applies to income taxes that are originally due April 15th. Therefore, we will have to wait for additional guidance for deadlines beyond April 15th.

For the latest, ongoing, revised information regarding the upcoming April 15th tax filing deadline click here to view a blog post from our friends at Bernard Robinson & Company.

Postal Service to Your Community
We’ve heard from some of our LeadingAge North Carolina member communities — and a number of LeadingAge member communities across that country — that they are experiencing challenges with postal workers refusing to following screening procedures. To be sure, we believe that the vast majority of our nation’s postal delivery people are providing excellent service and stand shoulder-to-shoulder with us in this current crisis. For those of you that are experiencing challenges, please drop me an email at tom.akins@leadingagenc.org. LeadingAge national is working with USPS’s DC office to resolve these issues and it would be helpful for us to be able to indicated the scope of this challenge.

2-1-1 Service Now Live
NC 2-1-1 is now available as a resource for people to call for assistance related to the COVID-19 coronavirus. NC 2-1-1 is an information and referral service that families and individuals can call to obtain free and confidential information on health and human services resources within their community. To access this service, simply dial 2-1-1 24 hours a day, seven days a week, 365 days a year. You can also text COVIDNC to 898211 to get alerts and North Carolina COVID-19 updates.

Practical Tools for Staff Conversations
In an effort to help leaders inspire and motivate their teams...Nelson Mandela’s book, Notes to the Future, talks about courage. He said “I learned that courage was not the absence of fear, but the triumph over it. I felt fear more times than I can remember, but I hid behind a mask of boldness. The brave man is not he who does not feel afraid, but he who conquers the fear.” Similarly, the Archbishop Tutu said “Courage is not the absence of fear, but the ability to act despite it.” Check in question for your team: “What does courage look like for you today?”


LeadingAge NC COVID-19 Information Page
In addition to daily email updates, we are updating our COVID-19 information page daily with resources from trusted sources. Click here to view the page.

 

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


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COVID-19 Update March 18, 2020

Posted By Jennifer Gill, Wednesday, March 18, 2020
Updated: Wednesday, March 18, 2020

       
  COVID-19 Update March 18, 2020 @ 2:30pm

Innovative Temperature Screening Idea
One of our member communities reached out to us this morning and shared a creative way to work with their local community college around temperature screenings. This community is currently using security personnel to do screenings. After reaching out to the local community college, they are working to finalize an arrangement in which Nursing and CNA students would do the screenings…the students (who are not attending classes because the community college is shut down) would receive clinical hours and practical, hands-on experience and the community would receive valuable volunteer assistance with a key task that also frees up existing staff time. We’ll report back as we hear more about this potential partnership and how they may be able to work through any regulatory hurdles. Please feel free to share your innovative approaches and we’ll get them out to our membership!

Practical Tools for Staff Conversations
In an effort to help our leaders inspire and motivate their teams, we will be providing a short excerpt or tool that you can use each day:
In their recent book, The Book of Joy, the Dalai Lama and the Archbishop Desmond Tutu discuss ways in which "courage, resilience and dogged hope in humanity has brought them joy.  Their joy is clearly not easy or superficial but one burnished by the fire of adversity, oppression and struggle. Ultimately, our greatest joy is when we seek to do good for others.”  With this in mind, a check in question you might use with your team is “Tell us about an instance where you found joy in your work yesterday?” 

Telehealth guidance from CMS
Yesterday, CMS released guidance for the telehealth waiver, in the form of a Fact Sheet and a  Q&A document.  Under this new waiver, Medicare can pay for office, hospital, and other visits furnished via telehealth across the country and including a patient’s places of residence starting March 6, 2020.  Here is our initial analysis; it’s important for you to know that we started hearing questions about the impact of the guidance and how to use it, from the minute it went out.  We’re working on getting clarification and would encourage you to reach out to us with specific questions.

Executive Order on Unemployment
Last night, we received this unemployment information from the Governor’s office.

Request for Feedback on Potential Waivers/Flexibility/Clarifications
We will be providing Secretary Cohen, Governor Cooper and key folks with the NC DHHS Coronavirus Health Care Coalition with specific actions we would like the state to take (waivers/flexibility/clarifications) and additional questions we have. To that end, I would appreciate it if you would email me at 
tom.akins@leadingagenc.org
 with the items you would like the state to consider waiving, adding, providing flexibility for, or other remedies/clarifications you think would be helpful. Don’t hold back! We never know what the state might consider…in part because this is so big they just haven’t thought of everything and the impacts this situation is having on our member communities. We have already received a number of good suggestions during our calls with members and emails from them…and we will be incorporating those suggestions into our letter.

CMS Call on 1135 Waivers and Telehealth
CMS is holding a call to answer questions on 1135s and telehealth this afternoon, March 18, from 4:30 to 5:00 Eastern time.  the call-in number is 888-455-1397; access code is 5854574.

PACE COVID guidance from CMS
Last night, CMS issued
PACE COVID guidance ; here is a summary of it.

Florida’s 1135 approved and others
Florida’s 1135 waiver was 
approved by CMS today.  Here’s a link where all the CMS approval letters  will be posted,  if you want to track approvals. Dave Richard with NCDHHS is sending a copy of what North Carolina included in their formal 1135 letter and we’ll share it with you when it’s received.

Daily Call-in Briefings with LeadingAge National
LeadingAge national is holding daily briefing calls at 3:30 pm. On these calls, you will hear from LeadingAge policy experts about the most up-to-date information on guidance, regulation, and legislation related to the pandemic and its impact on aging services providers. They’ll also answer member questions or, if they don’t have the answers, they’ll do their best to find them. Recordings will be 
posted on their website daily , so you can listen even if you can’t dial in. To join the call, register now. You will only need to register ONCE for all of the daily calls. Once you register, you will be able to add it to your calendar function, whether it is Outlook, Gmail, etc.

Federal Legislative Action
We continue to watch activity at the federal level related to paid leave and economic stimulus. Discussions and changes are occurring literally every hour. As soon as we have specific details, we’ll prepare an analysis for our members.

Thank you for the incredible work you’re doing around this public health crisis. We’re working hard to support you in every way we can.


 

 

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





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COVID-19 Update March 17, 2020

Posted By Jennifer Gill, Tuesday, March 17, 2020
Updated: Tuesday, March 17, 2020

                 

 March 17, 2020 @ 2pm


NC DHHS Health Care Coalition Begins Regular Meetings
North Carolina’s Department of Health and Human Services held the first meeting of its Health Care Coalition, of which LeadingAge North Carolina was asked to be a member. Today’s hour-long call featured updates on the state’s response and the current status of the coronavirus in North Carolina.

  • As of 8:30 am today, North Carolina had 40 confirmed cases in 16 counties, with 39 of those involving travel or contact with a known positive case.
  • A previous executive order from Governor Roy Cooper limiting public gatherings to no more than 100 people and closing all schools for two weeks will be supplemented later today with an additional order closing restaurants and bars except for takeout and delivery.
  • Dave Richard, the deputy secretary for Medicaid, said that the state has filed an 1135 waiver with CMS. Later today or early tomorrow he will provide a copy of that waiver application so that we can see what the state has asked of the federal government. CMS must still approve the waiver. We raised the question of a waiver that would allow non-certified staff and volunteers to provide care and services as deemed appropriate by the facility, and establish processes to quickly direct individuals not working due to the COVID-19 crisis (closed schools, restaurants, churches, etc.) to quickly join the long-term care workforce. The department indicated they were working on both issues.
  • One special note about child care: about half of all child care sites in the state are open and about half are closed. The state is looking at temporarily relaxing a number of child care licensing regulations to facilitate supply, including looking at innovative approaches to community organization-based child care sites.
  • The department will be announcing later today a special toll-free 800 number that would detail child care availability…we’ll update you when we receive that number.
  • The Coalition will meet next on Thursday morning, with plans for working on a daily basis in smaller subgroups.

BREAKING NEWS: CMS Announces Initiatives to Expand Telehealth
CMS is removing barriers to Medicare telehealth coverage in response to the coronavirus outbreak. We’ll provide additional details as we receive it from CMS.


Legislative Efforts Involving Economic Relief
At the time of this writing, the U.S. Senate is considering a package of economic relief measures, including paid family leave and provisions to send checks to most Americans. We continue to monitor these developments and will provide detail as soon as it becomes clear how these initiatives might work.


Member Survey on COVID-19
As of noon today, we had another six communities provide feedback to the survey we sent out on Sunday, bringing our total number of responses to 25.

Of the new survey responses since noon yesterday:

  • 100% have banned all visitors (compared to 68% yesterday)
  • 50% have a single entry to come onto campus (compared to 68% yesterday)
  • 67% have closed dining rooms (compared to 58% yesterday)
  • 100% have canceled or postponed activities (compared to 89% yesterday)
  • 100% have canceled off-campus transportation with the exception of medical (compared to 68% yesterday)
  • 83% have closed guest rooms (compared to 74% yesterday)
  • 100% are concerned about back orders and access to PPE supplies

We’re taking the concerns identified in the survey and reaching out to regulators for responses.


Recap from March 16 Coronavirus Call-in
Every Monday afternoon at 3 pm, LeadingAge North Carolina hosts a “Coronavirus Call-in.” It affords member communities the opportunity to share what they are seeing, hearing, and doing – and, as important, benefit from the collective wisdom and innovation of others on the call. One of the key things we’re doing with information gleaned on the calls is to reach out to regulators for interpretations and with suggestions. Yesterday’s call centered on three main issues: first, how communities are handling community issues like dining, screening, and PPE; second, how communities are dealing with hospital admission and discharge processes; and third, staffing issues including child care. We’re checking with the state on questions involving all three of these issues and will circle back around with that information. As a reminder, please mark your calendars for next Monday, March 23, for our next call-in opportunity. To access the call, please dial (201) 616-0673 and, when prompted, enter the passcode of 841692.


Daily Call-in Briefings with LeadingAge National
Beginning today, Tuesday, March 17, LeadingAge national will experiment with daily briefing calls at 3:30 p.m. EST. On these calls, you will hear from LeadingAge policy experts about the most up-to-date information on guidance, regulation, and legislation related to the pandemic and its impact on aging services providers. They’ll also answer member questions or, if they don’t have the answers, they’ll do their best to find them. Recordings will be posted on their website daily, so you can listen even if you can’t dial in. To join the call, register now.

You will only need to register ONCE for all of the daily calls. Once you register, you will be able to add it to your calendar function, whether it is Outlook, Gmail, etc.


Member Community COVID-19 Group
LeadingAge national has created a new group in the MyLeadingAge Member Community: COVID-19. This group is a place to connect with your peers to share and discuss everyday practices related to the coronavirus. Take a moment now to log into your my.leadingage.org account and join the group to stay connected.



Thank you for the incredible work you’re doing around this public health crisis. We’re working hard to support you in every way we can.

 

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







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Inclusion Insights March 2020

Posted By Jennifer Gill, Friday, March 13, 2020
Updated: Wednesday, March 11, 2020


15th edition
March 13, 2020


Inclusion Insights is a quarterly publication of LeadingAge North Carolina highlighting news, research, and best practices in diversity, equity, and inclusion.


Leadership

Gender Parity in the Boardroom Won’t Happen on Its Own
Harvard Business Review; February 12, 2020
Research suggests that diversity spurs more diversity. But it also implies that homogeneity spurs homogeneity — and that without intensive efforts to provide women with more opportunities to climb the ranks within their own organizations, women will continue to be underrepresented in the C-suite and boardroom.

How the Best Bosses Interrupt Bias on Their Teams
Harvard Business Review; November/December 2019
The author provides several tips for how to interrupt bias in the hiring process, in day-to-day interactions at work, and in evaluations and promotions.

3 Big Ideas From Fortune’s Next Generation of Powerful Women
Fortune; December 13, 2019
What did female leaders of Salesforce, the NFL, and Lutheran Immigration and Refugee Service have to say about how to fix problems throughout corporate America?

A Data-Driven Approach to Hiring More Diverse Talent
Harvard Business Review; December 10, 2019
Research shows that companies that have more diverse workforces outperform and out-innovate those that don’t. According to a 2018 McKinsey report, companies in the top-quartile for workforce diversity are 33% more likely to financially outperform their less diverse counterparts.


Workforce

'Success Is Not a Solo Sport.' How Workplaces Can Better Support Women of Color
TIME; December 10, 2019
Sometimes being a woman of color at work can feel like a bundle of contradictions: wanting to prove that you belong in whatever room you’re in, and not be judged by what you look like, and yet being proud of who you are and not wanting to erase that. How do you wrestle with those two things?

Five Ways an Anti-Racist White Caucus Supports Diversity and Inclusion
Diversity Best Practices; December 10, 2019
Any organization that truly wants to create a diverse and welcoming environment should get as comfortable cultivating White people as allies to People of Color as we are men as allies to women.

Preserve Your Workplace Culture and Address Microaggressions
Thrive Global; February 18, 2020
Microaggressions erode workplace inclusivity, but they can be difficult to eradicate. Here are a few common examples and some ways to address them immediately.

Creating a Trans-Inclusive Workplace
Harvard Business Review; March/April 2020
Despite a growing global awareness of the struggles trans people face, many employers remain ill-equipped to create the policies and workplace cultures that would support trans employees. Fortunately, research on how employers can more effectively attract, retain, and promote the well-being and success of their trans employees is growing.

How Algorithmic Bias Hurts People With Disabilities
Slate; February 6, 2020
Though a huge portion of the population lives with a disability, it comes in many different forms, making bias hard to detect, prove, and design around.



Resources

LGBT Inclusion: LeadingAge Learning Hub
This Spotlight in the LeadingAge Learning Hub provides a better understanding of how providers can be more inclusive of LGBT older adults. Content includes a video for historical perspective as well as articles on person-centered language and how to foster a culture of inclusion.

Don't Just Add 'Other': How to Make Employment Forms Inclusive
HR Dive; November 27, 2019
Many companies have inadvertent gaps in their diversity and inclusion efforts — particularly when it comes to gender non-conforming applicants and employees.


Bookmarks



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




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Member Update

Posted By Jennifer Gill, Friday, March 6, 2020
Updated: Thursday, March 5, 2020

March 6, 2020

LeadingAge NC 2020 Annual Conference registration now open!
New this year, hotel reservations can only be made thru an online link provided via email after conference registration is submitted. So be sure to register today then reserve your room. The LeadingAge NC Annual Conference will be May 18-21, 2020 at The Omni Grove Park Inn in Asheville. We can't wait to see you there this spring.
Details and registration.

 


The LeadingAge NC Member Update is published twice monthly.
Click on a section header to view that section.

Advocacy & Policy  |  On the Road
Strategic Thinking
  |  Member Question  |  News & Notes 
Professional Development  |  Value First


Tax Policy Update
LeadingAge North Carolina continues to work on tax policy issues at the federal and state level. At the federal level, CMS is currently reviewing the nearly 5,000 comments it received on the bed tax issue. In the meantime, the agency is not bound by any deadlines or timelines for either completing the review or looking at next steps. There have been past instances with CMS (and, frankly, other federal agencies) where it has taken literally years for amended rules to be announced…and, in some cases, no announcement has ever been forthcoming. We continue to be in touch with both the agency and our Congressional delegation about the issues. At the state level, we continue to work with key stakeholders on the sales tax issue – these key stakeholders include the North Carolina General Assembly’s Revenue Laws Study committee, influential legislators, other state agencies, and the North Carolina Continuing Care Residents Association. We’ll keep you updated on both issues.

NC Department of Insurance CCRC Advisory Committee Meets in Raleigh
Members of the North Carolina Department of Insurance Advisory Committee
met earlier this week in Raleigh. The committee’s full agenda included a presentation from department staff on the current state of CCRCs in North Carolina, reminders about annual filing reviews, an update from Jeff Trendel on potential revisions to the CCRC statute, and discussion about the advisory committee’s membership. One important reminder: all annual filings are now submitted electronically via the email address specialentitiessubmissions@ncdoi.gov. This email is monitored constantly by the department and can be used for general questions, as well.

 

Coronavirus: An Ounce of Prevention
The first case of Coronavirus (COVID-19) was reported in North Carolina this week. So as care providers, leaders and advocates in the aging services field, it is even more prescient that we speak up for older adults, especially as we partner for their care with our local healthcare systems. To that end, LeadingAge national has compiled and updated the most relevant and essential tools for you from the CDC, WHO, and others to help you prepare your organization for the possibility of an outbreak.

 

Information from NCDHHS on COVID-19

NCDHHS is staffing a COVID-19 phone line to answer urgent questions from the public. That number is 866-462-3821. The state also is maintaining an up-to-date website with information about COVID-19 disease, risk and guidance.

Governor Roy Cooper announced on Tuesday a presumptive positive case of coronavirus disease 2019 (COVID-19). The announcement represents an isolated case, and COVID-19 is currently not widespread in North Carolina.

All North Carolinians are encouraged to visit www.ncdhhs.gov/coronavirus for reliable, up-to-date information.

Included on this page is helpful information for:

There is also information about what we all can do to combat fear and anxiety about COVID-19. All North Carolinians can better prepare for COVID-19 by getting the latest information directly from reliable sources. Be thoughtful about what you read or hear about the virus and make sure you are separating rumor from fact before you share it.The latest information from NCDHHS can be found here, and please also share the posts from our Facebook and Twitter accounts.

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  • Meeting with NC General Assembly committee staff - Raleigh
  • Member visit, Adult Life Programs, Inc. - Hickory
  • Member visit, Baptist Retirement Homes board meeting - Greensboro
  • NC Department of Insurance CCRC Advisory Committee meeting - Raleigh
  • NC Medical Care Commission - Raleigh


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A Subordinate’s Criticism Makes You More Creative
Harvard Business Review; March/April 2020
A recent study found that people reviewed negatively by a manager or a peer showed low levels of creativity—but for managers critiqued by a lower-ranking employee, the opposite was true. The conclusion: A subordinate’s criticism makes you more creative.

What Millennials, Gen X & Boomers Have In Common But Don’t Admit, Discuss, or Plan For
Forbes; February 23, 2020
Caregiving is a fact of life that presents paradoxes and challenges across the generations.

Marketplace Feature: Alternative Housing
LeadingAge; February 21, 2020
Heads-Up, LPCs! A variety of new and unexpected housing providers are entering the senior living marketplace. These unorthodox aging services interlopers are bringing with them their knowledge, competency, and skill sets in areas that matter to our consumer base – and they are creating cool, innovative models that, quite frankly, are hard to resist.


How to Prepare Your Community for End of Life Conversations
LeadingAge; February 21, 2020
If, as providers, we ever wonder when the time is to make a concerted effort to prepare our community, our members, our families, (ourselves…) for conversations and decisions about end of life wishes, folks, the time is NOW. In this LeadingAge national article, you’ll find ideas and resources for starting that concerted effort, as applicable to each level of care within your LPC.

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Responses to the most recent question are available to download by clicking the text below.

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2020 Careers in Aging Week is April 19 – April 25
LeadingAge national is partnering with the Gerontological Society of America, AHCA/NCAL and Argentum on Aging Week again in 2020. Check out some of the ways your community can get involved the week of April 19 – 25. Let your community expose students of all ages to the rich variety of jobs in the field of older adult services. It may be the first time they have thought of working in our area. Click here for ideas and resources for reaching out to your local community including schools and media.


Registration for the Collaborative Care HIT Summit is now OPEN
Don’t miss 2020’s premiere health IT conference
. This annual gathering brings together leaders from across the collaborative care spectrum to discuss critical issues and understand how technology can connect the healthcare ecosystem. Register now!

Collaborative Care & Health IT Innovations Summit
Omni Shoreham Hotel
2500 Calvert St NW, Washington, DC 20008
June 14-16, 2020


Diversity in Aging Symposium
March 20, 2020
UNC School of Social Work
Chapel Hill
8:30am-Noon

Details and Registration


2020 Census: What it Means for Members
April 1 will be Census Day nationwide. What will the 2020 Census mean for your community? Get the facts and spread the word by clicking on the U.S. Census 2020 webpage. In addition, LeadingAge national has compiled Frequently Asked Questions for your reference.


Have Job Openings?
Contact Jennifer Gill with the job title, description, and how to apply and she will post it for you under the Careers tab on the LeadingAge NC website. It's free!

In Case You Missed It
Click below to read our most recent newsletter.

Follow @LeadingAgeNC on Social Media
Stay connected in 2020. Be sure you are following @LeadingAgeNC on Twitter, Facebook, and Instagram. You'll be up-to-date whatever comes your way!

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Click to view a specific program.

2020 Annual Conference & Expo  |  Manager Training Seminar 2020
2020 Event & Education Calendar

Registration Now Open: LeadingAge NC Annual Conference & Expo
LeadingAge North Carolina 2020 Annual Conference registration now open! New this year, hotel reservations can only be made thru an online link provided via email after conference registration is submitted. So be sure to register today then reserve your room. The LeadingAge NC Annual Conference will be May 18-21, 2020 at The Omni Grove Park Inn in Asheville. We can't wait to see you there this spring.
Details and registration.

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Manager Training Seminar
April 16, 2020
8am-5pm
Friends Homes Guilford
Greensboro, NC
Target audience: managers, directors, team leaders, supervisors
Get a personalized leadership assessment. Then apply that information to the interactive discussion led by Susan Rucker of LeadSpark.
Details and registration

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2020 Event and Education Calendar Now Available
Mark your calendar for these LeadingAge North Carolina events and programs in 2020. New this year is a Fall Conference on September 24 in Colfax designed specifically for Department Directors and Managers/Supervisors in HR, marketing, finance, social work, nursing, maintenance, wellness, and fundraising. Watch for more details!

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A Note from your Value First Representative


When it comes to balancing resident satisfaction and food service costs, you face many challenges. As specialists working with senior living and long-term care communities, Value First can help you provide your residents with nutritious and satisfying meals that fit your budget. However, our support goes far beyond helping you reduce food costs. Our tools and resources can support your entire operation by reducing costs and improving efficiencies at every step of your supply chain.

It all starts with a cost study where we’ll work with your purchasing team to analyze your current expenses and give you line item comparison on exactly how we can help you save. As the new year started we have already seen successes in a number of food cost studies.

Please take advantage of this, it only takes a few minutes from your end, and Value First does all the leg work.

If you are currently using CINTAS but not through our program, please take a look at this. CINTAS and Value First in partnership with Vizient are offering members with incredible savings, click here for more information.

Please contact me, Bobby Bernal, at 850-509-8112 or email me.

I will walk you through the few easy steps.

Please click here for the NEW Value First vendor catalog.

Thank you and I look forward to seeing you on the road.

Robert "Bobby" Bernal, Value First Regional Southeast Manager
C: (850) 509-8112 |
Email

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


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Member Update

Posted By Jennifer Gill, Friday, February 21, 2020
Updated: Thursday, February 20, 2020
February 21, 2020

The LeadingAge North Carolina Member Update is published twice monthly.
Click on a section header to view that section.

Awards 2020  |  Advocacy & Policy  |  On the Road
Strategic Thinking
  |  News & Notes 
Professional Development  |  Value First


 
    Nominations are due next week on February 28, 2020.  

Shine a light on your member community with a 2020 award nomination(s).
The categories this year include a new one called Workplace Excellence.

This year we are asking for 3-5 photos to accompany your one-page nomination. If selected, photos will be used at the LeadingAge North Carolina Annual Conference awards recognition luncheon on May 20, 2020 at The Omni Grove Park Inn in Asheville.

Submit yours today!

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Take Action: Work for FY21 HUD Funding Begins
LeadingAge needs your help to advocate for new Section 202 homes funding, new Service Coordinators, and an extension of the IWISH demonstration in the fiscal year 2021 (FY21) budget. Click here to learn more about the issue and how you can help.

Aging Services in the President’s Budget Request
On February 10, the President delivered his fiscal year 2021 (FY21) budget request to Congress. The annual delivery of the Administration’s request for program funding is the start of the process for Congress to determine funding levels for federal programs. Very soon, the House and Senate appropriations and other committees will have hearings on the funding of programs within their jurisdictions, develop bills, mark those bills up in subcommittee and full committee, and then proceed to reach agreement for passage on the House and Senate floors before the differences between the two chambers’ bills are ironed out before final enactment.

Fiscal year 2021 begins October 1. However, Congress rarely meets their October 1 deadline for enactment of all 12 appropriations bills. Typically, one or more Continuing Resolutions will be enacted to keep federal programs funded at the previous year’s spending levels until final bills are completed. Because this is an election year, at least one CR is all but assured. We’ll continue to monitor developments in the budget process impacting our Centers.

LeadingAge National Releases 2020 Policy Roadmap
LeadingAge National unveiled its 2020 Policy Priorities, a comprehensive roadmap of policy goals, actions, and resources. Nearly 3,000 LeadingAge members participated in 32 Town Hall Conversations across the country during 2019, offering thoughts and comments about “what keeps them up nights” and federal policy changes that could free them up to do what they were established to do: provide mission-driven, consumer-centered services. LeadingAge North Carolina’s Public Policy Committee is busy crafting priorities for our work with the General Assembly (this year's short session is slated to begin in late April.)

2020 Voting Requirements
Voters will not be required to show photo ID for the March 3, 2020, primary election. Be sure to provide residents and staff with the most up-to-date voting information by clicking with the NC State Board of Elections website.

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  • LeadingAge North Carolina public policy committee meeting - Raleigh
  • Member visit, The Forest at Duke - Durham


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It's Time to Take Delirium Seriously
Scientific American, March 2020
The most common complication of hospitalization for older patients can often be prevented. Click here to read more.

Ageism: The Next Generation
Stria News, February 17, 2020
Gen Xers have their own views of aging and ways to counteract discrimination. Click here to read more.

Lifestyle Strategies to Keep Brains Healthy, Which Also Might Push Back the Onset of Dementia
The Washington Post, February 17, 2020
Although research is still underway, we know that several 'lifestyle recipes' are linked to reducing the risk of cognitive decline. Click here to learn more.

‘I Feel Very Torn Between My Child and My Dad’—Demands Intensify for the ‘Sandwich Generation’
The Wall Street Journal, February 12, 2020
Sandwich Generation caregivers come from all walks of life and family situations. One thing they all have in common? They are squeezed and need more support. Click here to learn more.

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Latest Aging Unmasked Podcast: Aging and Romance
Aging Unmasked is a new podcast from LeadingAge where we normalize, humanize, and unmask taboos in aging. Subscribe to Aging Unmasked on 
Apple PodcastsGoogle Podcasts, and Stitcher.

2020 Census: What it Means for Members
What will the 2020 Census mean for your community? Get the facts and spread the word by clicking on the U.S. Census 2020 webpage. In addition, LeadingAge national has compiled Frequently Asked Questions for your reference.

Coronavirus: An Ounce of Prevention
Amidst all the global coverage of the novel coronavirus, communities with sensitive populations need to keep an eye on prevention. LeadingAge national has prepared several resources to help member communities prevent the spread of the virus. Please click here to access the information from national.

In addition, the North Carolina Department of Health and Human Services has prepared a fact sheet, frequently asked questions and more. Please click here to download and view the information from NCDHHS. If you have general questions about 2019 novel coronavirus, you may call the NC Division of Public Health at 1-866-462-3821.

What You Need to Know about the Flu
From October through May, the NC Division of Public Health provides weekly updates on the spread of Influenza in North Carolina. Click here to view this page and bookmark it for reference. The CDC also provides updates on activity across the nation, as well as prevention, treatment, fact sheets and more. Click here to view these resources.

Have Job Openings?
Contact Jennifer Gill with the job title, description, and how to apply and she will post it for you under the Careers tab on the LeadingAge NC website. It's free!

In Case You Missed It
Click below to read our most recent newsletter.

Follow @LeadingAgeNC on Social Media
Stay connected in 2020. Be sure you are following @LeadingAgeNC on Twitter, Facebook, and Instagram. You'll be up-to-date whatever comes your way!

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Click to view a specific program.

Annual Conference & Expo  |  Manager Training Seminar
2020 Event & Education Calendar  |  LeadingAge Crisis Communications

Save the Date: LeadingAge NC Annual Conference & Expo
The LeadingAge North Carolina Annual Conference will be May 18-21, 2020 at The Omni Grove Park Inn in Asheville. We're busy finalizing details and can't wait to gather with you this spring. Be on the lookout for more info in the coming weeks. Registration will be announced via social media, email, and website in early spring.


Manager Training Seminar
April 16, 2020
8am-5pm
Friends Homes Guilford
Greensboro, NC
Target audience: managers, directors, team leaders, supervisors
Details and registration


2020 Event and Education Calendar Now Available
Mark your calendar for these LeadingAge North Carolina events and programs in 2020. New this year is a Fall Conference on September 24 in Colfax designed specifically for Department Directors and Managers/Supervisors in HR, marketing, finance, social work, nursing, maintenance, wellness, and fundraising. Watch for more details!


LeadingAge National Webinar: Crisis Communications - Messaging Negative Publicity
This webinar will take place next week on Wednesday, February 26 from 2-3 p.m. and details a strategic approach to communications that allows organizations to establish and maintain control of their message while mounting a defense against negative publicity. Click here for more information and to register.

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A Note from your Value First Representative


When it comes to balancing resident satisfaction and food service costs, you face many challenges. As specialists working with senior living and long-term care communities, Value First can help you provide your residents with nutritious and satisfying meals that fit your budget. However, our support goes far beyond helping you reduce food costs. Our tools and resources can support your entire operation by reducing costs and improving efficiencies at every step of your supply chain.

It all starts with a cost study where we’ll work with your purchasing team to analyze your current expenses and give you line item comparison on exactly how we can help you save. As the new year started we have already seen successes in a number of food cost studies.

Please take advantage of this, it only takes a few minutes from your end, and Value First does all the leg work.

If you are currently using CINTAS but not through our program, please take a look at this. CINTAS and Value First in partnership with Vizient are offering members with incredible savings, click here for more information.

Please contact me, Bobby Bernal, at 850-509-8112 or email me.

I will walk you through the few easy steps.

Please click here for the NEW Value First vendor catalog.

Thank you and I look forward to seeing you on the road.

Robert "Bobby" Bernal, Value First Regional Southeast Manager
C: (850) 509-8112 | Email

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


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Calendar

7/16/2020
Webinar: Identifying and Preventing Functional Decline in the Growing Acuity of AL/IL Communities

7/21/2020
Teepa Snow: Using a Positive Approach to Dementia Care

7/28/2020
Webinar: Interventions to Support Mental Health (Depression, Anxiety, Grief) During a Pandemic

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