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Membership Update

Posted By Jennifer Gill, Friday, February 15, 2019


February 15, 2019

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

Strategic Thinking
News & Notes
Volunteer Spotlight
Professional Development


Advocacy & Policy

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

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

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

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

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

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

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

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

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

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


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

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

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Strategic Thinking

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

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

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

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

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

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

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

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News and Notes



 


 

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

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

If selected, your nominee will:

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

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

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


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


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

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

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

2019 Nonprofit Town Halls
Join the North Carolina Center for Nonprofits and organizations across the state for a Nonprofit Town Hall meeting in your area during February and March. Discussion will include briefings on the top federal and state issues affecting nonprofits in North Carolina. Cost of attendance is $25 for Center Members and Sustainers, and $35 for all others. Pre-registration is required.
Click here to learn more and register for a meeting in Asheville, Raleigh, Charlotte, Kernersville, Durham, or Wilmington.

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

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Volunteer Spotlight

 
David Lacy
President and CEO
Southminster

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

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

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

3. If you had unlimited resources, what is the one thing you as a board member would like to do for the population we serve?
Have ways to serve a broader base of clients – whether that is through more home and community based programs, affordable senior housing, or broader availability of financial assistance to help more people experience our programs and services.

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

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

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


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Professional Development

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

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

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

NAB Approved Contact Hours: 1.25 each session

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

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

Register online today.
Download flyer.


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

Nursing staff and management please join us in one of three cities in March and April for the North Carolina Culture Change Coalition's "Staying Alive." The symposium will feature guest speaker Susan Gilster, PhD, RN who has presented more than 150 national and international talks on Alzheimer’s care and treatment, organizational change, leadership, and employee satisfaction and retention. She served as co-facilitator of the Leadership and Culture training for the Practice Change Fellowship program. Dr. Gilster has published more than 50 professional articles and has written two books, "A Way of Life: Developing an Exemplary Alzheimer’s Disease and Dementia Program" and "SERVICE First: Changing Culture, Changing Care."  Click here to register.

Topics:

  • Sustaining culture change through leadership
  • Panel will discuss culture change in their facilities
  • Just culture
  • Regulatory perspective on culture change from Cindy Deporter, State Survey Agency

CEUs: LNHA, Assisted Living Administrators, and Nursing

March 26th
Cypress Glen Retirement Community
100 Hickory Street
Greenville, NC 27858

April 9th
Davidson Community College
297 DCC Road
Thomasville, NC 27360

April 10th
Givens Highland Farms
200 Tabernacle Road
Black Mountain, NC 28711

Click here to register.


**New - SAVE THE DATE!
Reducing Readmissions
“Go to the Hospital or Stay Here?"
A Decision Guide
In Rocky Mount, Thomasville, and Cullowhee
Three dates in April

Be a part of the Medicare Region IV research initiative to reduce avoidable hospital readmissions.  Click here to register for a CMS and State of North Carolina-endorsed no-cost workshop that will explain how the Resident and Family Guide can be used to reduce hospital readmissions. Target audiences for the sessions are Administrators, Directors of Nursing, Medical Directors, NPs, PAs and Department Heads and Staff. The session will be offered April 23rd in Rocky Mount, April 24th in Thomasville and April 25th in Cullowhee. During the session, participants will be provided with an overview of the Decision Guide content, learning videos and techniques to introduce the information to staff, residents and family. Best practices on how to hardwire “The Guide” into your organization’s admission process as well as highlights from the pilot project will be discussed. For more information, contact: Frank Tappen.

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Membership Update

Posted By Jennifer Gill, Friday, February 1, 2019
Updated: Thursday, January 31, 2019


February 1, 2019

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

Strategic Thinking
News & Notes
Professional Development


Advocacy & Policy

General Assembly Gets Down to Business
The legislature returned to Raleigh on January 30 for the beginning of its long session. When they returned, there were some notable absences as well as some people in new roles. Sen. Louis Pate, 82, R-Wayne, who had been sworn in for his fifth term in the Senate, is retiring. He served four terms in the House before being elected to the Senate in 2010. Several legislators who lost their seats in the November elections will still have a presence in the halls of the legislature including former state Rep. Nelson Dollar, R-Wake, who had been chair of the House Appropriations Committee, before losing his re-election bid. He will be joining House Speaker Moore’s staff as a senior policy advisor.

Six freshmen Republicans and seven freshmen Democrats were sworn into the Senate, which now includes 10 African-Americans, 10 women, two Indian-Americans, and eight veterans. There are 10 attorneys, five in real estate, and three who are in insurance.

The freshmen Republicans are:
• Sen. Bob Steinburg – Chowan (previously served in the House)
• Sen. Jim Burgin – Harnett
• Sen. Carl Ford – Rowan (previously served in the House)
• Sen. Eddie Gallimore – Davidson
• Sen. Todd Johnson – Union
• Sen. Ted Alexander – Cleveland

The freshmen Democrats are:
• Sen. Harper Peterson – New Hanover
• Sen. Wiley Nickel – Wake
• Sen. Sam Searcy – Wake
• Sen. Kirk deViere – Cumberland
• Sen. Michael Garrett – Guilford
• Sen. Mujtaba Mohammed – Mecklenburg
• Sen. Natasha Marcus – Mecklenburg

A full list of Senators can be found here.

The freshman class in the House has nine Republicans and 17 Democrats. The House now includes 26 African-Americans, 34 women, one American-Indian, and 24 veterans.

The freshmen Republicans are:
• Rep. Lisa Stone Barnes – Nash
• Rep. Jerry Carter – Rockingham
• Rep. Ed Goodwin – Chowan
• Rep. Bobby Hanig – Currituck
• Rep. Chris Humphrey – Lenoir
• Rep. Steve Jarvis – Davidson
• Rep. Keith Kidwell – Beaufort
• Rep. Wayne Sasser – Cabarrus
• Rep. Carson Smith – Pender

The freshmen Democrats are:
• Rep. Ray Russell – Watauga
• Rep. Kandie Smith – Pitt
• Rep. Raymond Smith – Wayne
• Rep. Julie von Haefen – Wake
• Rep. Sydney Batch – Wake
• Rep. Christy Clark – Mecklenburg
• Rep. Ashton Clemmons – Guilford
• Rep. Allison Dahle – Wake
• Rep. Terence Everitt – Wake
• Rep. James Gailliard – Nash
• Rep. Wesley Harris – Mecklenburg
• Rep. Zack Hawkins – Durham
• Rep. Rachel Hunt – Mecklenburg
• Rep. Brandon Lofton – Mecklenburg
• Rep. Carolyn Logan – Mecklenburg
• Rep. Nasif Majeed – Mecklenburg
• Rep. Joe Sam Queen – Haywood (previously served in House and Senate)

A full list of House members can be found here.


Updated State Aging Profile
The North Carolina Division of Aging and Adult Services has just released the updated State Aging Profile, a wonderful source of information for policymakers, member communities and others.

Federal Budget for Fiscal 2020
With fiscal 2019 spending still unresolved, it appears unlikely that the President will be submitting fiscal 2020 budget proposals to Congress in early February, in accordance with the 1974 Budget Act’s timetable. A delay in the start of the fiscal 2020 budget process could result in the enactment of fewer 2020 spending bills before the new fiscal year begins on October 1.

As Congress and the President consider funding levels for federal programs this year and next, we will work with both sides to ensure awareness of the importance of essential health and long-term care, shelter, and community-based services for a rapidly growing population of older people.

Nurse Aide Training Lock-out
Since the automatic loss of training authority is statutory, LeadingAge national worked with Rep. Sean Duffy (R-WI) in the 115th Congress on the introduction of the Nursing Home Workforce Quality Act. LeadingAge educated dozens of Congressional offices about the devastating impact of the CNA training lockout, and many LeadingAge members participated in that grassroots campaign.

Because the legislation was not enacted during the 115th Congress, national is working to get new legislation introduced this year.

Requirements of Participation
The third and final phase of the new requirements of participation go into effect November 28, 2019. LeadingAge national has begun posting tools and holding webinars to help members prepare. There are still a few months left on the moratorium on civil monetary penalties for deficiencies cited under Phase II.

Health Inspections Rating Freeze
According to a memo issued in June 2018, CMS “is monitoring outcomes of the new inspection process and plans to resume health inspection rating calculations (ending the current freeze) in the spring of 2019.” Nursing homes have been left with the same star ratings in the Nursing Home Compare health inspection domain that they had when CMS imposed the freeze over a year ago. LeadingAge national has urged CMS to post more current information on nursing homes’ performance so that consumers have accurate reports on which to base decisions on long-term care.

Payroll-Based Journal (PBJ) Staffing Reports
The transition to PBJ reporting became fully effective as of April 1, 2018. LeadingAge national contacted the CMS on behalf of members whose data did not post accurately, urging CMS to adjust a nursing home’s Five Star rating as soon as data has been corrected. National will continue to help members with tools and information to ensure successful compliance.

Regulatory Tracker
LeadingAge national announces the launch of Regulatory Roundup 2.0, a quick and easy tracker to help members find pertinent rules and federal regulations, with timelines for submitting comments and links to comments LeadingAge may have submitted.

Senior Housing Resources
In the new Congress, LeadingAge national is working to reintroduce legislation to improve and expand the Low-Income Housing Tax Credit program. Key areas of improvement are in better serving low income older adults and preserving LIHTC housing.

National expects a lot of activity in the 116th Congress on the National Housing Trust Fund and the Capital Magnet Fund, which provide significant capital and operating subsidies for affordable housing. Both these funds get their resources from Fannie Mae and Freddie Mac, whose next regulator may call for halting funding into the HTF and the CMF.

Medicare Observation Days Legislation
The 115th Congress did not consider legislation LeadingAge national supports to resolve the observation days issue by requiring all time Medicare beneficiaries spend in a hospital to count toward the three-day stay requirement for coverage of any subsequent post-acute care. National will pursue its reintroduction and passage in the new Congress.


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

  • Member Community Visit - SearStone (Cary)
  • LeadingAge national Leadership Academy - Aldersgate (Charlotte)
  • LeadingAge national board of directors meeting (Savannah, GA)
  • Business Member Visit - Ziegler (Raleigh)

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Strategic Thinking

Labor Trends That Will Impact Your Company's Diversity
January 24, 2019, Forbes
An effective response to demographic shifts in the workforce may lie in one simple question, 'how are you?' Read more.

As America Rapidly Ages, Who's Helping to Find Better Ways to Care for Seniors?
Inside Philanthropy
According to the Foundation Center, only 2% of U.S. foundation grants currently fund aging programs. This low percentage has not changed much in the last 20 years, despite age-related demographic shifts. Does your strategic plan include research initiatives? If so, check out this article for a list of major funders involved with aging-related research. These organizations may be potential sources for your future research initiatives.

How to Procrastinate More Productively, According to a Psychologist
January 25, 2019, NBC News
A clinical psychologist gives permission to procrastinate in this fun, easy-to-read article. Gain a fresh perspective on using procrastination to your benefit and let go of the guilt! Read more.

A New Use for the Spare Room
January 23, 2019, Curbed
The home sharing model is gaining steam as new apps and programs launch around the country. Find out more about how these programs help curb loneliness, relieve financial strain, and create connection between generations. Is there a role for your community in this type of venture?

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News and Notes

 

2019 Awards Submissions Now Open!
Awards season is your chance to tell us about the fantastic people and programs at your community. Toot your own horn! Let us know how great you are! Check out the award categories, select an outstanding nominee(s) from your community, and submit your nomination(s) online today. Submissions are due March 8, 2019 by 5pm.

2019 Leadership Academy- Opening Soon
Applications for the LeadingAge North Carolina Leadership Academy class of 2019-2020 will open very soon. Each community may nominate one person, and it's a great time to begin thinking about who that person might be. The first meeting of this class will be at the Annual Conference at Myrtle Beach in May this year. Please watch your inbox, Facebook, Twitter, Instagram (leadingagenc), and our webpage for updates on how and when to apply. Interested applicants could begin formulating their thoughts by checking out last year's application here.

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

2019 Nonprofit Town Halls
Join the North Carolina Center for Nonprofits and organizations across the state for a Nonprofit Town Hall meeting in your area. Discussion will include briefings on the top federal and state issues affecting nonprofits in North Carolina. Cost of attendance is $25 for Center Members and Sustainers, and $35 for all others. Pre-registration is required.
Click here to learn more and register for a meeting in Asheville, Raleigh, Charlotte, Kernersville, Durham, or Wilmington.

This New Medicare App Is a Godsend for Seniors
January 28, 2019, Money
Earlier this week CMS launched “What’s Covered,” a new app that could be a great resource to share with residents. The app allows beneficiaries with Original Medicare to quickly research whether Medicare will pay for a given medical item or service. The app is part of CMS’s “eMedicare” initiative. Other parts of the initiative include an online price comparison tool.

2020 National Annual Meeting Date Change/Pattern
Due to the Presidential Election, the 2020 LeadingAge Annual Meeting will be shifting to begin later in the week. The pattern shift will be an interesting experiment to see if attendees and exhibitors prefer a mid week start vs our typical Sunday-Wednesday. From an immediate context, it stays clear of Halloween and allows people to vote and then head to San Antonio.

2020 Meeting Dates: Wednesday, November 4-Saturday, November 7, 2020
EXPO Dates: Thursday, November 5-Saturday, November 7, 2020

McKnight's Wants to Hear about Your "Brighter Side"
McKnight's would like to know all the wonderful things your community is doing to brighten up the lives of residents, employees and members of the community. They have launched "The Brighter Side" feature on their website, and are expanding it to encompass social media, using the hashtag #BrightenUpLTC.

The criteria for "TBS" stories are pretty simple. The only rules are that it's occurring in or around a skilled nursing facility, it makes you smile and it's something that your peers might be interested in reading about.

"The Brighter Side" is a year-round feature that runs every Wednesday in the Daily Update, so you can help McKnight's spread the good word(s) every week with it. If you see something that you think fits the bill, you can send an email to staff writer Marty Stempniak or share it on Twitter with the hashtag #BrightenUpLTC. They will select some of the best suggestions to appear in story form in the Daily Update.

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

Back to top


Professional Development

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

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

Registration
Series: $800 members / $1,600 non-members
Individual session: $75 members / $125 non-members

NAB Approved Contact Hours: 1.25 each session

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

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

Register online today.
Download flyer.


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

Nursing staff and management please join us in one of three cities in March and April for the North Carolina Culture Change Coalition's "Staying Alive." The symposium will feature guest speaker Susan Gilster, PhD, RN who has presented more than 150 national and international talks on Alzheimer’s care and treatment, organizational change, leadership, and employee satisfaction and retention. She served as co-facilitator of the Leadership and Culture training for the Practice Change Fellowship program. Dr. Gilster has published more than 50 professional articles and has written two books, "A Way of Life: Developing an Exemplary Alzheimer’s Disease and Dementia Program" and "SERVICE First: Changing Culture, Changing Care."  Click here to register.

Topics:

  • Sustaining culture change through leadership
  • Panel will discuss culture change in their facilities
  • Just culture
  • Regulatory perspective on culture change from Cindy Deporter, State Survey Agency

CEUs: LNHA, Assisted Living Administrators, and Nursing

March 26th
Cypress Glen Retirement Community
100 Hickory Street
Greenville, NC 27858

April 9th
Davidson Community College
297 DCC Road
Thomasville, NC 27360

April 10th
Givens Highland Farms
200 Tabernacle Road
Black Mountain, NC 28711

Click here to register.


**New - SAVE THE DATE!
Reducing Readmissions
“Go to the Hospital or Stay Here?"
A Decision Guide
In Rocky Mount, Thomasville, and Cullowhee
Three dates in April

Be a part of the Medicare Region IV research initiative to reduce avoidable hospital readmissions.  Click here to register for a CMS and State of North Carolina-endorsed no-cost workshop that will explain how the Resident and Family Guide can be used to reduce hospital readmissions. Target audiences for the sessions are Administrators, Directors of Nursing, Medical Directors, NPs, PAs and Department Heads and Staff. The session will be offered April 23rd in Rocky Mount, April 24th in Thomasville and April 25th in Cullowhee. During the session, participants will be provided with an overview of the Decision Guide content, learning videos and techniques to introduce the information to staff, residents and family. Best practices on how to hardwire “The Guide” into your organization’s admission process as well as highlights from the pilot project will be discussed. For more information, contact: Frank Tappen.

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Membership Update

Posted By Jennifer Gill, Friday, January 18, 2019
Updated: Thursday, January 17, 2019


January 18, 2019

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

Strategic Thinking
News & Notes
Congratulations

Professional Development


Advocacy & Policy

Proposed New Rule from DHSR
The North Carolina Division of Health Service Regulation held a special meeting last week to preview proposed rules that would impact many of our member communities. In a nutshell, the Division is proposing rules that would require all skilled nursing home beds in the state to be surveyed using federal standards. Those communities that have made the business decision to not accept federal money would be forced to play by federal rules. Switching from being surveyed using state rules to being surveyed by federal rules would potentially cost communities millions of dollars — additional costs that would in all probability be borne by the residents we serve. LeadingAge North Carolina has assembled a special task force that will be aggressively pursuing comments to the Division about the impact of the proposed rules and we’ll keep you updated as we move forward. We are grateful for assistance on this issue from LeadingAge national, as well.

Public Policy Priorities 2019
The LeadingAge North Carolina board of directors met earlier this week in Greensboro and adopted a set of Public Policy Priorities for 2019. Our priorities for 2019 focus on collaborating with a number of organizations and agencies on policies that directly impact aging services in our state and our member communities. A special communication to all new and returning members of the General Assembly is being sent highlighting our priorities and our goal of partnering to advance aging services in our state.

HUD Says December, January Renewals Must Rely on Reserves
LeadingAge has learned the likely fate of the 650 contracts that were up for renewal in December but were not renewed prior to the shutdown, which began on December 22. Over a third of the contracts that expired in December are connected to Section 202 Housing for the Elderly. HUD decided it does not have the resources to fund these 224 contracts. HUD officials say that 92% of these 224 Section 202 communities have at least $3,000 per unit in their reserve accounts. Reasoning that the average annual subsidy for a Section 202 unit is $7,000, HUD believes these communities will be “fine for several months” by relying on their reserves. Section 202 owners with contracts expiring in January are expected to rely on their reserves as well during the shutdown. Read more here.

In addition to contacting Colleen Bloom and Linda Couch at LeadingAge national with issues and concerns, members are urged to contact their House and Senate members with these messages:

  • Please protect low income older adults by ending the government shutdown and passing a full year HUD spending bill that provides strong funding for affordable housing programs such as the Section 202 Housing for the Elderly and Project-Based Rental Assistance programs.
  • We are gravely concerned of the shutdown’s immediate and long-term impacts on HUD’s programs and the low income older adults they serve.
  • The shutdown is threatening to destabilize over 1.6 million older adult households that depend on HUD’s rental assistance programs.

Draft 2019 MDS Item Sets
A new DRAFT version of the 2019 MDS item sets (v1.17.0) has been posted. This version is scheduled to become effective October 1, 2019. The files are located in the Downloads section of this CMS webpage.



LeadingAge North Carolina staff travels the state offering education, advocacy, and networking, and collaborating with agencies that share a common vision. Here’s where our itinerary has taken us recently:

  • NC Division of Health Service Regulation Stakeholder meeting (Raleigh)
  • Past Board Chairs dinner — Penick Village (Southern Pines)
  • Public Policy planning — Croasdaile Village (Durham)
  • Springmoor Residents Association meeting — Springmoor (Raleigh)
  • LeadingAge NC board of directors and board of trustees meetings — Well-Spring (Greensboro)
  • LeadingAge NC Leadership Academy — Pennybyrn at Maryfield (High Point)

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Strategic Thinking

Member Questions
Several member questions were posted at the end of 2018. You may click on the numbered text below to download a spreadsheet of responses to the questions listed.

  1. Spiritual support to residents
  2. Generators on campus
  3. Technology use and planning
  4. Transportation scheduling software
  5. Core repositioning
  6. Staff appreciation fund access

Download Strategic Focus Publication
Our new publication,
Strategic Focus, examines a specific governance topic to help you, your leadership team and board in planning, strategic thinking, and execution. This edition focuses on mission. A hearty thank you to our good friends at LeadingAge Virginia for sharing their content for use in this publication.

An Executive Director’s Guide to Financial Leadership
January 10, 2019, Nonprofit Quarterly
There is a distinction between financial management and financial leadership, and that difference is sustainability. In this article eight key business principles are summarized and provided as a guide for executive directors to achieve financial sustainability for their organization.

Never Take a Bad Work Day Home Again, Using These 3 Steps

January 9, 2019, Ideas.Ted.Com
Your work and home life probably have different rhythms. Do you ever wish you were better at transitioning between them? How we spend the time between work and home affects our ability to be present. For permission to relax and recover, read more in this brief article, or take time to watch the 17-minute video which provides more humor and context.

10 Excel Functions Everyone Should Know
October 8, 2018, Harvard Business Review
Never feel overwhelmed by creating or reading spreadsheets again, and increase your skill level. Check out these ten tips on how to navigate Excel with more ease. The time to learn each tip ranges from just 2 minutes to more than 15 minutes, and the investment is worth it!

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News and Notes

2020 National Annual Meeting Date Change/Pattern
Due to the Presidential Election, the 2020 LeadingAge Annual Meeting will be shifting to begin later in the week. The pattern shift will be an interesting experiment to see if attendees and exhibitors prefer a mid week start vs our typical Sunday-Wednesday. From an immediate context, it stays clear of Halloween and allows people to vote and then head to San Antonio.

2020 Meeting Dates: Wednesday, November 4-Saturday, November 7, 2020
EXPO Dates: Thursday, November 5-Saturday, November 7, 2020

McKnight's Wants to Hear about Your "Brighter Side"
McKnight's would like to know all the wonderful things your community is doing to brighten up the lives of residents, employees and members of the community. They have launched "The Brighter Side" feature on their website, and are expanding it to encompass social media, using the hashtag #BrightenUpLTC.

The criteria for "TBS" stories are pretty simple. The only rules are that it's occurring in or around a skilled nursing facility, it makes you smile and it's something that your peers might be interested in reading about.

"The Brighter Side" is a year-round feature that runs every Wednesday in the Daily Update, so you can help McKnight's spread the good word(s) every week with it. If you see something that you think fits the bill, you can send an email to staff writer Marty Stempniak or share it on Twitter with the hashtag #BrightenUpLTC. They will select some of the best suggestions to appear in story form in the Daily Update.

Antipsychotic Drug Use in Nursing Homes: Trend Update
CMS is tracking the progress of the National Partnership to Improve Dementia Care in Nursing Homes by reviewing publicly reported measures. The official measure of the Partnership is the percentage of long-stay nursing home residents who receive antipsychotic medication, excluding residents diagnosed with schizophrenia, Huntington's disease, or Tourette’s syndrome. In the fourth quarter of 2011, 23.9% of residents received an antipsychotic medication; since then there has been a decrease of 38.9% to a national prevalence of 14.6% in the second quarter of 2018. In North Carolina in the 4th quarter of 2011, 21.4% of residents received an antipsychotic medication; since then there has been a decrease of 42.3% to a state prevalence of 12.4% in the second quarter of 2018. A four-quarter average of this measure is posted on the Nursing Home Compare website. For more information visit the Partnership webpage or send correspondence to dnh_behavioralhealth@cms.hhs.gov.

CMS Details 6 Steps to Reduce Harm in Nursing Homes
A new federal report delves into the first steps nursing home leaders can take to avoid preventable harm to their residents. The National Nursing Home Quality Improvement Campaign is hosting a January 24 webinar with experts to explore some of those strategies in this “change package” of recommendations. The 60-page resource from CMS was released late last year and created with the Quality Innovation Network National Coordinating Center.

The report includes a two-page appendix with six strategies SNFs can pursue to get started, including shoring up staffing, identifying gaps in care, and promoting multidisciplinary team work.

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

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Congratulations

 

 LeadingAge NC Leadership Academy
in High Point

 

Leadership Academy Explores Creativity
Congratulations on another great Leadership Academy visit! The LeadingAge North Carolina Leadership Academy is gathered at Pennybyrn at Maryfield in High Point today (and yesterday) for in-depth discussion of innovation, creativity, and change. The energy is palpable and the mood is high as folks continue getting to know and support each other while growing their leadership skills.

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Professional Development

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

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

Registration
Series: $800 members / $1,600 non-members
Individual session: $75 members / $125 non-members

NAB Approved Contact Hours: 1.25 each session

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

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

Register online today.
Download flyer.


Learn how to implement a culture of change to keep today’s senior vibrant and “Staying Alive!”

Join the North Carolina Culture Change Coalition for a symposium that features guest speaker Susan Gilster, PhD, RN. Dr. Gilster has presented more than 150 national and international talks on Alzheimer’s care and treatment, organizational change, leadership, and employee satisfaction and retention. She served as co-facilitator of the Leadership and Culture training for the Practice Change Fellowship program. Dr. Gilster has published more than 50 professional articles and has written two books, “A way of Life: Developing and Exemplary Alzheimer’s Disease and Dementia Program” and “SERVICE First: Changing Culture, Changing Care”.  Click here to register.

Target Audience: Nursing staff, Management
Topics:

  • Sustaining culture change through leadership
  • Panel members present to discuss culture change in their facilities
  • Just culture
  • Regulatory perspective on culture change from Cindy Deporter, State Survey Agency

Cost: $50
CEUs: LNHA and Assisted Living Administrators CEUs and Nursing CEUs available

March 26th in Greenville
Cypress Glen Retirement Community
100 Hickory Street
Greenville, NC 27858

April 9th in Thomasville
Davidson Community College
297 DCC Road
Thomasville, NC 27360

April 10th in Black Mountain
Givens Highland Farms
200 Tabernacle Road
Black Mountain, NC 28711

Click here to register.

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Membership Update

Posted By Jennifer Gill, Friday, January 4, 2019
Updated: Thursday, January 3, 2019


January 4, 2019

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


Advocacy & Policy

2019 General Assembly Convenes January 9
LeadingAge North Carolina will be on location to ensure that laws are passed that create positive aging for every North Carolinian!

New Year, New Laws
As we rang in the New Year, we also sounded the bell on new laws in North Carolina. Notable changes include earlier primaries (even year primaries will be earlier, moved up from May to March), judicial redistricting (lawmakers redrew boundaries for superior court, district court, and prosecutorial districts), and hospital charges (hospitals are now required to post their standard charges for medical procedures, supplies, tests and other services).

Aging Services: Where We Stand as the 116th Congress Begins
The lame duck 115th Congress passed some measures of interest to aging service providers, but several other issues, especially senior housing funding for 2019, remain to be resolved by the 116th Congress that began yesterday. CLICK HERE for an analysis of where these issues currently stand.

Response from CMS about Effect of PBJ on Reported Staffing Levels
Back on September 4, 2018, we reported to you about LeadingAge’s response to concerns raised by US Senate Finance Committee members about reported staffing levels under the new payroll-based journal system:

LeadingAge Responds to Concerns About Reported Staffing Levels
LeadingAge President and CEO Katie Smith Sloan has responded to concerns raised by Senator Ron Wyden (D-OR), a ranking member of the Senate Finance Committee, on whether seniors and their families have accurate and complete information about the quality of nursing homes. Senator’s Wyden’s concerns are based on a report published by The New York Times earlier this summer regarding reported staffing levels in nursing homes under the new payroll-based journal (PBJ) system. LeadingAge President and CEO Katie Smith Sloan called on CMS to change its policy to adjust a nursing home’s Five Star rating as soon as the PBJ staffing data has been corrected rather than waiting until the end of the quarter.

CMS has responded to LeadingAge's response, which you may view by clicking here. LeadingAge will continue to monitor and report challenges to CMS regarding PBJ and the Nursing Home Five Star system.

Impact of the Government Shutdown on Affordable Housing Properties
Given that the partial shutdown is heading into its second week - and United States Housing and Urban Development subsidies may begin to fall short in some cases as the time stretches out - here is information posted two days ago to the LeadingAge Housing Operations and Policy listserv:

From conversations with HUD staff, just prior to the shutdown, we were assured that the “vast majority” of ongoing rental assistance contracts “should generally be paid on schedule.” However, projects with contracts that show as being expired or short on funds in TRACS may need to submit a HUD Form 9250 to request an advance of funds from the reserve for replacements account.

According to a HUD confirmation on January 2nd,) each Satellite Office has Excepted or Intermittent staff that can help with “emergency” situations. Generally, all of the Regional and Satellite Directors, and some select staff, should be available. 9250 requests can be sent directly to Directors. If you have any difficulty, please send copies to Colleen Bloom at LeadingAge national. LeadingAge will share with HUD headquarters staff and prompt to facilitate a response by appropriately exempted and/or regional oversight staff.

Here are some additional questions on HUD and the government shutdown that may be of interest.

McKnight’s Features LeadingAge Leadership Summit & Town Hall Conversations
LeadingAge national’s upcoming Leadership Summit March 17-20 in Washington, DC and its ongoing Town Hall Conversations to help inform public policy efforts were featured in a McKnight’s New Year’s article. This year’s Leadership Summit is an excellent forum to learn more about the issues facing our field and make your voice heard with our elected federal officials. We’ll be providing more information about this year’s North Carolina Town Hall Conversation as we finalize the dates.

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Strategic Thinking


Opportunity and Crisis: Skilled Nursing Leaders Make Their Top Predictions for 2019
January 1, 2019, Skilled Nursing News
Outlooks on 2019 are provided to Skilled Nursing News by LeadingAge national staff, as well as Zeigler, Lancaster Pollard, Aegis Therapies (all LeadingAge North Carolina members) and more.

How to Manage Someone Who is Totally Disorganized
December 31, 2018, Harvard Business Review
Instead of silently feeling frustrated, there are several ways you could assist an employee who is disorganized. Check out this article for a list of practical interventions and two case studies. And remember, there is an effective middle ground between coddling and being impatient.

Misconceptions About Health Costs When You’re Older
December 24, 2018, The New York Times
This article tackles the expense side of an emotional issue: end-of-life. After citing research, probability, and yet more numbers, the author reminds us that we're talking about people here. Maybe easing suffering is worth the money it costs. The analysis provided is worth a read.

Working With Older Adults
December 2018, American Psychological Association
The scarcity of psychologists trained to treat older adults (1.2%) is leading to initiatives to improve those numbers. Check out this article for more information on the small but developing field of geropsychology. To help support your residents living with mental illness, check out the first article under News and Notes for a free training video series available to LeadingAge members.

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News and Notes

Free Mental Health Training Resource
Supporting residents with mental illness requires special training. So we want to be sure you are aware of a great free training resource available in the LeadingAge national learning hub. The series of free videos covers topics included in the written guide developed by Jewish Community Housing for the Elderly and Jewish Family & Children’s Service. It mirrors an in-person training, including role playing examples of situations commonly encountered by staff that can be applied across a variety of aging services settings. Check it out today.

Reflections on 2018’s Hurricane Season…And Suggestions!
This December 28, 2018 article from “Shots: Health News from NPR” details specific steps staff at Bishop Gadsden Retirement Community in Charleston took during Hurricane Florence.

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

Tom Akins Available to Speak with Your Constituents

As you plan your 2019 calendar, please remember that LeadingAge North Carolina President and CEO, Tom Akins, is available to offer trend analysis presentations and other topics for your constituents. Contact Tom today to discuss your needs or please contact Jennifer Gill in our office at 919-571-8333 for more information.

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Professional Development

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

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

Registration
Series: $800 members / $1,600 non-members
Individual session: $75 members / $125 non-members

NAB Approved Contact Hours: 1.25 each session

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

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

Register online today.
Download flyer.

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New Year Office Hours

Posted By Jennifer Gill, Friday, December 28, 2018
Wishing everyone a safe and happy new year! Our office will be closed on Monday, December 31st and Tuesday, January 1st in observance of the holiday.

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Holiday Office Hours

Posted By Jennifer Gill, Friday, December 21, 2018
Warmest wishes from all of us to each of you for a peaceful holiday season. Our office will be closed December 24, 25, 31, and January 1.

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Membership Update

Posted By Jennifer Gill, Friday, December 21, 2018
Updated: Monday, December 17, 2018


 December 21, 2018





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Membership Update

Posted By Jennifer Gill, Friday, December 7, 2018
Updated: Thursday, December 6, 2018


 December 7, 2018

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


Advocacy & Policy

Feds Order More Weekend Inspections Of Nursing Homes To Catch Understaffing
In late November CMS announced plans to focus on potential violations of weekend staffing requirements by conducting more surprise inspections on weekends in conjunction with standard annual reviews. Katie Smith Sloan is quoted in the article as saying that some homes are still struggling to adapt to the new data collection rules. "We've been voicing our concerns to CMS and will continue to do so."

Poor-Quality Caregiving Must Never Be Tolerated
This letter to the editor by Katie Smith Sloan in support of quality improvement measures, not additional regulation, was written in response to a November 25th investigative article from The Washington Post. That article, entitled, "Overdoses, bedsores, broken bones: What happened when a private-equity firm sought to care for society's most vulnerable," reported on abysmal caretaking by a for-profit skilled nursing facility in Pennsylvania.

Prospective Payment System Calculator Tool Updated
LeadingAge has updated Medicare Part-A Skilled Nursing Facility Prospective Payment System (PPS) calculator and the Medicare Part B therapy rate calculator to help members assess and estimate the impact of final payment changes for FY 2019, which begins on Oct. 1, 2018. Additionally, the Medicare Part-A SNF PPS and Medicare Part B therapy rate calculators for FY 2018 are available. Access to these tools requires login via My.LeadingAge.

How California Is Changing Palliative Care
In 2019 California will become the first state in the nation to mandate home-based palliative care for people enrolled in its Medicaid program called Medi-Cal. The new mandatory home-based program will help patients manage the symptoms of their life threatening illness as well as help them and their families navigate each of the additional profound challenges they face such as homelessness, food insecurity, mental illness, and substance abuse. Palliative care experts hope California will begin a national move to provide home-based palliative care not only to Medicaid patients but to those on Medicare and private pay insurance.


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Strategic Thinking

Set the Conditions for Anyone on your Team to be Creative
December 5, 2018, Harvard Business Review
This author believes anyone can be creative, which is great news if you're in a creative rut. Check out this article for more details on these ways to get your creative juices flowing: cultivating expertise, exploring, using technology, and being persistent.

As Work Gets More Complex, Six Rules to Simplify
October 2013, TED Talk by Yves Morieux
More than ever employees are on their own to navigate their increasingly complex work places, leaving them disengaged or miserable. In this energetic 12-minute talk, Yves Morieux offers six rules for "smart simplicity." Rule one: Understand what your colleagues actually do.

9 Ways to Improve Employee Retention With 'Stay Interviews'
December 6, 2018, CMS Wire
Nine excellent suggestions are provided in this helpful article on employee retention. The concept of a 'Stay Interview' may be new to your HR department. Details on what to ask during such an interview, what to call it (A Stay Experience), and how to use the information are also included in this useful read. Learn more.

Six Months in, Alzheimer's Response Team Shows Promising Results
December 5, 2018, The San Diego Union-Tribune
This innovative idea might work in your community-at-large to become an aging-friendly environment. The team featured in the article is comprised of deputy sheriffs, firefighters and other first responders. They are linked with social workers, clinicians and other dementia experts with the county’s department on aging. Only six months in the team reports 50 referrals and 22 assistance cases keeping people living with dementia out of jail, out of the emergency room, and receiving appropriate community response and support instead. To help make the case for the importance of such a response team, check out this December 2018 article on the number of Alzheimer's cases projected to triple by 2060.

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News and Notes

LeadingAge Prepares for 2019 Member Survey
In Spring 2019, LeadingAge national will be conducting a survey of provider members to help describe nonprofit members accurately, design meaningful advocacy efforts that meet member needs and develop relevant programs and services. By identifying trends that affect your organization, documenting workforce turnover rates, learning best practices of LeadingAge members, and more, LeadingAge national and LeadingAge North Carolina will be better positioned to advocate for important policy issues facing our field. More information about the member survey will be coming in early 2019.

LZ-200 Report: The Largest Nonprofit Multi-Site Aging Services Organizations
Since its inception in 2004, this publication has become an eagerly anticipated annual report of the largest and most complex not-for-profit senior living organizations. The 2018 report demonstrates the significant role that LeadingAge member not-for-profit organizations play in the aging services field. From the oldest to the newest, the largest to the smallest, each organization has a unique story that includes commitment, community support, stewardship, resilience, and a reputation for going above-and-beyond.

New LeadingAge CAST Safety Technology Tool Featured
McKnight's Senior Living recently featured the new Safety Technology Selection Tool by LeadingAge CAST. "New toolkit focuses on falls detection and prevention" includes links to the white paper, online product selection tool and product selection matrix that now compares 35 products from 19 vendors and provider case studies. The article notes that the white paper includes a section for providers on Medicaid waiver coverage of safety technologies. It also addresses ways to incorporate these technologies into business and care delivery models, and to calculate their return on investment.

Data Available on Aging Services Across the States
A recent report, Across the States: Profiles of Long-Term Services and Supports, by the AARP Public Policy Institute, provides valuable data on the population receiving aging services and the ways in which these services are provided, broken out by state. The report discusses demographics, social indicators, income levels, costs of care, insurance coverage and Medicaid participation, and other factors relevant to our field. This kind of data can be useful in ascertaining trends in our field and planning our organizations' futures. We will also use this data in our advocacy on issues affecting older people and their families. Among the report's findings:

  • The population aged 85 and over will triple by the year 2050;
  • Ethnic diversity within this population is increasing; and
  • States are devoting more of their Medicaid long-term services and supports budgets to home- and community-based services.

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

Tom Akins Available to Speak with Your Constituents

Tom is adding speaking engagements to his calendar thanks to members who are calling to request him on their meeting agendas. As a free member service, he is available to offer trend analysis presentations and other topics for your constituents. Contact Tom today to discuss your needs or please contact Jennifer Gill in our office at 919-571-8333 for more information.

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Volunteer Spotlight


Anita Holt
President and CEO
The Forest at Duke


Thank you to Anita Holt, President and CEO of The Forest at Duke in Durham, for her service to the board since 2016. 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. Anita serves on the board as Treasurer and we are so glad to share more about her.

1. Why did you become involved with LeadingAge NC?

Throughout my career, I have always actively participated in the state associations. North Carolina is no exception. I believe in their role of support and advocacy on behalf of our industry, best practices and elevating the quality and scope of services available to older adults and that the association provides proactive attention to our regulatory and legislative environment. LeadingAge North Carolina is particularly collegial and supportive in its leadership and membership which makes it very easy to become involved.

2. What makes our mission meaningful to you?
The opportunity to collectively serve in a value laden, principled way.

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 ensure that we explore and deliver flexible, quality care and services across the economic continuum. I would like to see us do so by serving as facilitators, collaborators and partners for innovation and creative access for older adults, their families and caregivers.

4. If you could swap jobs with a staff member for a day, what would you try?
If I were swapping jobs for a day it would probably be in the memory support or dementia care areas with activities, programs and socialization.

5. What do you do to relax, get away, to recharge your batteries?
The best relaxation is travel, particularly where phone service and email coverage are sketchy! Absent that a great book and a glass of wine will do!

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Professional Development

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

Webinar Series
All sessions held the first Wednesday of each month from November 2018 to November 2019 at 2pm eastern time (except Jan. 2019)

Registration
Series: $800 members / $1,600 non-members
Individual session: $75 members / $125 non-members

NAB Approved Contact Hours: 1.25 each session

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

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

Register online today.
Download flyer.

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A group purchasing organization of LeadingAge North Carolina.

Need a Lift?
ArjoHuntleigh (aka Arjo) is offering LeadingAge-Value First members up to
27% and 39% discount on select lifts for long term care communities during December. Offer ends 12/31/18.

Arjo products and solutions ensure ergonomic patient handling, personal hygiene, disinfection, diagnostics, and the effective prevention of pressure injuries.

Click here for information on specific models available during in this special offer.

Registration Confirmation and Arjo Rep Information
Email Vanessa Ceasar or call 404-421-3956 to find out if your community is registered to purchase from Arjo through Value First—and to get contact information for the Arjo professional covering your area if you do not currently purchase from Arjo.


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Thanksgiving Office Hours

Posted By Jennifer Gill, Monday, November 19, 2018
The LeadingAge North Carolina office will be closed Thursday and Friday, November 22nd and 23rd in observance of Thanksgiving. Warmest wishes from all of us for a wonderful holiday.

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Membership Update

Posted By Jennifer Gill, Friday, November 16, 2018
Updated: Thursday, November 15, 2018


 November 16, 2018

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


Advocacy & Policy

State and Federal Mid-Term Election Results Almost Finalized
Results from the November 6 mid-term elections are almost finalized. There are still a few North Carolina House of Representatives races to be called and one Senate race. At this point, it appears the House lineup will be 65 Republicans and 55 Democrats; on the Senate side, it appears the lineup will be 29 Republicans and 21 Democrats. Because of Democrat pickups in both chambers, the Republican “super majority” will no longer be a reality. As a result, Governor Roy Cooper will have more relevance in the upcoming long session. Please note: the Senate election in New Hanover County between incumbent Senator Mike Lee and challenger Harper Peterson could restore the Republican super majority in the Senate. Peterson currently leads by about 40 votes but that number could change as final ballots are counted between now and the state certification date of November 27.

Four of the six constitutional amendments passed in North Carolina. Those that passed included the income tax cap of 7%, voter identification, hunting & fishing, and victims’ rights. The two amendments that did not pass included allowing the General Assembly to fill judicial vacancies and ensuring equal numbers of Republicans and Democrats on the state board of elections/ethics. It is anticipated that the November 27 special session will focus mainly on implementing legislation for the voter identification amendment before Republicans lose their super majority on January 1.

On the Federal side, the House of Representatives now has a Democrat majority, which means new committee chairs and a new Speaker of the House. Republicans grew their majority in the Senate and, pending final results in Mississippi and Florida, will have 53 Senators to the Democrats 47. With each party in control of one chamber, it may very well be that even less will happen over the next two years at a federal level.

 

Take Action: Congress Must Finish HUD Funding Bill
Congress is back for a "lame duck" session and must enact a final fiscal year 2019 HUD appropriations bill as soon as possible. HUD’s programs are currently funded under a Continuing Resolution through December 7. Housing providers and the residents they serve need a full-year appropriations bill to ensure uninterrupted funding for the next year. Please send a message to your lawmakers today to ensure funds for affordable housing for older adults is passed in time! Visit the action alert information page and follow the instructions to email your senator/representative.

Medicare Expands Access to In-Home Support for Seniors
November 9, 2018, The Washington Post
In twenty states Medicare is expanding reimbursement beyond strictly medical services to offer reimbursement for services such as in-home chores for Medicare Advantage Plan subscribers. This article from The Washington Post provides more detail. In North Carolina several providers are in conversation with Medicare Advantage Plans about offering services for reimbursement such as home-delivered meals and transportation. NC Health News provides more information in this article.

 

CMS SNF Preview Reports Now Available
CMS Skilled Nursing Facility Provider Preview Reports have been updated and are now available. Providers have until November 30, 2018 to review their performance data on quality measures based on Quarter 2 -2017 to Quarter 1 – 2018 data, prior to the January 2019 Nursing Home Compare site refresh, during which this data will be publicly displayed. Corrections to the underlying data will not be permitted during this time. However, providers can request a CMS review during the preview period if they believe their data scores displayed are inaccurate. It is important to review your organization’s reports. For more information, visit the CMS SNF Quality Public Reporting webpage, which also includes directions for accessing your preview report.

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Strategic Thinking

 

What Do Long-Term Services and Supports Cost in 2018?
Genworth, an insurance company providing long-term care insurance and planning, has released its latest report on the costs of nursing home, assisted living, and home health care. The report is based on this year's survey of more than 15,500 service providers. Data is broken down to show costs on an annual, monthly, and daily basis according to provider type and by state.

The Comforting Fictions of Dementia Care
October 8, 2018, The New Yorker
This long-form article weaves the evolution of dementia care philosophy together with stories of residents living in a dementia care setting in Ohio. Very difficult questions are asked. Why would dementia caregivers knowingly speak untruths? What is the purpose of reality orientation and is it effective? How can we empathically support residents living with the panic and confusion that can accompany dementia? Read more.

Top 8 Healthcare Predictions for 2019
November 13, 2018, Forbes
For ten years Forbes has been making predictions for healthcare. The 2018 predictions that were released in December 2017 were almost 98% accurate and each one of them panned out during the course of the year. Click here to read 2019's predictions.

Caring for Your Company’s Caregivers
November 13, 2018, Harvard Business Review
The fourth in a seven-part series on "The Aging Workforce," find out what the authors say companies are and are not doing to support employees who are caring for loved ones. And learn steps your organization can take now to better support this growing segment of the workforce.

Six Age-Friendly Practices Proving to Be Good for Business
November 5, 2018, Stria
National experts on generations research offer six tips for making your organization more inclusive from the standpoint of age. Click here to check out this brief article.

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News and Notes

Conference 2019 RFP Open Until November 30
At our 2019 Annual Conference we will ask some tough questions. What if we empowered our teams to take more strategic risks? What if we dreamed without limits?
What if you shared your expertise and experiences with the aging services field? What happens? Growth. Understanding. New ways of doing things. We need YOU, your expertise and your experiences to make this happen! We are looking for speakers who:

  • have actionable takeaways
  • create interactive environments
  • present original, thought-provoking content
  • leave audiences inspired and smarter than they were before

Submit your proposal today or by the November 30 deadline. The application is submitted online and is available by clicking here. Selected proposals will be notified at the start of 2019. Based on 2018 conference evaluations, attendees are interested in learning about:

  • finance/accounting
  • technology
  • public policy and regulations
  • workforce issues, successful retention and recruitment programs
  • communicating with family members
  • diversity of staff, board and residents
  • HIPAA compliance

Newly Expanded 15th Annual LeadingAge Ziegler 200 Report Outlines Senior Living Growth Trends
Click here
for the 15th annual LeadingAge Ziegler 200 report released earlier this week. The report details the nation’s 200 largest nonprofit senior living providers as well as business trends for the industry. The report was expanded this year to include 200 providers of nonprofit multi-site organizations, single-site campuses and government-subsidized multi-site housing, up from 150 in 2017.

GreatCall Teams with Ride-Sharing Service Lyft to Make Transportation Easier for Seniors
November 13, 2018, The San Diego Union-Tribune
In August, Best Buy acquired GreatCall, which provides mobile phone services for older adults. GreatCall has now teamed with Lyft to offer Greatcall Rides, which lets older adult subscribers schedule transportation without the use of a smartphone or app. Read more about how the program works.

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

Tom Akins Available to Speak with Your Constituents

Tom is adding speaking engagements to his calendar thanks to members who are calling to request him on their meeting agendas. As a free member service, he is available to offer trend analysis presentations and other topics for your constituents. Contact Tom today to discuss your needs or please contact Jennifer Gill in our office at 919-571-8333 for more information.

Support Disaster Relief for LeadingAge NC Members
Information about LeadingAge national's Disaster Relief Fund – and how donations can be made – can be found by CLICKING HERE.

Please let us know if you have any questions about the LeadingAge national Disaster Relief Fund. We’ll keep you updated about contributions, disbursements, and the process for seeking help. And, as always, thank you for your continuing commitment to those in need.

Hurricane Florence Recovery Resources
LeadingAge North Carolina has created a page on our website dedicated to disaster resources: preparedness, response and recovery. If you haven't been to the page recently, please revisit, as North Carolina-specific resources have been added.

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Congratulations

Cross Road Retirement Community in Asheboro recently celebrated its 35th anniversary. Congratulations on this exciting milestone and here's to many more!


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Professional Development

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

Webinar Series
All sessions held the first Wednesday of each month from November 2018 to November 2019 at 2pm eastern time (except Jan. 2019)

Registration
Series: $800 members / $1,600 non-members
Individual session: $75 members / $125 non-members

NAB Approved Contact Hours: 1.25 each session

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

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

Register online today.
Download flyer.

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Calendar

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

8/22/2019
Dining Symposium - POSTPONED

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

9/13/2019
Beans and Dreams: Cybersecurity

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

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