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February 16, 2018

Advocacy & Policy

President Trump Proposed Budget Includes Deep Cuts to HUD

The initial budget request released by President Donald Trump this week includes deep cuts to affordable housing programs. The budget proposal cuts funding to the U.S. Housing & Urban Development Department by 18 percent, which would:

  • Underfund Section 202 Project Rental Assistance Contract and Project-Based Rental Assistance contract renewals;
  • Zero out the Public Housing Capital Fund that would result in 200,000 fewer housing choice vouchers - this has a huge impact on seniors as 33 percent of public housing homes and 24 percent of voucher homes are senior households;
  • Zero out the HOME and Community Development Block Grant programs;
  • Eliminate the National Housing Trust
  • Provide inadequate funding for homeless assistance programs at a time when homelessness among older adults is on the rise.

PBJ Coming to Five-Star in April

CMS posted notice that it will use the 2017 Q4 Payroll-Based Journal (PBJ) data to replace the existing staffing measures posted on the Nursing Home Compare website. 2017 Q4 submissions were due on Feb. 14, 2018. CMS is planning to introduce PBJ-based staffing measures in April 2018. The initial data from one quarter will be reported. Data from other quarters may be added later; however, CMS has not given a timeline. There is discussion about discontinuing the 671 around the same time. Overall, 95 percent of nursing homes in the country submitted data for 2017 Q3. CMS states that the number of nursing homes submitting data has increased steadily from the initial submission period in 2016.

Professional Development

Apply Today for the LeadingAge NC Leadership Academy 2018-19

Applications are due in one week on Friday, February 23rd! You won't want to miss applying for the next class of LeadingAge North Carolina's Leadership Academy. Take your career to the next level! The program is open to anyone who works for a member community. Each community may nominate only one person.  So make sure someone from your community is nominated for this year-long program designed to develop statewide aging services leaders. Learn more and apply now.

Save the Date!

2018 LeadingAge North Carolina Spring Conference and Trade Show

The Omni Grove Park Inn
May 14-17, 2018
Asheville, NC

Co-workers want to receive email notifications about registration and other announcements? Be sure to tell them to visit our website and register in the top right corner of the page as community member staff, or business member staff if your company is a business member.

Trade Show Registration Open

Business members please note that registration for the 2018 Trade Show is open with only a few booths left. Booths are going quickly so be sure to reserve yours today and renew your business membership to connect with nonprofit retirement communities across the state.

Mid Managers Series is Back - Register by Fax Today!

Department directors, team leaders, supervisors, and mid managers - do you have all the tools you need to engage your team? Could you use a fresh perspective and new ideas? Plan to join us and learn more about what it takes to create an effective team. Register by fax today. Online registration opens next week.

Create a Highly Engaged Effective Team
Facilitated by Rick Schlentz of EXTRA!Ordinary, Inc.

Part 1: April 1
Arbor Acres in Winston-Salem

     Part 2: August 15
     WhiteStone in Greensboro

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

2018 Event and Education Calendar Now Available

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


Register Now for Infection Control Program Offered in March

S.P.I.C.E. offers this three-day program every spring and fall. It is designed to provide participants with current and practical information for the recognition and management of common infection prevention issues in non-acute care facilities, with an emphasis on long term care. Basic statistics for surveillance and antibiotic stewardship are new additions to the course.

Infection Control in Long Term Care Facilities
March 26-28, 2018
Another program is scheduled for Sept. 10-12, 2018.
Registration for this program will open in July.
William and Ida Friday Center, Chapel Hill, NC

Click Here to Register
Please see the new registration policy
Get a Course Quote by clicking here

Strategic Thinking

Doctors Learn How to Talk to Patients About Dying
February 12, 2018, Kaiser Health News

There are many reasons why doctors may avoid talking with a patient about a terminal diagnosis. But neglecting a discussion about impending death avoids the truth, leaving patients and families with a false sense of hope. Thanks to Atul Gawande and Susan Block, doctors at Massachusetts General Hospital in Boston are now practicing how to have these challenging discussions using the Serious Illness Conversation Guide. Read more.

Here's How to Create a Feedback-Friendly Culture
February 2, 2018, Inc.

The author of this brief article reviews three simple rules to remember when working on establishing a healthy feedback culture at your organization. The rules may be simple but comfort and skill with the process will probably take time. Read more.

New Psychiatric Urgent Care Clinic Slowly Gains Patients
February 1, 2018, NC Health News

Alliance Behavioral Healthcare, the state-funded managed care organization that covers Durham, Wake, Cumberland and Johnston Counties, asked a group of therapists to create the state's only mental health urgent care clinic. Located in Durham, Carolina Outreach has been in operation since July and is slowly seeing an increase in the number of patients served as word gets out about the only clinic of its kind in North Carolina. Read more.

Smartphone Detox: How to Power Down in a Wired World
February 12, 2018, NPR

Those catchy sounds and songs from our smart phones give us a squirt of dopamine and literally create in us a pleasure response. Smart phones and their apps are designed to be addictive, and for many of us they are, despite our best efforts. But with a little awareness you can take back control over these small but powerful devices, and return them to their proper place in your life. Read more.

Download Responses to Member Question re: Staff Transportation During Snow

Thanks to everyone who responded to the member question earlier this month about staff transportation during snow. Several people responded and their answers are compiled in an Excel spreadsheet you may download here.

News and Notes

Share on Social Media the Book You Love #LANCBooks

“Books We Love” launched earlier this week on Valentine’s Day! What book do you love? Visit our Facebook page and Twitter page and post the title of a book that has been inspirational to you professionally and why (briefly). When you post please use the hashtag #LANCBooks and be sure to like and follow us. We'll compile the book titles and share the list with everyone after the close of the campaign, April 13. At press time, 11 folks have posted to #LANCBooks, let's keep growing that number and get a great list of books going!

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

LeadingAge Ziegler 150 Data Shed Light on Trends in Aging Services

The 2017 edition of the LeadingAge Ziegler 150 (LZ 150) is now available. The report, first published in 2004 and updated annually, offers a compilation of data from the 150 largest nonprofit systems in the United States.

Fighting Back Against Cybercriminals

With more and more of our professional and personal lives intertwined with all things cyber, this article from LeadingAge national provides concrete ways of protecting your information (including a benchmarking questionnaire) from those who want to take it from you.

LeadingAge Virginia Releases Groundbreaking Philanthropy Study

We hear repeatedly that the aging service sector is in its early days of philanthropy compared to more mature sectors like higher education. Without data, it is hard to know where we are in our life cycle of fundraising. Until now…

The recently released 2017 LeadingAge Virginia Philanthropy Benchmarking Study is the first of its kind examining the impact of Virginia Life Plan Communities' (LPC) practices and results, and compares them to industry best practices. This study is diagnostically important to the evolution of fundraising in the sector, and follows preliminary studies conducted nationally by the LeadingAge Philanthropy Cabinet and at the state level by LeadingAge Ohio. The report reveals that LPCs have a great opportunity to successfully fundraise amid both higher demand for aging services and the uncertainty of traditional revenue streams. Those organizations that are investing in philanthropy are being handsomely rewarded: For every $1.00 invested in fundraising at Virginia LPCs, the return is $4.70. These results far outpace the national average ROI among many non-profit sectors.

Member Survey Closes February 20

Member communities should have received an email reminder earlier this week from LeadingAge national with a link to a brief member survey. The survey seeks information on your community’s level of activity related to alternative payment models, such as accountable care organizations and bundled payment; initiatives to improve the coordination and integration of the services for older adults or other innovations you may be pursuing.

Completing the survey will take no more than 20 minutes and much less for those not currently engaged in payment or service delivery reform activities. National will use the information to build an inventory and produce reports for states on member responses. Results will also be shared with members at PEAK and in future communications. Finally, this data assists advocacy efforts around integrated services vision and for additional opportunities for members to lead innovative models.

If you have any questions or did not receive the email with the survey please contact Nicole Fallon.

Medicaid Growth Projected to Slow

Medicaid is projected to grow at a 5.8% rate through 2026, slower than previous years, according to CMS. A report issued earlier this week found that from 2014 to 2016, Medicaid grew at an 8.3% rate due to expansions through the Affordable Care Act. The program is the largest payer of U.S. long-term care services. Total health spending this year is projected to grow by 5.3%, according to CMS and a report published in Health Affairs. Medicare is projected to experience the most rapid annual growth at 7.4%. That's due to larger numbers of beneficiaries who can enroll, and faster growth in utilization. Spending growth in nursing care and CCRCs is expected to jump from 3% annually in 2013 to 5.3% by 2026, hitting around $261 billion in expenditures by 2026. By 2026, federal, state and local governments are projected to finance 47% of national health spending.

Order Your Copy of the 2017 AL Salary & Benefits Report

We are pleased to announce that the 2017-2018 Assisted Living Salary & Benefits Report has just been released. This year marks the 20th year of publishing the Report. The discounted price for LeadingAge members is $275.

In addition, LeadingAge national's Behavioral Health Study is now underway. If applicable to your community, questionnaires are available by clicking here. The study deadline is March 12th with publication in April.

Access a Nursing Education and Career Guide for NC

Nursing.org recently published a nursing education and career guide specifically for residents of North Carolina. The guide provides convenient, centralized information, including: Salary and employment data, Steps to earn licensure in North Carolina, and Local professional organizations and the top healthcare employers in North Carolina.

Save Money on MRO

Looking for savings on maintenance, repair and operations? Whether you are in the market for new appliances and air conditioning units or planning to replace cabinets and furniture, let Value First vendors compete for your business.
There are hundreds of contracts in place that cover virtually everything your community needs.

Reduce Ongoing Renovations Expense

If your community does a significant number of unit turns or renovations throughout the year, Value First can work with vendors to negotiate prices on appliances and other items based on anticipated volume for the year. You achieve cost savings based on total quantity rather than one-off discounts. And, items can be drop shipped as needed so you don't have to worry about storage.

▪…and more

Free Cost Studies

Value First members are eligible to have cost studies done free of charge.

▪Food and Dietary Services
▪Janitorial and Housekeeping
▪Medical Supplies
▪Office Supplies

Cost studies help to identify potential savings by comparing what you are currently paying to pricing available, for the same products, through Value First group purchasing organization.

Contact your Value 1st Representative

Georgia ▪ North Carolina ▪ South Carolina
For additional information contact your Value First representative Vanessa Ceasar at (404) 421-3956. Value First group purchasing is owned by LeadingAge. This is your GPO!


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