Coffey Break
e-Newsletter

 

  Forward to a friend November 2016 Vol 15, Issue 10

In This Issue

Adult Day News (GADSA)

Activity Professionals (GAAP)
LeadingAge Georgia Business Connection
Center For Positive Aging
Culture Change News
Georgia Institute on Aging
General Notes of Interest
LeadingAge (National)
News Throughout the Spectrum of Aging Services
Public Policy
Vacancy Report

Quick Links

Upcoming Events Calendar
Job Mart
SharePoint

 


Special Thanks to Our Institute Partners

Institute Supporters

Inside Your Association - LeadingAge Georgia

LeadingAge Georgia is the statewide association of over 150 key not-for-profit and other mission-focused organizations dedicated to providing quality housing, health care, community-based and other related services for older Georgians. The mission of LeadingAge Georgia is to represent and promote the common interests of its members through leadership, advocacy, education and other services in order to enhance each member's ability to serve older Georgians.

 

Profiles of Positive Aging Fundraising Event

Join us for dialogue and experience the living gallery of Georgia's elders engaged in positive aging on Sunday, November 13, 2016 from 3-5 PM during the Profiles of Positive Aging Image Awards Gala at the Atlanta History Center!

 

 

Ambassador Andrew J. Young's vision, values and virtues continue to inspire leaders around the globe to work toward a global community of peace, prosperity and inclusion. Through the programs of the Andrew J. Young Foundation, the Ambassador's legacy and example are being applied to on-going projects to include business exchanges between Atlanta and South African businesses. Ambassador Andrew Young will be presented the "Positive Aging Icon Image Award" by the Georgia Institute on Aging.


This event is also a chance to celebrate 19 elders being served by LeadingAge Georgia members, who exhibit unique qualities of positive aging.

 

Register Now to Meet Ambassador Young Personally and Tour the Living Gallery of wisdom leaders residing in our communities.

 

Today, the senior population is rapidly increasing as baby boomers are aging and life expectancy has increased. The Atlanta Regional Commission estimates that by the year 2030, one in five residents will be over the age of 60. Tremendous growth in Georgia and the greater Atlanta area is presenting insurmountable challenges for older adults; however LeadingAge Georgia members have solutions.

 

Consumers can count on LeadingAge Georgia, the Georgia Institute on Aging, and the Center for Positive Aging as the trusted voice and source for senior living and care options. Proceeds from this gala support the Georgia Institute on Aging, which is the educational arm of LeadingAge Georgia.

 

"We think it is complicated to change the world. Change comes little by little. Nothing worthwhile can happen in one generation."

 

            --Ambassador Andrew Young

 

For more information visit www.LeadingAgeGA.org

 

 

Succession Planning for CEOs Thank you to Georgia Institute on Aging Supporter, Ziegler, for contributing this white paper on the topic of succession planning for CEOs.

 

2017 Leadership Academy Registration Now Open

LeadingAge Leadership Academy offers LeadingAge Georgia members a challenging and engaging year-long learning experience, designed to help aging services professionals at any level in their organization accelerate their leadership development so they are better equipped to serve our field.

 

The vision of LeadingAge Georgia is to create a generation of authentic, open-minded and transformational leaders who will collaboratively and innovatively create the future of aging services in America.


The 2017 class begins in February. This class is limited to 24 participants.

 

Click here for registration form.

 

November is National Alzheimer's Disease Month

 

Thanks to our many members around the state who support the Alzheimer's Association in so many ways. We are thankful that the Georgia Chapter is one of the best in the country! The Georgia Alzheimer's and Related Dementias (GARD) state plan is currently being pulled together after 3 years of intensive research and various projects via several GARD workgroups. LeadingAge members have supported this project in many ways including engaging providers across the spectrum of aging services to work on staff competencies needed to support individuals living with dementia. Thanks to members of the Culture Change Network of Georgia for facilitating the day and to Mauldin & Jenkins for hosting this event.

Also, the national Dementia Action Alliance is playing a significant role in guiding our focus on the CARE of individuals now in order to support individuals to live fully with dementia. LeadingAge Georgia has a key role in the work and the ongoing development of the Dementia Action Alliance and will help host the North American Dementia Conference in Atlanta June 25-27, 2017. Visit the website (www.daanow.org) for the Call for Presentations and Early Registration for the conference. Also, don't miss the excellent white papers and other resources on the website.



 

Facts about Dementia:

  • Most prevalent type of dementia is Alzheimer's, vascular, Lewy Body, Frontotemporal, mixed dementia, Parkinson's
  • 6th leading cause of death - only one with no cure, no form of prevention, no means to slow progression
  • Affects 5.3 million Americans – projected to increase to 13.8 million affected by 2050
  • Dementia is the most expensive healthcare condition in the U.S. – annual estimated cost at $215 billion and projected to be over a trillion dollars by 2050
  • Dementia is escalating at an alarming rate
  • Supports & services are fragmented and often hard to find
  • More than 15 million Americans currently provide an estimated 17.7 billion hours of unpaid care annually to family members or friends with dementia.
    • Nearly 40% report quitting jobs or reducing work hours to provide care.
    • Many experience negative physical and mental health effects.


Go Purple with Me

 

Staff at the national Alzheimer's Association Booth at the national LeadingAge Conference in Indianapolis was busy dressing up attendees to promote the kick-off National Alzheimer's month.

 

More than 5 million Americans are living with Alzheimer's disease and, in 2014, 130,000 Georgians were living with Alzheimer's and related dementias. Being diagnosed with this deadly disease is a huge blow, but Alzheimer's Association, Georgia Chapter can help you through the 24/7 hotline, education programs and care consultations.

 

 

Alzheimer's is not a Normal Part of Aging
What is Alzheimer's

Alzheimer's is a disease that attacks the brain. It is the most common form of dementia.

 

What is Dementia

Dementia is a general term for a decline in mental ability severe enough to interfere with daily life.


Diagnosis

If you or a loved one have concerns about memory loss or other symptoms of Alzheimer's or a related dementia, it is important to be evaluated by a physician.

 

Stages

Stages show how the disease unfolds, but progression will vary greatly from person to person.

 

Treatments

There are medications available to help ease symptoms. Subscribe to Alzheimer's e-news

 

Brain Tour

Find out how Alzheimer's disease affects the brain.


Do You Have GRIT? LeadingAge Keynote Speaker Angela Duckworth Has the Answer

Grit. What is it? According to psychologist Angela Duckworth, there are very specific markers that define grit. The cliff notes are essentially this: perseverance and passion over the long-term. Sound familiar? Do you resonate?

No doubt, as committed culture changers, you are well-acquainted with this particular cocktail for success. Let's face it… culture change can frequently feel like you are swimming upstream against the current of "business as usual." So, how can grit keep us focused on our goals for redefining the culture of care in our organizations? First of all, Duckworth emphasizes that talent is simply not enough.

Click here to read the entire blog by Laura Beck (The Eden Alternative).


Value First

 

Major Project Savings
When your community is planning to replace flooring, buy new furniture, convert to LED lighting, upgrade HVAC systems or undertake other major projects, your staff does not have to go it alone when looking for companies to provide quotes and compete for your business. Value First can assist with any of the following categories—and more.

  • Flooring
  • Furnishings
  • Lighting
  • Mechanical/HVAC
  • Nurse Call
  • Fire Alarm Systems
  • Elevators and Service
  • Doors Windows/Hardware
  • Paint/Wall Coverings

 

Contact Value First Representative, Vanessa Ceasar, at vceasar@leadingagega.org
or call 404-421-3956.



Click HERE to request a free Value First cost study.

 

 

 

back to top

 

 

 

New Members

Royal Flush Plumbing, Inc.

Tim Winterstein

4276 Sonte Mountain Highway

Lilburn, GA 30047

770-385-5911

service@plumbatlanta.com

www.plumbatlanta.com

 

 

Calendar Information

 

To assist with planning, we are sharing information on special holidays and observances for each month 2 months early.

 

This month we are sending you information for January

 

 

 

 

January 6 Martin Luther King, Jr. Day

January 8 Elvis Presley's Birthday

January 20 Inauguration Day

January 28 Chinese New Year

 

 

 

back to top

 

Public Policy

 

LeadingAge Georgia Public Policy Report

By Tom Bauer, LeadingAge Georgia Policy Advisor

 

With the elections winding down, public policy news from the state standpoint is still a bit slow, although some legislative study committees are beginning to hit their stride. The discussion below is a brief update, mainly of issues reported last month.

Adult Day Services - Community Care Services Program/ SOURCE

LeadingAge Georgia's Adult Day symposium on October 14 was well attended and marked by substantive discussion of many issues. Brian Dowd, one of the key Department of Community Health staff working on Medicaid waiver issues (e.g. CCSP, SOURCE) and James Peoples, head of Medicaid Non-Emergency Transportation (NET) both spent a good bit of time interacting with LeadingAge Georgia's adult day health providers and GADSA leadership.

 

In addition, Rep. Valerie Clark, chair of last year's House Adult Day Services Study Committee, was in attendance and given the Legislative Leadership Award for "invaluable and successful advocacy on behalf of Georgia's aging population."

 

Mr. Dowd discussed several topics, including

  • Georgia's Transition Plan to meet federal guidelines for home and community based services funded by Medicaid
  • Budget issues (status of federal approval of the recently state-approved increase in reimbursement for adult day health centers)
  • Status of the "merger of CCSP and SOURCE staff under one state agency (DCH), including confirmation that no substantive program changes would occur prior to FY '18, which begins July 1, 2017

LeadingAge Georgia representatives reiterated their interest in maintaining a productive dialogue with DCH, especially on waiver issues, the Transition Plan, and CCSP-SOURCE, with a notation that the latter "merger" presents an opportunity to improve HCBS programs under both.

Medicaid Non-Emergency Transportation (NET)

As noted, James Peoples also presented to the Adult Day Fall Meeting. He mentioned that DCH was trying to address the lack of transportation providers and is considering alternative approaches such as:

  • Volunteer driver programs
  • Potentially partnering with private providers such as Uber, Lyft, etc.

LeadingAge Georgia members emphasized that increased competition among brokers (i.e., more than just one or two in a transportation region) and allowing Adult Day Health Centers to provide transportation to their clients with a competitive reimbursement rate would greatly improve transportation for seniors.

Finally, Mr. Peoples noted that Requests for Proposals (RFP) for new or broker renewals would probably be issued by DCH in December with an eye toward awarding new contracts in the spring of 2017.


Dialogue regarding other 2016-2017 Legislative and Budgetary issues continues as appropriate as we move into the holiday season.

 

Georgia Institute on Aging

 

 

 

 

 

 

 

2016 Leadership Academy 2016 Final Event Held at Mauldin & Jenkins

Thanks to Dana Chandler for presenting ideas from the 5th Characteristic of Exemplary Leadership: Encourage the Heart.

 

 

Participants in the 2016 program will be honored at the 2016 Annual Business Meeting in December.

 

 

Forum Calls

Maintenance Forum: 10 a.m. on Wednesday, November 16th
Service Coordinators Forum: 11 a.m. on Wednesday, November 16th
GAAP (Wellness) Forum: 3:00 p.m. on Wednesday, November 16th


Dial: 712-432-6100; then enter pass code 27514617

 

Fall Webinar Series for Members

Courageous Conversations Webinar Series with mediator Catherine Futch
(A complimentary benefit of LeadingAge Georgia membership via the Georgia Institute on Aging)

 

Elder Family Disputes November 9, 2016: 11:30am – Noon
Families…can't live without them and, sometimes, can't live with them. Family disputes most often occur when there is no one family member who is the designated person to make decisions for an elder member of the family. Disputes arise as a result of unsettled or questioned financial matters, property disputes, who will get treasured household items and a number of other matters. Finding a way to resolve these disputes is critical to re-establishing, if possible, healthy family dynamics and protecting the elder family member from harmful or inappropriate allocation of resources. Join us as be better and more clearly define the nature of elder family disputes and explore potential options for dispute resolution.

 

Click HERE to Register

 

 

Elder Bullying

Click HERE to View Webinar

 

Elder Hoarding

Click HERE to View Webinar

 


 

2017 Annual Conference: The Power of Purpose

 

A clear sense of purpose enables you to focus on what matters most, taking risks regardless of the challenges or obstacles ahead. We are lucky. As aging services providers, it's easy for us to see the value of our work. The lives we touch and the families and caregivers we support—all have an impact well beyond the walls of our organizations. However, to find real purpose and meaning in what we do, it is important that we tap our own potential, find the courage and determination to live our mission with focus on the values, talent, skills and passion of those we serve to make a difference in the world.

 

Click HERE for Exhibitor Prospectus

 

Click HERE for Attendee Pre-Registration Form

 


Upcoming Events

November

Elder Family Disputes Webinar

November 9, 2016

Registration

 

Technology and Aging

November 10, 2016

Registration

 

Profiles of Positive Aging

November 13, 2016
3:00pm - 5:00pm

Atlanta History Center

Click here to purchase tickets

Sponsor Pledge Form

 

HUD Administrators Forum (Conference Call)

November 17, 2016

1:30pm

 

December

Annual Business Meeting

December 1, 2016

 

January

Elderly Housing Symposium

January 19, 2017

Registration coming soon

 

Financial Preparedness Symposium

January 26, 2017

Registration coming soon

 

February

Leadership Academy First Event
February 15, 2017


Power of Purpose: Workforce Summit

February 16, 2017


Adult Day Services Symposium

February 24, 2017

 

March Assisted Living Symposium

March 2, 2017

Certified Eden at Home Event Certification
March 7-9, 2017


Leadership Academy Second Event

March 15, 2017


LeadingAge PEAK Leadership/Advocacy Conference in Washington, DC

March 20-22, 2017


2017 Annual Conference: Power of PURPOSE

Hilton Head Island, SC

March 27-29, 2017

 

 

back to top

Center for Positive Aging

 

 

 

 

 

 

Care for Caregivers: Report Finds They Are Often Ignored The National Academies of Science, Engineering, and Medicine, with 15 sponsors, convened a committee to study the needs of family caregivers, propose supportive policies, and remove barriers to resources. This article expands on the findings of that report, "Families Caring for an Aging America" by featuring specific caregiving stories.

 

 

2016 Golf Tournament a Huge Success

Golfers from ages 29 - 88 came together to make the 2016 Center for Positive Aging Golf Fundraising Tournament our best one ever. Thanks to LeadingAge Georgia members and friends for supporting this event!

 

This was a special year as the tournament was held in honor of Harry Haisten, who is a long-time member of North Avenue Presbyterian Church and an avid golfer, who exemplifies positive aging. He has been the champion for ensuring this golf event happens in support of the Center's work.

 

 

 

 

Congratulations to Lenbrook, this year's 1st place team!




 

Special thanks to our sponsors:

AON, American Southern Insurance, John Wieland, Parker Young Construction & FireStar, Personal Care, Inc., Presbyterian Homes of Georgia, Visiting Nurse Health System, Vulcan Materials Company, Steve Ayers Construction, Turner Enterprises

 

 

 

 

 

 

How to Choose a Medicare Advantage Health Care Plan Open Enrollment for Medicare takes place through December 7th. Follow these six steps for helping your residents or loved ones (or yourself!) choose the right Advantage plan.

 

 

 

back to top

 

 


 

Culture Change News

 

 

 

 

 

1st Annual North American Dementia Education Conference

 

 

Click here to learn more

 

 

Sponsored by:


 

 

Culture Change Network of Georgia Advisory Group Meeting

The next CCNG Advisory Group Meetings is scheduled for November 11th. Please contact Walter Coffey at wcoffey@leadingagega.org if you would like to participate.

 

Watch www.CultureChangeGA.org for information and materials.

 

 

back to top

Adult Day Services News (GADSA)

 

GADSA Honors Representative Valerie Clark with Legislative Leadership Award

 

 

LeadingAge Georgia's Adult Day Symposium held on October 14 was well attended and marked by substantive discussion of many issues. Brian Dowd, one of the key Department of Community Health staff working on Medicaid waiver issues (e.g., CCSP, SOURCE) and James Peoples, head of Medicaid Non-Emergency Transportation (NET) both spent a good bit of time interacting with LeadingAge Georgia's adult day health providers and GADSA leadership.

 

In addition, Rep. Valerie Clark, chair of last year's House Adult Day Services Study Committee, was in attendance and given the Legislative Leadership Award for "invaluable and successful advocacy on behalf of Georgia's aging population."

 

 

Mr. Dowd discussed several topics, including:

 

• Georgia's Transition Plan to meet federal guidelines for home and community based services funded by Medicaid

• Budget issues (status of federal approval of the recently state-approved increase in reimbursement for adult day health centers)

• Status of the "merger of CCSP and SOURCE staff under one state agency (DCH), including confirmation that no substantive program changes would occur prior to FY '18, which begins July 1, 2017

 

LeadingAge Georgia representatives reiterated their interest in maintaining a productive dialogue with DCH, especially on waiver issues, the Transition Plan, and CCSP-SOURCE, with a notation that the latter "merger" presents an opportunity to improve HCBS programs under both.


 

As noted, James Peoples also presented to the Adult Day Fall Meeting. He mentioned that DCH was trying to address the lack of transportation providers and is considering alternative approaches such as:

 

• Volunteer driver programs

• Potentially partnering with private providers such as Uber, Lyft, etc.

 

LeadingAge Georgia members emphasized that increased competition among brokers (i.e., more than just one or two in a transportation region) and allowing Adult Day Health Centers to provide transportation to their clients with a competitive reimbursement rate would greatly improve transportation for seniors.

 

Finally, Mr. Peoples noted that Requests for Proposals (RFP) for new or broker renewals would probably be issued by DCH in December with an eye toward awarding new contracts in the spring of 2017.


 

Major Adult Day Program Study Begins Researchers Joseph E. Gaugler, Ph.D., University of Minnesota, and Laura N. Gitlin, Ph.D., Johns Hopkins University have received National Institute on Aging (R01AG049692-01A1) funding for a study titled "Improving Outcomes for Family Caregivers of Older Adults with Complex Conditions: The Adult Day Plus (ADS Plus) program", which is a multi-site randomized controlled trial and implementation study.
The research study will begin in the fall of 2016.


Full Article

 

GADSA Leadership Team

President: Ned Morgens, Skylark Adult Day Services

Vice-President: Georgia Gunter, Adult Day of Dunwoody

Carla Jones, Rosswoods

Claire Russell, The Homeplace

GA Association of Activity Professionals

 

 

 

 

 

 

 

 

 

 

Showing a Movie? Get a License Airline pilot "Sully" Sullenberger needed a license to fly the U.S. Airways jetliner that he landed safely in New York's Hudson River after it was struck by a flock of geese in 2009. And you'll need a license before residents in your community can gather together to watch actor Tom Hanks portray Sullenberger in a new film about the dramatic incident.


Actually, senior living communities need a public performance license to show pretty much any film that residents watch together in a common area.


Why? Because it's the law.


Full Article

 

 

2016 GAAP Leadership Team


President: Wendy Boyd (The Gardens at Calvary; Columbus) wendyboyd@calvaryministries.com
Vice-President: Laura Jones (Briarcliff Oaks; Atlanta) laurajones@briarcliffoaks.org
Membership: Kathy Hobbs (Canterbury Court; Atlanta) kathyhobbs@canterburyccrc.org
Program/Education: Scott Bassett (Philips Tower; Decatur) sbassett@philipstower.org

LeadingAge Georgia Business Connection

Love's Latest Case Study: Want more sales and younger residents?  Collaborative relationship yields 100% sell-out of new community—a year ahead of schedule—and yields younger residents (in their 60s)!

 

Amidst a hotbed of retirement community competition and growth within the target marketplace—including three near-capacity CCRCs, four rental retirement communities and five new communities on deck, including a major Type A CCRC—Westminster Communities brought in Love & Company in December 2014 to launch its new Baldwin Park campus with speed and efficiency.

 

The goals were aggressive: Begin marketing by March 20, 2015; achieve 70% reserved residences by mid-May 2016 and deliver 95% stabilized occupancy by mid-2017. And, drive the average age of residents significantly down.

 

See how we did it in this Case Study

 

Guardian Pharmacy Named a Preferred Pharmacy Provider by Brookdale Senior Living

Guardian Pharmacy LLC, one of the nation's largest long-term care pharmacy companies, was selected by Brookdale Senior Living, the nation's largest senior living provider, as a preferred pharmacy provider. Through this partnership, Guardian and Brookdale will work together to provide quality pharmacy products, services and education to enhance the health and well-being of Brookdale's long-term care residents at select independent and assisted living communities across the country.

 

Guardian was awarded the preferred pharmacy designation as a result of the company's ability to assist Brookdale in their efforts to develop a newer, safer medication administration process to reduce the risk of medication errors; provide local support for billing and dispensing with pharmacists available 24 hours a day, 7 days a week to answer resident questions; offer onsite training sessions and educational courses for residents and their families and more.

 

"At Brookdale, we seek pharmacy partners that align with our mission of enriching the lives of those we serve," said Kim Estes, ‎senior vice president of clinical services at Brookdale Senior Living. "Guardian's reputation for providing a high level of customer service and personalized support focused on resident well-being was a deciding factor for us. This partnership truly offers strong support for our business and residents."

 

"This partnership represents another milestone for Guardian as we continue to grow and expand our services and pharmacies nationwide," said Rich Eakins, vice president of sales at Guardian Pharmacy. "Brookdale is known throughout the industry for enriching the lives of its residents with safety as their top priority, and we are honored to be working with them. Together we can focus our combined energies on providing the best possible care for America's aging population."

Founded in 2004, Guardian's 28 locations serve more than 80,000 residents throughout 19 states. For more information, visit guardianpharmacy.net.

About Guardian Pharmacy
Guardian Pharmacy, headquartered in Atlanta, Ga., is one of the nation's largest long-term care pharmacy companies. Guardian's pharmacies provide outstanding client service to long-term care facilities including assisted living, skilled nursing and others. Founded in 2004, Guardian has experienced a compound annual growth rate of more than 40 percent, which the company attributes to its unique Local-Autonomy business model. Pharmacy operators participate in local ownership and benefit from Guardian's experience in high-growth, specialty pharmacies. www.guardianpharmacy.net.

 

News Throughout the Spectrum of Aging Services

Assisted Living Communities/Personal Care Homes

96 Ways to Measure Quality in Assisted Living

A new report from the Center for Excellence in Assisted Living (CEAL) recommends 96 tools that assisted living communities could use to measure and improve the quality of services they provide.


CEAL is a collaborative of 11 national organizations, including LeadingAge, which is dedicated to advancing excellence in assisted living.


Measures and Instruments for Quality Improvement in Assisted Living summarizes the results of an environmental scan of quality-measurement tools that was conducted for CEAL by the Cecil G. Sheps Center for Health Services Research at the University of North Carolina at Chapel Hill.


"This report lists many promising tools for measuring quality in assisted living," says Steve Maag, director of residential communities at LeadingAge and a CEAL board member. "We knew anecdotally that there are measures in different health care settings that could be adapted to assisted living. We just didn't have a very good handle on what those measures were."


Genesis of the Quality Improvement Project
CEAL decided to launch its quality-improvement project after hosting a 2-day invitational symposium exploring the "Future of Assisted Living." The October 2014 symposium gave a variety of assisted living stakeholder groups an opportunity to discuss how the assisted living sector could remain a viable service choice within a health care environment dominated by such health reform initiatives as managed care and accountable care organizations.


Symposium participants identified the need for assisted living communities to collect and share data across settings. That data would need to assess service quality and outcomes, they said. It would also have to reflect individual preferences, goals, and psychosocial needs, as well as medical and health care needs.


"We decided that moving forward on this priority meant developing some criteria for good practice in assisted living," says Maag. "But first we wanted to find out what kind of measurement tools were already being used in assisted living and other health care settings."


Now that those measurement tools have been identified, CEAL plans to create a toolkit to help organizations select and use specific measurement instruments that would work best in their organizations, he says.


What Researchers Found
Researchers initially identified 254 tools and instruments currently being used to measure various areas of quality in health care settings. After conducting a critical review of those tools, researchers selected 96 tools that they recommended for use in assisted living settings. The recommended tools fall into 5 categories:

  • Person-centered care (6 tools)
  • Medication management (10 tools)
  • Care coordination/transitions (17 tools)
  • Resident/patient outcomes (35 tools)
  • Workforce (28 tools)

In addition, the report calls for the development of new tools that could be used to:

  • Measure resident acuity to determine staffing sufficiency
  • Provide an overall measurement of quality in assisted living

Why Measure Quality?
Measurement that provides benchmarks, determines quality of care, and guides quality improvement is just as important in assisted living as in other care settings, say the authors of the CEAL report. This measurement can:

  • Help staff members better understand their services and the areas where improvement is indicated
  • Allow assisted living communities using similar measures to compare themselves with other settings
  • Give prospective residents and their families the benchmarking information they need to make informed decisions when selecting an assisted living provider

"Measuring quality is simply a way to determine whether you are providing the kind of care that you want to provide," says Maag. "It gives you a way to quantify what you are doing, rather than just hoping that you are doing a good job."

 


Federally Assisted Housing (HUD-Subsidized)

RAD for PRAC - Congress Must Open HUD Demo to Affordable Senior Housing
On Oct. 24, LeadingAge and 46 other organizations sent to Congressional appropriators a letter in support of eligibility for Section 202 senior affordable properties with Project Rental Assistance Contracts (PRACs) to participate in HUD's Rental Assistance Demonstration (RAD) program. "We were honored to by joined a variety of housing and senior organizations to support this essential affordable housing preservation effort,' said Linda Couch, director of housing policy and priorities. 'We hope Congress hears our request as it finalizes HUD funding for fiscal year 2017."

 

LeadingAge 2016 HUD Update
Last week, in Indianapolis, the national convention was held. The HUD update session was attended by over a hundred participants. The focus of the session was to talk about the Management Occupancy Reviews that are starting again and about some new laws that will be impacting our industry.

The MOR is a hot topic this year as Contract Administrators begin conducting them for the first time in years. Many of us in the industry have never gone through an MOR as our employee turnover is very high for these positions that are responsible for keeping our properties in compliance with HUD regulations. There are two main things that you should be concentrating on in preparation for the MOR.

1. Tenant Selection Plan – Contract Administrators are finding that many properties have not been updating their TSPs to stay in compliance. Specifically, there has been guidance from HUD on language about bullying, social security numbers, and limited English proficiency policies. Additionally, there is specific guidance on updating the criteria for applicants regarding criminal background screening. The MOR auditors are looking for these things to be updated and in compliance.

2. Enterprise Income Verification – the Auditors are also tasked with making sure that your policies and procedures regarding EIV are up to date and being followed. This includes running EIV for interim certifications in addition to the regular annual certification.

The session also provided information about HOTMA (Housing Opportunity Through Modernization Act) that was signed into law by President Obama. This act is geared to reduced spending in HUD programs and include some significant changes to subsidy qualifications.

  1. The elderly deduction will be increased from $400.00 to $525.00. This is a plus for our residents.
  2. The asset threshold level will be increases from $5000.00 to $50,000.00. This is another plus that should make calculating income form assets a bit easier.
  3. Medical expense disregard will in increase from 3% to 10%. This will have a significant negative impact on our population that is already struggling to pay for their medical expenses. This, in effect, will take away any medical deduction that a resident has for paying their Medicare premium. In essence, it will save us (the housing professionals) some time but will increase rents by around $30.00.
  4. The law is also adding a new criterion for qualification to receive subsidy. If an applicant or a resident has cash assets more than $100,000.00, they are no longer qualified for subsidy. This will affect all applicants and current residents as this is to be implemented at the annual recertification.
  5. Finally, any resident that owns a home that they could reasonably live in will be disqualified.

While the provisions of this law have not been implemented, these are the changes that are coming. HUD is still working through the "final guidance" and plans to enforce the new changes on the first of the year following the official rulings. These changes will likely become official late in 2017 with a January 1, 2018 implementation. There is no word on what impact this law have on Low Income Housing Tax Credit Properties. We expect to see guidance on this as time progresses.

 

 

Home and Community Based Services

How Home Health Can Ace the Updated ICD-10 Codes
Big changes are coming to ICD-10 this October, and home health providers need to be prepared. The extremely large code set was first implemented in the majority of states about a year ago, to the dismay of many home health providers across the country. Then, in June, the Centers for Medicare & Medicaid Services (CMS) added just under 2,000 new codes to ICD-10, as well as revised approximately 400 codes and deleted around 300 codes. This latest round of ICD-10 changes is scheduled to take effect when the FY2017 code set takes effect on October 1, 2016.


Full Article


Home Health Provider Helps Slash Hospital Readmissions by 60%
A home health provider has helped a hospital reduce readmissions of highly at-risk patients by 60%, through a program that relies in large part on community health workers. Like other hospitals around the country, University of Maryland St. Joseph Medical Center (UMSJMC) has been looking for ways to cut its readmission rate, given that payments are being tied to this metric. As part of that effort, the 232-bed nonprofit hospital just north of Baltimore has been seeking out new partners to help coordinate care across the continuum.

 

Full Article

 

Extraordinary' Nursing Shortage Forces CMS to Extend Staffing Exemption for Hospice
Hospice agencies hit by the ongoing nursing shortage can continue using contracted staff due to "extraordinary circumstances," the Centers for Medicare & Medicaid Services has announced. The Bureau of Labor Statistics forecast that the nursing shortage will persist through 2024, despite "faster than average" job growth rate in the industry, CMS said in a memo sent to state survey agency directors on October 21st.


Full Article

 

 

Hospice

Washington Post Implements Consumer Hospice Website

The Washington Post has gathered data largely from government sources on more than 3,000 hospices that participate in Medicare to develop a new Consumer Guide to Hospice that can be used by consumers to help them choose a hospice.
No single factor can predict the quality of a hospice's care, and these figures do not offer a complete picture of any single hospice. However, consumers can benefit from knowing how a hospice compares to others on these important measures.


The website allows consumers to find out more information on hospices in their states, specifically:

  • Size
  • Accreditation
  • Years in Business
  • Ownership
  • Crises Care
  • Spending per day on patient care

The Washington Post this year has featured a number of articles on hospice.
In an October 26th, 2014, article, it was implied that consumers may not have a choice of which hospice that they use.

 

Life Plan Community (CCRC)

2016 Fitch CCRC Ratings Median Report

Below is a link to the 2016 Fitch CCRC Ratings Median Report, which was published recently and is full of insights and statistics on the 95 investment grade and 19 non-investment grade borrowers that Fitch follows.


Click HERE for report

 

Why CCRC Residents Are Taking Tech Support into Their Own Hands

Senior living providers know they should keep up with new technology trends, but it's tough to know what to invest in and how to get more residents engaged with tech. One continuing care retirement community (CCRC) in Atlanta has found an advantage in having tech super-users living among those who are just learning the ropes. The community's chief financial officer and one of its residents recently spoke with Senior Housing News about the CCRC's approach to tech investments, rolling out new offerings, and its Best Buy-inspired approach to tech support.


Full Article

 

CARF Releases 2016 Edition of Financial Ratios and Trend Analysis of CARF-Accredited Life Plan Communities

This annual publication includes financial analysis of all CARF-accredited CCRCs/LPCs.

 

 

Nursing Care/Rehab

Nursing Home Final Rule: What You Need to Know
The Centers for Medicare and Medicaid Services (CMS) has issued the long-awaited Nursing Home Requirements of Participation Final Rule. The changes are significant and cover every aspect of service and care.


Although there is as yet no 'Guidance to Surveyor' language, which will help greatly in our understanding of details, we have provided 2 summaries for you.

  1. The first is a "short" 12-page tool that hits the topic areas and brief CMS language.
  2. The second is a much more lengthy resource that breaks out each section with key points, changes to the regulation, and what you need to do.

LeadngAge will also be sharing more resources in the coming months. For more information, please contact Evvie Munley at emunley@leadingage.org.

 

Rehospitalization Measure a 'Strong Predictor' for Hospitals Seeking SNF Partnerships, Study Confirms
The rehospitalization rate measure recently added to Nursing Home Compare provides valid predictions of which skilled nursing facilities are likely to have residents readmitted to the hospital, according to a study published Friday.

 

The study, led by researcher Momotazur Rahman, Ph.D., of Brown University's Department of Health Services Policy and Practice, aimed to figure out if the rehospitalization rates posted on Nursing Home Compare "reflect true quality or are merely the result of favorable selection." Determining the ratings' true relevance is especially important for hospitals looking to succeed under the Centers for Medicare & Medicaid Services' Hospital Readmission Reduction Program.

 

Full Article

 

5-Star Analysis Webinar and Handouts
Do you need help interpreting your 5-Star report? View the 5-Star Analysis Updated Webinar and handouts via LeadingAge NY.


Click here

 

CMS Final Rule to Reform the Requirements for Long-Term Care Facilities Powerpoint Presentation

Presented by Karen Tritz – Division of Nursing Homes Director Clinical Standards Group Long-Term Care Team Survey & Certification Group Division of Nursing Homes on October 27, 2016: Link: https://www.cms.gov/Outreach-and-Education/Outreach/NPC/Downloads/2016-10-27-LTC-Presentation.pdf


General Notes of Interest

Are Uber and Lyft a Solution to Transportation Challenges for Older Adults? Transportation continues to be one of the largest gaps in services across the nation for older adults and people with disabilities. A new model in California involving ride-hailing companies like Uber and Lyft could potentially serve as a model to address this challenge. Uber and Lyft announced partnerships with service providers in California that will allow older customers to book rides through a phone operator. Among Americans 65 and older, 70 percent don't have access to smartphones and the 30 percent who do often don't use mobile apps like Uber and Lyft.


The partnership is mutually beneficial. Uber and Lyft can now target one of the fastest growing segments of our population, while older adults have an option to provide them with accessible transportation - furthering their ability to age independently and remain connected to their families and communities.


Inbox Zero: the Myth, the Legend Have an inbox full of delayed decisions? Do one of these four things to every email you have and you might be surprised how much more manageable your workload seems.

 

Summary of New CMS Survey and Certification Rule CMS has released the final rules revising the nursing home requirements of participation, which were published officially on Tuesday, October 4, 2016 and are available here.


The rule, which spans 185 pages in the Federal Register or 713 pages in a traditional word document, will be implemented in three phases, with the first November 28, 2016. The second phase is November 28, 2017, and the final phase is November 28, 2019.


This rule represents the most significant changes to the delivery of nursing home care since OBRA '87. LeadingAge (national) has produced a comprehensive summary of the final rule for members available here.

 

This is just the first of many more resources planned to support members on implementation of this massive rule. You will seem more resources and education available in the future, particularly after the new state operations manual and interpretive guidance for the final rules are released.

 

Hospital Readmission Rates Drop Significantly in 49 States Between 2010 and 2015 A recent CMS blog report on readmission rates showed a drop that resulted in 100,000 fewer hospital readmissions between 2010 and 2015. North Carolina saw a 6.5% decrease in readmissions. Maryland was the only state where readmissions did not drop.

 

Benefits of a Patient Centered Medical Home

The Hartford Foundation has just released an important report providing detail discussion of the benefits of a Patient Center Medical Home (PCMH) for your geriatrics practices. During the past week, I've had the opportunity to discuss its contents with one or more of you during the PCMH Congress in Chicago, the Georgia Association of Primary Health Care conference in Atlanta, or individual conversations. I've also promoted broader dissemination of this report through New American Media (P. Kleyman, editor Age Beat).

 

PCMH Promo Kit
PCMH Road Map
PCMH Paper Slide

 

Please feel free to share this information broadly within your organizations. I am also willing to discuss its details with interested parties.

 

Additional details:

 

The Patient Centered Medical Home Network of The John A. Hartford Foundation Change AGEnts Initiative has released an important new paper we think will interest you. "Patient-Centered Medical Homes and the Care of Older Adults: How comprehensive care coordination, community connections, and person-directed care can make a difference" provides a roadmap to guide primary care practices in how to enhance care to older, complex patients and their families.

This detailed and practical publication describes:

  • Compelling stories of how PCMHs have transformed outcomes for older adults;
  • How practices can improve outcomes by implementing evidence-based models of care;
  • How community-based organizations can play an integral role in helping PCMHs maintain older adults' independence and quality of life;
  • Recommendations for actions PCMHs can take to enhance primary care delivery;
  • How advanced PCMHs can benefit under the Medicare Access and CHIP Reauthorization Act (MACRA) and employ Advanced Alternative Payment Models (APMs) without putting themselves at risk of financial loss.
  • The challenges and opportunities PCMHs face in five areas: comprehensive care, whole-person care, patient empowerment and support, care coordination and communication, and ready access to care; and
  • Links to resources to aid PCMHs in addressing workforce issues, partnering with community-based organizations, accessing clinical assessment tools, ensuring patient safety, and more.

PCMHs are uniquely positioned to provide outstanding care for older adults by embracing approaches to care that are whole person-oriented, coordinated, and comprehensive, with an emphasis on safety and quality of care. In focusing on their older patients, PCMHs can achieve their goals of great patient care to their most vulnerable populations AND succeed in the emerging value-based payment health care environment. We hope that you find this paper instrumental in guiding your work.

We also hope that you will pass it along to your network of others who are invested in improving health care for older adults. The Hartford Foundation Change AGEnts Initiative is administered by The Gerontological Society of America and is funded by The John A. Hartford Foundation.

 

Note: A limited number of hard copies of the paper are available. If you would like hard copies, please let us know how many you would like and how they will be used, and we'll be happy to send them. Email us at: changeagents365@geron.org.

 

Summary of New CMS Survey and Certification Rule CMS has released the final rules revising the nursing home requirements of participation, which were published officially on Tuesday, October 4, 2016 and are available here. The rule, which spans 185 pages in the Federal Register or 713 pages in a traditional word document, will be implemented in three phases, with the first November 28, 2016. The second phase is November 28, 2017, and the final phase is November 28, 2019.


This rule represents the most significant changes to the delivery of nursing home care since OBRA '87. LeadingAge (national) has produced a comprehensive summary of the final rule for members available here. This is just the first of many more resources planned to support members on implementation of this massive rule. You will seem more resources and education available in the future, particularly after the new state operations manual and interpretive guidance for the final rules are released.


GAO: Lack of 'Meaningful' Quality Measures Hurting Providers A "misalignment" of healthcare quality measures may place a burden on providers and jeopardize the success of value-based payment methods, according to a new federal report. This misalignment — found in quality measures used in skilled nursing facilities, hospitals and physician offices — is primarily driven by variation in data collection and reporting systems, decision making gaps between public and private payers, and few meaningful measures, the Government Accountability Office said in an October 13th report.


Full Article

 

Updated OSHA Guidelines Target Workplace Safety, Health The Occupational Safety and Health Administration has updated its Recommended Practices for Safety and Health Programs guidelines. The release is intended to help senior living operators and other employers establish a methodical approach to improving safety and health in the workplace. "We know that working together to implement these programs will help prevent injuries and illnesses, and also make businesses more sustainable," said Assistant Secretary of Labor for Occupational Safety and Health David Michaels, MPH, Ph.D.


Full Article

 

Preventing Falls in Older Americans A recent study by the Centers for Disease Control reports that the leading cause of death for older Americans is falls.


Read this article to better understand the injuries that result from falls, root causes of falling, and how to reverse the trend.

 

Most Readmissions After 7 Days Due to Factors Beyond Hospitals' Control, Study Finds The majority of hospital readmissions that occur after a patient has been out of the hospital for a week or longer are likely due to factors beyond the hospital's control, according to new research. Investigators with the University of California-Davis found a "rapid decay" in the quality levels of hospital-linked quality in patients after they had been out of the hospital for seven days. That drop in quality — and increased risk of readmission — could be linked to community or household factors that the hospital can't control, researchers noted.


Full Article

 

Arbitration Lawsuit Against Government to Proceed Without LeadingAge LeadingAge will not be joining the American Health Care Association's lawsuit challenging the government's ban on pre-dispute arbitration, the group said in a statement issued Tuesday. The American Health Care Association's lawsuit, announced last week during the group's annual convention, argues that the Centers for Medicare & Medicaid Services' arbitration ban goes beyond the agency's authority and "will needlessly deprive both SNFs/NFs and their residents of the benefits of arbitration." The suit asks that the U.S. District Court for the Northern District of Mississippi to block enforcement of the ban before it takes effect on November 28.


Full Article

 

LeadingAge Statement on CMS Ban on Pre-dispute Arbitration Agreements LeadingAge has consistently supported arbitration agreements that are fair and balanced and are not made a requirement of admission to a nursing home.

 

We oppose the action taken by CMS in the recently released Requirements of Participation to ban all pre-dispute arbitration agreements between nursing homes and their residents, and we are assessing our options to ensure that we are making the most effective use of our resources. In the meantime, we urge LeadingAge members to continue to seek alternatives to litigation when responding to any dispute with a resident.


Litigation to prevent implementation and ultimately rescind the rule has been initiated. LeadingAge staff and our legal committee have reviewed this litigation and support the argument that CMS has exceeded its authority in promoting this regulation. We have concluded that it is not appropriate at this time and stage of the proceedings for LeadingAge to be involved in a legal challenge to the rule.

 

Nevertheless, we will continue to actively monitor the circumstances and will take whatever actions we believe are in the best interests of our members as well as the residents and seniors they serve moving forward.


 

Technology

2016 Technology and Aging Summit

We encourage you to join us for the 2016 Technology and Aging Summit in collaboration with Georgia Tech Faculty, Students, Consumers, Aging Services Professionals, and Innovation Experts to use a design model to create technology solutions to meet identified needs of older Georgians.

 

This year, the Technology & Aging Summit (November 10th) will feature a keynote from Dr. Majd Alwan – Executive Director of the Center for Aging Services Technologies (CAST) as well as attendee participation in a design solution model with GA Tech staff and students, to address challenges elders are currently facing.

 

Click HERE for registration.

 

Hasbro Introduces Golden Pup Hasbro introduced the Golden Pup, the second product in its Joy For All brand, on Monday. The release follows the launching of the brand with three companion cats last November. The companion cats marked the toy company's first foray into products designed specifically for older adults. The brand was inspired by consumer feedback highlighting the appeal of certain toys and games for seniors, and the cats were developed with extensive consumer research with older adults and their caregivers, according to the company.


Full Article

 

 

Job Mart

CFO - A.G. Rhodes Health & Rehab

See full job description at: http://leadingagega.org/jobmart/public/job/165/

 

Director of Operations - Campbell-Stone Buckhead

See full job description at: http://leadingagega.org/jobmart/public/job/167/

 

Driver/Maintenance - Campbell-Stone Sandy Springs

See full job description at: http://leadingagega.org/jobmart/public/job/169/

 

Executive Director: Meals on Wheels of Middle Georgia

See full job description at: http://leadingagega.org/jobmart/public/job/163/

 

Lead Service Technician - St. George Village

See full job description at: http://leadingagega.org/jobmart/public/job/166/

 

Service Coordinator - Campbell-Stone Buckhead

See full job description at: http://leadingagega.org/jobmart/public/job/168/

 

 

 

 

back to top

 

 


 

 

Copyright © All rights reserved.
LeadingAge Georgia | Georgia Institute on Aging | Center for Positive Aging
1440 Dutch Valley PL NE STE 120, Atlanta, GA 30324
Phone: 404-872-9191 | Fax: 404-872-1737