News Throughout the Spectrum of Aging Services
Assisted Living Communities/Personal Care Homes
Assisted Living Salary & Benefits Survey – NOW OPEN
Now that it's October, it's survey time again. HCS is currently conducting its annual Assisted Living Salary & Benefits study. The study is conducted and published by HCS and supported by LeadingAge.
There is no cost to participate. LeadingAge participants may purchase the results for $165 versus the $350 non-participant rate. The results include salary and hourly data reported by county, state, profit type, revenue and bed-size. A press release is attached, detailing the study. HCS is also conducting a separate study on long-term care corporate executive compensation. Questionnaires for both are available on the HCS website: https://www.hhcsinc.com/survey-questionnaires.html
Assisted Living Salary & Benefits Study
Submission Deadline: November 13, 2017
Publication Date: January 2018
Multi-Facility Corporate Compensation Study
Submission Deadline: December 4, 2017
Publication Date: January 2018
For more info contact:
Rosanne Zabka | Director of Reports
Hospital & Healthcare Compensation Service
201.405.0075 ext. 11 | firstname.lastname@example.org
Federally Assisted Housing (HUD-Subsidized)
HUD Benchmarking Survey 2017 (Based on 2016 Financial Data)
LeadingAge Georgia has partnered with Mauldin & Jenkins, LLC for the 4th edition of a HUD benchmarking study for HUD elderly housing communities located throughout the state of Georgia. LeadingAge Georgia represents over 160 key mission-driven providers dedicated to quality housing and community-based services. Members serve over 127,000 older Georgians each year. LeadingAge Georgia's mission is to represent and promote the common interest of its members through leadership, advocacy, professional development, and other services in order to enhance each member's ability to serve older Georgians.
For the 2017 benchmarking survey, an email request was sent out to 120 email addresses, through Survey Monkey, targeting 147 elderly housing communities in the state of Georgia. We obtained approximately 25 responses. Results of the survey are available at no charge for organizations that participated. We request a $150 donation to our Institute for organizations wanting results that did not participate. The financial information provided was input by the properties from their Statement of Financial Position, Statement of Activities and Statement of Cash Flows from their most recent audit report.
TRACS User Deactivation Start October 22 for Users with 90-days of Inactivity
Coordinators may review HUD's Mandatory TRACS User Certification Instructions available on HUD's web site HERE.
Questions relative to the FY 2017 TRACS Annual User Recertification requirement should be addressed to TRACS@hud.gov or the HUD Helpdesk at 1-800-767-7588.
TRACS Coordinator Actions Needed by December 31
Mary Ross has since clarified that "starting September 1, TRACS Coordinators will be required to certify all TRACS Users who continue to need access to TRACS data. It is mandatory that Coordinators certify all TRACS Users no later than December 31, 2017. Users who are not certified by December 31, 2017 will no longer have access to TRACS."
"The RHIIP Listserv also referenced a complimentary, interactive, online training option provided by HUD. This training provides an overview of the process and is intended for TRACS Coordinators. The training is not mandatory. However, TRACS User Certification is Mandatory; hence the reference 'Mandatory TRACS User Certification'."
OCTOBER 2017 RAI MANUAL UPDATES
CMS released the updated RAI Manual on August 31, 2017 for use with Assessment Reference Dates (ARD) on or after Oct 1, 2017. There are two sections that are completely new, a new ADL algorithm, and some surprising coding instructions.
Working with the ACTION Campaign
LeadingAge is working with the ACTION Campaign to expand the Housing Credit by 50%, help the Housing Credit better serve extremely low-income older adults, and improve it as a housing preservation tool (Housing Credits are used to preserve aging Section 202 communities and other affordable housing for low-income older adults).
These are just a few of the benefits of the House and Senate bills:
• Fact sheet on the House bill, Housing Credits, and older adults.
• Fact sheet on the Senate bill, Housing Credits, and older adults.
Expanding and strengthening the Housing Credit is one of LeadingAge's top priorities. Learn more about LeadingAge's Save HUD 202 campaign.
Home and Community Based Services
Home Health Agencies Brace for November's Emergency Prep Rule
As a new emergency preparedness rule from the Centers for Medicare & Medicaid
Services (CMS) looms, home health companies big and small are scrambling to make sure their bases are covered before it takes effect in November. Under the rule, which was first introduced in 2013 and finalized last September, heath care providers across 17 settings, including home health care, must meet four emergency preparedness standards by Nov. 15: Have an emergency plan with an all-hazards approach; develop policies and procedures based on the emergency plan; come up with a communication plan that complies with federal and state laws and loops in other area providers; and develop and maintain training programs and drills.
Rural Home Health Agencies Need Affordable Internet Access
The Rural Health Care Connectivity Act of 2015 allows skilled nursing facilities to receive support from the Universal Service Fund's Rural Health Care Program (RHCP). The RHCP funds telecommunications and broadband services used to provide health care in rural communities. Nursing homes were recently included in the list of providers eligible to receive support from RHCP.
CMS Launches Hospice Compare Site, Aims for Patient Engagement
Hospice patients and their families now will be able to compare potential providers due to the launch of the Centers for Medicare & Medicaid Services' new Hospice Compare website on August 16th. The website includes data from nearly 4,000 hospice providers and covers seven National Quality Forum-endorsed measures on hospice and palliative
Emergency Preparedness Costs Vary for Home Health Agencies
In the aftermath of two major hurricanes, home health agencies across the U.S. are Medicare & Medicaid Services (CMS) before November's deadline. But many are finding that the associated costs aren't so easy to nail down.
Cost of In-Home Care Rose from Caregiver Shortage
This year's cost increase was particularly notable, according to Gordon Saunders, senior brand marketing manager for Genworth's U.S. Life Insurance division. Overall, the annual median cost of long-term care services climbed an average of 4.5% from 2016 to 2017, marking the second-highest year-over-year increase for nursing homes and home care since the study began in 2004.
Health Officials Implore Healthcare Workers to 'Lead by Example,' Get Flu Shots; LTC Still Worst
The Centers for Disease Control and Prevention released data on Thursday showing that in general, 79% of healthcare personnel received the shot during the 2016-2017 flu season, on par with the preceding three flu seasons. But those working in long-term care settings fell short of hospitals (92%) and ambulatory care settings (76%), with a 68% vaccination rate for that season.
Yale: Hospice Patients Are Admitted Too Late
Half of patients admitted into hospice care are admitted only within the last two weeks of their life, according to a recent study from Yale University physicians. This timeframe undercuts the hospice benefit, which can extend for six months, and reveals some of the challenges related to seniors in the last stage of their life.
Hospice in Crisis
It might seem odd to talk about "innovations in dying," but in recent decades the hospice movement has become an important new pathway for the most difficult phase of life. As American health care has become ever more high-tech and expensive, the hospice model of home-based care for terminally ill patients has enabled millions of Americans to die peacefully in their own houses, without painful medical procedures—often greatly reducing stress on both the families and the health care system.
RoPs Phase 2 Tools and Resources Released
The first release was the Facility Assessment Toolkit, which is comprised of an
overview, section by section detail, training and resources. The full toolkit may be found on the LeadingAge website under the Members tab. The Nursing Home
resources under RoPs tools have been revamped with an easier guide to review and download.
New Congressional Sign-On Letter Urges CMS to Postpone Implementing the Nursing Home Requirements of Participation
Earlier this spring LeadingAge supported sign-on letters from Rep. Glen Grothman (RWI) and from the South Dakota delegation urging the Centers for Medicare and
Medicaid Services (CMS) to suspend enforcement of the skilled nursing requirements of participation issued in October 2016. We now have a new opportunity to raise our concerns with Congress. Senator John Hoeven (R-ND) has introduced a "Dear Colleague Letter" in the Senate with a similar request that CMS re-evaluate the nursing home RoP to allow revisions to be made and give providers sufficient time to comply with the proposed changes. Phase II of the RoP is scheduled to take effect November 28, 2017. Please contact your Senators today and encourage them to sign onto Sen. Hoeven's letter, which closes October 6.
For more information, contact Marsha Greenfield.
VA to Propose Easier Funding Access for Rural Nursing Homes
Rural veterans may soon have easier access to long-term care under a future proposal being considered by Veterans Affairs officials. Secretary David Shulkin explained to reporters during a visit to Montana this week that rural areas are often overlooked under the current demographic- and need-based guidelines the VA uses to award grants for building veterans nursing facilities, The Washington Post reported August 21st.
Bayada, Addus Hire and Acquire to Meet Hispanic Demand
Amid concerns that home health aides may not be able to meet every client's cultural needs, some big providers are paying more attention to who they hire—and how. The need for more cultural competency among home health aides is clear, especially when working with Spanish-speaking clients. Just 20% of Hispanic Americans over the age of 40 felt "extremely or very confident" that home health aides can provide care that meets their cultural and linguistic needs, according to a recent survey from The Associated Press-NORC Center for Public Affairs Research.
Advanced Practice Nurses Key to Improving SNF Care, Researchers Say Training an advanced practice nurse to lead a nursing home care team has shown promise for improving staff communication and the way facilities handle mobility,hydration and end-of-life care issues, a new study shows. The research was conducted by a team at the University of Missouri as part of the Missouri Quality Initiative for Nursing Homes. The program is in its fifth year of researching healthcare improvements for older adults. Part of that program included placing APRNs at 16 skilled nursing facilities to gauge how their skills influenced care coordination.
Genworth Survey: Cost of Private SNF Rooms Jumped 5.5% in 2017
The monthly costs of a stay in a skilled nursing facility continued to grow in 2017, with the average monthly rate of a private room topping $8,000, according to Genworth's annual Cost of Care survey. The survey's results, published September 26th, found private room rates up 5.5% since 2016, for a total of $8,121 per month. That's compared to a $7,698 average monthly rate reported by last year's survey. Rates for semi-private rooms also jumped during 2017, reaching $7,148, the survey found. That's more than a 4% increase from 2016's $6,844 monthly rate.
AHRQ Annual Report Shows More Americans Have Health
Insurance and Receive Safer Care, but Gains Remain Uneven
AHRQ's 2016 National Healthcare Quality and Disparities Report shows that the quality
of health care continues to improve gradually each year but gains remain uneven among
minorities. Some of the biggest improvements are in measures of "person-centered care,"
such as communication between doctors and their patients, and the safety of medical
care, such as fewer complications among hospital patients who were taking
anticoagulants other than warfarin. The report also indicates that fewer people were
uninsured, as 11 percent of people under age 65 were uninsured in 2016 compared with
18 percent in 2010. However, most disparities in health care quality continued to persist,
with no significant improvements for any racial or ethnic groups, especially people in
poor, low-income and uninsured households as well as blacks and Hispanics.
CMS Proposes to Cancel Mandatory Bundled Payment Models The Centers for Medicare & Medicaid Services (CMS) has proposed to cancel mandatory bundled payment models and make changes to an existing bundled payment initiative focused on joint replacements. The proposal aligns with what home health stakeholders have called for, as some have stated the mandatory bundles were being implemented too fast. Specifically, CMS is moving to scrap the Episode Payment Models and Cardiac Rehabilitation incentive payment model, which were scheduled to begin on Jan. 1, 2018.
Attorneys General Launch National Effort to Crack Down on Elder Abuse State attorneys general across the country will focus on strengthening efforts to fight elder abuse, neglect and exploitation over the next year, Kansas Attorney General Derek Schmidt announced August 17th. The campaign, through the National Association of Attorneys General, will include abuse, neglect and exploitation at senior living communities, Schmidt told McKnight's Senior Living on Monday. He was elected president of the organization in June.
Joint Effort Aims to Educate Senior Living Executive Directors about Financial Fraud
Four senior housing and care provider organizations have teamed up with the FINRA Investor Education Foundation to educate senior living executive directors about financial fraud and share resources that those leaders, in turn, can pass along to colleagues, residents and families. The mailing of a letter signed by the heads of the foundation, Argentum, the American Seniors Housing Association, LeadingAge and the National Investment Center for Seniors Housing & Care started Monday and will continue for several days the week of August 21st.
How More In-Home Support Could Combat 'Pop Drop' Having more in-home support services in place could help prevent spousal caregivers from dropping their partners off at the emergency department as a source of respite, a phenomenon known in some medical circles as "pop drop."
LeadingAge is Helping HUD and Japan Explore Aging in Place LeadingAge is working with the U.S. Department of Housing and Urban Development (HUD), Ginnie Mae, and the government of Japan to explore strategies that could help older adults remain in their homes and communities for longer. The project is part of a formal agreement between HUD and Japan to work cooperatively on researching innovative approaches to housing vulnerable older adults in both nations.
LeadingAge Urges Lawmakers to Delay Phases of Mega-Rule as Part of Red-Tape Relief Project The next phases of the new federal requirements of participation for long-term care should be delayed in order to make implementation less burdensome and costly, the nation's largest non-profit provider organization told lawmakers last week.
Get A License If You're Showing a Movie: 2017 Guidance LeadingAge, and all other leading industry associations have secured member savings on the Umbrella License®, the annual public performance license offered by Motion Picture Licensing Corporation (MPLC). The Umbrella License is the most comprehensive copyright license available for senior living and healthcare communities and provides annual copyright coverage for over 1,000 motion picture studios and producers. The license includes public performance rights for both major Hollywood studios and independent producers. Once licensed, an unlimited number of movies may be shown. Movies can be secured from any legal source whether rented, purchased, or borrowed via DVD, stream, or download.
Study to Explore Ties Between Elders and Their Older-Adult Children A new study may help providers of aging services better understand the unique
relationship between residents and their older-adult children. Kathrin Boerner, an
associate professor of Gerontology at the University of Massachusetts Boston, will study the relationships of parents older than 95 with a child older than 65. Her research will be funded by a $419,855 grant from the National Institute on Aging. Senior children and very old, living parents are relatively common today.