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.
Conversations with Ginny
“For the times they are a-changin’,” Bob Dylan, singer, song-writer, Nobel Prize winner.
The good news is, our members are changing with the times, rising up to meet the needs of older adults – fostering purpose and meaning, helping those we serve stay as independent as possible and engaged with the community doing things that make them want to get up in the morning. Together with the people we serve, we’re focusing on thriving as older adults -- redefining life with purpose as we age. After all, Bob Dylan is 76 and you can bet he’s redefining aging.
Dylan’s epic song about change beckons “Come senators, congressmen please heed the call, don’t stand in the doorway, don’t block up the hall.” Our current legislative issues on the national level will improve care in nursing homes, fortify affordable housing and lay the groundwork for a better system for financing long-term services and supports -- and the good news is we’re being heard. Senator Johnny Isakson (father of Kevin Isakson, director of sales and marketing for Isakson Living) met with me in DC two weeks ago – despite the snowstorm that shut down the government, listened earnestly to our concerns and promised to look into our issues.
Our legislators heeded our call when we asked for a rate increase for adult day health centers serving vulnerable older adults who qualify for nursing home care but who can stay in the community with the support of adult day health services. The Georgia legislature appropriated a 5% rate increase which will mean over $1, 242,000 to go towards staffing and other expenses that keep adult day health centers viable.
Since the legislative issues that we work on are so important, I encourage you to attend our town hall meeting and give your input on national public policy issues. The meeting will be on April 19th from 7 am until 8:30 am at the Life on Purpose 2018 Annual Conference on Aging & Exposition in Greenville, South Carolina. I invite you also to host a breakfast at your community with Georgia legislators on the appropriation committees and thank them for the rate increase that supports adult day health centers and I invite you to go with us to meet with the members of Congress whose meetings were cancelled due to the snow in DC. Our legislative asks are worth the effort.
Bob Dylan tells us in his song “admit that the waters around you have grown” and that’s what I heard at the National PEAK leadership conference I attended in DC. Speaker after speaker said older adults want a life worth living – with purpose and meaning, opportunities for engaging with the community – access to local theater and restaurants, homes that foster independence and well-being and they talked about fortifying the workforce with a culture of bringing out the best in staff. I feel that our members are investing in creating the culture of homes and organizations that older adults are seeking. The 2018 Annual Conference on Aging & Exposition coming up on April 17th – 19th is the next great opportunity for investing in your team and the individuals you serve. If you haven’t already signed up for the conference, do so and join other LeadingAge members as we do like Dylan says and “heed the call” of doing our part in fostering “life on purpose”.
LeadingAge GA|SC Annual Conference on Aging
LAST CHANCE TO REGISTER
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2018 LeadingAge Georgia & South Carolina Annual Conference Goes Mobile With ConfPlus
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Eden International Conference and Eden at Home Training Scholarships If your nursing home is certified by Medicare and you have a Medicare provider number, you are eligible for scholarships for The Eden International Conference on May 3-5, 2018 in Atlanta and for upcoming Eden at Home training in Athens, Midtown, Macon and Stone Mountain. In addition to helping improve the culture in long-term care homes, the model can help with the new CMS regulations for person-centered care. When individuals complete the Eden training, they often express their appreciation for the training similar to how Mia Chester, Outreach Manager for the Alzheimer's Association, Georgia Chapter did when she said "After taking the Eden at Home training, I feel empowered as a change agent. I now fully understand the significance of meaningful care as well as the importance of care partnerships. I am looking forward to sharing this information with others and helping them to realize we all have the power to shift the culture of care.
The dates for the Eden at Home training across the state are:
Athens /August 7 – 9, 2018
Midtown Atlanta /August 21 – 23, 2018
Macon /August 28 – 30, 2018
Stone Mountain / September 18 – 20, 2018
Funding for the scholarships is being made available to The Eden Alternative by the Center for Medicare Civil Monetary Penalty fund. LeadingAge Georgia hosts the Culture Change Network of Georgia, a partner in the grant application to CMS.
Pre-registration for both project events must be completed by Friday, April 13, and space is limited to the first 50 Georgia nursing homes to sign up (Medicare and/or Medicaid participating homes).
Click here for more information and to pre-register.
Fingerprint Background Check Act
We expect the "Georgia Long-term Care Background Check Program" Act to be signed into law any day by Governor Deal. The Act is designed to provide a background check for long-term care providers that is more comprehensive than required by current laws and regulations. The Act gives the Georgia Department of Community Health the authority to conduct national fingerprint based background checks for owners, applicants and employees who have direct access which includes duties that involve routine personal contact with a patient, resident or client. The Act will require the background checks for staff or contractors including but not limited to housekeepers, maintenance personnel, dieticians, and other volunteer who has duties that are equivalent to duties of an employee providing such services.
Personal care homes, assisted living communities, private home care providers, home health agencies, providers of hospice care, nursing homes and adult day centers will all be required to provide background checks as set out by the Act.
The Act requires a "registry check" of the nurse aide registry, the state sexual offender registry and List of Excluded Individuals and Entities authorized by the federal Social Security Act prior to conducting the fingerprint background check.
The Act stipulates that a person cannot be hired if an "unsatisfactory determination" was made on the background check. Crimes that would constitute an unsatisfactory determination include cruelty to children, neglect to a disabled older adult, exploitation and intimidation of a disabled or older person, enticing a child for indecent purposes, sexual assault by persons with supervisory or disciplinary authority, failure to knowingly and willfully report abuse, neglect or exploitation, crimes against the person, sexual offenses, offenses involving theft, forgery and fraudulent practices, criminal intent, conspiracy and solicitation, smash and grab and operating an un-licensed personal care home.
Background checks will be conducted by a company that the state contracts with and the contractor will conduct criminal record checks with both the Georgia Crime Information Center (GCIC) of the Georgia Bureau of Investigation and the Federal Bureau of Investigation. The contractor is to have locations for finger-print background checks throughout the state so that no person has to drive more than twenty-five miles to have a fingerprint background check. COGENT currently has the contract and their turn-around for the background checks is reportedly twenty-four to forty-eight hours. There will be an appeals process for individuals who receive an "unsatisfactory determination" on a criminal background check.
If signed by the Governor, the Act will become effective on October 1, 2019 giving members time to learn the intricacies of the Act. The Georgia Department of Community Health (DCH) is charged with promulgating rules and regulations related to the requirement sand implementation of the Act. We will work with DCH to provide education on the requirements prior to the effective date.
Click HERE to read the bill
Medical Waste Cut in Half with Sharps
Sharps Compliance offers systems to better accommodate the medical waste, used healthcare material and unused medication disposal needs for senior care communities.
Sharps Recovery System™ or TakeAway Recovery System™.
Includes everything needed to collect medical waste and used healthcare materials for transport through USPS or UPS for proper treatment and repurposing. These systems include a collection container, shipping box, packaging, tracking manifest, instructions, pre-paid return, and proper treatment and repurposing.
Recovery System Advantages:
- Reduces costs by as much as 50% or more
- Is proven, convenient, and easy to use
- Offers online tracking and proof of treatment confirmation via SharpsTracer®
- Eliminates monthly fees– purchase as needed
For more information, contact:
Georgia Value 1st Representative
email@example.com | P: 404-421-3956 | F: 404-872-1737
Pam Van Ahn
14 Sloan Street
Roswell, GA 30075
Adult Day Services
2100 Clairmont Lake
Decatur, GA 30033
3611 Valley Centre Drive, Suite 300
San Diego, CA 92130
20 Ramsey Road
Shirley, NY 11967
Blackmon Mooring of Atlanta
2980 Suite C, Pacific Drive
Norcross, GA 30071
Emergency Services & Restoration
400 Locust Street, Suite 820
Des Moines, IA 50309
Pioneer Solution, Inc.
238 Benton Court
City of Industry, CA 91789
2314 Route 59. Suite 384
Plainfield, IL 60586
5901 Peachtree Dunwoody Road, B-300
Atlanta, GA 30328
TESCO (Transportation Equipement Sales Corp)
6401 Seaman Road
Oregon, OH 43616
WD International Consulting
Walter Coffey & David Sprowl
575 Rock Springs Place NE
Atlanta, GA 30306
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assist with planning, we are sharing information
holidays and observances for each month
2 months early.
This month we are sending you information for June
June 1 National Donut Day
June 14 Flag Day
June 17 Father's Day
June 21 Summer Solstice
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LeadingAge Georgia Public Policy Report
Thank the Legislators who Gave Adult Day Health Centers a Rate Increase
With only a 5% rate increase over the last twenty years, adult day health centers found themselves unable to compete with the salaries paid by hospitals and other employers. Thanks to a 5% rate increase appropriated by the legislature this session, adult day health centers will be able to put over $1,042,000 into operating expenses allowing pay raises for staff and an increase in staff for some centers.
We need to do our part and thank the legislators who gave the rate increase. They deserve to be thanked by our members and our gratitude will have an even greater impact if those we serve (and constituents of the legislators) are invited to be part of the celebration. Please consider hosting a coffee and conversation and thanking the Georgia legislators who were our champions. Invite your residents/clients and have an informal get together and tell them how much the funding means to us – after all, adult day health centers allow vulnerable older adults who qualify for nursing home care to stay in the community because nurses and direct care workers provide the medical oversight needed, the centers provide meals, socialization and meaningful activities. At the very least, jot a personal thank you note to the legislators on the appropriation sub-committees.
On the Senate side, the senators on the committee to be thanked include Senators Jack Hill (Chair) of Reidsville, John Albers of Roswell, Dean Burke of Bainbridge, Nan Orrock of Atlanta, Valencia Seay of Riverdale, Renee Unterman of Buford and Ben Watson of Savannah. To obtain contact information of these senators, click on http://www.senate.ga.gov/senators/en-US/SenateMembersList.aspx.
On the House side, the representatives who we need to thank are Representatives Terry England (Chair), Auburn, Butch Parrish of Swainsboro, Lee Hawkins of Gainesville, Matt Dollar of Marietta, Pat Gardner of Atlanta, Carolyn Hugley of Columbus, Jessee Petrea of Savannah, Ron Stephens of Savannah and Darlene Taylor of Dunwoody. To obtain contact information for the representatives click on http://www.house.ga.gov/Representatives/en-US/HouseMembersList.aspx.
2018 Annual Conference
April 17-19, 2018
Leadership Academy - Third Event
May 9, 2018
May 11, 2018
Registration coming soon
Mental Health First Aid
July 12, 2018
Registration coming soon
GAAP Summer Symposium
July 20, 2018
Registration coming soon
Fair Housing & Ethics Symposia
July 25, 2018
Registration coming soon
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The Joys of Spring
Spring has finally arrived! Although the weather has been a bit chilled, it is a welcomed time of year. The anticipation of knowing warm weather is just around the corner brings joy. It is also a time to welcome the April showers so we can enjoy the May flowers!
I love this time of year for my morning walks in the crisp, fresh morning air. It is a time to enjoy the flora and fauna in the area. It is also a wonderful time to acknowledge the friendly smiles of other walkers, now loosening up from the frigid of winter and displaying warm and friendly smiles. Many of the walkers are regulars with almost all being over the age of 50, many over the age of 60, and some in their 70's and 80's. Sometime we stop and chat. Other times we simply acknowledge each other's presence with a nod, warm smile or throw up our hand to wave as we trek the PATH Foundation South Peachtree Creek trail.
This is also the time of year we inhale the fragrance of the lilac on the side of the trail. Some walkers come with their binoculars to birdwatch. What a wonderful time. Everyone is friendly.
Walking is so much the perfect exercise. You do it at your own pace. You breathe fresh air and get your vitamin D from the sun. You connect with nature and people. It is low cost in that all it takes is comfortable shoes and clothing that you already have in your closet, and a bottle of water, that you do not have to buy, but get right from your tap at home.
I like to acknowledge the various observances for each current month. Did you know that April is 'Keep America Beautiful' month? It is a time for inspiration and action to improve and beautify our home and community environment. A time for spring cleaning, picking up litter, recycling, planting flowers and gardens. There are two community gardens right off the trail where I walk. Gardening is good exercise, plus a time for socializing and camaraderie for a common cause … keeping America beautiful! What will you do this April?
I share an excerpt from a poem written by Justyce M. Ryder entitled 'My Way to Relax'
A beautiful day,
Here I stay,
Bathing in the sun,
I start to hum.
I find myself humming some of my favorite songs as I walk. It puts pep in my steps. Most times my humming, and sometimes outright singing is spontaneous. It is truly an expression of the joy in my heart!
I close with a quote by Thich Nhat Han;
"Sometimes your joy is the source of your smile,
but sometimes your smile can be the source of your joy."
I have recently partnered with AARP Georgia – Age Friendly Community to spearhead Just Walk! a Walk with a Doc national grassroots program, here in metro Atlanta. The kickoff for the weekly walks is Wednesday, April 25, 2018 at 10:00a,m,. at the Mason Mill Park. For more information, visit http://walkwithadoc.org/our-locations/atlanta-ga/
Carolyn L. Hartfield, Guest Contributor
Healthy Lifestyle Coach & Outdoor Adventure Leader
Speaker, trainer and writer
Carolyn's experience in the health and wellness arena started when she opened her first health food store in 1985 and expanded it to 4 locations. She received her Health Coach certificate from Emory University. She is a 2016 recipient of the LeadingAge Georgia Profiles in Positive Aging Award, representing AARP. She is a National Senior Games (NSG) Athlete earning numerous gold and silver medals; she is featured in the 2017 National Senior Games Non-Ambulatory Athlete Exercise Videos; featured on the TV News Magazine for Baby Boomers 50Plus Prime; she was featured in the Atlanta Journal Constitution (AJC) newspaper; the cover story for the GirlFriends Lifestyle - A Women's Guide to Healthy Living Magazine, Special Edition for the White House Conference on Aging; and interviewed for various other media outlets. She is the founder of Hartfield's Hikers, Older People with Active Lifestyles (OPALs), Atlanta African American Baby Boomers and the Walk Outdoors for Wellness! (WOW!) program. For more information visit www.CarolynHartfield.com or send Carolyn an email at CH@CarolynHartfield.com
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Senior Helpers to Staff First U.S. Dementia Village A major national home care franchisor has been tapped to staff the first U.S. version of a "dementia village." Pioneered in the Netherlands, the concept involves the re-creation of a community from the 1950s. Senior Helpers, an in-home care franchise provider with 311 locations, has partnered with George G. Glenner Alzheimer's Family Centers, Inc., to bring a unique experience to local seniors in the Chula Vista, California, area. Senior Helpers will be providing caregivers to an adult day care center called Town Square.
2018 CCNG Advisory Group Meeting Dates & Update
Friday, April 20, 2018 | 9:30am – noon | Location: TBA
Friday, August 24, 2018 | 9:30am – noon | Location: TBA
Friday, October 12, 2018 | 9:30am – noon | Location: TBA
Policy Message from National Adult Day Services Association (NADSA)
Please see the announcement below from the CMS Medicare/Medicaid Coordination Office. It offers the opportunity for ADS providers to offer comments related to a more unified provision of services for dual-beneficiaries special needs plans (D-SNPs). Your comments can be as simple as this:
Although Medicaid recognizes the value of Adult Day Services (ADS) and pays for them, the fact that generic Medicare does not recognize ADS creates a barrier to a unified provision of Medicare-Medicaid services for dually eligible beneficiaries. CMMO must address this disconnect to truly offer an efficient and cost-effective provision of quality Medicare-Medicaid services.
The deadline for filing a comment is April 12th. See below for further details and use the link at the bottom of the solicitation to obtain more complete details.
Senator Roy C. Afflerbach (Ret)
National Adult Day Services Association Public Policy Advisor
Section 50311(b) of the Bipartisan Budget Act of 2018 (H.R.1892, 115th Congress (2017-2018), Public Law No. 115-123) creates a new Section 1859(f)(8) of the Social Security Act (the Act) in order to increase integration of Dual Eligible Special Needs Plans (D-SNPs).
In particular, the statute directs CMS to:
• Develop unified grievance and appeals processes for D-SNPs, and
• Establish new standards for integration of Medicare and Medicaid benefits for D-SNPs.
We are soliciting comments to help inform CMS' next steps related to unified D-SNP grievance and appeals processes and new integration standards. Through April 12, 2018, CMS is inviting written stakeholder input on these provisions.
Please submit comments by April 12, 2018 with the subject line "Comments on Section 50311," to MMCOCapsmodel@cms.hhs.gov
2017 GADSA Leadership Team
President: Claire Russell, The Homeplace
Vice-Presidents Public Policy: Ned Morgens, Skylark Senior Care;
Aysha Cooper, SarahCare of Snellville
Vice-Presidents of Members: Carla Jones, Rosswoods; Peggy Padgett, Georgia Infirmary Adult Day Health
2018 Training Events
July 20, 2018 GAAP Summer Symposia - Save the Date
Activity and Life Enrichment professionals are a critical asset to creating an environment for lives worth living in the senior living and aging services arena.
That's why we're happy to announce the return of the Georgia Associaiton of Activity Professionals! Your significant involvement will ensure the future of this great organization contiues its mission of providing Activity Professionals with quality and affordable opportunities for professional development and personal growth.
2018 GAAP Leadership Team
President: Scott Bassett (Philips Tower, Decatur) firstname.lastname@example.org
Vice-President: Amanda Bennett (Campbell-Stone Sandy Springs; Atlanta) email@example.com@campbellstone.org
Program/Education: Liana Sisco (Lutheran Towers; Atlanta)firstname.lastname@example.org
So much of the success of activities professionals depends on the networking and ideas shared by those of us "in the trenches." Opportunities for collaboration with peers, in addition to the vendors and speakers, helps to expand our knowledge, our inspiration, and our personal emotional investments in our communities. Every community is different, to be able to attend events that encourage the sharing of our success stories and positive experiences, is vital for the industry as a whole.
- Amanda Bennett, Campbell-Stone Sandy Springs
But the history of population health management predates fee for service payments or the American colonies and contributes significantly to the story of modern day medicine. It is a fact that for all the attention that is generated with the advent of new drug therapies or invasive procedures for the health-related maladies that plague mankind today the greatest reductions in deaths from diseases throughout written history are largely due to our collective ability to identify and document the cause of the congenital or acquired conditions and, where possible, mount society supported efforts to eliminate or eradicate them. The mobilization of the communities of Europe during the bubonic plague of the 1300s, the use of Variolation in Africa in the 1700s to provide immunity from smallpox, the eradication of the London Cholera epidemic of 1854, the 1860 publication of The etiology, concept and prophylaxis of childbed fever by Ignaz Semmelweis which led to the widespread practice of routine handwashing by physicians, iodization of salt in 1924 to reduce thyroid disease, the fortification of bread with niacin in 1934 to reduce pellagra, the enrichment of milk with Vitamin D in the 1930s to reduce rickets, the addition of fluoride to community water supplies in 1945 to reduce tooth decay, the vaccines for polio, German measles, diphtheria, and influenza, the Framingham heart study, the eradication of blindness from guinea worm infestations, safety belts for automobiles, the detection and removal of colon polyps to reduce colon cancers and the distribution of clean needles and condoms to reduce the spread of HIV. None of these advancements would have been possible in the absence of the collection, aggregation, analysis, reporting and utilization of data on populations of afflicted individuals in conjunction with a perception of the benefit to society at large from the reduction of illness from these conditions. The importance of this element of the transformation of medicine is critical. First because all of these are examples of primary and secondary prevention-based interventions versus treatment for an individual. Of equal importance, no direct transactional benefit is accrued to the individuals allocating the resources to support them. These advancements are not possible without first understanding the cause of the condition and then designing, developing and deploying resources first for the benefit of those at greatest risk for acquiring the affliction and, as is often the case, on reducing the burden of illness on those in the earliest stages of affliction. Many of these interventions have their origins in the military. Most of them required a level of organizational structure, processes and outcome monitoring and management beyond the singular scope of even the best practitioners of their day. All of them were aided by the marshalling of the resources of society either through civic, non-profit or governmental support for the benefit of the community at large.
The true origin of population health management, then, lies here; in the understanding that even as we have evolved newer methodologies to treat and cure diseases it is our society-funded advancements in prevention and early detection that have led to the greatest decreases in human suffering. Regardless of your political proclivities the evidence here suggests that it takes a village to eradicate or control the greatest health threats to a population. The one patient at a time business model of fee for service medicine evolved alongside and benefitted from the collective wisdom gained from managing community health issues. The aggregation and management of victims of tuberculosis led to the specialty of thoracic surgery, the treatment of injuries in the theater of war led to the field of trauma surgery, the development of antibiotics and the use of helicopter transport for emergency medical services. But with each new diagnostic and therapeutic modality the cost of health care escalated to the point where the expense incurred from the treatment of one individual with a severe illness could exhaust the generational wealth of an entire middle class family. The desire to reduce the risk of financial ruin from catastrophic illness was, in part, the genesis of employee sponsored health insurance. The subsequent belief as a nation that American seniors should be protected from destitution related to the cost of medical care led to the establishment of the single-payer, national social insurance program known as Medicare.
The introduction of Medicare Part A and Part B in 1966 were game-changers for low-income seniors in communities around America and, frankly, for the hospitals and providers that had served them for years without compensation. Prior to the establishment of this citizen-funded, government-managed health insurance option many of these seniors had been turned away from some hospitals or impoverished due to the cost of treatment for a catastrophic illness. But as beneficial as Medicare was its Fee for Service model led to misaligned incentives by compensating for the treatment of illness and not the prevention of disease. The predictable consequence spawned the medical industrial complex, with the design and development of larger brick and mortar medical treatment infrastructures, the buying up of providers of care and the arms-race-like acquisition of health centered technologies to attract and retain this new revenue stream. Early on it became evident that the system as implemented provided little supervision with regard to over-utilization of diagnostic and therapeutic resources, showed disregard for site of service as a variable in care delivery and rewarded poor performance by paying for complications and their resultant prolonged hospitalizations. The financial impact was so great that many of the medical groups, hospitals and drug manufacturers that were opposed to the passage of Medicare in the beginning became less vocal in their protestation of "government intervention in health care" as they began to reap the benefits of more patients with the ability to pay for the increasing cost for their services. By 1973 Congress and the President were enacting legislation in an attempt to manage the rising costs of government funded health care. But despite the best efforts of the executive and legislative branches U.S. healthcare costs as a percentage of Gross Domestic Product continued to grow at non-sustainable rates. This backdrop sets the stage for the tectonic shift in the U.S. healthcare landscape euphemistically known as managed care.
The epochal shift in the health care terrain is being driven by the convergence of three distinct but related factors in managed care: 1) the lack of personal accountability of a large segment of society for their health and well-being, 2) the realization that the fee for service employer-based and government sponsored insurance models reward the treatment of disease vs the prevention or reduction of illness and has led to the current medical industrial complex and 3) that the cost of primary or even secondary prevention of illness is cheaper than treatment by orders of magnitude for most conditions. Health policy in the United States for the last 45 years has been shaped around the second and third of these factors. We have not focused on the first because as a society we lack the desire or the capacity to hold individuals accountable for the modifiable risk factors that drive the majority of preventable deaths in this country. It is a fact that diet, sedentary lifestyle, obesity, smoking and alcohol are the cause of the majority of premature deaths in this country. We have decided as a nation to hold the providers and underwriters of health care costs accountable for increasing the engagement, education and empowerment of individuals with regard to their health.
All substantive health policy in the U.S. since the Health Maintenance Organization Act of 1973 has attempted to shape U.S. health care based on these two premises. The legislative solutions have attempted to catalyze the collaboration of payers, providers and high performing integrated care delivery system by ratcheting down the pool of inflation adjusted per capita dollars available for total cost of care. The architects of these social engineering policies are aware that the current state individual provider's practice, designed for optimization of the fee for service model, lacks to tactics, the team and the tools to successfully meet the performance and quality benchmarks to be competitive in this new environment. One recent study observed that for the average primary care provider with a panel of 2300 members it would take 21 hours a day for them to provide all of the annual acute, chronic and preventive care functions necessary for their membership3. Health policy architects are counting on market forces to drive the evolution of new symbiotic relationships while eliminating non-competitive models and rewarding those that lower costs, improve quality and enhance the experience of the member receiving care. The most sweeping and recent of these solutions is the Affordable Care Act and the Health Care and Education Reconciliation Act of 2010. The stated intend of the legislation is to improve access, increase quality and lower the cost of health care through (among other mechanisms) moving the majority of government sponsored health payments to value-based compensation and away from volume based fee for service compensation. As could be expected all major commercial health plans have quickly followed this trend.
So while the Fee for Service based health care delivery industry has invested time, talent and resources toward maximizing profits in a volume-based, unit-cost maximizing, specialist incentivizing, complication rewarding treatment of disease-based business model the payers of health care are economically catalyzing an antithetical care management model that rewards prevention, health maintenance and reduced utilization of services. As in the case of the ice shipping service and refrigeration these two models could co-exist together for a time. But in the same way that the Industrial Revolution gave the refrigeration proponents a competitive advantage over the ice shippers, the Information Revolution that the electronic age as spawned will provide opportunities to change health care delivery in ways that have yet to be imagined. And those changes are not 100 years into the future but are happening today.
Simply stated health care providers today are first and foremost in the information management business. The successful emerging health care organizations will be the ones that collect, store, analyze, report and utilize health information in a manner that delivers the most value to health care consumers and payers. The tactics for doing so and the importance of population health in achieving this goal are the topic of the next installment in this series.
3Annals of Family Medicine; www.annfammed.org; VOL. 10, NO. 5; SEPT/OCT 2012 396
By: Michael Vincent Smith, MD
News Throughout the Spectrum of Aging Services
Assisted Living Communities/Personal Care Homes
Seniors Housing Survey: Still Time to Participate
The deadline for completing the State of Seniors Housing Survey has been extended to April 16, 2018.
LeadingAge partners with Argentum and other stakeholder organizations in gathering financial performance data for seniors housing communities. Properties eligible to participate include assisted living, life plan communities, and non-subsidized senior housing.
We are urging as many LeadingAge members as possible to complete the survey, since the size of the sample will determine the quality of the report generated.
If you have any difficulty with the survey, please contact Colleen Blumenthal.
Federally Assisted Housing (HUD-Subsidized)
New HUD Funding, RAD for PRAC in Omnibus Spending Bill
The fiscal year 2018 omnibus spending bill includes funding for new Section 202
construction and RAD for PRAC authority, among other gems.
Resident Rights and Responsibilities Brochure Updated
The Office of Multifamily Housing Programs has released an updated Resident Rights and Responsibilities brochure. It is available to download and print from the HUD website.
This document provides a summary of key resident rights and responsibilities for tenants living in Multifamily assisted housing along with resources and contact information for tenants needing assistance. The Office of Multifamily Housing Programs encourages owners and management agents to distribute this brochure electronically, in addition to having printed copies available for tenants who prefer hardcopies.
Translation of the updated brochure to other languages is currently pending and will be posted to HUD's Fair Housing and Equal Opportunity website once complete.
Printed copies are not currently available from the Multifamily National Clearing House but may be available in limited quantities later this year.
Home and Community Based Services
Initial Approval for 41 States' HCBS State Transition Plans
Approval is granted because these states completed their systemic assessment, included the outcomes of this assessment in the STP, clearly outlined remediation strategies to rectify issues that the systemic assessment uncovered, such as legislative changes and changes to contracts, and is actively working on those remediation strategies.
CMS's January 2014 rule defines the qualities of residential and non-residential settings in which Medicaid-funded HCBS can be provided. To be considered community-based, settings must support an individual's full access to the greater community; be selected by the individual from options including non-disability specific settings; ensure individual privacy, dignity, respect and freedom from coercion or restraint; optimize individual autonomy in making life choices; and facilitate individual choice regarding services and providers.
Additional criteria apply to provider-owned or controlled settings. In May, 2017, CMS extended the state compliance deadline by three years, to March, 2022, but retained the March, 2019 deadline for states to submit transition plans. As of January 3, 2018, seven states (Arkansas, Delaware, DC, Kentucky, Oklahoma, Tennessee, and Washington) had received final CMS approval on their transition plans.
Life Plan Community/CCRC
Life Plan Community/CCRC Tests 8-hour pay for 6-hour day
A Virginia continuing care retirement community is launching a program it hopes will help attract and retain full- and part-time certified nursing assistants in a competitive market.
CNAs who work six hours in the healthcare center of The Glebe in Daleville, VA, will be paid for eight as part of the community's "30/40" initiative, as long as they adhere to the parameters of the program. The program is named for the total number of hours a CNA will work in a week, 30, and the total number of hours for which he or she will be paid, 40.
CCRCs alone in occupancy increase this year, report says
Continuing care retirement communities will be the only segment of senior living and long-term care to see increased occupancy in 2018, according to commercial real estate investment sales, financing, research and advisory services firm Marcus & Millichap.
The stabilized occupancy rate for CCRCs has increased 30 basis points to 91.5% over the past 12 months and has stayed in the low 90s for the past 10 years, according to the company's senior housing research national report for the first half of 2018.
LeadingAge Responds to Senate on Nursing Home CMP Moratorium
On February 14, twelve senators wrote to Secretary of Health and Human Services Alex Azar, urging reconsideration of the 18-month moratorium on the imposition of civil monetary penalties (CMPs) for deficiencies cited under Phase II of the nursing home requirements of participation. The LeadingAge response noted that deficiencies under Phase II will still be cited and will be subject to remedies like directed plans of correction and technical assistance with directed training. We also pointed out that deficiencies unrelated to Phase II still will be subject to CMPs.
Lawmakers Target Nursing Homes' Biggest Payer for Fraud Reduction
Two Congressional subcommittees focused on oversight are banding together to look at reducing fraud and waste in the Medicaid system. The Centers for Medicare& Medicaid reports 10% of all 2017 payments were improper because of incorrect reimbursement rates or unneeded or non-covered care. The Government Accountability Office has also called Medicaid a "high-risk" program since 2003, noting its susceptibility to fraud, abuse and mismanagement.
2018 Older Americans Month Theme: Engage at Every Age
Every May, the Administration on Aging, part of the Administration for Community Living, leads our nation's observance of Older Americans Month. The Administration for Community Living is pleased to announce the 2018 Older Americans Month theme, Engage at Every Age, which emphasizes that you are never too old (or too young) to take part in activities that can enrich your physical, mental and emotional well-being and celebrates the many ways older adults make a difference in our communities.
Participating in activities that promote mental and physical wellness, offering your wisdom and experience to the next generation, seeking the mentorship of someone with more life experience than you—those are just a few examples of what being engaged can mean.
ACL has produced materials, activity ideas, and resources to help you get ready for Older Americans Month. These materials can be used to promote and celebrate this year's theme, Engage at Every Age.Visit the official Older Americans Month website for logos, posters, badges, buttons, banners, a sample article and a sample proclamation on Older Americans Month. To start promoting online, use the official hashtag #OAM18.
Resident Life Safety: 2018 Update (Webinar)
The increased enforcement of fire and life safety policies has resulted in many misinterpretations of implementation requirements for LeadingAge members. This webinar will address CMS regulations that impact the security, safety and clinical needs of residents and outline what nursing home and hospice providers can do to ensure compliance with new and upcoming life safety code guidance.
Click HERE for more information and to register
Uber Launches Ride Service Tailored to Health Care Providers San Francisco-based Uber, a global ride-sharing company, has launched Uber Health, a service that enables health care providers to hail on-demand and scheduled rides for patients. Home care companies are already on board to test out the service. Uber's mission in the new service line is to help cut down on missed appointments, which can take a major toll on the health care system, with a total estimated impact of $150 billion."Transportation is a barrier to health care," Chris Weber, general manager for Uber, told Home Health Care News.
40% of Senior Living CEOs Could be Retiring within 5 years Forty percent of senior living CEOs could be retiring within the next five years, making succession planning an urgent matter, suggests a recent survey sponsored by LeadingAge.
The issue may be even more urgent because 30% of CEOs may be retiring in three years or less, according to CliftonLarsonAllen, which conducted the 2017 LeadingAge-CEMO Leadership Compensation Survey on behalf of LeadingAge and through the Chief Executives of Multi-Site Organizations. (The 30% figure is part of the five-year calculations.)
1.1 Million More Direct Care Workers Needed by 2030
A recent report by the National Center for Health Workforce Analysis (NCHWA) projects that, based on current population and service utilization trends, 3.4 million direct care workers will be needed by 2030, a 1.1 million increase over the 2.3 million people who filled these jobs in 2015.
Wearables, Voice Assistants Nearly Ready for Primetime in Senior Living Wearable technology, voice-activated assistants and "smart" devices are on the verge of dominating the senior living landscape, and providers must be prepared to navigate the risks and opportunities that lie therein. These cutting-edge technologies are promising, but providers are still determining how to implement them most effectively, according to executives with some of the largest providers in the nation, who spoke during a March 14 webinar hosted by CDW Healthcare and Senior Housing News.
Social engagement technologies: Providers' Best Practices
Ray Heuser, a 78-year-old resident of Longwood at Oakmont, near Pittsburgh, and longtime tech aficionado, is key to that life plan community's head-on intervention of a silent killer among older Americans: social isolation.
Heuser, through his involvement with Longwood at Oakmont's resident technology interest committee, champions the use of and helps to improve MyLAO, an app-based digital technology used to increase residents' engagement and community interaction.
For Longwood at Oakmont, a LeadingAge member in Verona, PA, as for all providers of aging services, social isolation is a major concern. Social isolation has been shown to increase the risk for a variety of poor health outcomes in people of all ages. Whether a phone call, a Facebook post or having coffee with a neighbor, regular social interactions keep all of us psychologically sound. Without these connections, we suffer; the health effects of prolonged isolation, according to the results of one study, are equivalent to smoking 15 cigarettes a day.
Administrator - Calvin Court
See full job description at: http://leadingagega.org/jobmart/public/job/213/
Chief Operating Officer - A.G. Rhodes Health & Rehab
See full job description at: http://leadingagega.org/jobmart/public/job/211/
Director of Operations - Athens Community Council on Aging
See full job description at: http://leadingagega.org/jobmart/public/job/212/
Executive Director - Campbell-Stone Apartments
See full job description at: http://leadingagega.org/jobmart/public/job/208/
Executive Director - Clairmont Place
See full job description at: http://leadingagega.org/jobmart/public/job/219/
Home Services Director of Nursing - Lanier Village Estates
See full job description at: http://leadingagega.org/jobmart/public/job/210/
Life Enrichment, Assistant Director - Clairmont Place
See full job description at: http://leadingagega.org/jobmart/public/job/218/
Manager of Resident Services - Wesley Woods Towers
See full job description at: http://leadingagega.org/jobmart/public/job/217/
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LeadingAge Letter to CMMI Expresses Concerns with BPCI Advanced LeadingAge submitted a letter to the Center for Medicare and Medicaid
Innovation(CMMI) March 1 on behalf of its members and five other co-signing
organizations expressing concerns with the successor program to the Bundled Payment for Care Improvement Initiative (BPCI), called BPCI Advanced.
Advocacy Pays Off in 2018 Omnibus Spending Bill Grassroots and direct advocacy and work with coalitions of other stakeholders in aging services programs resulted in a number of wins for LeadingAge members and those they serve under the Consolidated 2018 Appropriations Act signed into law on March 23, 2018.
2018 LeadingAge Awards Call for Submission: Now Open The LeadingAge Annual Awards honor LeadingAge member organizations and individuals that embody excellence in nonprofit aging services. Award recipients make outstanding contributions to our field and represent models of leadership, quality, and innovation.
Submission Deadline: Monday, April 30, 2018
Click Here to Submit