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.
The boards and staff of LeadingAge Georgia | Georgia Institute on Aging send warm wishes for a happy and successful 2018.
Conversations with Ginny
Over the twenty plus years that I worked with the Alzheimer's Association, we often heard of possibilities of new medications and had great hopes for a cure for Alzheimer's only to have our hopes dashed when the medications failed in phase three of trials – the phase that tests the efficacy of a treatment. So, I learned to temper my excitement for promising interventions but with recognition of great investments in research I have well-founded hope for a future where lives are not devastated by Alzheimer's and other forms of dementia. We all need a beacon of hope and I think we have one. Allan Levey, MD, Chair of Neurology for Emory University School of Medicine spoke at the Governor's Older Adult Cabinet about the Georgia Alzheimer's Project and what he said was so compelling that I followed up with him during a meeting Walter Coffey and I had with him To get his comments correct for you. Dr. Levey stated again, "I am optimistic that we are looking at a future where we will be be able to detect Alzheimer disease even before the first signs of memory loss occur and that we will have meaningful interventions to arrest or slow the disease progression. As a result, I anticipate that in the future our new challenge will be to help a growing number of people affected by mild memory and cognitive changes. We will need to re-focus efforts to manage the chronic problem and shift the emphasis to empowering individuals and their care partners to achieve their overall well-being."
One of the things that our members can do to help those we serve be ready when the new treatments become available is to get them in the mind-set of having a Medicare Annual Wellness Visit. The visit monitors health conditions and includes a brief cognitive screen and the good news is the Annual Wellness Visit is free. Encourage those you serve to get an Annual Wellness Visit.
2018 Board Members and Officers
2018 LeadingAge Georgia Board of Directors
Mark Lowell, Chair, St. George Village
Chris Keysor, Chair-Elect, Lenbrook
Eve Anthony, Secretary, Athens Community Council on Aging
Arthur Levin, Treasurer, Saint Anne's Terrace
Class of 2018
Arthur Levin, Saint Anne's Terrace
Kyle Huhtanen, Decatur Christian Towers
Gwen Hardy, Presbyterian Homes of Georgia
Deke Cateau, AG Rhodes Health & Rehab
Class of 2019
Dorothy Davis, Visiting Nurse Long Term Care
Mark Lowell, St. George Village
Chris Keysor, Lenbrook
Eve Anthony, Athens Community Council on Aging
Class of 2020
Andy Landrum, Clairmont Oaks, Inc.
Debi McNeil, Wesley Woods Senior Living
John Sims, Spring Harbor at Green Island
Elizabeth Martin, Lanier Village Estates
2018 Georgia Institute on Aging Board of Directors
Connie White, Chair, Atlanta Regional Commission
Karon Winston,Chair-Elect, Lutheran Towers
Shannon MacArthur, Treasurer, Mauldin & Jenkins
Suzanne Brown, Secretary, St. George Village
Class of 2018
Lisa Kiely, Lenbrook
Keith Gadd, Wesley Woods Senior Living
Shannon MacArthur, Mauldin & Jenkins
Ellen Miller-Mapp, Clairmont Oaks
Antoinette Sturm, Saint Anne's Terrace
Class of 2019
Connie White, Atlanta Regional Commission
Suzanne Brown, St. George Village
George Tucker, Campbell-Stone Sandy Springs
Pat Coppin, Alice Williams Towers
Class of 2020
Weyman Perry, Personal Care, Inc.
Karon Winston, Lutheran Towers
Carolyn Roper, Consumer (Glen Memorial UMC)
Kevin Shaw, King's Bridge Retirement Community
2018 Membership Dues Thanks to the many members who have already sent in their 2018 dues payments. We thank each organization for their continued support and valued leadership in the important work laid out by the boards of the Association and the Institute. Dues invoices have been sent to all members. If you have not received your invoice or if you have questions, please contact us as dues payments are due January 31st. NOTE: We begin making dues payments for your national membership to LeadingAge (national) the first quarter of 2018.
2018 Leadership Academy Last Chance to Register
LeadingAge Georgia Leadership Academy offers 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 2018 class begins in February. This class is limited to 25 participants.
Click HERE for application.
The LeadingAge Georgia and Georgia Institute on Aging boards honored outgoing CEO Walter Coffey by renaming the Leadership Academy to LeadingAge Georgia's Walter O. Coffey Leadership Academy. Walter formed the first Leadership Academy in 2007 and has facilitated it for 10 years. This year, Walter and David Sprowl (now Managing Partners of WD International Consulting), will facilitate the academy.
Elderly Housing Symposium - Register Now
Congress has hinted at many changes under the new HUD Secretary, Dr. Ben Carson. Don't miss the opportunity to be at the table to hear about critically important information impacting federally assisted housing providers during the January 18, 2018 Elderly Housing Symposium in collaboration with SAHMA. Presenters from the HUD Southeast Regional Office will present along with other pertinent regulators from National Housing Compliance and DCA.
Also, this is a unique opportunity in which we are offering important feedback regarding the Enhanced Service Coordination wellness initiative in affordable housing settings. As our population ages, the need for resident support in our housing model needs to make a dramatic shift to keep pace with the demands and demographics of tomorrows older adult consumers. This includes supporting more individuals living with developmental disabilities in affordable housing communities. Long-term services and supports allows millions of individuals to age in place successfully and live healthy, secure, and more independent lives. Background, trends and best practices will be presented to provide a pathway to readiness for our members through best practices solutions.
Therefore, it is important for both property managers, administrators and resident service coordinators to attend the January 18th Elderly Housing Symposium.
Click HERE to register
LeadingAge GA|SC Annual Conference on Aging
Join us for our three-day intensive conference that provides exposure to national experts, cutting edge information and opportunities for shared learning with peers. Meet with colleagues and experts in the field at Hyatt Regency Downtown Greenville South Carolina, from April 17-19, 2018. Specific "tracks" relating to particular professional disciplines and each level of the spectrum of aging services are addressed. So bring your entire leadership team and staff for engaging, cutting edge continuing education and professional development. You will not want to miss our nearly 60 nationally respected experts and keynote speakers. This is your opportunity to sharpen your skills...
Make a difference.
Become who you are meant to be.
Our field is no longer about just bricks and mortar or programs and services. It's about helping older adults on the journey of living a life with intention. A Life on Purpose.
Our 2018 Annual Conference is all about you and the people we serve! You are leading the way through innovative care and services delivered to meet the changing needs of older adults. You are putting people before profits. You are committed to improving the aging experience. It's up to you to live your life with great purpose representing the heart and soul of this new generation of older Americans who are changing the face of aging.
Click HERE for host Hotel Reservations
Click HERE for the Attendee Registration Brochure
Click HERE for the 2018 Exhibitor | Sponsor Prospectus
2018 Conference on Aging Keynote Speakers
Alana M. Hill, PMP is a passionate speaker, author, and learning consultant at 2Hill Consulting Services. Her experience as an engineer and certified Project Management Professional (PMP) in energy and talent development provides real world insight into how people and teams can excel, even in the face of adversity. Her international business expertise shapes her perspective of change leadership and seasons her presentations. Throughout her career, Alana has led diverse teams and delivered high-impact workshops all over the world! With over 20 years' experience, she is an engaging and dynamic keynote speaker, appealing to audiences of various types and sizes. Alana makes a lasting impact at conferences, corporations, retreats, schools and churches, delivering high-energy, principle-based content. She changes hearts and minds, inspiring people to lead the change in their organizations and in their lives. Her zeal for life comes through each time she takes the stage!
Carolyn P. Phillips is nationally recognized in the field of assistive technology and disabilities. Carolyn serves as Director and Principal Investigator of Tools for Life, Georgia's Assistive Technology (AT) Act Program at Georgia Tech | AMAC. In this capacity, she oversees a wide range of AT projects and programs, including the National Pass It On Center. Ms. Phillips teaches a graduate class at the University of Georgia in the College of Education. She is a frequent keynote speaker at conferences and guest lecturer at other universities. She has published articles in journals, chapters in books in AT and poetry focused on living with disabilities. Carolyn has dedicated her time and energy to promoting independence of all people, including those with disabilities through advocacy, education, assistive technology and systems change. The Department of Labor in Georgia honored her with the Director's Award for "extraordinary and diligent service on behalf of people with disabilities."
Additional Conference Topic Areas:
- Developing strategies to position your organization
- Retaining and developing the best staff
- Focusing on quality and leadership to ensure excellence and build public trust
- Improving your performance
- Enhancing the experience of your residents and clients through cultivating person centered care
- Becoming aware of policy issues that influence how you work
- Preparing and positioning your facility to renovate or expand
- Becoming aware of current HR and legal issues
- Making your organization a leader in the community, and much, much more.
Happy New Year!
Thank you for using Value First. Our goal is to continue helping LeadingAge members save money in all aspects of their operations. Value First is a full-service GPO (group purchasing organization) owned by LeadingAge national and twenty-five state associations, including LeadingAge Georgia.
In addition to our Construction Services Program and free cost analysis in the food, medical, janitorial, and office supplies categories, we are also available to help you and your staff save money on equipment and services that you might not normally think of in connection with a GPO.
Do not hesitate to contact Vanessa Ceasar at email@example.com or 404-421-3956 if you need assistance with anything listed below—or other big-ticket items that are not on the list.
- Cellular employee discounts
- Coin-operated laundry equipment
- Commercial cleaning equipment
- Elevator maintenance
- Exercise equipment
- Hard surface & resilient flooring
- HVAC equipment
- Kitchen equipment
- Medical waste removal
- Nurse call systems
- Passenger vans
- Patient transfer equipment
- Physical rehabilitation services
- Roof repair
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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 March
March 3 Caregiver Appreciation Day
March 11 Daylight Savings Time starts
March 17 Saint Patrick's Day
March 20 Spring begins
March 25 Palm Sunday
March 30 Good Friday
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LeadingAge Georgia Public Policy Report
By Tom Bauer, LeadingAge Georgia Policy Advisor
The Georgia General Assembly will start Monday, January 8 and last 40 legislative days. Inasmuch as this is an election year, one can expect the 2018 session to be over early. Also, since this is the second year of the biennial legislative session, there are carryover bills and resolutions from 2017, and legislation that is considered this year and not passed will die and need to be re-introduced next year.
The LeadingAge Georgia public policy committee and staff look forward to working with new president Ginny Helms, who brings a strong background in both advocacy at the General Assembly and senior issues through her years at the Alzheimer's Association. In addition, LeadingAge Georgia will be working with a new chairman of the House Human Relations and Aging Committee, Eddie Lumsden.
LeadingAge Georgia will be working to achieve success on the items in the 2017-2018 public policy agenda, which is shown below. In addition, LeadingAge Georgia will monitor two legislative issues of the Coalition of Advocates for Georgia's Elderly (CO-AGE), dealing with regulation of personal care homes and allowing assisted living residences to serve Medicaid clients.
Public Policy Agenda
As noted the LeadingAge Georgia public policy agenda for 2017-2018 is below. Many of these issues require work in the executive branch (as opposed to the General Assembly), but immediate attention will be focused on adult day center issues, particularly related to an increase in the Medicaid reimbursement rate under both the Community Care Services Program (CCSP) and SOURCE.
We will also be working on the CO-AGE issue regarding a registry for direct care workers who have been convicted of abuse or neglect. If you have interest on this topic, please contact Ginny Helms at ghelms@LeadingAgeGA.org.
Position and Involvement:
- Adult Day Services
- Home and Community-Based Services: CMS Rules
- Home and Community-Based Services Waiver
- Medicaid Non-Emergency Transportation (NET)
- Physical and Behavioral Health Needs: Aging in Place
- Community Care Services Program (CCSP)/Service Options Using Resources
- Federal (Medicaid) Changes
- Use of the Term "Assisted Living"
- Medicaid Funded Assisted Living Communities/Personal Care Homes
Position and Monitor:
- Medicaid Implementation
- Proxy Caregiver Rules
- Continuing Care Retirement Communities (CCRCs): Department of Insurance
- Property Tax Issues concerning Not-for-Profit Organizations
Position and Involvement:
- Home and Community-Based Services Medicaid (CCSP) and Non-Medicaid
- Adult Day Center Reimbursement Rates
- Loan Forgiveness for Gerontology Education
Position and Monitor:
- Nursing Home Provider Tax
- Use of Civil Monetary Penalty Funds (Support the Culture Change Movement in Georgia)
Introducing the Georgia Senior Hunger Think Tank
The Georgia Institute on Aging is pleased to announce an alliance between our organization and the National Foundation to End Senior Hunger (NFESH). This is a natural alliance and NFESH is an organization with which we are very proud to be engaged. The issue of senior hunger is a multifaceted one. The remedy for it must involve numerous sectors – such as housing, healthcare, transportation, government and business -- to ensure the expertise and influence to make a significant impact in its eradication. It was through the recognition of the scope and magnitude of the impact that senior hunger is having in the State of Georgia that NFESH reached out to the Georgia Institute on Aging in a quest to work together to establish the Georgia Senior Hunger Think Tank.
NFESH has been engaged in What A Waste project in Georgia for well over three years. They have been working closely with the Georgia Department of Human Services through a contract that is enabling them to take a deep look into the operational and administrative underpinnings of congregate nutrition sites within the State to gauge and seek success in such areas as: mitigating food waste; targeting specific populations in need of services through outreach; ensuring the proper amounts of macro and micro nutrients in the menus at congregate sites; and surveying attitudes and behaviors of participants and staff to understand how improvements can be made. In other words, the What A Waste project, which is technology-driven, helps congregate programs save money, improve operations, engage seniors, explore different nutrition options, and examine environmentally sustainable solutions for reducing avoidable and repurposing or positively utilizing unavoidable food waste.
The Georgia Senior Hunger Think Tank will be a Georgia-specific organization dedicated solely to accomplishing a shared vision of reducing the number of Georgia elders who experience the threat of malnutrition and hunger as well as other health, social and emotional problems that routinely accompany it. Working together with other organizations and agencies within the State will allow us the opportunity to think on a larger scale about solutions to this vexing problem.
Think tanks are in the business of formulating and selling ideas – particularly innovative ones – with the intention of: influencing action; igniting transformation; altering expected outcomes; and improving the lives of those vulnerable individuals on whom its mission and work centers. Think tanks provide a venue for bold thinking, consensus building, advocate cultivation and media focus. The think tank will engage a broad spectrum of leaders, supporters and funders from the public and private sectors, whose primary motivation is to enhance the well-being of Georgia's older residents who are threatened by hunger.
We look forward to working together in our alliance with NFESH to seek solutions and innovations to ending senior hunger. To learn more about NFESH and their What A Waste project, please visit their website at www.nfesh.org.
Elderly Housing Symposium
January 18, 2018
Leadership Academy - First Event
February 14, 2018
Click HERE for application
February 20, 2017
Information coming soon
February 21, 2018
Marketing Professionals/Occupancy Specialists
February 22, 2018
Registration coming soon
Adult Day Services Symposium
February 23, 2018
Registration coming soon
Certified Eden at Home Training
March 6-8, 2018
Registration coming soon
Assisted Living Symposium
March 13, 2018
Registration coming soon
Leadership Academy - Second Event
March 14, 2018
March 28, 2018
Registration coming soon
2018 Annual Conference
April 17-19, 2018
Registration coming soon
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Well Being Webinar
If you haven't yet been exposed to the work of Dr. Atul Gawande who is a champion of well-being at the end of life, take the opportunity to join a free webinar and hear his message. John Feather, PhD, Chief Executive Officer of Grantmakers In Aging, the national society of grantmaking foundations and other organizations that work to improve the lives of older people is interviewing Dr. Atul Gawande on February 16 as part of a webinar series. Dr. Gawande's book "Being Mortal: Medicine and What Matters In the End" was a #1 bestseller and inspired millions to think about the end of life and how medicine often interferes with what people really want.
This webinar is FREE and open to all but you must register here: https://register.gotowebinar.com/register/1825019265536028929
In 2018 Try a New Routine, with a Lifestyle that Makes You Smile!
As we embark on this New Year, let us vow to develop a new routine in 2018. Do not make it difficult. Decide to develop just one new thing, and let it become a way of life for you. A part of your new and improved lifestyle. Once you have mastered that, develop another new routine and so on and so forth, and before you know it, you will be rockin' and rollin' in a new and improved lifestyle! A lifestyle that will help you live your best life!
Start simple. Share your best smile with everyone you meet! Your smile glows as it shows the joy in your heart, and it may be the key to putting joy in someone else's life, or even saving a life! Plus, your smile outward will bring you much more joy inward!
When we make a conscious effort to be joyful, joyfulness will eventually evolve into a way of life, without hardly any effort at all! You will be joyful most, if not all of the time. Your radiance will brighten up the very area in which you stand. Your joyful spirit will engulf all those who are around you, making them happy and joyful! It is a wonderful life!
I recently read an article that confirmed what I have felt for some time … by simply smiling you can change your mood. That includes looking in the mirror and smiling at yourself. A mood change can improve your whole outlook for the day, and ultimately your life! As your smile brings on mood changes to one that is more positive, you feel better. Yes, you can actually improve your health, simply with a smile. How simple is that for improving your health!
Smiling can help lower your blood pressure, reduce your stress and anxiety, and it sends positive messages to your brain. Reminisce about a fun time you had with friends and/or family, or the last time you had a good laugh about yourself. The thoughts will bring a big smile in your heart and on your face.
A smile sets off a chain reaction not just for you, but it becomes contagious. Haven't you noticed that when you smile at someone, they give you a smile back? When you share your smile with others, it helps to improve their mood, no matter what state it happens to be in. Also, smiles easily turn into laughter, and with laughter comes happiness and good humor.
People will notice how much you smile. When they start asking you why you seem to always have a smile on your face ... you will be delighted to tell them why. Personally, I can attest to smiles being related to good health. At the end of last year, I decided to do something I had never done before, I visited my general practitioner doctor, cardiologist, podiatrist, had a mammogram, colonoscopy, allergy test all within less than a 2-month period. I did not go to the doctors because I was feeling ill or had any discomfort, I actually wanted to affirm my health status as the New Year approached. That was one of the best decisions I made all year. All of the doctors told me I am in excellent health. Guess what … each brought a big heartfelt smile to my face!
With that confirmation of good health, I started 2018 off by participating in the Atlanta Track Club's Resolution 5k, in 200 temperatures! I refused to let the cold weather hold me back. I dressed appropriately and was fine. So, this New Year, I am literally off to a fast start, looking forward to all the great things yet to come! How about you?! Know that this year will be what you make it!
While it may seem so very simplistic, I share with you my smile, and ask that when you see someone without a smile ... you give them one of yours. Good health and wellbeing has to start somewhere. Why not with a simple smile?
Vow to yourself that this year is going to be joyful, because you will make it that way. So, as we start this New Year, you are encouraged to laugh out loud, love unconditionally, and share your friendly and glowing smile with everyone you meet! Your loving kindness may be the key to putting joy in someone's life, including your own, or even saving a life … you may never know the real impact of sharing your smile!
Submitted by Carolyn L. Hartfield
Certified Healthy Lifestyle Coach & Outdoor Adventure Leader
Speaker, trainer and writer
Carolyn is a 2016 recipient of the LeadingAge Georgia Profiles in Positive Aging Award, representing AARP. She was selected as a National Association of Professional Women VIP of the year (2016-2017); In January 2017 she was featured in the Atlanta Journal Constitution (AJC) newspaper, has been interviewed on several radio programs and on the Trinity Broadcasting Network (TBN) for airing during Older Americans Month in May 2017. She is the founder of Hartfield's Hikers, Older People with Active Lifestyles (OPALs) and Walk Outdoors for Wellness! (WOW!). For more information about Carolyn, visit her website at www.CarolynHartfield.com or send her an email at CH@CarolynHartfield.com
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2018 CCNG Advisory Group Meeting Dates & Update
Friday, February 2, 2018 | 9:30am – noon | Location: Alliant Quality, Linda Kluge
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
The Steering Committee decided not to have a separate Culture Change Summit in 2018 since The Eden Alternative International Conference will be in Atlanta May 3-5, 2018.
The CCNG has been asked to help host Georgia participants and be there to greet staff from provider organizations who may be able to attend via a CMP grant that has been submitted.
We have several workshops featuring work in Georgia that will be presented at the Eden conference as well.
At the February 2nd meeting, we will revisit our structure for collaboration (as we do each year) AND we will discuss developing a one-day Culture Change workshop in 2018.
As you may recall, LeadingAge Georgia is partnering on a grant proposal to use CMP funds to address workforce challenges. If we have confirmation on the CMP grant, we will do some planning around our role in this important project!
Happy Holidays –
CCNG Steering Committee
Linda Kluge, Alliant Quality
Ginny Helms, LeadingAge Georgia
Pam Clayton, GHCA
Becky Kurtz, Atlanta Regional Commission/Area Agency on Aging
Rose Marie Fagan, Culture Change Consumer Advocate
Kim McRae, Have A Good Life
Walter Coffey, WD International Consulting
2018 Adult Day Services Symposium
Save the Date - February 23
Registration Coming Soon
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
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. Plan to attend upcoming educational and professional networking events as follows:
February 20, 2018 GAAP Winter Symposium
Save the date of February 20th from 9:00 a.m. – 3:30 p.m. for our kick-off event at Redeemer Lutheran Church. Networking Luncheon: 12:30 – 1:30 p.m.
Topic: Care Plan: "GAAP Stantdard of Care in Documentation and Planning for Residents and Client Engagement"
July 20, 2018 GAAP Summer Symposia
Save the date: Join us for Planning!
2017 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
Membership: Melissa Scott-Walter (A.G. Rhodes Health & Rehab; Atlanta)firstname.lastname@example.org
Program/Education: Liana Sisco (Lutheran Towers; Atlanta)email@example.com
NAAP Liaison: Wendy Boyd (The Gardens at Calvary; Columbus) 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
LeadingAge Georgia Business Connection
Value-based Population Health
The Battle of Agincourt: The 600-year-old playbook on Value-Based Population Health Management
Series 1 of 5
In 1414 Henry V had ascended to the throne of England after the death of his father Henry IV who had deposed his cousin King Richard II for the throne some 14 years prior. Anxious to affirm his legitimacy to the people of his country, Henry prosecuted Britain's claim over territories within the boundaries of present day France. His attempt at resolution of a generations' old dispute over the sovereignty of these lands ends after what he perceives to be a personal insult from France's King Charles. In retaliation Henry V declared war on France.
On the 13th of August 1415, Britain's neophyte king landed his ships at Chef-en-Caux in Northern France and attacked the port city of Harfleur. Accounts have the troop strength at between 8,000 and 12,000 combatants. The siege of the city would last until its occupants, running low on food and learning that troop reinforcements would not arrive in time to save them, surrendered on September 22, 1415.
With minimal food stores of their own, the English and Welsh soldiers survived the battle on a diet heavily reliant on coastal shellfish. Because of this many in the army contracted dysentery; the reported thousands of casualties from this disease outnumbered the deaths from combat. By the time Henry chose to leave the city on October 8, 1415, word had reached him that the French had raised a large army and were moving toward his location. Fearful that an immediate return to England after such a long and costly battle against one small city would sully his reputation both at home and in France, Henry decides that he will march his army 100 miles through Northern France as a demonstration of English sovereignty and then rendezvous with his ships at the port city of Calais.
But French forces blocked every direct route available. For 16 days Henry lead his troops on a labyrinthine journey through the countryside, out-maneuvering the steadily growing army of French noblemen and commoners. Then on October 24, 1415 they found themselves blocked on the road to Calais 30 miles from the port between the villages of Agincourt and Tramecourt. That evening the French, aware that they outnumbered the English and Welsh by multiples, could be heard in revelry two miles up the road in anticipation of a great victory. Reports say that Henry's men spent the same evening quietly administering First Rites to each other. But the outcome of the battle on the following day made this event the subject of evaluation, education and empowerment.
The English and Welsh forces win the battle in an overwhelming fashion. Henry's army killed 10,000 French Noblemen and commoners combined while suffering losses themselves of only 112 men-at arms. This defeat of the armies of King Charles of France resulted in the payment of war reparations to England, the marriage of Charles' daughter to Henry V, and a treaty which would have led to Henry serving as the King of both England and France were it not for his untimely death just 2 years after the agreement was signed.
How did they do this? How did this "band of brothers" defeat a vastly numerically superior force of well-nourished men, fighting on their own soil and do so with losses equal to 1.12% of their rivals. This military campaign has been studied in war colleges and history courses around the world for more than 600 years. More recently, business scholars have been analyzing the lessons to be learned from this event. Their findings offer important insights for those wishing to be successful in value-based population health management. Here is what historians say are the critical elements that led to Henry's decisive victory. Later we well explore the analogies in the value based environment of population health management.
Leadership able to critically analyze the topography and the evolving conditions of the battlefield
When Henry and his soldiers set up camp on the evening of October 24, 1415 they were aware of the presence of the French troops at the far end of the road to Calais. On the following morning as they assembled in formation, Henry observed two important pieces of information about the battlefield. The first was that the heavy rains of the last two weeks had returned during the prior evening leaving the dirt road thick with mud. The second is that one of the heaviest concentrations of mud rest at the point in the road where upon either side lay a deep forest. These observations were to be of great significance in the outcome of the battle.
Management with the ability to quickly adjust strategies based on new and relevant information
Armed with these new pieces of information, Henry reasoned that repositioning his forces on the battlefield could provide him a strategic advantage based on his knowledge of the fighting force and battle maneuvers the French were likely to deploy. The warrior king instructed his commanders to advance their troops up the road to ensure that the point of engagement with the French would have to take place at the muddiest portion of the road at the location that was also flanked by dense forest. The commanders quickly advanced their troops to the neck of the road which had a width of only 750 feet across. This would mean that the strategic advantage of the larger French army would be rendered inconsequential because the number of soldiers able to engage in battle would be limited by the width of the road. Notes from French commanders retrieved after the battle reportedly confirmed that the French commanders had in fact anticipated engaging the English and Welsh armies on the open field past the forested area of the road and that the decision by Henry to advance his troops eliminated the possibility of flanking their adversaries on both sides; the option that benefitted their larger fighting force.
A team of experienced, high performing, collaborative individuals committed to a common goal
The battle of Agincourt was one of several conflicts between the English and the French from 1337 to 1453 collectively referred to as the Hundred Years' War. This clash would occur 26 years after the most recent engagement referred to as the Caroline War. As such, many of the men with Henry on the battle field were seasoned veterans of war. This was a time when "leading men in battle" meant that you literally led them onto the battlefield. Henry had opted for a smaller, trained conscripted army over a larger voluntary or enlisted force. And while Henry had been their ruler only a short time, his preparations in anticipation of this war (more on this later), and his forward command of the troops at the siege of Harfleur were defining moments in his leadership for his men. Additionally, the swagger he displayed in choosing to defiantly march through France to Calais rather than return directly home from Harfleur and his demonstrated concern for his men as he attempted to remain one step ahead of the French on this path to Calais had cemented his persona as the warrior king and galvanized these men both to him and to each other.
This was in stark contrast to the rapidly assembled French fighting force led not by King Charles VI of France, who remained home in his castle, but a surrogate. Convinced that he himself has been afflicted with a malady that had transformed his body to glass King Charles abrogated his role as commander-in-chief, placing the army under the command of Charles d'Albert, Constable of France, and France's Marshall and renown military leader Jean II Le Maingre. However, neither of these men were perceived as worthy of such authority by the French noblemen that had raised battalions of their own for the conflict. Consequently, at the point when the need for cohesion on the battlefield was most severe, the commands from the two leaders to the troops were largely ignored. In addition to the noblemen and their enlisted agents, the ranks of the army were filled with commoners that had joined to avenge the offense against their nation. Though their desire to serve was genuine, they lacked any military training or experience and many reportedly broke ranks in the heat of their first battle in spite of their superior forces by number.
Optimal use of the existing technology of their times
One of the reasons Henry had elected to field a smaller fighting force was because he had come to understand the competitive advantage of a well-known but underutilized form of archery. While the longbow had been used as far back as 500 AD, it was Henry's recall of how effectively their then adversary, the Welsh, had used it against the English in the 12th Century that informed his strategy. The English had learned from that experience the value of trained long bowmen. Reportedly after that battle it was decreed in Britain that longbow training was the only sport that could be observed on Sundays. The result was the development of an elite corps of individuals capable of firing an average of 8 arrows per minute. These arrows were effective against plate armor at 100 yards, lethal against all else at 200 yards and capable of wounding at 400 yards. It is said that 80% of Henry's army was composed of these combat units.
Before the battle began each longbowman placed angled pikes in front of them as a deterrent to any advancing opponents. In contrast, the French commanders and their forward troops were wearing heavy armor and on horseback. There weapon of choice, the broadsword, was highly lethal but could only be used in hand to hand combat. Additionally, it required a 4-foot arm span to swing it most effectively. When the signal was given, the longbowmen fired synchronously on the front lines of the French. As the sky darkened with the tens of thousands of arrows per minute, the melee resulted in the French ranks charging only to find their front line mired in mud and impaled on pikes. Forward troops were cut down and advancing rear formations found themselves trampling over a wall of fallen colleagues and horses. Once the bottleneck, the mud, the arrows, the pikes and the trampling had broken the battle lines of the French the longbowmen joined their infantry comrades on the field. In this mud-soaked, corpse strewn, chaos infused terrain the proximity advantages of the broadsword were nullified. In the end, the innovative use of the longbow neutralized the perceived benefit of the heavy armor and the superior close range weaponry.
Persistent awareness of the benefits of success and the cost of failure
Because many of Henry's troops were professional soldiers experienced in battle they had a real appreciation of the both the potential riches and the horrors of war. While they had all been paid well to join in the fighting and knew that they would share in any spoils of victory the realization that they now faced an army 3-6x greater in numbers made the prospect of collecting reparations less likely. Additionally, while it was commonplace for noblemen who were defeated in battle to be taken alive for ransom, most of Henry's troop were not nobility and anticipated that failure in combat meant certain death for them. It is said that just before the battle many of them kneeled and kiss the earth, a gesture of acknowledgement that they would likely be returning to her soon. This awareness may have strengthened their resolve to compete as if their very lives depended upon it, because in fact they did. Few human experiences have the potential to extract a greater toil than failing to remain focused and in the moment while in the throes of battle.
So, to summarize, the English and Welsh were victorious over vastly superior odds because of:
1) A better understanding of the changing Terrain
2) The ability to rapidly adapt their Tactics to the shifting environment
3) A cohesive Team of high performing individuals with a common purpose
4) Superior utilization of the available Tools
5) A real-time focus on the Treasure to be had with succeeding and the high cost of failure
The decisive elements of this battle demonstrate the requisite principles and practices of successful value-based population health management programs. The study and application of these principles and practices will inform any individual or group seeking to understand how to bridge the chasm between the current volume driven, fragmented, illness and poor outcome rewarded care delivery model and the emerging quality-delineated, value-based, care coordinated and integrated population management. The application of these lessons give payers and providers with the desire and capacity to pursue risk-structured value-based contracting a playbook for designing, developing, executing and managing successful value-based care delivery models for the attributed membership.
The first of these concepts and the subject of the second of this series is understanding the changing healthcare terrain. (to be continued…)
By: Michael Vincent Smith, MD
News Throughout the Spectrum of Aging Services
Federally Assisted Housing (HUD-Subsidized)
Three-Year Certification Interim Rule and Comment Opportunity
HUD is implementing FAST Act provisions that allow public housing agencies (PHAs) and multifamily housing owners to conduct full income recertification for families with 90 percent or more of their income from fixed-income every three years instead of annually. Annual certifications must still be done, but verification requirements are going to be changing dramatically – subject to owner preference. Owners can still do full certifications every year, without taking advantage of this new change. But we urge members to take a look at the interim rule and get us your questions. HUD is taking comments through Jan 11. The interim rule goes into effect March 12.
HUD Official Mentions "Potential Resurrection of the 202 Program"
Except for $10 million in production and/or preservation funding in fiscal year 2017, Congress has not funded new construction for the Section 202 program since 2011. New funding for the Section 202 program is a priority for LeadingAge and a reference to the program's potential resurrection is welcomed news.
At the New York Hosing Conference's forum, during a conversation on a recent report detailing "overhousing" (people living in larger units than they actually need) in New York City's public housing, Ms. Patton said, "This administration will and does intend to keep and fund evidence-based programs that work, such as the potential resurrection of the 202 program, which will allow for new construction to help address some of the overhousing issues that our overcrowded [public housing authorities] face in this region."
Life Plan Community/CCRC
Podcast: Why High School Students Belong in a Life Plan Community
Walk into Lenbrook on any weekday during the school year and you're likely to find a local high school student working behind the concierge desk or carrying out a special project for one of life plan community's departments. The students, from Cristo Rey Jesuit High School in Atlanta, are earning money that goes toward their high school tuition. But that's only a very small part of the story behind a unique partnership that has brought 12 Cristo Rey students to Lenbrook over the past 3 years. The partnership's full story is featured in a new episode of the LeadingAge Workforce Innovators Podcast. The podcast is produced by the LeadingAge Center for Workforce Solutions.
How One CCRC Transformed Vacancies into Great Local Publicity
In senior housing, it may prove worthwhile to consider vacant units as unique opportunities, as opposed to just empty space waiting to be sold.
That's exactly what happened recently at Henry Ford Village in Dearborn, Michigan. The continuing care retirement community (CCRC) is the largest of its kind in Michigan as well as the third-largest CCRC in the country, with 854 independent living apartments and approximately 900 current residents across all of its care settings.
Why Non-Profit CCRCs Should Expect a Sunny 2018
Not-for-profit continuing care retirement communities (CCRCs) are expected to perform well in 2018, despite the possible loss of a tax-exempt financing mechanism that they often utilize.
That's according to a recently published report from Fitch Ratings, which details the credit rating agency's 2018 outlook for not-for-profit CCRCs.
Tax Reform Could Strike Blow to Nonprofit CCRCs
Comprehensive tax reform took a big step forward with the passage of a Senate bill in the early hours of Saturday morning. As House and Senate lawmakers now work on hammering out a single version of the legislation, senior housing stakeholders are speaking out about their top concerns–including, notably, a provision that could deal a major blow to continuing care retirement community (CCRC) construction and renovation projects.
Outlook for CCRC Occupancy Depends on Type of Community
Occupancy at continuing care retirement communities, also known as life plan
communities, is trending upward overall, but some types of communities are experiencing higher rates than others, according to Lana Peck, senior principal of the National Investment Center for Seniors Housing & Care. Peck reviewed data available to those who subscribe to the NIC MAP client portal December 6th in a blog post.
Only One Quality Measure for SNFs Under New CMS Proposal
The Centers for Medicare & Medicaid Services unveiled a shorter-than-usual list of potential Medicare quality measures last week, with only one aimed at skilled nursing providers. CMS' list of measures under consideration for 2018 rulemaking clocks in at 32 — down from the nearly 100 included in last year's proposed list under the Obama administration. The pared-down list is believed to reflect new CMS administrator Seema Verma's promises to cut down on burdensome healthcare regulations. A total of 184 measures were originally considered for this year's lineup before being whittled down to 32, CMS officials said.
CMS has elaborated on the 5-Star "freeze" announced on June 30, 2017. CMS will be holding constant or "freezing" the health inspection star rating for health inspection surveys and complaint investigations conducted on or after November 28, 2017. They anticipate this freeze to begin in early 2018 and last approximately 1 year. Any survey activity conducted prior November 28, 2017 regardless of whether it is closed by then will be included in the rating as the survey was conducted prior to November 28, 2017.
Additionally, CMS stated that the health inspection star rating will no longer use
information of the third oldest cycle of the health inspection survey and
complaint investigation data. CMS will be dropping the third oldest year just as it
would have been dropped from the score due to its age as part of the normal update process. This change will occur in early 2018 for all facilities. At that time, the most recent cycle will be weighted at 60 percent and the prior cycle will be weighted at 40 percent.
In addition to the freeze in score, CMS plans to add a summary of the facility's most recent survey findings on nursing home compare to ensure transparency. This summary will include (minimally) the total number of deficiencies cited and the highest scope and severity level cited.
Skilled Nursing Occupancy Hits 5-year Low
Occupancy at the nation's skilled nursing facilities dropped to a five-year low of 81.6% during the third quarter of 2017, according to the Skilled Nursing Data Report published Thursday by the National Investment Center for Seniors Housing & Care. That's down down 29 basis points from the prior quarter and down 167 basis points year-over-year, according to NIC. "Historically, there has been some variability in the occupancy trend in the third quarter in any given year, so it is difficult to gauge the impact of seasonality," said Bill Kauffman, senior principal at NIC. "Occupancy did set a new low within this time series in the third quarter as pressure continues on the Medicare mix. However, it did decline at a slower pace from the prior quarter."
Patient Population, Resources and Risk Assessment: Conducting Your Facility Assessment
One of the key elements of the Final Regulations is the new provision that requires facilities to conduct and document a facility-wide assessment. The requirement §483.70(e) states that: Nursing facilities will conduct, document, and annually review a facility-wide assessment, which includes both their resident population and the resources the facility needs to care for their residents. The purpose of the assessment is to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies.
The intent of the facility assessment is for the facility to evaluate its resident population and identify the resources needed to provide the necessary person-centered care and services the residents require. Using a competency-based approach, the assessment can be used to make decisions about direct care staff needs, as well as capabilities to provide services to the residents in a facility thus ensuring each resident is provided care that allows him/her to maintain or attain highest practicable well-being.
As identified in §483.70(e) F838, the facility assessment shall include specific evaluation of key areas such as:
- resident census
- facility capacity with imposed restrictions as applicable
- specific resident population demographics (i.e. specific diseases, diagnosis, cognitive conditions, specialty clinical populations, infections, behaviors, et al)
- number, types and training of staff necessary to provide the necessary care and services
- staff competencies - including nursing and non-nursing personnel as it relates to the resident population needs
- cultural, ethnic and religious needs
- specific services and resources for the provision of those services such as pharmacy, rehabilitation, behavioral health, respiratory and other special services
- other resources such as physical plant, equipment (medical and non-medical)
- access to services via third parties and correlating provision of services day to day and in emergency situations, including the review of said agreements with provision inclusions
- training program evaluation
- health information technology and sharing of resident information
- completion of a community and facility risk assessment, utilizing an all hazards approach, in conjunction with the required emergency preparedness plan
- process for identification of gaps in performance related to adverse eventsintegration into the facility Quality Assurance and Performance Improvement process
- monitoring of the plan and updating the plan on an annual basis or upon a change in the facility's operation that would require a substantial modification in the assessment and as needed
The facility-wide assessment and an initial QAPI plan are part of Phase 2 implementation that was due on or before November 28, 2017. The facility assessment and QAPI plan are interconnected. The facility assessment defines the services provided, needed staff competencies, and staffing requirements.
Failures in quality may be linked to and analyzed in relation to the facility assessment and the QAPI plan.
The facility assessment is not to be a "cookie cutter" approach to documenting assessment findings; rather, it should reflect the individuality of the facility's specific resident population, programs, and services. It is important that the facility utilize available internal organization data to support the assessment, reflecting the resident population.
A New LeadingAge Resource to Help With Workforce Challenges Crisis. Problem. Challenge. Survival.
Those are just a few of the words I've heard talking to state partners and communities about workforce issues. We heard you. In June, LeadingAge launched the Center for Workforce Solutions as a one-stop-shop for tools and information about recruitment and retention for jobs in aging services.
It's still new, but the Center includes a growing list of resources that we hope you'll find helpful:
5 Senior Living Trends for 2018
What does the new year hold for senior living? I recently spoke with Lisa McCracken, senior vice president of senior living research and development for specialty bank Ziegler, to get her perspective, especially as someone who is in frequent communication with chief financial officers and other leaders at not-for-profit senior living communities.
Weekly U.S. Influenza Surveillance Report CDC's Influenza Division produces a weekly influenza surveillance report, FluView.
According to this week's report (Dec 3-Dec 9), seasonal influenza activity is increasing in the United States. Louisiana, Mississippi, South Carolina, and Texas experienced high Influenza Like Illness (ILI) activity levels. Alabama, Alaska, Arizona, Georgia, and Kentucky experienced moderate ILI activity.
Japan Rethinks Care as it Confronts 'Pandemic of Dementia' It was holding an umbrella over his mother Kinue, as she swept the yard in pouring rain, that made Yuji Ogawa realise how far her Alzheimer's had gone. Kinue had started making odd little mistakes after her retirement from a nearby confectionery factory — putting the wrong food in the freezer or the wrong top on a bottle of soy sauce. But gradually she became preoccupied with cleaning her yard in Fukuoka, the biggest city on Japan's southern island of Kyushu. She would angrily refuse her son's entreaties to come inside. "She started to do it obsessively. Even if it was snowing, she'd try to go and sweep," says Mr Ogawa, 50.
National Long-Term Care Spending Hits all-time High at $163 Billion Americans spent nearly $163 billion on nursing care facilities and continuing care
retirement communities in 2016, according to a new federal report. The Centers for Medicare & Medicaid Services' National Health Care Spending report for 2016, published Wednesday in Health Affairs, found that total healthcare spending in the United States increased 4.3% in 2016, reaching $3.3 trillion. When it comes to long-term care, $162.7 billion was spent last calendar year. That marks the highest point in total nursing care and CCRC spending to date, compared to $140.5 billion in 2010. The annual growth rate for nursing care facilities and CCRCs hit 2.9% for 2016, down from 3.7% the prior year.
An Overlooked Epidemic: Older Americans Taking Too Many Unneeded Drugs Consider it America's other prescription drug epidemic. For decades, experts have warned that older Americans are taking too many unnecessary drugs, often prescribed by multiple doctors, for dubious or unknown reasons. Researchers estimate that 25 percent of people ages 65 to 69 take at least five prescription drugs to treat chronic conditions, a figure that jumps to nearly 46 percent for those between 70 and 79. Doctors say it is not uncommon to encounter patients taking more than 20 drugs to treat acid reflux, heart disease, depression or insomnia or other disorders.
Alexa Pilot Explores Benefits of Voice-Activated Home Health This exchange with Amazon's digital personal service assistant, Alexa, may soon be commonplace for older adults who wish to age in place, thanks to a pilot study conducted by Dublin, Ireland-based Accenture (NYSE: ACN), a global management consulting firm that provides services in technology, strategy and operations.
Super Smart Home Is Designed to Help Aging in Place Imagine a home where every device is "smart," including the trash can and the
silverware. Perfectly equipped for aging independent adults, the setting allows families to check on loved ones remotely, and those living in the home can connect in real time with medical professionals, physical therapy programs and other health care initiatives. This is the home of the future that can keep seniors out of institutional care, and it's being made a reality by one broadband communications provider, Cox.
What's Coming in Senior Living Technology in 2018
Senior living providers always are looking to diversify their services to better meet the evolving needs of residents, partners and staff members.
From electronic health records to improving the care experience for residents and their families to strengthening staff engagement, technology plays a prominent role and can help set apart a senior living community from its competitors. By applying integrated technology, not only for engagement purposes but to deliver a higher level of service, operators are better positioned to manage the health of their business and their residents.
Cybersecurity ResourcesThe Cybersecurity Resources were created to help LeadingAge members and other aging services organizations understand cybersecurity threats, how to mitigate them, and how to respond if attacked. The resources includes a Cybersecurity White Paper and a benchmarking questionnaire that will help providers identify where they may be at risk, so that they can work to plug those vulnerabilities.
Director of Homecare Services - Lanier Gardens/Talmage Terrace
see full job description at: http://leadingagega.org/jobmart/public/job/209/
Homemakers - Park Springs
See full job description at: http://leadingagega.org/jobmart/public/job/192/
Home Services Director of Nursing - Lanier Village Estates
See full job description at: http://leadingagega.org/jobmart/public/job/210/
Executive Director - Campbell-Stone Apartments
See full job description at: http://leadingagega.org/jobmart/public/job/208/
Executive Director - Wesley Woods of Newnan
See full job description at: http://leadingagega.org/jobmart/public/job/207/
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