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July 31, 2014 LeadingAge Missouri Hotline – page 1
July 31, 2014
LeadingAge Missouri News
Registration Open for LeadingAge
Missouri’s Annual Conference and
Expo! Join us in t. Louis for this year’s annual conference! This year at our annual conference, in addition to the sessions targeted to management teams, we will be offering five specific tracts for long term care professionals: dietary, chaplain, marketing, resident services and CNAs.
This week’s Hotline info highlights one of our
specialized tracks: Chaplain Services
[RE] Viewing Our Pastoral Relationships:
Concepts in Transactional Analysis Daniel DeVilder, Chaplain, St. Luke’s Hospital Am I being "triggered" by a particular patient (triangulated, buttons being pushed)? Do I feel like I am being "played?" How come one nurse keeps talking about family's being "manipulative" when other team members don't see that dynamic?
LeadingAge Missouri Board
of Directors Joe Brinker Bethesda Health Group Carla Baum Lutheran Senior Services Brenda Buford Beautiful Savior Home Chris Crouch Bethesda Southgate Joan Devine Lutheran Senior Services David Durbin Attorney in Private Practice Paul Ewert Beth Haven Tina Finnegan Alexian Brothers Sherbrooke Mary Jane Harris Gambrill Gardens Kevin Klingerman Cardinal Ritter Senior Services Rodney McBride John Knox Village Richard Money CareLinc Options Mary Murphy Kingswood Senior Living Community Scott Polzin Aberdeen Heights Lynne Spriggs Chateau Girardeau
Denise Clemonds, CEO
July 31, 2014 LeadingAge Missouri Hotline – page 2
The LeadingAge Missouri Hotline is a “resource-of-resources” for aging service providers across the entire continuum of senior care.
Table of Contents
Click on a topic below and go directly to that page.
LeadingAge Missouri News 1 Member News 9 Welcome New Members 10 Professional Development 11 What Your Association Does For You 13 Adult Day News 14 Assisted Living News 14 CCRC News 15 Federal News 15 Fund Raising/Philanthropy News 16 Health Care Reform 16 Home Health Care News 17 Hospice News 17 Housing News 19 Information of Interest 20 LeadingAge News 22 Medicare News 23 Nursing Facility News 25 Career Center 28 If you have suggested content for a future edition of the Hotline e-mail LeadingAge Missouri. If you do not want to receive future editions of the Hotline e-mail LeadingAge Missouri with your contact information so we may remove you from the distribution list. If you wish someone else in you organization to be added to the Hotline distribution list e-mail LeadingAge Missouri with their contact information so we may add them to the distribution list. The inclusion of advertising in the Hotline does not constitute an endorsement of the accuracy of the ad by LeadingAge Missouri or the products or services advertised.
July 31, 2014 LeadingAge Missouri Hotline – page 3
LeadingAge Missouri News - continued Transactional Analysis helps us think about these issues.
LEARNING OBJECTIVES
What am I putting into/getting out of this relationship?
What roles am I operating out of--"Parent" mode (like "taking care of . . ." "judging", how significant parental figures/adults related toward us) "Child" mode (anything from reacting to naiveté/innocence, to shame or defensiveness to joyfulness, etc.--how we reacted as children) to "Adult" mode, in which we are able to use deliberative thinking to act vs. react, to engage in conversation with no hidden agenda, etc.
How does how “WE” react in a pastoral capacity influence those around us?
Ministering to the Non-Religious
Susan Presley, Pastoral Resident, First Presbyterian Church, Muscatine Iowa Sometimes it’s not about leading a horse to water – it’s about helping the horse get to wherever he wants to be. This seminar will focus on effective ministry to the growing number of agnostics and atheists in long-term care. Come learn how to help people of little or no faith connect with what they need to maximize their health and wholeness. LEARNING OBJECTIVES
Understanding the backgrounds (if any) of those we care for
The rationale for non-conversion-oriented pastoral care
Practical tools for effective no-faith ministry
Caring for the Caregivers – Spiritual Care in the Workplace
Susan Presley, Pastoral Resident, First Presbyterian Church, Muscatine, Iowa Your staff is made up of people with feelings, ideas, thoughts and frustrations – and spiritual needs. Spiritual care in the workplace fosters feelings of empowerment, effectiveness and connectedness and has a profound effect on individuals and their work. Learn how to facilitate spiritual health and wholeness with dignity and trust. LEARNING OBJECTIVES At the conclusion of this presentation, participants will be able to:
Recognize spiritual needs in long-term care workplace settings
Relate to employees with appropriate, respectful techniques to meet spiritual needs
Effectively incorporate spiritual care into daily workplace environments
July 31, 2014 LeadingAge Missouri Hotline – page 4
[RE] Defining Spirituality for the Senior Who’s Heard of Everything
Rev. Dr. Jeff Long, executive director, Chateau Girardeau Foundation, Cape Girardeau, MO Seniors have seen and heard it all. For them, there is very little new under the sun. For those who work with seniors in all levels of care, how much we care is much more important than how much we know. The ability to listen effectively and actively is a primary way to show caring and is a learned skill. Participants will hear about the necessity of active listening in our busy senior living environments – with practical information presented via PowerPoint. In a world increasingly fraught with distraction, the message of divine love can be heard not only through preaching and teaching, but by effective listening to the senior “other.” Strategies to increase listening skills will be shared and participants will be invited to take part in several listening exercises.
Presentation Objectives
Describing the Vital Link between Listening and Caring;
Caring is the Necessary Ingredient in Love;
Love Cuts Across All Barriers – Loving God Means Loving “the Other.”
[RE] Defining Age is the theme and in keeping with that theme LeadingAge
Missouri has [RE] Located this year to St. Louis! New city, new hotel, new and
innovative education sessions! Join us Sept. 10-12, 2014 Renaissance St. Louis Airport Hotel 9801 Natural Bridge Road St. Louis, MO 63134 Reservations call: 314.429.1100 Ask for the “LeadingAgeMO” room block for our low nightly rate of $119. (Cutoff date: August 19, 2014) You may register online HERE! Schedule of sessions now available! Sponsorship and advertising opportunities are still available! Contact Christy Stretz, [email protected] or call 573.635.6244 for more details!
July 31, 2014 LeadingAge Missouri Hotline – page 5
Thank You to our Generous Sponsors!
See our conference schedule below:
Annual Conference Sept. 10-12 Sponsored by:
LeadingAge
Missouri
Wednesday
Sept. 10
TIME Location
8:00-8:30
Keynote Speaker, Charla Long, JD--[RE] Defining Age: A Worthy Calling (Lambert
Ballroom) 8:30-9:00
9:00-9:30
9:30-9:45 Break
9:45-
10:15 Awards Ceremony--Lambert Ballroom
July 31, 2014 LeadingAge Missouri Hotline – page 6
10:15-
11:15 Business Meeting--Lambert Ballroom
11:15-
12:15 Lunch--Renaissance Ballroom (12th floor)
12:30-
1:00 Making the
Impossible Sale:
Michelle Greiner
Hospital
Readmissions:
Can You
Maintain
Margins? Bob
Lane & Tracy
Hall
Brain Health-
Activities and
Food for Brain
Power: Brian
Boekhout
ACO &
Population
Health, Doug
Pogue, MD,
BJC
1:00-1:30
1:30-2:00 Influencing
Senior Care
Decisions in a
[RE] Defining
Age: Susan
Bruker
Managed
Care Trends &
Opportunities
with Post-
acute
Providers, Eric
Vanderhoef
[RE] Defining
the Art of Plate
Presentations--
Rob Granburg
& Karen Hill
Patient
Navigation: +
move in health
care delivery--
Kathy Andrews &
Jena Schevitz,
Accenture
2:00-2:30
2:30-3:00 Break
3:00-3:30
Attraction
Marketing
Gets Results:
Proven
Strategies to
Draw in
Prospects &
Help Drive
Occupancy:
Dan Gartlan
Financial
Makeover:
Revamping
Your Business
Office--Julie
Bilyeu
Dietary with
Sodexo Part I
Employee
Engagement
Secrets Every
Senior Living
Provider
Should Know--
Michelle
Griener
3:30-4:00
4:00-4:30
Embrace the
Conversation:
Strategies &
Tactics for
Using Search &
Social to
Engage &
Attract
Prospects:
Nicole Wagner
[RE] Defining &
Developing
Specialty
Services for
Older Adults in
a VBP
Environment--
Lynn Freeman
& John
Perticone
Dietary with
Sodexo Part II
Creating a
Senior Living
Sales System--
Michelle
Griener
4:30-5:00
5:00-5:30 Break
5:30-6:00
Dine Around: Exhibit Hall--Foyer and Grand Concourse Ballroom
6:00-6:30
July 31, 2014 LeadingAge Missouri Hotline – page 7
6:30-7:00
7:00-7:30
Annual Conference Sept. 10-12
Thursday
Sept. 11
TIME Location Location Location Location Location
8:00-8:30
[RE] Defining Age Through Technology--Jack York 8:30-9:00
9:00-9:15
9:15-9:30 Break
9:30-10:00 Using Clinical
Data
Components to
Drive Optimal
Rehabilitation
Services--Ron
Scharff
[RE] Defing Aging
Service--Stephen
Taylor
[RE] Viewing
Our Pastoral
Relationships:
Concepts of
Transactional
Analysis--
Daniel
DeVilder, St.
Lukes
ACO & Bundled
Payments:
What You Need
to Know Part 1,
Brian Hickman,
Sherri Robbins,
Brad Brotherton
What the
Workforce
Investment
Board Can Do
For Your Hiring
Needs, Bonnie
Forker
10:00-10:30
10:30-11:00
Architecture
That Supports
Cultural
Evolution in
Short-Term
Rehabilitative
Care--Kevin
Kerwin & Mark
Roth
How to Manage
Stress-TBA
The Road to
Reform: Are
We There Yet?-
-Amanda
Tinney
ACO & Bundled
Payments:
What You Need
to Know Part 2
Brian Hickman,
Sherri Robbins,
Brad Brotherton
Improve
Customer
Satisfaction
and Reduce
Readmissions,
Henry Grasser 11:00-11:30
11:30-Noon Exhibit Hall for Demos, Drawings, Lunch
July 31, 2014 LeadingAge Missouri Hotline – page 8
Noon-12:30
12:30-1:00
1:00-1:30
1:30-2:00
2:00-2:30 Protecting
Against Elder
Financial
Abuse--
Richard
Blankenship
Survey Process for
Direct Care Staff--
Carla Jennings
Caregiving for
Caregivers--
Spiritual Care
in the
Workplace--
Susan Presley
TBA
2:30-3:00
3:00-3:30 PM Break
3:30-4:00 Emerging
Trends and
Innovative
Design Ideas,
Alejandro
Giraldo
Soft- Skills for
Success:
Collaboration and
Communication,
Alexis Roam
[RE] Defining
Spirituality for
the Senior
Who's Heard it
All--Rev. Jeff
Long
TBA
4:00-4:30
4:30-5:00
[RE] Imaging-Are
Your Design
Flaws Costing
You Money?--
Lynne Larkin,
Chelsea
Madden, Dana
McCarty
How to Handle the
Combative
Patient, Alexis
Roam
Ministering to
the Non-
Religious--
Susan Presley
TBA
5:00-5:30
5:30-6:00
Reception Renaissance Ballroom (12th floor) 6:00-6:30
6:30-7:00
July 31, 2014 LeadingAge Missouri Hotline – page 9
Annual Conference Sept. 10-12
Friday Sept. 12
TIME Location Location Location Location
9:00-10:00 Legislative Update--Denise Clemonds
10:00-11:00 Living With Alzheimer’s Film Shorts--Q&A with film subjects
11:00-11:30 Compliance
Strategy Session--
Margaret
Scavotto, JD
Better Living
Though
Charitable
Giving--Mike
Davenport & Jeff
Long
[RE] Defining Age:
Implementing QAPI
to Improve Quality-
-Pam Guyer
TBA
11:30-12:00
Noon-12:30 Conference Ends
Member News
Ascension Forms Senior-Care Unit to Integrate Post-Acute-
Care Services To strengthen its footprint in the post-acute-care sector, Ascension Health has formed a senior-care division to integrate its extensive post-acute-care services and establish more uniform care standards. The new division represents a reorganization of the St. Louis-based healthcare provider's existing senior-care services, which will include its independent living, assisted-living and skilled-nursing facilities under the name Ascension Health Senior Care. The new division will also include its Program of All-inclusive Care for the Elderly, or PACE, a care-coordination initiative covered by both Medicare and Medicaid for adults age 55 and older who receive community-based, coordinated care from a team that provides prescription drug coverage, doctor care, transportation, home care, checkups, hospitals visits and nursing home stays.
Full Article Article Courtesy of Modern Healthcare
July 31, 2014 LeadingAge Missouri Hotline – page 10
Welcome New Members
Alliance Rehab STL & Symbria Analytics 723 S Laclede Station Rd St Louis MO 63119-4911 314-446-2334; Fax: 314-961-8903 Michael Garaygay [email protected]
Gateway Ambulance 1530 Fairview Ave St Louis MO 63132-1302 314-807-0960; Fax: 314-351-4467 Lynn Potts [email protected]
Hekman Contract (Woody Associates) 11501 N Wayne Kansas City MO 64155-2914 816-734-9620; Fax: 816-734-8479 Greg Woody [email protected]
Nomax Inc 9735 Green Park Industrial Dr St Louis MO 63123-7241 314-815-5200; Fax: 314-815-5050 Kimberly Mundloch [email protected]
Peace of Mind Communication LLC 2622 Joyceridge Dr Chesterfield MO 63017-7116 636-812-2427; Fax: 636-537-3790 Jean DeVoto [email protected]
SigmaCare 575 Eighth Ave, 15
th Floor
New York NY 10018 877-432-5858 Dawn Kearns [email protected]
July 31, 2014 LeadingAge Missouri Hotline – page 11
Sterling Dental POB 891630 Oklahoma City OK 73189 405-423-8974; Fax: 866-346-6851 David Goubeaux [email protected]
Individual
Lola (Lu) Westhoff 10204 Highbury Ln St Louis MO 63123-7370 314-494-8093 [email protected]
Professional Development
Armed Intruder/Active Shooter Pre-Conference Session
Added to Annual Conference
Conducting an armed intruder/active shooter drill in your facility can seem overwhelming and expensive, but it doesn’t have to be. Paul Fennewald, with the Missouri Center for Education Safety, has been working with law enforcement officials to develop effective, standardized templates which support both law enforcement and facility staff to prepare for such an event. This presentation will share his insight and how the templates can be used by you and your staff to better prepare for such an incident.
The templates and this training embrace current “best practices” on the staff actions and reactions, should an incident occur, both before and during a public safety response to the situation. The active shooter drills template will facilitate evaluation of specific capabilities such as communications within your organization and between staff and public safety and others in a crisis. The templates will tie the drills, which can have several different scenarios, to your facility overall emergency plan, and insure lessons learned from the drills enhance the existing emergency plan.
Objectives:
1. Identify current “best practices” for emergency planning for armed intruders/active shooter incidents.
July 31, 2014 LeadingAge Missouri Hotline – page 12
2. Understand the cycle of planning/training/drills as it applies to armed intruders/active shooter incidents.
3. Provide participants with a working resource in the form of emergency planning templates and drill worksheets which can be utilized in individual facilities to enhance their own emergency preparedness as related to armed intruder/active shooter incidents.
Date: Tuesday September 9, 2014, 1-4pm (LeadingAge Annual Conference pre-
conference workshop)
Renaissance Airport Hotel
9801 Natural Bridge Road
St. Louis, MO 63134 Registration Fee member: $125 Non-Member: $175 This is an interactive workshop so please dress accordingly.
Be a Part of the New Care Model: Direct Messaging Future
Referrals are the lifeblood of many Long Term Care
organizations. The methods of referrals are
changing…and quickly. Despite the development of
standards…healthcare systems are adapting to the
standards differently and for every health system there can be a different way of
interfacing. This is a challenge. The solution: direct messaging. Mitigate the impact of
multiple systems and processes by standardizing on technology that bridges all of those
into one simple platform. Direct messaging could be the solution for today and the future
that allows you to continue to be the provider of choice for referrals in tomorrow’s care
world.
Tuesday August 19, 2014
10:00-11:00AM
Members $50 Non-Members $75
Register ONLINE HERE or fill out and print the form and fax/mail today!
This 60-minute webinar will cover:
Objectives: 1) Understand government legislation that is changing the market dynamics in healthcare, and how Meaningful Use is driving investments and interoperability requirements across healthcare providers.
July 31, 2014 LeadingAge Missouri Hotline – page 13
2) Introduce direct messaging for the exchange of clinical documents across the continuum of care, and specific efforts geared to eliminate manual and outdated processes such as a fax. 3) Understand new standards like the CDA (clinical document architecture) and the potential impact to your hospital referrals if you cannot receive CDA documents via direct messaging. Approval for 1.0 administrative hour by the Missouri Board of Nursing Home Administrators through LeadingAge Missouri TA-015-113. CEU certificates will be mailed to attendees. Final online quiz required to receive CEU certificate.
What Your Association Does For You
Feeling the Financial Squeeze - Value First Can Help
Great news, you can reduce supply costs while helping LeadingAge Missouri, the people you know and trust!
Leading Age Missouri along with LeadingAge and twenty-four other states owns Value First, a Group Purchasing Program (GPO) designed just for you. Our supply partner, MedAssets, is one of the largest GPO’s in the nation offering a portfolio that includes hundreds of vendors with significantly discounted pricing. Enroll at no cost by signing a Value First participation Agreement. This agreement gives you access to all of the vendors you already know but does not obligate you to purchase.
Sign up today. It’s simple, just contact Amy Rosner at Leading Age Missouri, (573) 635-6244 or via email at [email protected]
LeadingAge Missouri Offers Cost Effective Certification
Services Is your facility an approved training agency for nurse aides, medication technicians, insulin administration and/or restorative aides? Are you looking for ways to save money? If you answered “yes” to these questions, look to LeadingAge Missouri as your certifying agency.
July 31, 2014 LeadingAge Missouri Hotline – page 14
Since 1994 LeadingAge Missouri has been a Department of Health and Senior Services approved certifying agency for nursing assistants, medication technicians, and insulin administration. LeadingAge Missouri offers competitive prices for certifications and
discounts to our members. If you have questions or need assistance, direct them via e-mail to [email protected] or via phone to (573) 635-6244. LeadingAge Missouri will issue a certificate to individuals who have successfully completed the approved course or challenged the examination according to DHSS regulations and will send the certificate, ID card and pin to the training agency within 15 days of
receipt. Students' information will be added to LeadingAge Missouri's permanent register and submitted to DHSS for placement on the federally mandated register. Member fee: CNA/CMT/Insulin Administration certificate and ID card - $10.00 each CNA Pin (optional) - $8.00
Non-member fee: CNA/CMT/Insulin Administration certificate and ID card - $13.00 each CNA pin (optional) - $10.00
Adult Day News
Adult Day Services Fill in the Gaps Adult day centers fill a critical gap in the senior-services market, allowing seniors to delay the need for an assisted living facility or nursing home and remain at home as long as possible. Also, they provide valuable support, education and respite for caregivers to temporarily relieve them of their vast responsibilities. According to the results of the National Study of Long Term Care Providers: Overview 2013, published by the National Center for Health Statistics (NCHS), as of 2012 the United States had an estimated 4,800 federal or state-regulated adult day centers. In addition, the 2010 MetLife National Study of Adult Day Services found that adult day centers served more than 260,000 seniors and family caregivers nationwide, an increase of 63% since 2002.
Full Article
Assisted Living News
At One Assisted Living Facility, Residents are Tracked in Real
Time About two months ago, Cindi Ramos made the decision to move her elderly father out of his seven-room house in Stafford, Conn., into an assisted living facility. In the year after
July 31, 2014 LeadingAge Missouri Hotline – page 15
Ramos’s mother’s death, her father slipped into dementia, brought on by grief. Ramos, who lived separately, called her father to check on him several times a day — a system that worked until one day he fell, unable to reach the receiver.
Full Article Article Courtesy of The Washington Post
CCRC News
Indiana CCRC Leans on New Fee Model After Chapter 11
Bankruptcy Filing An Indiana continuing care retirement community (CCRC) with $14 million of outstanding debt is leaning on Chapter 11 bankruptcy protection as well as a new fee model for independent living residents to help meet the community’s financial obligations. Full Article Article Courtesy of Senior Housing News
For CCRCs, the Future is ‘Grow or Die’ CCRCs are looking to grow now more than ever — but they aren’t looking anything like their decades-old counterparts. Some are still breaking ground or building additional units onto their existing campuses, but many more are looking to new, alternative ways to grow more efficiently and cost-effectively. Satellite communities and partnerships are two of the ways CCRCs are expanding their services and market reach, industry experts said during a recent webinar hosted by Irving Levin Associates, Inc.
Full Article
Federal News
Bill Would Affect Pay, Scheduling for Some Nursing Home
Housekeeping Staff Nursing homes could face more stringent scheduling requirements for housekeeping workers and might be on the hook to compensate them for last-minute shift changes under a bill proposed in both houses of Congress. The “Schedules that Work Act” is meant to provide protections for certain low-wage workers that face scheduling challenges. Some “cleaning employees” are among the covered workers. This could include housekeeping staff at nursing homes, a spokesman for Sen. Tom Harkin (D-IA) told McKnight's. Harkin introduced the bill Tuesday in the Senate, and Rep. George Miller (D-CA) introduced it in the House of Representatives.
July 31, 2014 LeadingAge Missouri Hotline – page 16
Full Article
Click here to access the complete bill text.
Fund Raising / Philanthropy News
From our Philanthropy Advisors, Davenport & Barr: Annual
Funds Help Meet Total Fundraising Goals According to a July 14, 2014 issue in the Chronicle of Philanthropy, 77% of organizations with an annual fund meet total fundraising goals as compared to just 55% of organizations without such a fund, according to a new report on the impact of annual fund strategies in overall fundraising. Published by the Nonprofit Research Collaborative, the report is based on a survey of 945 nonprofits in the United States and Canada. The increased rate at which organizations with annual funds meet total fundraising goals
holds true across large and small organizations, according to the findings. The report also focuses on donor retention rates. Groups that log renewal rates of at least 50% are more likely to hit total fundraising goals and are more likely to raise more money than in the previous year. "Nonprofit Fundraising Survey: Special Report about Annual Funds" is available free on the Nonprofit Research Collaborative site.
Health Care Reform
Reform Update: CMS Creates Fund to Seed State-Based
Medicaid Innovation The CMS is setting aside more than $100 million over the next five years to help states develop and test new Medicaid payment and delivery models. The funds are part of an endeavor launched July 14, called the Medicaid Innovation Accelerator Program, or IAP, intended to identify and replicate ways to provide Medicaid beneficiaries with better care at lower costs. States can tap into the funds to strengthen their capabilities in technical areas such as data analytics, service delivery, financial modeling and quality measurement. Those endeavors, the CMS hopes, will give other states enough information to see what works and blueprints they can copy.
Join us at our Annual
Conference to Hear Mike
Davenport and Jeff Long
present on Better Living
Through Charitable Living
July 31, 2014 LeadingAge Missouri Hotline – page 17
Full Article
Reform Update: Many Dual-Eligibles Opt Out of Care
Coordination People who are eligible for both Medicare and Medicaid are opting out at high rates from voluntary state initiatives aimed at better coordinating their care. So-called dual-eligibles often have a difficult time navigating the policies of both programs to get the services they need. Caring for them is also significantly more expensive than for other beneficiaries in the programs, costing the state and federal programs about $350 billion a year. The 9 million dual-eligibles make up just 13% of the population enrolled in both programs but account for 40% of all Medicaid spending and 27% of all Medicare spending.
Full Article Article Courtesy of Modernhealthcare.com
Home Health Care News
Multi-Billion Dollar Bidding War for Home Health Giant
Escalates What began as an $1.6 billion proposal to acquire home health competitor Gentiva Health Services, Inc. (NYSE:GTIV) has escalated into an all-out bidding war between Kindred Healthcare, Inc. (NYSE:KND) and an unnamed mystery bidder. Full Article
Hospice News
CMS Changes Mind on Hospice Drugs The Centers for Medicaid & Medicare Services has revised guidance on authorization of hospice drugs for those under Medicare Advantage and Part D plans, according to a new memo. The guidance memo, released July 18, says instead of having prior authorization for all hospice drugs, it will encourage PA requirements only on analgesics, antiemetics, laxatives and anti-anxiety drugs. These categories are common among terminally ill patients. Full Article
July 31, 2014 LeadingAge Missouri Hotline – page 18
Linens are an important (and often overlooked) necessity in the long term care community. Vendors such as the Encompass Group, Medline and Standard Textile Co. are quality providers of these products and may already be accommodating your linen needs. While Value First already provides access to these vendors at significant discounts, we want to deliver even more savings to you. Last year, Value First was able to save participants of the nutritional pre-commit 93% on their purchases!
PRE-COMMIT. As with every contract that Value First offers, our goal is to save you money. With linens, we have a unique opportunity to challenge some of the industry’s top vendors to lower their already aggressive pricing to give you substantial savings. How can we do this? With your help. We’re giving you an opportunity to “pre-commit” your linen purchases to the vendor that offers the most aggressive pricing. We will put these vendors in direct competition with each other with the commitment that you and others, the valued members, has committed to purchase from the winning vendor.
SIGN UP. SAVE MONEY. Let’s show these vendors that we are ready to commit our purchasing to the lowest price option. We are asking that you “pre-commit” to the idea of lowering your linen costs by filling out a letter of commitment (link below). The more letters we acquire, the stronger our voice will be at the negotiating table.
Learn more about this pre-commit process by visiting
www.valuefirstonline.com/specials
where you will find links to helpful resources such as a YouTube
summary video, access to an August 12 live webinar, FAQ, and more.
Join the LeadingAge voice at the negotiation and fill out a letter of commitment today! Value First is a group purchasing organization owned by LeadingAge and 24 of its state affiliates. We represent the long-term care community by negotiating hundreds of vendor discounts available to any member of the LeadingAge community. For more information, visit www.valuefirstonline.com or call (855) 659-1450.
July 31, 2014 LeadingAge Missouri Hotline – page 19
Housing News
AARP Pinpoints Alternative Age-Friendly Housing Options The increasing costs of traditional assisted living, independent living and continuing care retirement community options have given rise to a host of senior housing alternatives, especially in light of financial pressures on the aging population due to the recent recession and ongoing economic recovery. AARP recapped several of these popular alternatives in an article this week, pointing to six options that today’s aging population has that go outside the traditional long-term care models: staying put, moving in with family, moving to a long term care facility or nursing home, or relocating to an age-restricted community.
Read the AARP article.
E-Sign Tech Helps Senior Housing
Navigate Home Health Care
Services
Independent living operators are looking more and more like assisted living facilities by partnering with home health care agencies to offer additional care services to their residents. But these providers may face compliance issues if their home health care partner is not up to speed with the Affordable Care Act’s face-to-face encounter requirements. So with a surge in the use of electronic health records, a product has emerged that may help relieve senior housing providers’ concerns about tapping into the home health care sector.
Full Article Article Courtesy of Senior Housing News
Appropriations Stalemate Leaves Section 202 Demo in
Jeopardy(1) Despite the fact that the Section 202 rental assistance demonstration was funded in the FY14 appropriations bill for $20 million, the current stalemate with FY15 appropriations bill has stalled the development of the NOFA. Full Article
If you are interested in
innovative housing design
attend “Emerging Trends
and Innovative Design
Ideas” presented by
Alejandro Giraldo, THW
Design
July 31, 2014 LeadingAge Missouri Hotline – page 20
New York Debates Whether Housing Counts As Health Care New York now has about 47,000 supportive housing units, and the state intends to invest $260 million Medicaid dollars over the next two years. But the federal government won't match it. At the crux of this debate is the question of whether housing qualifies as health care.
Full Article Article Courtesy of NPR
Information of Interest
Chance of a Senior Developing Alzheimer's has Dropped 44%
over the Last Three Decades, Large U.S. Study Shows
The odds of developing Alzheimer's disease fell sharply among seniors in the United States over the last 30 years, according to research presented Tuesday at the Alzheimer's Association International Conference in Copenhagen. The finding casts a new light on prior estimates that the number of people needing long-term care will triple by 2050, largely due to Alzheimer's. Full Article
National Quality Forum Supports Quality Measures in bill to
Standardize Post-Acute Assessments The National Quality Forum has come out in strong support of a proposed standardized quality measures, such as skin integrity, across different types of post-acute care settings. Uniform assessments are seen as a necessary step to site-neutral payments. Implementing the quality measures in the bipartisan “Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014,” would be a step toward “strengthening quality in the post-acute setting,” NQF President and CEO Christine K. Cassel, M.D., wrote in a recent letter to Congressional leaders. Full Article
Don’t miss the “Living with
Alzheimer’s” film shorts
Friday at the Annual
Conference
July 31, 2014 LeadingAge Missouri Hotline – page 21
Senior Living Faces Danger in Lack of Resident Background
Checks Senior living operators are behind the curve on several important standard procedures that have long been deemed the norm in the housing industry, experts say. The growing senior housing space, which many say is still in its infancy relative to other property types, has a lot left to learn from other housing players, including the importance of conducting resident background checks. While the American Seniors Housing Association recently published a Special Issue Brief on ensuring compliance with criminal background checks with regard to employees, very little is being done currently to screen residents for prior arrests, prison time and even credit history. Full Article
Joint Commission Adds Memory Care Accreditation New memory care accreditation for nursing homes encourages staff to use a flexible, problem-solving approach to care for those with dementia, according to Joint Commission guidelines. The organization released new Memory Care requirements for the Nursing Care Accreditation program July 1, with those requirements applicable to all currently accredited nursing care centers, in order to address residents with cognitive impairment. These requirements can be seen here. Full Article
Senior Living Faces Uphill Battle in Use of ‘Senior’
Terminology Marketers have long grappled with the right terms to use in senior living, from the term senior itself, to a wealth of alternatives such as retiree, older adult, older American, aging population, and more. Largely, they’re facing an uphill battle, a recent NPR survey found when it asked older listeners about the words they preferred to hear in describing their age group. Through an informal poll of listeners drawing 2,700 responses, NPR reporter Ina Jaffe said she found a lot more attention to the disliked terms often used to describe the aging population Full Article Article Courtesy of Senior Housing News
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More on Sleeping Pills and Older Adults Call me nuts, but I want to talk more about sleeping pill use. Hold your fire for a few paragraphs, please. Just a week after I posted here about medical efforts to help wean older patients off sleeping pills — causing a flurry of comments, many taking exception to the whole idea as condescending or dismissive of the miseries of insomnia — researchers at the Centers for Disease Control and Prevention and Johns Hopkins published findings that reinforce concerns about these drugs. Full Article Article Courtesy of The New York Times
Senior Living Providers Devise New Strategies to Tackle
ACOs In an ever-evolving healthcare landscape that demands higher care quality at lower costs, several senior living providers are engineering various strategies to establish themselves as partners in Accountable Care Organizations (ACOs). Diversified service offerings across the post-acute care continuum, or building near existing hospitals and health systems are just a few practices senior living providers have put into play in efforts to carve out their niches within the ACO fold. “If you want to play, you have to be in a position to effectively participate in the whole care pathway,” says John Morgan, CEO of the Avamere Family of Companies. Full Article
LeadingAge News
Apply For Innovations Fund Grants- Call Recording Now
Available LeadingAge's Innovations Fund is back for its 3rd round, with 2 new grant categories! These grants are an exclusive member benefit designed to encourage the development of programs that have the potential for demonstrable impact on residents, clients, families, employees or the broader community, and that have the potential for replication. We held an informational call on July 9. The recording from that call is now available to guide members in the application process. Applications are being accepted until Aug. 4
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Represent Long-Term Services and Supports Providers on an
OSHA Panel The Occupational Safety and Health Administration (OSHA) is in the early stages of developing a regulation to control the spread of infectious diseases in healthcare and related workplaces, including hospitals, nursing homes, and home health care. Due to the regulation's potential impact on a wide range of LeadingAge members, we would like to have a representative on this panel, which may begin work as early as August. If you are willing to serve, please contact Jennifer Hilliard as soon as possible.
2014 Annual Meeting Registration is Now Open Registration is now open for the 2014 Annual Meeting, which will highlight how individuals -- in concert with shifting perspectives, norms and innovations -- are changing the way we live and age. Join us as we REimagine possibilities, REexamine opportunities, REeducate each other, and REassert our voice around the many ways aging-services providers can REdefine age. Choose from more than 150 expert-led education sessions, connect with thousands of aging services professionals from across the country, and take home solutions to your community's most pressing challenges.
Register Here
Medicare News
CBO: Medicare Spending Growth will Slow Down Over the
Next 25 years, Despite Pressures from Aging Population Medicare and Medicaid spending will grow at a slower rate than past predictions indicated, the Congressional Budget Office stated Tuesday. However, an aging population will put increasing pressure on government healthcare programs. Federal spending on Social Security and the major healthcare programs is set to “rise sharply” and account for 14% of gross domestic product by 2039, according to the CBO's annual budget outlook. Yet, the CBO projects Medicare and Medicaid spending over this time period will be $250 billion less than the agency projected in 2010. Full Article
July 31, 2014 LeadingAge Missouri Hotline – page 24
Medicare Home Health Cuts to Spur More Short-Term
Consolidation The future may not seem so clear in an industry rife with federal funding cuts, but those in the home health field are certain that the latest batch of rollbacks will signal at least one thing: short-term consolidation among providers. Regulatory cuts to home health Medicare payment rates, such as the 3.5% rebasing cut each year until 2017 from the Centers for Medicare & Medicaid Services (CMS), may not be as dooming as they appear, according to panelists Monday during a National Association for Home Care & Hospice (NAHC) Financial Management Conference & Expo in Chicago. Full Article
Home Coaching Visit Decreases Re-Admission, Costs for
Medicare Patients A new study in Journal of General Internal Medicine reports that an hour-long educational coaching session and two or three follow-up phone calls after a hospital stay reduced re-admission odds by 39 percent among Medicare patients. The study also found that the average cost of care was reduced by $3,700 per patient for those patients who received the education session versus those who did not. This study is the first to report on a more comprehensive picture of healthcare use in the six months following the patient-centered coaching, called Care Transitions Intervention (CTI), and to estimate costs avoided using the data. Full Article Article Courtesy of Medical News Today
Medicare Testing Payment Options That Could End
Observation Care Penalties Medicare officials have allowed patients at dozens of hospitals participating in pilot projects across the country to be exempted from the controversial requirement that limits nursing home coverage to seniors admitted to a hospital for at least three days. The idea behind these experiments is to find out whether new payment arrangements with the hospitals and other health care providers that drop the three-day rule can reduce costs or keep them the same while improving the quality of care. They are conducted under a provision of the Affordable Care Act that created the Center for Medicare and Medicaid Innovations to develop ways of improving Medicare. Full Article Article Courtesy of Kaiser Health News
July 31, 2014 LeadingAge Missouri Hotline – page 25
Ghostbusters and QIO Program Turn 30: Who You Gonna
Call for Medicare Concerns? Primaris will no longer handle Missouri Medicare case reviews beginning August 1 Thirty years ago, Ghostbusters made the question "Who you gonna call" go viral long before the days of social media. 1984 was the same year Quality Improvement Organizations (QIOs), like Missouri-based Primaris, began answering the call of Medicare patients. Primaris serves Missourians with Medicare by examining concerns about their care, or by reviewing cases where patients feel services ended too soon - for example, an early discharge from a hospital.
Beginning August 1, 2014, Missourian patients and providers will no longer call health care quality-improvement consulting company Primaris. All current and future beneficiary quality review case work and appeals will be conducted by KEPRO, located in Seven Hills, Ohio. For more information, visit Primaris at http://primaris.org/quality-today/ghostbusters-and-qio-program-turn-30-who-you-gonna-call-for-medicare-concerns.
Nursing Facility News
Increased 'Bed Taxes' on Nursing Facilities Warrant Stricter
Federal Oversight, Report States
States have been increasingly taxing skilled nursing facilities and other healthcare providers to fund Medicaid in recent years, and federal authorities should look more closely at this trend, according to a government report released July 29th. Nursing homes, hospitals and other healthcare organizations paid about $19 billion in so-called “bed taxes” in fiscal year 2012, a Government Accountability Office analysis determined. This figure was about $10 billion in 2008. Full Article
Nursing Home Cannot use Medicaid Payment Structure to
Evade 'Worthless Services' Charges, Federal Court Rules A nursing home cannot cite Medicare and Medicaid payment methods to escape charges that it provided “worthless services,” a federal judge recently ruled in a False Claims Act case. The Mississippi nursing home, its former owner and certain affiliated organizations are facing charges of billing government health programs for “non-existent, grossly inadequate and materially substandard, worthless, harmful care,” the complaint states. Full Article
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Opportunity for Long Term Care Facilities – National
Collaborative to Reduce Infections, Focus on CAUTI! SIGN
UP BY AUGUST 29th! The Center for Patient Safety and Missouri Hospital Association are partnering to bring national faculty and resources to Missouri nursing homes to work collaboratively on reducing infections with a focus on eliminating CAUTI! Sign-up for this opportunity is only available until August 29
th! There is no cost for participating in this collaborative!
To learn more about the project: · Register to participate on the August 5
th, 2 PM national informational call. Register
for the call here! · For additional information, including an overview of the project, team leaders responsibilities and a downloadable Project Interest Form, go here. If you have any questions, please contact Kathy Wire at the Center for Patient Safety at [email protected] or Jessica Rowden at the Missouri Hospital Association at [email protected].
More Action Needed on Adverse Events in Nursing Homes,
Outpatient Settings, Expert Tells Senators Nursing homes and other non-hospital providers largely have been overlooked in efforts to improve patient safety, and this needs to change, an expert told a Senate panel Thursday. A widely publicized 1999 government report drew attention to the high rate of preventable errors in hospitals, and this mobilized lawmakers, providers and consumers to focus on the issue. But today, “little is known” about the “distinct safety issues” in nursing homes and other non-hospital settings, said Tejal Gandhi, M.D., MPH, president of the National Patient Safety Foundation and a professor at Harvard Medical School. Full Article
Hospitals in the Midwest Refer Patients to the Broadest
Networks of Skilled Nursing Facilities, Study Finds Midwestern hospitals spread referrals to a greater variety of skilled nursing facilities and tap their favorite SNFs less often than do hospitals in other parts of the country, according to a recently published analysis of referral patterns.In the Midwest, hospitals routinely referred patients to an average of about 14 SNFs in their vicinity as of 2008,
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the investigators determined. Roughly three-quarters of referrals were concentrated among a hospital's five most-frequently utilized skilled facilities. Full Article Article Courtesy of McKnight’s News and Long Term Care
Rape Investigation Blocked by Nursing Home's HIPAA
Concerns, Authorities Say Florida authorities say a nursing home is citing privacy laws to impede the investigation of a possible resident rape, according to local news reports. A 75-year-old woman with dementia was diagnosed with a sexually transmitted disease on July 3, sparking concern that she had been assaulted at the Daytona Beach Health and Rehabilitation Center, the Daytona Beach News-Journal reported. A subpoena is not necessary for authorities investigating a possible crime, a state health agency official told the Daytona Beach police. The official said that the facility faces a $50,000 fine for refusing to cooperate, Police Chief Mike Chitwood told the News-Journal. Full Article
Technology
Tech Support: The Biggest Missed Opportunity in Senior
Housing Implementing and improving technology capabilities has become a focus for some senior housing operators, but for the most part, they’re still missing a major opportunity. Expectations of tech-savvy residents has increased the push for campus wide Wi-Fi and more Internet-focused programming, but many communities aren’t equipped for future residents who will demand more from senior housing, industry experts say. Full Article Article Courtesy of Senior Housing News
Health Information Exchange is a Key to Better Transitions,
Better Outcomes and Cost Savings In today’s health care environment, the smooth transition of patients between settings has become critical to achieving the triple aim of improved outcomes at lower cost and with better patient experiences. Even so, long-term and post-acute care (LTPAC) providers often lack complete medical information about the people they admit. Most providers still rely on fax and phone communication, rather than using an electronic
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health information exchange (HIE), which moves clinical information among providers, using national standards, while maintaining the integrity of the data. Full Article
Senior Living Tech Turns Residents Into English Teachers Students in Brazil are fine tuning their English language skills — and they owe it all to senior living. A partnership between a school in Brazil and Chicago-area Windsor Park has brought worldwide attention to the Illinois senior living community — one of 13 Covenant Retirement Communities located throughout the United States. A YouTube video documenting the Speaking Exchange project, which connects seniors at the Carol Stream, Ill. continuing care retirement community (CCRC) and students of Brazil’s CNA language school network, has gone viral with more than 1 million views since it was posted in May. The pilot program debuted earlier this year, and will soon involve more retirement communities throughout the United States. Full Article
Career Center There are several other job opportunities posted in our Career Center. Please stop by to check them out. If you have a position you would like us to post send it to [email protected] . Click here for openings
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