Having trouble reading this awesome newsletter? CLICK HERE to see it in your browser.
Volume 23 Issue 32 - August 5, 2016

Medicare Reimbursements: Long-Term Care
Provided by Moore Stephens Lovelace

For most skilled nursing facilities (SNFs), Medicare reimbursements are an important revenue source to maintain both margins and census. If your skilled nursing facility is one of these, it is imperative that your organization develops an effective strategy to
address the evolving reimbursement landscape impacting Medicare.

SNF value-based purchasing programs will soon place portions of Medicare reimbursement at risk (e.g. the nursing home readmission penalty). However, SNFs need to quickly realize that federal initiatives and policies for Medicare are driving a reduction in both (a) referrals available to nursing homes and (b) the length of stay (LOS) while in the nursing home. Bottom line, financial incentives and pressures on referral partners (e.g. local hospitals) are expected to have a major impact on the Medicare census for SNFs.
2016 LeadingAge Florida Award Recognition
Each year LeadingAge Florida recognizes outstanding members, employees, and residents in five categories at the Annual Convention & Exposition. The awards ceremony highlights the best in the aging services field and recognizes outstanding members and communities who have gone above and beyond to serve their communities, employers, and residents.

On Tuesday, July 26, at the Annual Business Meeting, LeadingAge Florida honored six deserving individuals.

“The theme for the 53rd Annual LeadingAge Florida Annual Convention and Exposition was be the difference. Our award winners have been the difference in the communities they represent, in our state, and nationwide. I truly appreciate their passion. Their commitment is second to none,” said LeadingAge Florida President & CEO Steve Bahmer.

LeadingAge Florida presented awards in the following categories:
• Employee/Caregiver of the Year
• Resident Volunteer of the Year
• Service Coordinator of the Year
• Best Practice Award
• Trustee of the Year Award
• Distinguished Service Award

It was great to see so many of our members, business partners, sponsors and exhibitors last week at our 53rd Annual Convention & Exposition. I hope you all enjoyed your time in Boca, and I hope you came away with at least one new idea that you can take back and implement in your communities. Our goal, as always, is to provide outstanding educational content, a relaxed environment for networking and reconnecting, plenty of time to talk with our exhibitors about their solutions, and that rare opportunity to let your hair down a bit and have some fun. We’ll be sending you a survey in the coming days, and I hope you will let us know how we can continue to make the Convention even more valuable for you and your community.
10 - Evidence Based Falls Risk Assessment & Intervention Webinar: 1.6 million residents live in nursing facilities - approximately half fall annually - of those, about 65,000 suffer a hip fracture. Falls occur among nursing home residents at twice the rate of older adults living in the community and these falls are costly.

23 - Preceptors Refresher Webinar: Board of Nursing Home Administrator regulations pursuant to 64B10- 16.0025 (2), FAC, require all Florida Nursing Home Administrators with Preceptor Certification to take a two (2) hour Preceptor Refresher Course upon license renewal every two years.

25 - It's Time to "Restore" Your Restorative Nursing Program Webinar: Restorative Nursing is based on a belief in the dignity and worth of each individual, moving away from stereotyping or labeling by injury, age or diagnosis.

30 - ICD-10 Refresher Webinar: Back to Basics and Lessons Learned: This webinar is designed for anyone involved in coding and will refresh recent knowledge gained in last year’s ICD-10 Workshop on how miscoding affects regulatory compliance, reimbursement and quality measures.   

28 - Educational Series: Why Everyone Should Care About Managed Care: This workshop helps aging services providers understand the potential impacts of changes to managed care, to deliver the latest critical information about the plans and the nuances of their processes, and to help prepare for what may well be the next major shift in the aging services environment.

14 - Moving From Survey to Regulation Workshop: The workshop is a forum for LeadingAge Florida and AHCA to share examples of non-compliance with CMS regulations through review of survey findings. The focus is on helping facilities understand the regulations and interpretive guidelines and putting systems in place to assure compliance with nursing, social services, physician services, laundry, environmental services and activities.

30 - Educational Series: Why Everyone Should Care About Managed Care: This workshop will help aging services providers understand potential impacts of managed care. The presentation will deliver the latest critical information about managed care plans, and help prepare attendees for what may well be the next major shift in the aging services environment.

The Cottage at Cypress Cove Unveils A New Standard in Memory Care Living

Connie Says
Attendees of the ever-popular Nursing Home Survey Trends Workshop held earlier this year submitted questions to Connie regarding best practices, tricks of the trade, survey guidance, and regulatory compliance. The compiled questions and answers will be shared with you over the coming weeks.

Q1: Do you have to post the staffing on the units or can you post in convenient location?
Connie says: F356 states the data must be posted in a prominent place readily accessible to residents and visitors. Clarification found in the October 28, 2005 Federal Register states the facilities can choose to post information on each unit. We require that the nurse staffing information be posted in a visible and easily accessible area that is common to visitors and residents. If a facility posts the information on each unit, for just that unit, we would still expect all nurse staffing information to be posted in a visible and easily accessible common area.

Q2: Surveys in Orlando, St. Petersburg and Bradenton have been averaging 15 months.  Why?
Connie says: Timeframe for conducting unannounced annual surveys is between nine and 15.9 months from the date of the last survey.

Reach out to our Clinical & Compliance Specialist, Connie Cheren, RN, MSW at (678) 778-0561 or via ccheren@LeadingAgeFlorida.org. Connie is available to our members as a value-added service, paid for by LeadingAge Florida, to help answer questions before, during and after surveys OR anytime throughout the year! She can help nursing home and assisted living facility members improve regulatory compliance and clinical outcomes and offer suggestions about survey results and corrective plans of action.

I hope to see you at the Moving From Survey to Regulation Workshop on October 14.

AV Powell Honored in Boca
During the 53rd Annual LeadingAge Florida Convention & Exposition, Mary Ellen Early had the distinct honor to present Alwyn V. (AV) Powell with a Celebration of Excellence Award.The plaque was a token of appreciation for his generous contribution of time and expertise in helping to shape significant changes to Florida's continuing care laws, and in gratitude for his longstanding and valued relationship with LeadingAge Florida.

Payroll Based Journal Reporting: Lessons from Early Submissions, August 16 - Sign up for this free webinar/discussion.
Provided by CliftonLarsonAllen


Senior Housing Investment Survey
Provided by Ziegler

14 MDS & Staffing Focused Surveys completed in 2016.  16 surveys completed in 2015.

Final fiscal year 2017 payment and policy changes for Medicare Skilled Nursing Facilities (CMS-1645-F)

AIF Announces Florida Workers’ Compensation Strategic Task Force: AIF Task Force to Help Restore Stable, Self-executing & Affordable Workers’ Compensation System in Florida

AHCA and DOH Appoint Thirteen to Telehealth Advisory Council

The Staffing Advantage: Strategies to Reduce Labor Costs In Senior Care

Professional Web Portal Training: Providers are invited to attend Professional Web Portal training on August 16, at 10:00 a.m. CT at the Bay County Health Department, Panama City, Fl.

What We All Carry: Kathy Greenlee's Final Speech as Assistant Secretary for Aging and ACL Administrator

LeadingAge Florida Business Members - Spotlight On:
Our goal at LeadingAge Florida is to increase member value for our provider members and our business members. We are featuring various “categories” of business members to remind providers about the businesses available for them, and we hope you will consider them in planning your next project.
Saludos de Bobby Bernal… Hello From The Road With Value First!

I am excited to provide you with a full and complete report from the 53rd Annual LeadingAge Florida Convention and Exposition.

Booth 314 was hopping! During the Exposition, there were nearly 200 visitors to the booth. For the giveaway/prize (which was a state-of-the-art Garmin GPS System), I received more than 75 business cards. Congratulations to Pilar Carvajal on being the big winner.

We are happy to report that a number of communities enrolled in the Value First program and to those communities I say "WELCOME!"

Please let Value First determine how much you can save in four categories - Medical, Food, Environmental or Office Supplies. All Value First needs from you is one month of bills/invoices. There is no fee or obligation required for these cost reports.

LeadingAge is offering the opportunity to win a registration to the 2016 LeadingAge Annual Meeting and Expo in Indianapolis! Click here for a free cost study and start saving money with Value First.

Specials From Our Value First Partners

Direct Supply:
 Trust Direct Supply to keep your large projects running smoothly. Please see the Capitol Projects Program by Direct Supply as well as August specials.


Sherwin Williams: Take a look at July/August Group Buy Specials with our Partners at Sherwin Williams.

See you on the Road!


What a wonderful trip we had to the Caribbean islands! It was great to relax and celebrate with members and friends of LeadingAge Florida.


92 percent of parents say one of their kids might handle long-term caregiver duties, but 40 percent of the kids tapped to fill the role didn't know it.

Educational Offerings: LeadingAge Florida's August Educational Offerings! Sign up for upcoming Events, Webinars, and Workshops.

Telehealth Advisory Council Appointed: The Agency for Health care Administration Secretary Elizabeth Dudek and State Surgeon General and Department of Health Secretary Dr. Celeste Philip announced the appointments of 13 to the Telehealth Advisory Council.

Copyright 2016 — Publication of LeadingAge Florida
Chairman: Josh Ashby
President/CEO: Steve Bahmer
Managing Editor: Greg Ungru

Copyright Information: Copies of the articles and other information in this publication may be noncommercially reproduced for the purpose of educational or scientific advancement. Otherwise, no part of this publication may be reproduced or utilized in any form or by any means, mechanical or electronic, including photocopying, microfilm and recording, or by any information storage and retrieval system, without the written permission of the editor.

The information provided via this newsletter is is provided “as is” without representations or warranties, express or implied. LeadingAge Florida makes no representations or warranties in relation to the legal information on this website.