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Volume 23 Issue 19 - April 29, 2016

Why The Older Americans Act Matters
By Bob Blancato

Next year will be important and symbolic for aging programs and services, as we celebrate the 80th anniversary of Social Security, the 50th anniversaries of Medicare and Medicaid and the fifth anniversary of the Affordable Care Act.

Another reason to celebrate in 2015: the 50th anniversary of the Older Americans Act.

This law has provided millions of adults with much-needed services. Currently, one in five older adults — 11 million people — receive services from an Older Americans Act program. I hope the anniversary will be the opportunity to give this remarkable law its due recognition while charting its future path.
President Obama Signs Older Americans Act To Protect Our Citizens
By Valerie Jarrett

Signed Legislation: Older Americans Act Reauthorization Act of 2016

AARP Lauds Reauthorization of Older Americans Act
by Joyce Rogers and K.J. Hertz

Statement from Assistant Secretary for Aging Kathy Greenlee on Older Americans Act Reauthorization Signed Into Law
Business Connection Project
By Julie Copeland

Advocate. Educate. Serve. This is LeadingAge Florida’s promise to our members. In true LeadingAge Florida fashion, our members are dedicated—focused on advocating, educating, and serving on behalf of the seniors and communities they assist every day. And the staff at LeadingAge Florida is dedicated to ensuring our members have the best information at their fingertips. This is why we are introducing a new segment to the newsletter – the Business Connection Project.

Each week LeadingAge Florida will feature a unique industry in the aging services world. The goal of the Business Connection Project is to match LeadingAge Florida resources to the needs of our member communities. Whether you are seeking a food vendor or a new facility maintenance engineer, the Business Connection Project can find the resource to help move your business forward and improve your community.

The inaugural Business Connection Project spotlight is on Attorneys & Law Firms.

Our goal at LeadingAge Florida is to increase member value for our provider members and our business members. LeadingAge Florida is developing the Business Connection Project to provide information about the products and services our business members provide. We are featuring various “categories” of business members in our newsletter to remind providers about the businesses available for them, and we hope you will consider them in planning your next project.
It’s cliché, but only because it’s true: the only constant is change.

And the pace certainly seems to be picking up. That’s why the 2016 LeadingAge Florida Finance and Strategic Positioning Workshop focuses on helping members prepare for and deal with those changes.

In conjunction with our partners at Ziegler, we’ve constructed a program that addresses trends in the economy and capital lending markets, a deep dive into opportunities and disruptors in senior living, competing in an environment of changing payment models, achieving margin and mission with Home and Community Based Services, and innovations in serving an aging population amid a shrinking labor pool.

It’ll be a full day at the Inn on the Pond in Clearwater, and it begins at 8 a.m. on May 19. Click here to review the full program, and I hope you’ll plan to join us for this timely workshop. Register now by clicking here, and I’ll look forward to seeing you next month.


12 - Preceptor Refresher Webinar: Join us for an interactive webinar presentation and learn about Preceptor Practices including AIT program requirements, AIT Quarterly Report checklist, and Domains of Practice Quarterly checklist.

19 - Finance and Strategic Positioning Workshop at Inn on the Pond, Clearwater
The workshop has been designed for CFOs, CEOs, COOs, key board members and other community professionals. It will combine timely topics, experienced faculty, and networking opportunities with colleagues interested in the state of senior living and capital markets.  LeadingAge Florida is providing up to 5.5 contact hours of credit for nursing home administrators, nurses and social workers. Ziegler is providing up to 5.5 CPEs for CPAs.

19 - Nurse Rules and Regulations Mandatory 2 Hour In-Service: This webinar will cover the laws and rules that govern the practice of Nursing in Florida.

26 - Working WITH, not AGAINST Elders with Dementia Using Jujutsu Webinar
7 - Educational Series (1 Meeting, 3 Locations) Why Everyone Should Care About Managed Care

14 - Preceptor Training, Location: Vicar's Landing, Ponte Vedra Beach

22 - Risk Management in Long-Term Care Webinar


25-27- 53rd Annual Convention & Exposition: Join us for motivational and educational sessions that explore how you can Be the Difference in the lives of the seniors you serve. 

Registration is OPEN for the 53rd Annual LeadingAge Florida Convention & Exposition!

23 – Preceptor Refresher Webinar

30 – ICD-10 Refresher Webinar

28 - Educational Series (1 Meeting, 3 Locations) Why Everyone Should Care About Managed Care

30 - Educational Series (1 Meeting, 3 Locations) Why Everyone Should Care About Managed Care
Robotic Seal Unlocks Memory Care Silence
The cute cooing sounds, the gentle movements and the lovable rolling eyes have been known to unlock the silence in even the most disengaged memory care resident of The Inn at Cypress Cove. The sounds come from a lovable robotic furry white harp seal named, Snowball. “It’s amazing. Snowball, as residents have so applying named the robotic seal, manages to get even our most removed memory care resident to become active and excited. Everyone wants to hold him, pet him and talk with him.” says Karla Oliver Director of Assisted Living and Memory Care at Cypress Cove. The picturesque 48-acre south Fort Myers continuing care retirement community in HealthPark Florida is one of a few dozen community’s nationally whose memory care facility has adopted a cuddly harp seal robot as part of its therapeutic program. The Federal Drug Administration has certified the seal as a Class 2 medical rehabilitative device.
What Do I Need To Know About Staffing?
How a nursing home is staffed makes all the difference in patient care.  Many facilities are considered "task oriented" long-term care facilities, focused on the many tasks needing to be done - the task of giving medication, feeding, bathing, and making sure physician orders are carried out, amongst others.

If you break down all of these tasks, many nursing homes are just most concerned about getting this task completed.  So, in a 24 hour period, they complete the task but at the end of the day the resident has gotten lost in the process.  Click here for more information.

Reach out to our Clinical & Compliance Specialist, Connie Cheren, RN, MSW by phone 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 to offer suggestions about survey results and corrective plans of action.
Abbey Delray Resident's Tireless Mission To Combat Kidney Disease
An Abbey Delray resident is on a quest to help the thousands of South Florida residents living with kidney disease. Ron London began his journey when he was diagnosed with the disease, and was told his kidneys were failing him. That was nine years ago. Since then, he’s undergone two years of dialysis and two transplants, after the first kidney failed.
Chef At Local Senior Living Community Out To Prove He Can Fillet With The Big Boys
With the 33rd annual Taste Of Collier just a week away, Chef Billie Raper is busy honing his culinary capabilities ahead of the mouthwatering ‘Cooking with the Chefs’ competition. The executive chef at The Terraces at Bonita Springs, a local senior living community, is eager to fire up the burners and put his best dish forward. “Competition is the space where you can push yourself and learn,” he said. “Even if I don’t win, I want to put myself out there and have people get to know who I am, and who we are as a community.” The Terraces, located about 30 minutes north of Naples, is an ideal training ground for a competition that will test chefs’ time management and innovation in the kitchen. Each day, Chef Billie must plan, prepare and execute a meal for about 160 independent living residents and another three meals for 80 assisted living residents, which equals about 400 total daily meals. “I’ve worked very hard not to skip a beat,” he said, referencing his transition to The Terraces in 2013, after nearly two decades cooking in luxury hotels and resorts in his native Virginia. “The type of food, the quality of product we provide – our residents expect it.”
Plymouth Harbor, Inc. Board Of Trustees Presents The Distinguished Service Award To Resident Mary Allyn
Plymouth Harbor on Sarasota Bay, a not-for-profit Continuing Care Retirement Community, awarded resident Mary Allyn the Distinguished Service Award for her time on the Plymouth Harbor, Inc. Board of Trustees. Mary has been a member of the Board of Trustees since 2012, in her capacities of Vice President, President, and most recently, Immediate Past President of the Plymouth Harbor Residents Association Executive Council. The Executive Council serves as a liaison between the residents and the Plymouth Harbor, Inc. Board of Trustees; the council’s President, Vice President, and Past President serve as full voting members on the Board. This ensures that residents have an active, influential voice in Plymouth Harbor affairs. Mary rotated off the Board on April 4, when the Residents Association elected the 2016-2017 Executive Council.

Harbour's Edge Opens Newly Renovated Dining Venues
Harbour’s Edge, a Delray Beach senior living community, is celebrating a milestone in its expansion and redevelopment project. On Monday, April 18, a ribbon-cutting ceremony marked the opening of the newly added dining venues and remodeled restaurant-style amenities. The additions are part of a $20 million project designed to enhance community features to best serve the dynamic population of area seniors. The dining renovations include the creation of three distinct venues that can seat a combined total of 250 people. The new Edgewater Dining Room is a more casual venue, with two levels of waterfront views on the Intracoastal and a patio for outdoor seating. The new formal dining room features a steakhouse and grill ambience, as well as an exhibition kitchen and wine bar to augment dining as a special event. The new private dining room also features waterfront views. The renovation and addition of these dining areas help the community achieve its vision of creating a more memorable dining experience for its residents.

Cabinet Agrees On David Altmaier For Insurance Commissioner
By Christine Sexton
At an emergency meeting on Friday, Gov. Rick Scott and Chief Financial Officer Jeff Atwater agreed to hire David Altmaier to replace outgoing insurance commissioner Kevin McCarty. Altmaier, who will earn $165,000 annually, has been the deputy commissioner at the office since 2015, in charge of property and casualty products. The agreement brings to an end two months of wrangling between the governor and Atwater over who would replace McCarty, who announced in January that he would resign effective May 2, under pressure from Scott.
State Acts On Florida Chamber Recommendation To Study Workers' Comp Cost Containment
By Carolyn Johnson

The Workers’ Compensation Three Member Panel met to adopt 2016 reimbursement manuals for health care providers, ambulatory surgical centers, and hospitals, as required by statute. After hearing the process through which the maximum reimbursable allowances are determined, Florida Insurance Commissioner Kevin McCarty, current Chair of the Three Member Panel, made a motion that directed the Division of Workers’ Compensation (DWC) to look at possible changes to move away from a charge based system, which is subjective, to contain costs while preserving access to quality care.  
Call For Awards Nominations
The LeadingAge Florida Annual Awards Program honors those who embody excellence in leadership, care, service innovation, and who are making outstanding contributions to their communities in the field of long-term care, affordable and supportive housing, retirement housing, assisted living or home and community-based services.  Please nominate a LeadingAge Florida member for an award!  Awards will be presented at our 53rd Annual Convention and Exposition, July 25-27, at the Boca Raton Resort & Club in Boca Raton, Florida.

New Aide To Oversee County Health Departments
The Florida Department of Health employee who oversaw directors and administrators at county health department statewide is being replaced, Politico Florida reports. DOH interim director Celeste Philip has named Paul Myers to replace Kim Barnhill, who is on administrative leave, according to Politico Florida.

Register Now For Upcoming Workshops, Lunch & Learns And Webinars
These Catalyst trainings are sponsored by the Florida Housing Finance Corporation's Affordable Housing Catalyst Program and presented by the Florida Housing Coalition. Click here to register for trainings.
HUD Multifamily Programs Become More Attractive As Generous MIP Reductions Set To Go Into Effect
The Department of Housing and Urban Development announced reductions in Mortgage Insurance Premiums for select multifamily properties that are set to go into effect April 1st.

Act Now! Advertise 
In The LeadingAge Florida 2016 Membership Directory

Sign Up Now! Advertise in the 2016 Membership Directory. The directory will be distributed statewide to LeadingAge Florida members and hospital discharge planning departments. LeadingAge Florida works with E&M Consulting, as the official publisher of our 2016 Membership Directory. E&M Consulting provides advertising services to build your company’s image and link your brand with buyers in Florida aging services. For more information, contact Mike Lindsay at (800) 572-0011. If you have questions, call Julie Copeland at (850) 702-0317.

Last Call For Nominees! 2016 LeadingAge Awards
The LeadingAge Annual Awards honor individuals and organizations that embody excellence in not-for-profit aging-services leadership, are committed to quality, are models of care and service innovation, and are making outstanding contributions. Entry deadline is April 30, 2016.  In award categories open to LeadingAge members, only member aging-services organizations are eligible for consideration. Current members of the national LeadingAge Board of Directors and the Nominations and Awards Committee are not eligible for awards that recognize individuals.  To access the entry form, you will need to log in to your My.LeadingAge account. Your login will also enable sections of the application to be saved as they are completed.
Saludos de Bobby Bernal… Hello From The Road With Value First!

This was a special week for me. I spent the week at the home office in Tallahassee. I spent most of my time on paperwork and follow-up from my April travels. I had the opportunity to brag about what I do to my co-workers. On Thursday, I was the guest presenter at a LeadingAge Florida staff education session, where I had the privilege of highlighting our communities and their participation in the Value First program. Florida experienced a 42% Sales Growth from 2014 to 2015. Including the 1st Quarter of 2016, we have seen growth in the five previous quarters . This growth demonstrates the value that our GPO brings to the table and we hope to continue to grow as more and more savings are identified. Thank you to our members for this success!

Specials From Our Value First Partners
Sherwin Williams:  Please see the new group-buy flier from Sherwin Williams for the months of May and June. To access special pricing you will need to have a L.O.P. on file. Please contact me if you need assistance.

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

Value First's portfolio consists of over 400 vendors. To enroll, simply sign the Participation Agreement. This Participation Agreement is not a contract and does not bind you to buy anything. No minimum purchase is required. For more information, please contact Robert Bernal at (850) 671-3700 to start saving money now! To view a complete list of Value First vendors please CLICK HERE.

See you on the road


Bobby Bernal wows the crowd at a staff education session focused on Value First, the Group Purchasing Organization owned by LeadingAge and 24 state affiliates, including LeadingAge Florida. Value First currently has more than 5,000 LeadingAge members enrolled!

Nobody made a greater mistake than he who did nothing because he could do only a little
-Edmund Burke

There is something for everyone at the 53rd Annual LeadingAge Florida Convention & Exposition.

While at the Boca Resort & Club you should expect three full days of educational sessions. There are four tracks of programming for Executive Leadership, Leadership Growth & Development, Healthcare/Nursing, and Housing.

LeadingAge Florida has arranged to have 40 dynamic speaker sessions and roundtables focused on long-term care.  Earn up to 14.5 hours of continuing education credit at the LeadingAge Florida Conventions & Exposition.

Registration is OPEN for the 53rd Annual LeadingAge Florida Convention & Exposition!

Silent Auction Donations – LeadingAge Florida will host a Silent Auction at the Annual Convention, and is requesting donations. Some ideas for donated items include: jewelry, books, gift certificates, theme baskets, sport memorabilia or make a cash donation and leave the shopping to us! Click here for more information on the donations.  LeadingAge Florida is a nonprofit educational charitable organization under Section 501(c)(3) of the Internal Revenue Code; therefore, your Silent Auction donation is fully tax-deductible.

Program Advertisements Available- Plan your involvement at the 53rd Annual LeadingAge Florida Annual Convention and Expo. Be sure to get the prime real estate in the Program. Click here for additional information or contact Julie Copeland at (850)702-0317.

2016 Exposition Registration- Our Expo provides opportunities for your products and services at our Annual Convention — excellent and cost effective ways to obtain new leads and reconnect with current clients. The Exposition will be held on Tuesday, July 26, 2016, for five hours. Refer to the Prospectus for Exposition logistics. To register online, please click here. For additional assistance, contact Julie Copeland at (850) 702-0317.

According to a recent Pew Research study, 59% of seniors aged 65 and older are now online, "a six-percentage point increase in the course of a year."  Not only are more seniors online than ever before, but also that number is continuously growing as more baby boomers reach retirement age. For the first time ever, a significant number of seniors are interacting on social media, Googling their questions, and so much more.

Source: Love & Company
Upcoming Educational Events: Preceptors Refresher Webinars on May 12 and August 23, 1:30 to 3:30pm EST. Preceptor Training Workshop on June 14, Ponte Vedra Beach, 9:00am to 4:00pm EST.

Call For Awards Nominations: Please nominate a LeadingAge Florida member for an award.

Special Programming for Executive Leadership and Emerging Leaders: Enjoy three full days of education with many sessions tailored to C-Suite executives, as well as those emerging leaders in your communities. These sessions will feature well-known speakers in the Long-Term care arena.

Finance and Strategic Planning Workshop: Early Bird Discount Ends May 5! This in-depth program was designed with you in mind, focusing on the following topics: Trends in the economy and capital lending markets, A deep dive into opportunities and disruptors in senior living, Competing in an environment of changing payment models, Achieving margin and mission with Home and Community-Based Services, and Innovations in serving an aging population amid a shrinking labor pool.

CMS Drops Payment Cut Related To Two-Midnight Rule
By Elizabeth Leis Newman

Faced with a legal challenge, the Centers for Medicare & Medicaid Services has killed a two-midnight inpatient payment cut to hospitals. The agency will not move forward with a 0.2% inpatient payment cut to hospitals under the “two-midnight” rule, giving a partial victory to the hospital industry. CMS had said inpatient admissions that spanned shorter than two midnights could be payable under Medicare Part A, based on the ruling of an admitting physician. As part of that policy, CMS cut inpatient payments to hospitals by 0.2% because it said the rule would boost Part A reimbursements.

CMS Proposes Raising Payment Rates For Hospice, Skilled Nursing & Rehab
By Virgil Dickson , Harris Meyer & Lisa Schencker

The CMS has dropped three payment rules that propose increased payments to skilled-nursing facilities, inpatient rehabilitation facilities and hospice care, and implemented new quality measures. The agency Thursday proposed nearly doubling the increase skilled-nursing facilities received last year. This would amount to an $800 million bump. Last year they only received a 1.2% Medicare rate increase, leading to $430 million in higher payments from the previous year.

CCRC/Life Plan Presentation Available 
Since the NameStorm Task Force announced Life Plan Community as the new category name for Continuing Care Retirement Community just five short months ago, we’ve been receiving tons of inquiries wanting more information on how we got there and the early adopters using the name. We held a session at the PEAK Leadership Summit last month that answered these questions and more. Since many members want presentations to share with their senior teams and board, we recorded it in its entirety edited integrated with the PPT presentation. 

CMS Adds New Quality Measures To Nursing Home Compare
The Centers for Medicare & Medicaid Services (CMS) added six new quality measures to its consumer-based Nursing Home Compare website. Three of these six new quality measures are based on Medicare-claims data submitted by hospitals, which is significant because this is the first time CMS is including quality measures that are not based solely on data that are self-reported by nursing homes. These three quality measures measure the rate of rehospitalization, emergency room use, and community discharge among nursing home residents.

CMS Webinar: Person-Centered Planning Systems Part 1
The Centers for Medicare & Medicaid Services (CMS) is hosting a two-part webinar on person-centered planning (PCP) systems. The first session includes an overview of how to develop systems to assist states to implement person-centered planning requirements and concepts, provide instructions to the state regarding core principles/strategies that will promote person-centered systems and systemic program development including: (1) Development of state policies and procedures that support and require person-centered planning, (2) Leveraging state resources (3) State partnerships, and (4) Organizational competence/culture. Information will also be shared regarding state development of training programs for service planners and tools states can develop for service planners to use including person-centered and strength-based assessments and goal-setting tools. Ralph Lollar, DLTSS Division Director, and the DLTSS Team will support the training and lead the Q&A Session. Additionally, Ralph Lollar, Division of Long Term Services & Supports (DLTSS) Division Director, Dianne Kayala, DLTSS Deputy Director, and the DLTSS Team will conduct this training and Q&A Session. The webinar will take place on Wednesday, May 4, 2016, from 1:30 p.m. to 3:00 p.m. ET.
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.