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Volume 23 Issue 15 - March 31, 2016

RIPPED FROM THE HEADLINES— LEAD STORY
Responsibilities To Ensure All ALF Residents Are Appropriate For Admission & Continued Residency
By Anne Avery, RN LNC
The Agency for Health Care Administration recently distributed an e-blast to ALF providers.

The Agency for Health Care Administration is reminding providers of their responsibilities to ensure ALL residents are appropriate for admission and continued residency per Rule 58A-5.0181, F.A.C. Residents in Florida’s Assisted Living Facilities have the right to live in a safe and decent environment, free from abuse and neglect. It is ultimately the provider’s responsibility to ensure these rights.

Staff must be qualified! All facilities, including those composed of apartments, must have enough qualified staff to provide resident supervision, and to provide or arrange for resident services in accordance with the residents’ scheduled and unscheduled service needs, resident contracts, and resident care standards Rule 58A-5.019(3)(b), F.A.C. It is critical that the facility administrator provide the necessary oversight to ensure the facility has qualified staff able to meet the needs of the residents of the facility. As part of staff qualifications, the administrator must ensure staffs have a Level II background screen indicating they are eligible to work in the facility. In the last five years, background screening violations have been cited over 900 times statewide.
JUST THE FACTS— EXPERT OPINIONS!
Using The Term "Life Plan Communities" By CCRCs Must Not Mislead Consumers
By MaryEllen Early

“Life Plan Communities” is the latest new terminology for continuing care retirement communities (CCRCs). The phrase Life Plan Community was unveiled at the 2015 LeadingAge National Convention after a two-year study of consumer preferences. To meet the ever-expanding needs of the generation born during the post- World War II era, CCRCs have undergone transformations from pure care providers into vibrant communities offering senior residents options for personal growth, educational opportunity, physical fitness, and community involvement— which is what prompted the study and the desire to identify a more contemporary name.

LeadingAge Florida has been working with our partners at the Office of Insurance Regulation (OIR) regarding use of the “Life Plan Community” moniker. LeadingAge Florida recently received a response from the Office of Insurance Regulation about the voluntary usage of the new terminology in marketing materials and contracts. The letter indicates advertising must not be misleading in fact or implication. Therefore, the term “Life Plan Community” may not be used in marketing materials without clearly indicating the community is regulated by OIR under chapter 651, Florida Statutes, as a continuing care facility.
FROM THE DESK OF THE PRESIDENT
This week COO Al Pasini and Director of Education & Events Elizabeth Lane spent a few days in Boca doing Advance Work for the Annual Convention.  While at the Boca Resort & Club, Al and Elizabeth met with event staff and party planners.  They day's schedule included a facility tour, meetings, managing logistics, food-tasting for fun night, and scouting rooms for education sessions.

We're looking forward to a great convention, and to seeing you in Boca.

                                                 
 COMING ATTRACTIONS
April
7 - Nursing Home Survey Trends with Connie Cheren & Kim Smoak
LeadingAge Florida is committed to helping its members have good surveys! Join industry experts Connie Cheren and Kim Smoak at this intensive workshop on Nursing Home Survey Trends. Topics will include: Common sanitary conditions cited under F371, common infection control conditions cited under F441, surveyor guidance for F309 focused dementia care survey process, and updates on the latest survey trends.

13 - Educational Series (1 Meeting, 4 Locations) Why Everyone Should Care About Managed Care

14 - System Improvement: Abuse (F223-226) Webinar

21 - Healthy Executive Transitions: When Succession Planning Isn't Enough Workshop:
In a time of unprecedented CEO & C-Suite retirements, succession planning and executive searches are often the reactive processes leaving boards and candidates feeling frustrated and compromised. How can we conduct sound leadership development and organizational planning to improve the odds of successful and mutually gratifying transition experience? Tim Ficker, Managing Director of MHS Consulting, along with Rich Scanlon, Managing Director of Ziegler, will propose an integrative approach to leadership planning and executive transition, facilitating a discussion of best practices and less-than-best practices.

May
12 - Preceptor Refresher, Webinar

19 - Finance and Strategic Positioning Workshop at Inn on the Pond, Clearwater
A block of rooms have been reserved at the Hilton Clearwater Beach. The special room rate will be available until April 18, 2016, or until the group block is sold-out, whichever come first.
May (Continued)
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

June

7 - Educational Series (1 Meeting, 4 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

July
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!


August
23 – Preceptor Refresher, Webinar

30 – ICD-10 Refresher Webinar

September
8 – Nursing Home Survey Trends, with Connie Cheren & Kim Smoak, Location: TBA in Orlando area

28 - Educational Series (1 Meeting, 4 Locations) Why Everyone Should Care About Managed Care

November
30 - Educational Series (1 Meeting, 4 Locations) Why Everyone Should Care About Managed Care
THE LEADINGLINK LIMELIGHT
Check Out Covenant Village Of Florida’s New Website!
The site has more of the information you want plus pictures so you can see what we're all about. The best part is, it's totally user friendly, so you can find the answers to your specific questions quickly and easily.

REGULATORS!
Enhanced Dining V. Traditional Dining
Dining can be what separates a good nursing facility from an excellent facility when people focus on the dining experience—traditional dining vs. enhanced dining. When you take a tour you can tell if it is traditional or not by seeing the availability of traditional dining chairs. The second thing you notice is when residents arrive for meals. Traditional dining is the act of getting people fed.

Enhanced dining is one of the more exciting things in long-term care because it's really where a facility can excel and be innovative. In enhanced dining, people have to walk to the dining room chair, use a napkin (instead of a clothing protector), and as soon as they sit down they're giving something to eat and drink— either a breadbasket on the table or crackers and their server offers them a beverage.

To learn more about this and other regulatory issues, REGISTER NOW for the Nursing Home Survey Trends Workshop on April 7, 2016.
NEWS FROM AROUND THE SUNSHINE STATE
Secretary Dudek: HB 1335 Brings New Level of Openness to Long-term Care Waitlist and Screening Process
Agency for Health Care Administration Secretary Elizabeth Dudek applauded the passing of House Bill 1335, authorizing the Agency and the Department of Elder Affairs to adopt rules relating to the Long-Term Care waitlist in the Statewide Medicaid Managed Care program. While DOEA currently uses a prioritization system for newly approved individuals, there are no statutory or administrative guidelines for the waitlist process.

FACES OF AGING 
Lifespace Welcomes Scott Nield As Executive Director Of Juno Beach Retirement Community
The Waterford, a Juno Beach retirement community owned and operated by Lifespace, announces the hiring of Scott Nield as its executive director. Mr. Nield has nearly 15 years of experience in general management at luxury golf clubs and country club resorts, with a successful history of growing membership by creating a favorable culture and experience for members and guests. At The Waterford, Nield will be responsible for overseeing the day-to-day operations at the community, which features nearly 300 maintenance-free apartments and villas, a variety of amenities and access to on-site healthcare services. “Scott’s passion for service and care, along with his resume of successful managerial experience, make him uniquely qualified for his role at The Waterford,” said Sloan Bentley, President and CEO of Lifespace, which owns and operates senior living communities in seven states, including Florida. “We feel he’s a great fit for the vibrant and positive culture that exists at our Juno Beach community.” Before coming to The Waterford, Nield worked with such industry leaders as Stowe Mountain Club, Inverness Golf Club, Hudson National Golf Club and Hamilton Farm Golf Club.

Legislative Wrap Up on Florida's Housing Trust Funds
On Tuesday, March 29, 2016, The Florida Housing Coalition hosted a webinar for Sadowski Affiliates. The webinar included a legislative wrap up on the 2016 Session, Florida's Housing Trust Funds, the Homeless Bill, and SHIP Allocations for 2016-2017. Presenters were: Jaimie Ross, facilitator of Sadowski Housing Coalition and president of Florida Housing Coalition; and Mark Hendrickson, executive committee member, Florida Housing Coalition Board and executive director of Florida ALHFA.
     •  Webinar Recording
     •  SHIP Appropriation by Jurisdiction 2016/2017

Fee-for-Service Request for Exceptional Claims Processing and Exceptional Claims Mailing Address Changes
This notice is to remind providers that effective March 15, 2016, the mailing addresses for the processing of fee-for-service exceptional claims for In-State and Out-of-State providers have changed.

Gov. Scott Signs A Host Of Health-Care Related Bills Into Law
Florida will join the nurse licensure compact that allows registered nurses to work in different states without having to obtain additional licenses, under a bill Gov. Rick Scott signed into law on Friday.

Giving Medics A Path To Civilian Nursing
By Bobbie O’Brien
Military medics trained to save lives in combat and provide health care at home don't qualify for most civilian medical jobs. But pilot programs at three Florida universities are paving the way for those veterans to earn nursing degrees.

DOH Announces Paul Runk As Director Of Legislative Planning
The Florida Department of Health has appointed Paul Runk as the new director of the Office of Legislative Planning. Runk previously served in the Office of Legislative Planning as deputy director and, most recently, as interim director. 
Take A Stand!
Each year, vaccine-preventable diseases kill thousands of adults in the United States, causing a significant human toll and a severe economic burden on our health care systems. Unfortunately, adult immunization rates remain low with long-standing gaps between national goals and actual adult immunization rates.  Pfizer and the Immunization Action Coalition have partnered to offer workshops on standing orders for adult immunizations. There are two upcoming free workshops in Florida: April 12 in Orlando and April 13 in Ft. Lauderdale.
Event Notification Service (ENS) Webinar

Please register for the Event Notification Service (ENS) Webinar April 13, 2016 2:00 PM EDT. Real-time hospital encounter alerts are now available from over 200 participating hospitals through the Event Notification Service (ENS). Join this webinar to learn how these alerts can support better-coordinated, more cost-effective care.

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.

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.
VALUE FIRST
Saludos de Bobby Bernal… 
My travels these last few weeks have afforded me the opportunity to see some great communities.  This week I am in Central and Southwest Florida. Make sure to say "Hi!" when you see me at the Nursing Home Survey Trends Workshop on April 7, 2016, in Winter Park.

Specials From Our Value First Partners
Sherwin Williams:  Please see the new group-buy flier from Sherwin Williams for the months of March and April. 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.

Until next time “hasta luego”
Bobby
PICTURE PAGES

Facebook Updates From The Road
Our Director of Communications Greg Ungru was in NE Florida visiting with a few communities. Enjoy a few photos from Vicar's Landing and Moosehaven.

HE SAID: SHE SAID
"We shouldn't even use the word 'retirement' anymore."
- Boston College economist Joseph Quinn

The transition from employment to retirement used to be marked by a date on a calendar, along with some sheet cake, and a maybe a gold watch. Those days are long gone for most workers in the United States. Today, the journey toward complete withdrawal from the labor force can last many years. Economists refer to the transition period as "bridge employment." As more and more Americans either choose, or are forced, into bridge employment, the expectation of what retirement actually means is rapidly changing.

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

The LeadingAge Florida Convention wouldn’t be complete without group led discussion at our Roundtables. The Roundtables offer members an opportunity to engage in structured discussion of a topic/theme, without a formal presentation. Our experienced Roundtable Leaders will encourage attendees to engage in timely topics with their peers on issues most relevant to their field.

Three Roundtable sessions are planned for this year’s Convention:
     • Nursing Home Roundtable, Wednesday, July 27, 2016, 8:30 - 10:00AM, 1.5 CEUs
Led by Jenny R. George, LeadingAge Florida’s Nursing Home Chair and Administrator, Good Samaritan Society – Florida Lutheran
     • Service Coordinator Roundtable, Monday, July 25, 2016, 4:15 - 5:15PM, 1.0 CEUs
Led by Kathy Rhoden, Service Coordinator, Riverside Presbyterian House
     • Continuing Care Retirement Communities Roundtable, Tuesday, July 26, 2016, 8:30 - 10:00AM, 1.5 CEUs
Led by Melissa Andrews, Vice President, Member Relations and Board Development, LeadingAge; D. Bruce Jones, LeadingAge Florida’s CCRC Chair and CEO, LCPS Management, Inc.; and, Mary Ellen Early, Public Policy Liaison, LeadingAge Florida.

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.

BY THE NUMBERS
In the last five years, background screening violations have been cited over 900 times statewide.
As part of staff qualifications, the administrator must ensure all staff have a Level II background screen indicating they are eligible to work in the facility. In the last five years, background screening violations have been cited over 900 times statewide. Under statute, a facility is to be fined $500 by AHCA for each violation and may support an Agency decision to revoke licensure. Staff must also be added to the facility roster (employee list) in the Agency’s Care Provider Background Screening Clearinghouse to assure the administrator will be notified of a change in staff background screening eligibility, such as a disqualifying arrest.

Source: AHCA

   FILING CABINET
Early Bird Rate for Nursing Home Survey Trends Workshop Ends March 31st!! Register Now!: The Nursing Home Survey Trends workshop is a forum for LeadingAge Florida and the Agency for HealthCare Administration to share actual examples of noncompliance with CMS regulations as identified through review of surveys from 2015. Areas such as infection control, sanitary conditions throughout facilities, and other areas of non-compliance will be discussed.

Assisting & Monitoring SHIP Rentals Workshops: Register today for an upcoming Assisting and Monitoring SHIP Rentals Workshops. The workshop is sponsored by the Affordable Housing Catalyst Program and presented by the Florida Housing Coalition.

Call for Nominations - Region Vice Chair Positions: This notice is a request to encourage you to submit a nomination, or self-nomination, to run for a LeadingAge Florida Vice Chair position. The following positions are open for candidates: Southeast Region: Vice Chair, Membership; Southwest Region: Vice Chair, Advocacy & Vice Chair, Membership

Call for Nominations - Central Region Chair Position: This notice is a request to encourage you to submit a nomination, or self-nomination, to run for a LeadingAge Florida Board of Trustees position. The following position is open for candidates for a one-year term: Central Region Chair

QUICK HITS— IN OTHER NEWS…
A Pattern Of Profit & Subpar Care At Mass. Nursing Homes
By: Kay Lazar

At the Rehabilitation & Nursing Center at Everett, grime and mold smothered the windows, leaving residents barely able to see outside. “Dehumanizing” was the assessment of a state inspector who visited in February. A week earlier, an unattended resident with dementia climbed out a broken dining room window and fractured an ankle, according to the inspector’s report. A few miles away, at the Medford Rehabilitation & Nursing Center, health and safety violations were so persistent that regulators in 2014 placed it on a list reserved for the nation’s most problem-plagued nursing homes. The nursing homes are owned by Personal Healthcare, a for-profit Tarrytown, N.Y., company that also runs Cambridge Rehabilitation & Nursing Center, which has struggled, too. Company financial reports indicate nurse staffing at all three sites has been below the state norm. At the same time, the company has directed money from the nursing homes to its New York headquarters, sending more than $200,000 in 2014 for consulting and professional services, according to a Globe analysis of the company’s latest financial reports filed with state regulators.
How to Get to a Value-Based Health Care System
RealClearHealth recently spoke with Dr. Rita Numerof, who co-authored the new book, Bringing Value to Healthcare: Practical Steps to Getting to a Market-Based Model, with Michael Abrams. In their book, Numerof and Abrams highlight the current challenges facing doctors, hospitals, insurers, and consumers -- and then provide a road map of actions that must be undertaken by each of these parties to get to a more transparent, accountable, and efficient health care system.

New Staff Joins LeadingAge Housing Team
By Niles Godes

Returning to LeadingAge after a 12 year hiatus, Linda Couch has joined the housing staff as Director, Housing Policy and Priorities. Linda will focus on helping LeadingAge’s members fulfill their missions by expanding, preserving, and improving affordable senior housing through federal legislation and appropriations.

CMS Issues Finalized PBJ Manual
The Centers for Medicare and Medicaid Services has issued the updated/final Electronic Staffing Data Submission Payroll-Based Journal Long-Term Care Facility Policy Manual; Version 2; March 2016.

Five nonprofit trends to watch
By Jane Adler

From consolidation to expansion of existing communities to growth of home health services, nonprofit operators adapt to a changing landscape.

Medicaid Enrollment Data Collected through MBES
For the quarter beginning with January 1, 2014, states began reporting Medicaid enrollment data as part of their Medicaid expenditure reporting through the Medicaid Budget and Expenditure System (MBES). The enrollment information is a state-reported count of unduplicated individuals enrolled in the state’s Medicaid program at any time during each month in the quarterly reporting period. The enrollment data identifies the total number of Medicaid enrollees and, for states that have expanded Medicaid, provides specific counts for the number of individuals enrolled in the new adult eligibility group, also referred to as the “VIII Group”.

The Pros and Cons of Using Mortgages to Fund Expensive Health Care
By Michelle Andrews

A Massachusetts Institute of Technology economist and Harvard oncologist have a proposal to get highly effective but prohibitively expensive drugs into consumers’ hands: health care installment loans.  Writing last month in the journal Science Translational Medicine, the authors liken drug loans to mortgages, noting that both can enable consumers to buy big-ticket items requiring a hefty up-front payment that they could not otherwise afford.  Some consumer advocates and health insurance experts see it differently.

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.