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Volume 23 Issue 14 - March 25, 2016

RIPPED FROM THE HEADLINES— LEAD STORY

VIDEO- 53rd Annual Convention & Exposition

Our focus in 2016, whether through education, advocacy, or communications, is to be the difference. There is something for everyone at the 53rd Annual LeadingAge Florida Convention & Exposition: education sessions focused on strategies and new ideas for aging services leaders, continued clinical excellence, and expert insights into the issues facing our affordable housing members.

You can explore the Education Sessions by Track: Executive Leadership, Leadership Growth & Development, Healthcare/Nursing, and Housing. LeadingAge Florida is an approved CEU provider for Nursing Home Administrators (#FHNAP-18), Nurses (#FBN-2192), and Clinical Social Workers (#BAP-684). The total number of CEUs offered at this year’s convention program is 60.5.  You can earn up to 14.5 hours of continuing education credit.

This year’s convention promises to be even bigger, more thought provoking, and more fun than ever. Registration is OPEN for the 53rd Annual LeadingAge Florida Convention & Exposition!
JUST THE FACTS— EXPERT OPINIONS!
By Any Measure, LeadingAge Florida Was A Winner During The 2016 Legislative Session
By Susan Langston

When it comes to the Legislative Session, what a difference a year makes. Tallahassee went from the definition of dysfunctional in 2015 to having a model and successful session in 2016.

With final passage of an $82.3 billion dollar budget for FY 2016-17 along with tax relief for businesses and families, Florida’s Legislative Session concluded on time on Friday March 11, 2016. The budget makes investments in Florida’s education system, health care, environment, corrections and court systems. This year, the Florida Legislature passed 279 bills during Legislative Session, representing 15.4% of the total bills filed as compared to passage of 13.2% of the bills filed in 2015. Many bills advocated for and monitored by LeadingAge Florida passed the Legislature, including several relating to health care. The summary below highlights the victories, triumphs, and accomplishments of LeadingAge Florida and the key issues funded in the budget as well as health care and other bills of interest passed by the Legislature.

This summary highlights the victories, triumphs, and accomplishments of LeadingAge Florida and the key issues funded in the budget as well as health care and other bills of interest passed by the Legislature.
FROM THE DESK OF THE PRESIDENT

Fresh off a trip to Washington, DC, for PEAK (and, admittedly, a very brief break on the Emerald Coast of the Panhandle), I hit the road again this week, this time primarily to establish connections with partner associations around the state. I attended the Florida Association of Directors of Nursing Administration (FADONA) annual convention and trade show in Daytona Beach. We have a reciprocal relationship with FADONA, so look for their leadership and that of the Florida Medical Directors Association at our Convention in Boca Raton in July.

While I was in Daytona, I had the privilege of visiting Central Manor Apartments and Casa San Pablo, two of our housing members. I’ll be out on the road again soon, and I look forward to meeting with you the next time I’m in your neighborhood.
                                                 
 COMING ATTRACTIONS
March
29 - AHCA Long Term Care Joint Training Webinar


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.
Please note the rate at the Ritz-Carlton hotel for this amazing educational event is $259/night, instead of the normal $450/night. This is one of the most beautiful hotels in Florida. The reduced rate is available for extended days!




May

9 – 2016 LeadingAge Leadership Educator Program

12 - Preceptor Refresher, Webinar

19 - Finance and Strategic Positioning Workshop at Inn on the Pond, Clearwater

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
Vi At Bently Village & Florida Gulf Coast University Rekindle Association
When the residents of Vi at Bentley Village need extra attention to their health needs, they have long received care from nurses, aides, and other staff members in the Vi at Bentley Village Care Center. Now, they will also get support from nursing students who attend Florida Gulf Coast University (FGCU). Vi at Bentley Village has revived its collaboration with FGCU, providing clinical rotations for students who are taking gerontological nursing courses within the Bachelor of Science Nursing program at FGCU. During the winter semester, there are 15 students and two instructors who are making weekly visits to the care center and participating in two seven week clinical rotations.
REGULATORS!
VIDEO - Meaningful Engagement
By Connie Cheren, RN, MSW; Clinical & Compliance Specialist
Meaningfully engaged is really the absence of boredom and boredom is something that we all fight against. In a long-term care facility you don't want the residents to be bored. Many times we think of activities as an activity calendar- so the Activity Director works very hard to put together a calendar to have really good group activities for residents. Many times we think that just being engaged belongs to the director of activities, when in all actuality being engaged is for everybody to be involved in the facility. If you want to know whether or not you residents are engaged take a notepad with a line drawn the middle, and walk around the facility. On one side put residents that are meaningfully engaged and on the other a list of residents who aren’t meaningfully engaged.  Click here to watch the entire video. 

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
Top Candidates For Insurance Commissioner Get Interviews
By Jeremy Wallace
Efforts to find a new Florida insurance commissioner before hurricane season begins is well underway. Gov. Rick Scott interviewed a pair of top contenders for the job on Monday... Florida's Chief Financial Officer Jeff Atwater is scheduled to interview at least four candidates... Scott on Monday interviewed former U.S. Treasury Department official Jeffrey Bragg and David Altmaier, a deputy commissioner within the Florida Office of Insurance Regulation. Bragg, a Palm Harbor resident, is the former executive director of the Terrorism Risk Insurance Program under President George W. Bush and in the 1980s administered the National Flood Insurance Program during the Ronald Reagan administration. Altmaier has held six different positions with OIR since 2008. He was promoted to Deputy Commissioner a year ago. Today, Scott is set to interview State Rep. Bill Hager, R-Boca Raton, for the post. Hager was the commissioner of the Iowa Department of Insurance from 1986 to 1990… Atwater is scheduled today to interview four employees who have worked under McCarty. McCarty's chief of staff Belinda Miller, chief actuary Eric Johnson, and deputy commissioners Rich Robleto and Altmaier, who interviewed with Scott, are all expected to be interviewed by Atwater.

FACES OF AGING 
From the Waterman Village Retirement Community Facebook Page
30 residents got up close and personal with Nakaii, a 16 year old Florida panther born in captivity. They learned all about the Florida panther and other wild animals in Florida. The Nakaii Foundation also rescues domestic animals in the Longwood area as well.

Next Generation Accountable Care Organization Model Second Application Cycle Announced
Building upon experience from the Pioneer ACO Model and the Medicare Shared Savings Program (Shared Savings Program), the Next Generation ACO Model offers a new opportunity in accountable care—one that sets predictable financial targets, enables providers and beneficiaries greater opportunities to coordinate care, and aims to attain the highest quality standards of care. There are 21 ACOs participating in the Next Generation ACO Model.

Scott Ready To Take Action On Stack Of Bills
By Jim Saunders

It's time for Gov. Rick Scott to have his say. Scott during the next four days will take action on more than 100 bills passed during this year's legislative session, including a proposal to expand regulations on abortion clinics and a measure that would allow terminally ill patients to have access to medical marijuana.  
DOEA Conducts ALF Proposed Rulemaking Workshop – March 23, 2016
This week, the Department of Elder Affairs held a workshop on proposed changes to specific sections of Rule 58A-5 FAC relating to assisted living facilities. Many of the changes proposed are intended to implement statutory changes enacted after passage of ALF legislation during the 2015 Session. Click here for a recap of the meeting. DOEA is also making a copy of the recording of the Assisted Living Facility rule workshop held yesterday available. If you are interested in receiving a copy, email Jacqueline Williams and be sure to include your mailing address as the recording will be sent via USPS. The comment period for the workshop is open until the close of business on Friday, March 25. If you have written comments you would like to submit, please email them directly to Daniel Looke, Senior Attorney, Office of the General Counsel, DOEA or to Susan Langston.
Doctors Ponder Delicate Talks As Medicare Pays For End-Of-Life Counsel
By Phil Galewitz

She didn’t want to spend the rest of her days seeing doctors, the 91-year-old woman confessed to Dr. Kevin Newfield as he treated a deep wound on her arm. “You don’t have to, but you have to tell me what you do want,” Newfield replied. “I’m not afraid of dying. I’m afraid of being 106,” she told the surgeon and her daughter, who was in the room with them. The woman’s spontaneous admission in Newfield’s south Florida office that January day triggered a 20-minute discussion about living wills, hospice and other end-of-life issues, Newfield said.
Medical Debt Rains Pain On Families, Even In The Sunshine State
By Sammy Mack

At 85 years old, Alpha Edwards did not expect to be out of savings or to have $3,000 of credit card debt. "I don't do anything that costs money," Edwards says. "I can't." The problem started four years ago, when Edwards moved to Miami Springs, Fla… Her husband had recently died, and Edwards wanted to be closer to her daughter. Edwards regularly sees doctors for her chronic lung disease and her pacemaker. And not long after she moved, she needed a cardiac procedure. That's when the bills started rolling in— thousands of dollars in medical bills.
Florida Department of Health Raises Awareness About Diabetes Risk Factors & Prevention
March, 22nd was Diabetes Alert Day, and the Florida Department of Health encourages residents and visitors to learn about their risk for type 2 diabetes and take steps to reduce this risk. Type 2 diabetes is the most common type and can affect people of any age. The risk of developing type 2 diabetes can be significantly reduced by achieving and maintaining a healthy weight.
Ziegler CFO Hotline: Resident Financial Assessments
There has been a great deal of curiosity about the potential changing financial status of the residents of today and tomorrow, compared to previous generations. The February Ziegler CFO HotlineSM poll surveyed 187 CFOs about their organization's policies related to financial assessments, reassessments, and the changing consumer. 

Don’t miss the LeadingAge Florida and Ziegler Finance & Strategic Planning Workshop May 19, 2016, at Inn on the Pond in Clearwater.
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 (and/or individuals associated with them) 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… 

Hello From The Road with ValueFirst!  This week I had a good mix of office time, travel time, and visits.  I will be sure to fill you in on those adventures next week.  Hope to see you at the Nursing Home Survey Trends Workshop on April 7, 2016, in Winter Park.  In the meantime, on behalf of Value First, have a happy, joyous, and safe Easter.

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

Drawing Portraits Of Dying People In Hospice Taught This Artist About Living

Artist Claudia Bicen is interested in how death informs views on life. After volunteering at a hospice program last summer, she drew portraits of the patients and transcribed parts of their conversations on life and death. One of the portraits (pictured with her) is part of a show at National Portrait Gallery that opens this weekend, winners of an award for outstanding portrait artists.

HE SAID: SHE SAID
A 'Quote of the Day' tweet from @LeadingAgeFl.

As you get older you find out true happiness is... #quote #quoteoftheday #aging #Florida #LAFL16 #agingnow #seniors

BE THE DIFFERENCE
There is something for everyone at the 53rd Annual LeadingAge Florida Convention & Exposition. Experience an array of impressive restaurants and bars at Boca Raton Resort & Club! From fine dining and cocktails to grab-and-go snacks, there are plenty of options to choose from — all with the quintessential True Waldorf Service.

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

Silent Auction Donations – In conjunction with the Annual Convention, LeadingAge Florida is holding a Silent Auction, 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. The window is open for Program Advertisements. 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- There are only 22 booths left.  LeadingAge Florida is providing 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
Is Harrison Ford Too Old to Play Indiana Jones Again?
Indiana Jones is coming out of retirement. Steven Spielberg and Harrison Ford are reuniting for a fifth movie in their much-loved and financially lucrative action-adventure series, slated for a July 19, 2019 release.

At 73, Ford is 14 years older than 59-year-old Sean Connery was when he played the daring archaeologist’s dad in Indiana Jones and the Last Crusade in 1989.

   FILING CABINET

Responsibilities To Ensure All ALF Residents Are Appropriate For Admission & Continued Residency: The Agency for Health Care Administration recently distributed an e-blast to ALF providers.

Leadership!: Why Everyone Should Care About Managed Care Workshop and Healthy Executive Transitions: When Succession Planning Isn't Enough Workshop.

OIR Orders Filed Against University Village: In another step in the legal battle with University Village in Tampa, the Office of Insurance Regulation (OIR) filed two initial orders on March 15, 2016 to suspend the provider’s certificate of occupancy. Feel free to refer the press to LeadingAge Florida Director of Communications Greg Ungru.

Book Your Hotel Room Now!: Healthy Executive Transitions: When Succession Planning Isn't Enough Workshop. Hotel registration deadline is fast approacing. The last day to reserve a hotel room is March 28, 2016.  LeadingAge Florida has secured a room block at the beautiful Ritz Carlton Hotel for an incredibly low rate of $259 per night. This rate extends for 3 days on either side of the workshop. Join us on the 21st and plan to stay a few days to relax on the Sarasota beaches.

Spend A Day With AHCA Director of Health Quality Assurance: Send your NHAs, DONs Unit Managers, Dietitians, and Nurse Managers. Register today – don’t delay! Early Bird rate expires on March 31, 2016.

AHCA LTC Joint Training Webinar: On March 29, 2016, AHCA will present a Long-Term Care Joint Training Webinar that attendees can attend to view at one of five statewide locations. The training will be broadcast from AHCA headquarters in Tallahassee out to the five locations. At each location AHCA will have the Field Office Manager, and LTC Supervisor as the moderator. Additionally, surveyors will be in attendance on the day of the training.

Only 22 Booths Left: Sign up today! It is time to plan your involvement at the 53rd Annual LeadingAge Florida Convention and Exposition. Please click here for the Expo registration details and application. We are offering many educational sessions, cross-promotion and branding opportunities, networking and our traditional Fun Night, in addition to 5 hours in the exhibit hall.

QUICK HITS— IN OTHER NEWS…
MIT Scientists Find Evidence That Alzheimer’s ‘Lost Memories’ May One Day Be Recoverable
By Ariana Eunjung Cha

Memory loss is one of the hallmarks of Alzheimer's and heartbreaking for loved ones to watch progress. Gone are the details of a first love or a child's wobbly first steps. The achievements of a distinguished 30-year career. And the tall tales of traveling the globe that once had everyone rolling on the floor with laughter.

No Clear Path To Government-Lowered Drug Prices
Most Americans support it. Virtually all other developed countries already do it. And the two leading presidential candidates on both sides of the aisle agree: the federal government should lower drug prices. But experts say the chances for government action in the near-term are close to nil. The reasons are familiar: political gridlock in Washington, pharmaceutical industry influence and the structure of the U.S. health system itself, which limits government intervention.

New CMS Tool Shows Readmissions Increase By Region, Demographics
By Emily Mongan

A total of sixteen states had 16 or more hospital readmissions per 100 Medicare beneficiaries in 2014, according to a new data mapping tool unveiled Thursday by the Centers for Medicare & Medicaid Data. The “Mapping Medicare Disparities” tool allows users to break down data by state or county, beneficiaries' demographics, health conditions, and Medicare measures. The tool includes data from CMS enrollment and claims data for the years 2012, 2013 and 2014.
Aging Well In The 21st Century: Strategic Directions For Research On Aging
There is no question that Americans have long benefited from sweeping advances in nutrition, sanitation, and medicine that transformed public health practice and dramatically increased average lifespan during the first half of the twentieth century. But it is also true that these advances, along with a mid-century surge in the American birthrate, have brought with them a new set of challenges.

Community First Choice
The "Community First Choice Option" allows States to provide home and community-based attendant services and supports to eligible Medicaid enrollees under their State Plan. This State plan option was established under the Affordable Care Act of 2010.

Older Americans Act Reauthorization Appears Destined For President's Desk
A bill reauthorizing the Older Americans Act appears destined for the president's desk after the U.S. House of Representatives passed a version of S. 192 March 21. First, however, the legislation will move back to the Senate for approval of House amendments.
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.