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Volume 23 Issue 18 - April 21, 2016

VIDEO - Elder Care Becomes An Attractive Option For Nursing Students
By Liz Freeman

Caroline Dixon was thinking about working in a hospital emergency room as her nursing specialty but a clinical rotation in gerontology at Vi at Bentley Village brings a smile to her face.

If it weren't for the hands-on experience she's getting at the nursing home and memory care center in North Naples, Dixon may never have considered a career caring for frail elders.

"I try to treat everyone like my grandma or grandpa to keep it personal and bring a compassionate touch to everything," said Dixon, 23, a junior in the School of Nursing at Florida Gulf Coast University.

She's the kind of nursing student human resource officers in all realms of the health care industry seek. Recruiting registered nurse graduates is a highly competitive business.

A shortage of nurses nationwide has prompted nursing schools to expand capacity, and hospitals and continuing care retirement communities, like Vi at Bentley, to offer in-house training programs, scholarships and clinical rotations as enticements.
2016 Legislative Session – End of Session Report
By Susan C. Langston

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 the Legislative Session, representing 15.4% of the total bills filed, as compared to passage of 13.2% of the bills filed in 2015.

This was a very successful Legislative Session for LeadingAge Florida with many bills advocated for and monitored by LeadingAge Florida passing the Legislature. This report highlights the victories and accomplishments of LeadingAge Florida and includes the key issues funded in the budget, as well as health care legislation and other bills of interest passed by the Legislature.

LeadingAge Florida’s 2016 Legislative Priorities
Prior to the convening of the 2016 Legislative Session the LeadingAge Florida Board of Trustees approved several 2016 Public Policy Priorities. These priorities and the outcomes of LeadingAge Florida’s advocacy efforts on these issues are in the final report:


One of the true privileges of this work is the opportunity to visit our members, tour their communities, meet some of their residents, and learn from their outstanding leaders. This week, I headed west into the panhandle to see Mike Lucas, Executive Director of Azalea Trace. I appreciate his time and hospitality, and the time all of our members have spent with me as I’ve traveled the state. I’ve been to more than 50 communities so far, and my travel schedule remains full through the spring and early summer. I look forward to seeing you in your communities, and of course, at our Annual Convention in Boca Raton in July!


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

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
Medical Director Of The Year Loves The Art Of Geriatrics
By Joanne Kaldy

For David LeVine, MD, CMD, medical director at Menorah Manor in St. Petersburg, FL, there was never a question that he would practice medicine. In a family where his father, grandfather, and two brothers are all physicians, the profession is in his blood. However, whereas father and brothers chose surgery, Dr. LeVine went in a very different direction — geriatrics. Today, Dr. LeVine, who is AMDA’s 2016 Medical Director of the Year, can’t imagine doing anything else. “I was drawn to geriatrics where decisions are individualized and less prescriptive. I found that I was comfortable working with older people,” Dr. LeVine said. “Geriatrics is an art; you have to be creative and think outside the box. You’re not just dealing with the patient but also the family unit. Communication and compassion are essential parts of our work, and that is very rewarding and satisfying for me.” Being named Medical Director of the Year is a welcome accolade, he said, but not just for him. “I am very honored and happy not only for myself but for my facility and community,” Dr. LeVine said. “I believe that Menorah Manor is one of the best nursing facilities in Florida.”

A Good Reminder
By Connie Cheren RN, MSW

On April 7, 2016, at Mayflower Retirement Center in Maitland, Florida I co-presented with AHCA’s Kim Smoak, Chief of Field Operations and Mary Maloney, Government Analyst 11 at LeadingAge Florida's Nursing Home Survey Trends workshop. Throughout the day Providers asked regulatory questions about things to do for regulatory compliance. Time and again Kim reminded the attendees to “go to the regulations."

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.
Village on the Isle Attends Largest Global Tea Party
Luke Haven, an award-winning skilled nursing center that is part of the full continuum at Village on the Isle, participated in the World’s Largest Tea Party. The event was held in celebration of Nutrition and Hydration Week with the goal to showcase the need for properly maintenance of good health. The tea party is held every year on the third Wednesday of March at exactly 2:00 pm. Across the world, participants must hold their tea party at exactly 2:00 pm to be considered part of the event. The tea party originated in England and was a way to celebrate neighborly relationships. Neighbors were to share a cup of tea, get to know each other and make sure their needs were being met. Village on the Isle’s Luke Haven was the only skilled nursing center in the United States to participate. The Global Tea Party is on its way to being recognized by the Guinness World Book as the World’s Biggest Tea Party!

Menorah Manor Wins Two Awards At Annual AJAS Conference
Menorah Manor was the proud recipient of two awards at the recent Association of Jewish Aging Services (AJAS) annual conference, which was held at The Vinoy Renaissance St. Petersburg Resort & Golf Club. The Mentor of the Year Award recognizes a mentor for being an exceptional leader in the field of aging, while the Jewish Programming Award recognizes innovative and creative programs that strongly enrich the spiritual welfare of the older adults they serve. “She may be small in stature but she has a big heart, abounding energy and is constantly on the go,” said Menorah Manor Chief Executive Officer Robert Goldstein, who presented the Mentor of the Year Award to Rabbi Herz at the conference on April 5. “On a daily basis, Rabbi Herz is immersed with teaching, advising, guiding, listening and advocating; all qualities of an excellent mentor.”
Highlighting FSU's Zika Research, Graham Calls On Congress To Fully Fund Similar Efforts
By Sascha Cordner

Highlighting Florida State University’s research efforts, North Florida Congresswoman Gwen Graham is calling on Congress to fully fund similar home grown efforts to combat the Zika virus. In a recent speech on the House floor, Graham recognized FSU’s research into the Zika virus.

Florida Department of Health Daily Zika Update

Gov. Scott Signs Bill Allowing Nurses To Prescribe Controlled Substances
Gov. Rick Scott signed a series of health-care bills, including a measure that supporters say will help shield patients from getting hit with surprise tabs after going to hospital emergency rooms. Among the other bills signed Thursday was a long-debated measure (HB 423), sponsored by Rep. Cary Pigman, R-Avon Park, Rep. Daphne Campbell, D-Miami, and Sen. Denise Grimsley, R-Sebring, which will allow advanced registered nurse practitioners and physician assistants to prescribe controlled substances. The bill would place some limits on the authority, such as restricting the prescribing of what are known as “Schedule II” controlled substances, such as codeine and oxycodone, to seven-day supplies.
67 Apply To Become State’s Next Insurance Commissioner
By Peter Schorsh

Gov. Rick Scott and the Florida Cabinet now have 67 names to pick from for state Insurance Commissioner. They decided to take more applications for the job after the March 29 Cabinet meeting, setting an April 15 application deadline. Scott and Chief Financial Officer Jeff Atwater had each favored two different candidates: Retired executive Jeffrey Bragg and state Rep. Bill Hager, a former Iowa insurance commissioner, respectively. Scott and Atwater first have to agree on the same candidate under state law. The Office of Insurance Regulation is under the Department of Financial Services, which Atwater heads as CFO.

In Case You Missed It... Priceline.com Co-Founder Jeff Hoffman To Be Keynote Speaker At LeadingAge Florida’s 53rd Annual Convention & Exposition 
Yesterday Jeff Hoffman rang the opening bell at the London Stock Exchange on his way to speak at an international event with Apple’s Steve Wozniak! In July he will keynote for you in Boca! Jeff is the Co-founder and a former CEO of global juggernaut Priceline.com – the company is now valued over $65B. His legendary, inquisitive mind and willingness to go outside of his comfort zone pads an internationally renowned resume as an entrepreneur and motivator. As a master problem solver Jeff has spent the last three-and-a-half years mentoring entrepreneurs around the globe. Hoffman has developed a philosophy saying it is important to create a mentality in the workplace of “I get to go to work” versus “I have to go to work.” In his keynote, Jeff will tell his stories of hard work, perseverance and vision coupled with the value of wonder and play. You won’t want to miss this author, philanthropist and serial entrepreneur who is changing the world one start-up at a time!  Follow Jeff’s journey’s on Twitter @SpeakerJeff.

Registration is OPEN for the 53rd Annual LeadingAge Florida Convention & Exposition!
Online Event to Discuss Achieving Financial Objectives
Senior living experts from Life Care Services, An LCS Company, will discuss strategies to assist executive directors and CEOs with assessing and solving operational challenges: Operational Reviews: A Collaborative Approach to Achieving Financial Objectives. Life Care Services is the nation’s largest third-party manager of not-for-profit Life Plan Communities. The webinar takes place on April 27 at 1 p.m. CDT and is free to attend.

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.
Saludos de Bobby Bernal… Hello From The Road With Value First!

I would like to thank Ty Morgan, Executive Director of Cypress Village as well as Terri Barton, CEO of Aging True Community Senior Services for their time and hospitality last week. I look forward to my trip next week where I will be in Southwest Florida beginning Monday, April 25.

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

Dr. Erwin Bodo leads a staff education session and lively discussion on Medicaid Reimbursement at the LeadingAge Florida office in Tallahassee.

What you do makes a difference & you have to decide what kind of difference you want to make. - Jane Goodall #quote #quoteoftheday #aging
There is something for everyone at the 53rd Annual LeadingAge Florida Convention & Exposition Convention.

Designed by legendary architect Addison Mizner, Boca Raton Resort & Club, A Waldorf Astoria Resort has reigned as an icon of elegance for more than 80 years. Today, the resort remains faithful to its glamorous past, while radiating a vibrant energy, offering infinite amenities to every type of guest. Situated on 356-acres in fabled South Florida, this eclectic, private village offers the best of all worlds: an award-winning spa, championship golf and tennis, expansive beach and luxury marina – all just steps from your door.

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.

The median income of older persons in 2013 was $29,327
 for males and $16,301 for females. Median money income (after adjusting for inflation) of all households headed by older people rose by 3.7% (which was statistically significant) between 2012 and 2013. Households containing families headed by persons 65+ reported a median income in 2013 of $51,486.

Source: Administration for Community Living

Jeff Hoffman Announced as LeadingAge Florida’s 53rd Annual Convention & Exposition Keynote Speaker: Global entreprenuer, Jeff Hoffman developed a philosophy saying it is important to create a mentality in the workplace of “I get to go to work” versus “I have to go to work.” In his keynote, Jeff will tell his stories of hard work, perseverance and vision coupled with the value of wonder and play. You won’t want to miss this author, philanthropist and serial entrepreneur who is changing the world one start-up at a time!

Nurse Rules and Regulations Webinar May 19:  This two-hour rules and regulations course meets the licensure renewal requirements all Florida nurses. Register today! 

Upcoming Events: We have more education workshops and webinars available throughout the year offering a variety of topics to fit the needs of your staff. Please return to our website often to see an updated list of events.

Special Open Door Forum-CMS Needs Your Input: Introduction Of The IMPACT Act
Patients, families, caregivers, advocacy groups, and others are invited to join a conference call Special Open Door Forum (SODF) hosted by The Center for Clinical Standards and Quality (CCSQ). The forum will allow participants to ask questions, gather information, and provide feedback on the introduction of the Improving Medicare Post-Acute Care Transformation Act (commonly called the IMPACT Act) and discuss standardizing the assessment of patients across post-acute care settings to improve quality of care and life. This SODF will provide important consumer information as well as background on the IMPACT Act and the IMPACT Act website. The SODF will be via conference call on Thursday, May 12, 2016 from 2:00-3:00 pm EST. Questions from participants are welcome both before and during the forum. Submit questions to PACQualityInitiative@cms.hhs.gov. The slides will be posted on the IMPACT Act Downloads & Videos webpage. Special Open Door Forum Dial-in Instructions:
          Participant Dial-In Number: 1-800 837-1935
          Conference ID #: 77707137

Letting Patients Tell Their Stories
By Dhruv Khullar, M.D.

Friday night in the emergency department is about what you’d think. It starts off slow: a middle-aged man with a middling pneumonia; an older nursing home resident with a urinary tract infection that is making her delirious. Then come two heart attacks at the same time, followed by a drunken driver with a head bleed and half his rib cage fractured. At midnight, in roll the inebriated members of a bachelorette party that has not gone, one assumes, according to plan. Amid the chaos, I break off to greet a thin, older man, quietly bundled up on a hallway stretcher. I look over his chart and prior scans. His prostate cancer has grown through several chemotherapy regimens. His spine is full of tumor and he’s been vomiting everything he eats or drinks for weeks. He can’t move the left side of his body after a recent stroke.

Extending Participation In The Bundled Payments For Care Improvement Initiative
By Dr. Patrick Conway

The Centers for Medicare & Medicaid Services is pleased to offer the awardees in the Bundled Payments for Care Improvement (BPCI) initiative the opportunity to extend their participation in Models 2, 3 and 4 through September 30, 2018. The first cohort of awardees in Models 2, 3, and 4 that began in October 2013 were scheduled to end their participation on September 30, 2016. This extension means that they, along with other organizations that joined later in 2014, have the opportunity to continue their participation in the Bundled Payments for Care Improvement initiative up until September 30, 2018. In addition, by extending their participation, CMS will be able to provide a more robust and rigorous evaluation of the initiative and determine whether the efforts of bundling payments are successful in providing better care while spending health care dollars more wisely. 

Skilled Nursing Facilities/Long-Term Care Open Door Forum
The Skilled Nursing Facilities/Long Term Care Open Door Forum has been rescheduled from Thursday, April 21, 2016 to Thursday April 28, 2016. The Skilled Nursing Facilities / Long-Term Care Open Door Forum (ODF) addresses the concerns and issues of the Medicare SNF, the Medicaid NF, and the nursing home industry generally. The types of issues that come up during this forum are often related to the Minimum Data Set, SNF Consolidated Billing, the roles and responsibilities of different SNF, NF or LTC professional staff under CMS regulations, clarifications of issues that are covered during a survey and certification process, and the many rules and requirements under which different related services can be payable. Timely announcements and clarifications regarding important rulemaking, quality program initiatives, and other related areas are also included in the forums.

Guidance From CMS On New Construction - CBS Final Regulations: Q&A Regarding Home & Community-Based Settings
The Centers for Medicare & Medicaid Services (CMS) released additional Frequently Asked Questions on implementation activities associated with the home and community-based services final regulation. Specifically, guidance is provided on how CMS will review requests to build new settings in categories that are presumed to be institutional in nature. The guidance also identifies the components of person-centered planning regulatory requirements that are in effect now and those that are part of the home and community-based settings transition period in effect through March 2019. This information is part of our ongoing effort to assist states in meeting regulatory requirements for residential and non-residential home and community-based settings.

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. You have the option to view the entire presentation (uncut) or watch it in sections.
Report: OIG To Tackle Adverse Events, Therapy Payments In Nursing Homes
By Emily Mongan

Federal regulators' investigative arm has set its sight on adverse events in nursing homes, and how Medicare pays for skilled nursing therapy, according to a report. The Office of Inspector General's 2016 Compendium of Unimplemented Recommendations outlines 25 unimplemented recommendations the office says would help cut costs and improve quality among Department of Health & Human Services programs. Many of the office's recommendations have seen some progress, but as of the publishing date, OIG believed “more should be achieved,” report authors stated.

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.