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Volume 23 Issue 16 - April 6, 2016

VIDEO: Alzheimer's: An Insidious Disease— Dr. Alexander “Sandy” Halperin Honored With The 2016 Proxmire Award
The Great Minds Gala recognizes LeadingAge members and individuals for positively impacting the support of those with Alzheimer’s disease and their care partners. The gala is a fundraising event held in conjunction with the spring PEAK Leadership Summit.

“This insidious disease has declared war on our minds.”

A powerful, sobering statement spoken by Dr. Alexander “Sandy” Halperin at the LeadingAge Integrace Great Minds Gala, where he was honored with the 2016 Senator William and Ellen Proxmire Award. This award recognizes national figures who have demonstrated leadership and positively impacted public awareness around Alzheimer’s disease and dementia. Dr. Sanjay Gupta, CNN Senior Medical Correspondent, was a co-awardee. An outspoken advocate for Alzheimer’s research, Sandy knows first-hand the devastation this war inflicts on people with dementia and their families.
Join With Us In The Dementia Care & Cure Initiative (With VIDEO)
By Samuel P. Verghese, Secretary, Florida Department of Elder Affairs

The State of Florida currently has more than a half million people living with Alzheimer’s Disease, second to only California in the United States. Sunshine State numbers are expected to rise to more than 700,000 in the next 10 years – and that number does not even take into account other forms of dementia.

In August, I announced a new DOEA initiative designed to engage everyone in Florida – not just the scientists and doctors actively researching a cure but every Floridian – in combatting the devastating effects of Alzheimer’s disease and related dementias.

VIDEO: Dementia Care & Cure Initiative
The “Dementia Care and Cure Initiative” will create entire Dementia Caring Communities across the state that are more dementia friendly. On Thursday, April 7, 2016, the Florida Department of Elder Affairs announced Tallahasee/Leon County as the first Dementia Caring Community in Florida. In conjunction with Leon County Government and the City of Tallahassee we focus on what makes our community so special for seniors and how we will build on our successes. Click here to view video from the Press Conference.

It is a great privilege this week to write to you about one of our founding member communities.

I traveled to St. Petersburg this week to attend the Association of Jewish Aging Services Annual Conference. As part of Tuesday’s schedule, AJAS held its Annual Meeting and distributed awards. I was honored to be in attendance to see River Garden Hebrew Home CEO Marty Goetz named as the recipient of the Dr. Herbert Shore Award of Honor, the association's most prestigious award.

Congratulations Marty!

In other news, with over 500 in attendance, River Garden Hebrew Home celebrated its 70th year with a wonderful Anniversary Day festival. River Garden is a 7-time recipient of the Governor’s Gold Seal Award, a 5-star rated community by AHCA (Agency for Health Care Administration) and CMS and a recipient of US News & World Report’s “Best Nursing Homes” designation in 2013, 2014 and 2015. This marks another in a long line of important milestones for one of Northeast Florida’s most respected not-for-profit community agencies!

Congratulations to River Garden on these wonderful accomplishments!

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.

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.

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, 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

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

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

30 - Educational Series (1 Meeting, 4 Locations) Why Everyone Should Care About Managed Care
River Garden Senior Services Celebrates 70 Years Of Providing Exceptional Senior Care
Fun, laughter and lots of activity best describe the day. River Garden Hebrew Home celebrated its 70th year with a wonderful Anniversary Day festival. A little afternoon rain couldn’t dampen the joy and enthusiasm, as more than 500 members of the community, ranging in age from infants to seniors, gathered on the River Garden campus to join in the celebration. The day’s festivities included a barbeque, pony rides, face painting and clowns, balloon artistry, games, and a bounce house. Many also attended the annual meeting of River Garden Senior Services, held in the Cohen Auditorium.
“WHEN should I call Connie?” If you have a REGULATORY question, If you have a SURVEY question, If you have a POC questions, or If you have a QAPI question!
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 members improve regulatory compliance and clinical outcomes and to offer suggestions about survey results and corrective plans of action.
Bill Paves Way For New Assisted Living Construction In Florida
By Kourtney Liepelt

Last year, the Florida Legislature passed a bill that served as a model for increasing oversight and accountability without unduly burdening assisted living providers. Now, the state again passed a stage-setting measure to uniformly update fire safety codes in assisted living communities, allowing for modernization in new construction. The legislation, sponsored by Sen. John Legg (R-Lutz) and Rep. Shawn
 Harrison (R-Tampa), goes into effect July 1 and replaces a 22-year-old code with language that allows newer codes to be adopted down the line. It also ensures that already-built assisted living buildings or projects issued a construction permit before that date can remain under the governance of the Life Safety Codes of 1994 and 1995.
Living The Life You Love: Premier Retirement Community Is Where Residents Continue Favorite Pursuits, & Find New Ones
Carole Flagg lives in a light-filled apartment on the top floor of St. Joseph’s John Knox. The spare bedroom is her art studio, where she paints colorful landscapes and portraits of flowers. A professionally trained artist, Carole has exhibited her work in art galleries and community centers for years. Before moving into John Knox 14 years ago, she decided she would never give up her passion for creating art. “I promised myself that I wouldn’t stop,” confides Carole. It’s easy to see she kept that promise. Her artwork fills the walls of her home, and she’s now putting together more than two dozen of her paintings for an art exhibit at a local library.

Important Information Shared During Fair Housing Webinar
LeadingAge Florida members had an opportunity to participate in a March 22, 2016 webinar on Fair Housing. The two speakers, Matthew J. Murer and Jason Lundy with the law firm of Polsinelli PC, handle cases alleging violation of the Fair Housing Act and the Americans with Disability Act.

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.

River Garden CEO Marty Goetz Receives Dr. Herbert Shore Award Of Honor
The Association of Jewish Aging Services 2016 Annual Conference was hosted at The Vinoy Renaissance Resort & Golf Club, in St. Petersburg, Florida, on April 3 - 6, 2016. As part of the AJAS Annual Conference festivities, River Garden Hebrew Home CEO Marty Goetz was honored with the Dr. Herbert Shore Award of Honor, the association's most prestigious award.
FHFC Rule Development Workshop
On April 19, 2016, at 2 PM, the Florida Housing Finance Corporation will hold a workshop to discuss proposed revisions to the following rules:
     • 67-21 F.A.C. – Non-Competitive Affordable Multifamily Rental Housing Programs (Multifamily Mortgage Revenue Bonds / Housing Credits)
     • 67-48 F.A.C. – Competitive Affordable Multifamily Rental Housing Programs (SAIL / HOME / Housing Credits / Elderly Housing Community Loan)
     • 67-60 F.A.C. – Multifamily Competitive Solicitation Funding Process

Florida Medicaid Health Care Alert: Webinar
Sign up for an informative one hour webinar demonstration of the many resources available to providers on FloridaHealthfinder.gov. A brief Q&A will follow the presentation. Please register for FloridaHealthFinder.gov Webinar on Friday, April 8, 2016 at 10:00 a.m. ET.
Hand Hygiene: Why, When, & With What
By: A.C. Burke, MA, CIC

Quality patient/resident care includes excellence in hand hygiene as a primary form of defense against infection spread to patients/residents as well as staff and those they come in contact.  CMS has focused their attention on infection prevention and the skills of those professionals responsible to identify, track, and trend to protect their facility patients/residents as well as staff and visitors. 
National Partnership To Improve Dementia Care & QAPI Call - Registration Open
This call focuses on infection control, highlighting Antibiotic Stewardship and community-wide efforts, including a presentation from a nursing home administrator. Common concerns related to the clash between individualized, person-centered care and the medical model of controlling infections will also be addressed. This is critical for residents with dementia, who often struggle to complete complex tasks and may have issues with continence. Additionally, CMS subject matter experts will share information about the upcoming Infection Control Pilot Project, as well as updates on the progress of the National Partnership to Improve Dementia Care in Nursing Homes and Quality Assurance and Performance Improvement (QAPI). A question and answer session will follow the presentations. Continuing education credit may be awarded for participation in certain MLN Connects Calls. Visit the Continuing Education Credit Information webpage to learn more.

Managed Care Will Hit SNFs Relying On Part A Payments
By Elizabeth Leis Newman

Skilled nursing providers should be prepared for managed care to drill down on Medicare Part A residents, creating the potential for major financial problems, a long-term care expert warned on Tuesday. Managed care experts “don't see what value we add to the equation — you need to prove it,” said Jill M. Krueger, the president and CEO of Symbria in Warrenville, IL, during a session at the LeadingAge Illinois annual meeting. “The pendulum is going to swing and they'll drill down on Medicare rates. Then you'll show the data and it will swing back, but there will be a 3-year period where you need money in your piggy banks as money from Part A moves to managed care.”  In states where there is more managed care, the length of stay is as low as 14 days, said Krueger, speaking at a session titled “Contracting with ACOs and Other Multi-Provider Arrangements” with attorney and McKnight's Ask the Legal Expert columnist John Durso, 
A National Overview Of Life Plan Communities
There are currently 1,954 CCRC/Life Plan Communities nationally. We have received a number of inquiries about this group of communities so we elected to do an update on the national landscape of Life Plan Communities. First, it is important to clarify the Ziegler-adopted definition for a Life Plan Community. The communities in this listing have at least independent living and skilled nursing care on the same campus. While many have these two, plus assisted living and memory care, that is not necessary to meet our definition of a Life Plan Community. Additionally, these communities may be either an entry-fee community or a rental community, or some combination thereof. Additionally, a very small percentage of Life Plan Communities offer an equity-based option. As has consistently been the case, the majority of Life Plan Communities are sponsored by not-for-profit organizations, with 79.1% of the 1,954 representing not-for-profits. Among the not-for-profit providers, roughly 65% are sponsored by a faith-based organization. The Lutheran, Methodist and Presbyterian-sponsored communities represent the most common faith-based Life Plan Communities.
Don’t miss the LeadingAge Florida and Ziegler Finance & Strategic Planning Workshop May 19, 2016, at Inn on the Pond in Clearwater.
Department Of Justice Launches Nursing Home Task Forces
By Emily Mongan

The Department of Justice announced plans Wednesday to create 10 regional task forces that will target nursing homes that provide “grossly substandard” care. The task forces, launched as part of the DOJ's Elder Justice Initiative, will include members from U.S. Attorney's offices, state Medicaid Fraud Control Units, state and local prosecutors' offices, the Department of Health and Human Services, state Adult Protective Services agencies, long-term care ombudsman programs and law enforcement. The groups will “bring everyone to the table” to share information and concerns about under-performing or fraudulent nursing homes, and resolve them in a “coordinated and timely manner,” said Principal Deputy Assistant Attorney General Benjamin C. Mizer, head of the Justice Department's Civil Division. DOJ authorities did not indicate when the task forces would be up and running.  Citing recent data from the Centers for Medicare & Medicaid Services that shows a decrease in nursing home deficiencies, American Health Care Association President and CEO Mark Parkinson said the task forces paint the wrong picture of the long-term care industry.
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.

Saludos de Bobby Bernal…
I want to thank the following communities and individuals for their time this past week.

Cedar Oaks Apartment        Lisa Crane Xanders
Burlington Tower                 Mary Lou Barr
Village on the Green           Gail Wattley and Doug Fleegle
Waterman Village                Heardley Murdock and Betty Acosta
Bishop’s Glen                     Perry Weiker
Silver Lakes Village            Maria Perez and Guadalupe

And I want to thank Trish Korsgren, Director of Business Development for ValueFirst, who came down from Minnesota to join me in visiting with our members. We truly appreciate all the support , assistance and expertise that Trish and the entire staff at ValueFirst provide us. We did take a slight detour after our meeting with Mr. Weiker in Holly Hill to take Trish on a ride on Daytona Beach, a new experience for her.

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.

See you on the road
Urge Congress to Support Tech
A new report from the President’s Council of Advisors on Science and Technology (PCAST) raises the very real possibility that technology-related issues important to LeadingAge and CAST may be gaining significant traction at the federal level. But we need your help to ensure that the PCAST recommendations are actually incorporated into real action on both the administration and congressional levels. PCAST is an advisory group of scientists and engineers appointed by President Barack Obama to make policy recommendations related to technology and science. The group’s report, which was released this month, maintains that internet access and technologies like remote monitoring and telehealth could help older adults face many of the challenges associated with aging.

We've got a staff full of Baseball fans. Group lunch with hot dogs, apple pies, chips, and drinks from Dog Et Al.
Celebrating MLB Opening Day. Root, root, rooting for San Francisco Giants, Miami Marlins, New York Mets, Pittsburgh Pirates, Cincinnati Reds, Boston Red Sox, Kansas City Royals, & New York Yankees.

Puff, the magic dragon lived by the sea/ And frolicked in the autumn mist in a land called Honah Lee
Peter Yarrow of Peter, Paul and Mary kicked off the Association of Jewish Aging Services annual conference in Saint Petersburg, Florida with a touching message about togetherness and social justice. Attendees joined him on stage for a group rendition of Puff, the Magic Dragon.

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

Choose the perfect room in one of five locations at the luxurious Boca Raton Resort & Club and Boca Beach Club. Every room presents timeless sophistication, style and design. Enjoy views of the water and marina at the Yacht Club. Savor being near the pool at the Tower or the Pool Oasis located at Boca Beach Club. Enjoy peaceful accommodations in the centrally located Cloister or in the Bungalows at the edge of the historic resort golf course.

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.

It’s a scary and depressing image of aging: If you are sick or poor and over 65, it’s your own fault because you didn’t do the right things when you were younger. This is a commonly held view of old age in the United States, and the nation’s leading aging organizations are now on a fierce mission to change it through a project known as Reframing Aging. If they fail, they fear, political support in Washington and across the nation will erode for federal spending on Social Security, Medicare, senior centers, meals on wheels and other programs for the 14 percent of Americans who are 65 and older (a number expected to rise to 21 percent by 2040).
Source: NextAvenue
Recap of AHCA Long-Term Care Joint Training: The Agency for Health Care Administration hosted the Annual Long-Term Care Joint Training in Tallahassee with simultaneous broadcast to four other locations in the state. Information will also be posted on AHCA’s website soon. The training very closely followed this PowerPoint presentation so if you did not attend I would encourage you to review the attached information.

Professional Development and Upcoming Education: LeadingAge Florida Upcoming Events

Background Screening Requirements: The Agency for Health Care Administration recently distributed an alert regarding background screening requirements for employees. As you all are aware over the past several years the Agency has been providing information regarding the Background Screening requirements. One of the requirements is to ensure all employees are listed on the facility Employee Roster, I have attached PowerPoint slides that specifically explains the requirements and process for adding employees to the Employee Roster.

HUD Multifamily Programs Become More Attractrive As Reductions Set To Go Into Effect: LeadingAge Florida would like to provide you the following update on behalf of Ziegler.  On January 28th 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. This applies to a wide range of assets including Section 8 subsidized affordable housing projects sponsored by not-for-profit entities.

For Some, Leaving Workforce Continues Years After Retiring
By Adam Allington

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.

Federal Policy Guidance
The Centers for Medicare & Medicaid Services (CMS) issued a letter to states providing guidance concerning the enhanced federal match rate, and other federal match rates, for various activities related to Medicaid Information Technology (IT) in both Medicaid Management Information Systems (MMIS) and Medicaid Eligibility and Enrollment (E&E) Systems, including the use of Commercial Off-the-Shelf (COTS) software. This guidance is set out in the letter itself and the appendices, which include answers to frequently asked questions, and is the first in a series of forthcoming sub-regulatory guidance related to the publication of the 90/10 final rule issued on December 4, 2015.

World’s Older Population Grows Dramatically
The world’s older population continues to grow at an unprecedented rate. Today, 8.5 percent of people worldwide (617 million) are aged 65 and over. According to a new report, “An Aging World: 2015 (link is external),” this percentage is projected to jump to nearly 17 percent of the world’s population by 2050 (1.6 billion).

HUD Multifamily Programs Become More Attractive As Generous MIP Reducations Set To Go Into Effect
On January 28th 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. 

Skilled Nursing Facility Value-Based Purchasing Program
The Centers for Medicare & Medicaid Services Skilled Nursing Facility (SNF) Value-Based Purchasing Program will begin in FY 2019. Visit the updated SNF VBP webpage for information on:
     • Laws and regulations
     • Technical Measure Specifications
     • Quarterly Reporting Feedback Cycle
     • Upcoming calls and events
     • Resources for SNFs

Upcoming calls:
     • April 14: Rural Health Open Door Forum
     • April 21: Skilled Nursing Facilities/Long-Term Care Open Door Forum

CMS Finalized 2017 Payment & Policy Updates For Medicar Health & Drug Plans
The Centers for Medicare & Medicaid Services (CMS) today released the final Medicare Advantage and Part D Prescription Drug Program changes for 2017 that seek to provide stable payments to plans, and make improvements to the program for plans that provide high quality care to the most vulnerable enrollees.  "We continue to strengthen Medicare Advantage and Medicare Part D, in particular for enrollees who need additional investments in their health, such as dually Medicare-Medicaid eligible individuals and those with complex socioeconomic needs," said Acting Administrator Andy Slavitt. "With these policies, we will continue to see improvements in growth, affordability, benefits, and quality for millions of seniors and people living with disabilities."
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.