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April 30, 2016 LeadingAge Missouri News LeadingAge Missouri Board of Directors Bill’s Perspective Carla Baum Lutheran Senior Services Hello LeadingAge MO! It’s May, and from where I sit, your membership association is currently hard at work Roger Byrne Bethesda Health Group on three important initiatives: 1.) Strategic planning; 2.) Workforce education and 3.) Legislation. Let’s Brenda Buford briefly look at each. Beautiful Savior Home Anthony Columbato Strategic Direction St Mary’s Manor Chris Crouch Last weekend, the LeadingAge MO Board met to Bethesda Southgate build a blueprint for your association’s future. How to Carol DiSanza deliver policy advocacy, member education, timely Cape Albeon information, networking and valuable member services was front and center for debate. Dubbed a Paul Ewert Beth Haven Strategic “Advance” (there is no “Retreating” at LeadingAge!); the two-day planning effort was Bruce Gosser facilitated by experienced staff from LeadingAge Innova Healthcare Solutions National. Maximizing the benefits of our National Rodney McBride affiliation is a goal for LeadingAge MO. The Board John Knox Village delved into the association’s mission, vision, past Paul Ogier plans, member surveys and organizational strengths, Lutheran Senior Services limitations, opportunities and threats. While future work must refine the priorities and establish tactics, Michael Riggins Cardinal Ritter Senior Services the plan will address three strategic imperatives: Advocacy, Education and Member Services (with a Dawn Smith focus on workforce and reimbursement challenges Fulton Presbyterian Manor spanning all three). The Board intends to complete Lynne Spriggs the planning process and share its blueprint for the Chateau Girardeau future at the Annual Conference September 12-14. Melissa Steck Bishop Spencer Place Bill Bates, CEO April 30, 2016 LeadingAge Missouri Hotline – page 1 The LeadingAge Missouri Hotline is a “resource-of-resources” for aging service providers across the entire continuum of senior care. Table of Contents Click on a topic below and go directly to that page. LeadingAge Missouri News 1 Professional Development 4 What Your Association Does For You 9 Federal News 11 Health Care Reform 12 Home and Community Based Services News 12 Home Health Care News 13 Hospice News 13 Housing News 15 Information of Interest 16 Nursing Facility News 18 State News 20 Career Center 20 If you have suggested content for a future edition of the Hotline e-mail LeadingAge Missouri. If you do not want to receive future editions of the Hotline e-mail LeadingAge Missouri with your contact information so we may remove you from the distribution list. If you wish someone else in you organization to be added to the Hotline distribution list e-mail LeadingAge Missouri with their contact information so we may add them to the distribution list. The inclusion of advertising in the Hotline does not constitute an endorsement of the accuracy of the ad by LeadingAge Missouri or the products or services advertised. April 30, 2016 LeadingAge Missouri Hotline – page 2 LeadingAge Missouri News - continued Workforce Summit Our members have consistently told me their #1 challenge is: Attracting and retaining capable employees. This view is echoed in membership surveys and LeadingAge National priorities. Accordingly, your association is tackling the issue head on with a Workforce Educational Summit May 25 in St. Louis and May 26 in Kansas City. Don’t miss out! Experts will explore existing and future workforce characteristics and trends, management practices and techniques (especially for Millennials) and legal issues and requirements. Participants will gain important information and practical tools to deal with our field’s biggest challenge. Please join your colleagues for this LeadingAge Missouri educational event. With the seminar expected to fill up, you should sign up now at Workforce Summit ______________. Legislative Stretch Run With two weeks left, here are the issues we are watching and working in the Missouri General Assembly: 1.) Medicaid rates: The House and Senate completed work on a FY 2017 budget bill that increases SNF reimbursements 3.5% or approximately $16.2 million. Hospice will receive an additional $284,773and HCBS will realize the full 3% rate increase authorized in 2016 from 2017 General Revenues, an improvement over funding dependent on a tax amnesty program. The budget bill is before Governor Nixon, who must approve or veto by May 6. Expectations are that he will sign. This marks the largest LTC Medicaid reimbursement increase from state General Revenues in many years. The state fiscal year begins July 1. 2.) Certificate of Need Reform: Industry-backed legislation to impose a 3-year moratorium on LTC CONs and enable a Task Force to study and propose suitable CON reforms awaits Senate action. Bill sponsor, Senator Mike Parsons who sits on the MHFRC, is attempting to amend SB 1076 onto House-passed bills to increase passage prospects this year. Success odds are long, but much can happen in the final days and hours. 3.) APRN practice expansion: Different versions and approaches for expanding MO practice capabilities for nurse practitioners have passed or advanced in the House. However, all reforms confront strong opposition and a potential filibuster by a Doctor/Senator in the Senate. Passage prospects this year are poor. 4.) Video cameras in LTC patient/resident rooms: Three House bills would require LTC facilities to allow residents to install cameras to monitor activities in their rooms (paid for by residents & with resident-driven limitations). The bills stalled in committee (no hearing scheduled), but the bills’ sponsor attempted to amend “LTC resident camera rights” onto April 30, 2016 LeadingAge Missouri Hotline – page 3 a health care bill on the House floor. The amendment was defeated and camera legislation (similar to laws existing in other states) is dead this year. 5.) Health care decisions for incapacitated patients: In the absence of patient advance directives, House Bill 2502 would provide statutory solutions and guidance for health care providers caring for incapacitated patients when health care decisions must be made and decision authority is unclear. HB 2502 was not predicted to move, but was amended onto several Senate health care bills with clarifying language approved by LeadingAge MO and other LTC associations. The legislation is before a House/Senate conference committee where its fate is uncertain. The concept of the bill has not been debated in the Senate, so it may be dropped from the conference bill. A full legislative report, strategic planning progress updates and Workforce Summit summary will appear in future editions of Hot Line’s CEO Perspective. Yours in service, Bill Bates, CEO Professional Development The Aging Services Workforce: The Key to Our Success LeadingAge Missouri and LeadingAge Kansas are excited to partner to bring you a day of learning and networking around the topic of Workforce. It is important that we understand the components of this crisis so we can develop practices that support and attract workers who provide excellent care to seniors. This joint Summit will provide insights and opportunities for discussion about what it takes to position yourself as an employer of choice in your community. Our speakers will be: Robyn I. Stone, Dr.P.H, a noted researcher and internationally recognized authority on long-term care and aging policy, is Sr. VP for Research at LeadingAge and Executive Director of the LeadingAge Center for Applied Research. She has held senior research and policy positions in both the U.S. government and the private sector. She was a political appointee in the Clinton Administration, serving in the U.S. Department of Health and Human Services as Deputy Assistant Secretary for Disability, Aging and Long-term Care Policy and Assistant Secretary for Aging. Dr. Stone is a fellow of the Gerontological Society of America and the National Academy of Social Insurance. She was elected to the National Academy of Medicine (formerly the Institute of Medicine) in 2014. Robyn Stone explains the pivotal role workforce plays in our aging services system and why providers need to focus priority attention on recruiting and retaining staff across all April 30, 2016 LeadingAge Missouri Hotline – page 4 professions and segments of our continuum. The discussion then turns to a summary of the findings from a range of studies conducted by Center for Applied Research and partners including: The importance of consistent assignment in nursing homes and home care The value of competency-based training for frontline staff, the need for cross training across settings The significance of leadership and good management skills among supervisors and mid-level managers Robyn will also discuss how LeadingAge, at the national level, is addressing these issues, with an emphasis on partnerships through the ElderCare Workforce Alliance and our state affiliates. Cara Silletto, MBA, is the founder & President Crescendo Strategies. Cara started her career in long-term care and is now the president of Crescendo Strategies, a firm committed to reducing unnecessary employee turnover for clients across the country. Cara is the voice of the new workforce and currently sits in a unique sweet spot for her specialty of bridging generational gaps. She is an early Millennial herself, born in 1981, yet she is equipped with a Master’s in Business and 13 years of experience learning the unwritten expectations of older managers and business owners on her own. She was recently named a “Game Changer” by Workforce magazine in Chicago, and is the co- author of “What’s Next in HR.” Cara will share insights on: The shifting demographics of the workforce Employee's evolving expectations Strategies for improving staffing stability and reducing unnecessary employee turnover. She will also delve into the mindset of Millennial workers, those under 35, to explain exactly why they work and think so differently than previous generations. Steve M. Cohen, Ed.D., CMC is President/Partner of Labor Management Advisory Group, Inc., HR Solutions: On-Call, and Gender Policy Alliance, all based in Kansas City, MO.