||4A CAPITAL EXPENDITURES: PLANNING WITH THE FUTURE IN MIND
Is your Organization struggling with how to budget for capital expenditures when your building is functioning properly? Are staff members questioning why you need preventative maintenance plans if you successfully fix problems as they occur? If you answered yes to either question, then this session is for you.
An Organization’s capital expenditure decisions impact both short and long-term campus plans. Improper or lack of planning for capital expenses can cause unexpected budget overruns and impact future building project plans. This session will cover the importance of capital planning, the processes for developing a capital budget/forecast and how capital planning impacts your Organization’s overall long-term plans. Audience members will have tools to take back to their Organization to assist with future capital expenditure planning. ARCH has assisted with capital planning for several senior living organizations that will be used as case studies as a part of the presentation.
Interaction with audience members will occur throughout the presentation as we ask for insight into their current processes.
- Realize why knowing the ongoing cost of managing your assets is important
- Understand how a capital expense budget/forecast is developed
- Know how capital planning relates to organizations’ long-range plans
- Frank Muraca, President, ARCH Consultants, Ltd.
- Brittany Vipham, Communications Director, ARCH Consultants, Ltd.
||4B LESSONS LEARNED, SETTLED CLAIM
This two-hour program will provide information about the clinical, documentary, and settlement aspects of a recently settled legal claim involving the death of a resident at high risk for fall-related injury. The quality deficiencies and loss exposure that they created will be reviewed and discussed, with practical recommendations for preventing the same or similar event in the future.
- Participants will be able to state the projected 2019 loss severity per skilled bed in the United States and in California specifically and at least two resolved claims over $1 million in severity between 2010 and 2017.
- Participants will be able to relate the process of a legal claim and what elements contribute to such claims in skilled nursing.
- Participants will be able to implement 12 recommendations to avoid the same or similar claim as presented during this session.
- Louise Rankin, Esq., General Counsel, HumanGood
- Kelley Woodfin R.N., BS, DFASHRM, CPHRM, President, CORE Risk Services, Inc.
|BEST PRACTICES IN PERSON-CENTERED CARE
||4C CONTINUING CARE AT HOME REVISITED – WHAT IT REALLY IS, AND IS IT RIGHT FOR YOUR ORGANIZATION
For nearly 30 years, nonprofit providers have been exploring “continuing care at home” as a means to bring the benefits of residential care facilities for the elderly (RCFEs) and continuing care retirement communities (CCRCs) to seniors in their homes. This program, also known as “life care at home” or “continuing care without walls,” can help providers enhance their charitable missions in a number of key respects. It allows providers to expand the charitable class they serve by making their services accessible to a more moderate-income population who might otherwise be precluded from living in a CCRC or RCFE. It can ease the psychological transition into a care community by helping seniors overcome their reluctance to leave their homes. It also facilitates the delivery of needed care and services to homebound elderly.
On a less altruistic note, it can also help enhance the fiscal strength of existing providers by promoting certain cost efficiencies and by helping providers establish a wait list for their CCRCs. As many members will recall, a continuing care at home (CCAH) bill was proposed in 2007.
Despite strong support by the California legislature, it was ultimately vetoed by then-Governor Arnold Schwarzenegger. This development was followed by creative workarounds by the Department of Social Services, but policy at DSS has since shifted. At the same time, some out-of-state providers that are veterans of CCAH are eager to offer this innovative program in California. In this session, we will visit this topic with fresh eyes. What was the impetus behind earlier efforts to pass CCAH legislation in California and do those conditions still hold? What were the features of the last bill and would a similar approach make sense today? How are providers in other states structuring their CCAH programs? What challenges and rewards do they face?
This highly interactive session will include a senior care attorney who has written and spoken about this topic for 28+ years and co-authored California's ill-fated CCAH bill, and a seasoned CCAH provider with deep experience creating and offering this program outside California.
- Identify the benefits of continuing care at home in today's competitive healthcare environment and survey the key obstacles to offering it in California.
- Learn about the challenges and rewards of this program from an experienced continuing care at home provider from outside California.
- Consider next steps if California is to offer continuing care at home as a viable care option to California's seniors.
- Pamela S. Kaufmann, Partner, Hanson Bridgett LLP
- Lynne Giacobbe, Executive Director and Colleen Ryan Mallon, CEO, Kenal Corp.
|4D DEMENTIA CARE: TRANSFORMING THE CULTURE OF DEMENTIA CARE THROUGH A DIFFERENT LENS
This session will provide attendees with resources, tips and techniques and best practices in dementia care from a person-directed approach attendees will be able to apply immediately in memory care and skilled nursing settings. The presenter will share best practices in techniques and how best to apply and take back to implement immediately in the community.
Attendees will understand the importance of team building and dementia care, person-directed care approaches in meeting resident/client unmet needs when experiencing emotional distress, how to eliminating loneliness, helplessness and boredom and create home for the elders served without rebuilding.
- Attendees will have a better understanding of the importance of team building and dementia care.
- Attendees will experience various team building exercises and have the opportunity to learn and implement upon return to community.
- Attendees will be provided with a variety of resources through lecture, return demonstration, role playing, and case study related to dementia care. Various resources will be shared that can be implemented immediately with successful outcomes.
- Attendees will gain a better understanding of the three plagues in a care facility, the antidotes to the plagues and have a better understanding of dealing with challenging or unwanted behaviors for those living with dementia.
Yvette Duarte, Health Services Administrator, Valle Verde - a Human Good Community
|GROWTH & MARKETING
||4E LIVES WELL LIVED
"Lives Well Lived" is an award-winning documentary film by Sky Bergman that celebrates the incredible wit and wisdom of adults 75 to 100 years old who are living their lives to the fullest. Encompassing over 3,000 years of experience, 40 people share their secrets and insights to living a meaningful life. Their intimate memories and inspiring personal histories will make you laugh, perhaps cry, but mostly inspire you.
The screening of the film (56 minutes) will be followed by a presentation encompassing the importance of capturing the stories of this generation; a tips and tricks guide for collecting stories including: interview techniques, recording the best audio, lighting, b-roll footage, and sample questions; followed by best practices for sharing the stories via social media.
This session offers a new appreciation of the past and inspires a search for roots while preparing families and organizations to collect the stories of their elders. Through the film, we have inspired an intergenerational dialogue between family members through the “shared stories” part of our website and through social media. Directly tied to Leading Age’s anti-ageism work and the vision of an “America freed from ageism,” "Lives Well Lived" is changing the perceptions of aging one story at a time.
In this session participants will learn how they can capture the images, ideas and ideals of those who are proving that aging is something to cherish. Inspiring people of every age to think about what they can do in their own lives to achieve the longevity of both health and spirit, and to realize that growing older can be a journey to be celebrated. Participants will leave the session with enough understanding to begin collecting stories and sharing them on social media. All participants will receive a handout with a list of questions to ask during an interview and a link to a “tips and tricks of interviewing” video. Whether collecting stories with an iPhone or high end video gear, everyone will learn how to make their interviews and videos an effective marketing tool. As well as marketing the good work that an aging service organization is already doing, these tools will help incorporate and share these important collected stories and can be used as part of a social media marketing campaign.
- Develop an awareness for the importance of storytelling in the lives of older adults through the lessons of resilience and inspirational stories featured in the documentary film, "Lives Well Lived."
- Learn simple tips for collecting the stories of older adults, and the power of video over still photography.
- Develop the possibilities to encourage intergenerational conversations and how best to share these stories on social media and develop a social media strategy.
Sky Bergman, Professor/Filmmaker, California Polytechnic State University
||4F ARE YOU PREPARED FOR MEDICARE PATIENT-DRIVEN PAYMENT MODEL?
July 31, 2018, CMS issued a final rule outlining the most radical change in Skilled Nursing Facility (SNF) Medicare payment since 1998. Beginning October 1, 2019, Medicare payment to SNFs will no longer be via Prospective Payment System (PPS). Instead, SNF payment will be under Patient-Driven Payment Model (PDPM). This model focuses on the patient’s condition and resulting care needs rather than on the amount of care provided in order to determine Medicare payment. Knowing how to navigate this change is critical to success under the new system.
PDPM is composed of five case-mix-adjusted payment components: Physical Therapy (PT), Occupational Therapy (OT), Speech Language Pathology (SLP), Nursing, and Non-Therapy Ancillaries Services (NTAS). Reimbursement would be based on the sum of the five component rates. We will discuss how each of these is influenced by the MDS and the manner it effects reimbursement.
CMS presents the PDPM as a simplification, but payment is going from 66 payment categories under the current PPS system to potentially 28,000 payment categories. We will help you to understand the new structure and what it means for your particular facility. We will cover the importance of documentation in supporting skilled coverage as well as providing examples of appropriate documentation. Section GG of the MDS takes on a more influential role in determining reimbursement and regulatory compliance. We will discuss how to capture data to ensure you rate the appropriate Nursing Function Score and what the interplay is between licensed nursing, nursing assistants and therapy documentation. July 31, 2019 is not far away. Let us help you prepare for this change.
- Will be able to describe Medicare Part A coverage criteria requirements under new PDPM system
- Will be able to explain the impact of MDS on compliance and reimbursement under new PDPM system
- Will understand what documentation is necessary to support Medicare A skilled services under PDPM system
- Ron Wall, Partner, Axiom Heathcare Group
- Mike Lesnick, Partner, Axiom Healthcare Group
||4G NAVIGATING THE TRANSFER/DISCHARGE PROCESS
This session will focus on the California and Federal requirements for Skilled Nursing Facility Transfers and Discharges. It will cover the requirements of the transfer/discharge process, including written notice requirements to the resident, responsible party, and ombudsman. The presenters will also address the processes developing throughout the state for handling the notification requirements. The session will also address what happens if the resident challenges a transfer or discharge, including the administrative hearing process and eviction. Participants will take away a comprehensive understanding of the transfer/discharge requirements and where to find additional guidance. This session will be presented utilizing examples with a question and answer exchange.
- Analyze Transfer/Discharge situations at the community to determine when additional assessment or paperwork is required
- Identify the requirements for written notice with respect to specific Transfer/Discharge situations
- Explain the general process for completing Transfer/Discharge requirements in common situations.
- Lori L Ferguson, Partner, Hanson Bridgett LLP
- Jillian Somers Donovan, Senior Counsel, Hanson Bridgett LLP
|WORKFORCE & LEADERSHIP DEVELOPMENT
||4H OXYGEN FOR PROFESSIONAL CAREGIVERS: PREVENTING BURNOUT, SUSTAINING COMPASSION
Stress in the workplace is common, but those on the front lines of healthcare, and anyone who witnesses human suffering on a regular basis, encounters the additional stressors of vicarious trauma and compassion fatigue. This first-hand exposure to human suffering multiplies the problem. This training program, Oxygen for Caregivers, does more than address this issue, it provides front line caregivers with the tools, skills, and momentum to withstand the stress, build resilience and improve personal well-being. It also serves as a profound gift that leaders can give to protect their teams.
- Apply three principles of resilience in one's personal and professional life, to reduce the risk of compassion fatigue, build resilience, safeguard quality of life at home and at work and sustain the capacity to provide quality care.
- Recognize the personal early warning signs of compassion fatigue, vicarious trauma and burnout and the impact in one's own life and in the lives of co-workers.
- Communicate more effectively and compassionately with colleagues about stressors in the workplace.
- Laurie Small, Executive Director, The Samarkand, a CRC Community
- Simon Fox, Executive Director, Adventures in Caring
|TECHNOLOGY & INNOVATION
||4I VOICE-FIRST FOR INDEPENDENCE AND ENGAGEMENT
The value proposition of voice assistants such as the Amazon Alexa or Google Assistant to address the needs of older adults with physical challenges were clear from the beginning. Stories on user forums and blogs of how people have been using their Amazon Echo devices to help a family member with Parkinson’s, remotely care for a loved one, or simply to access music and contribute to an older adult’s independence began to emerge soon after the Amazon Echo become commercially available.
Generally known as “Voice First” technologies, consumer-based products such as the Amazon Alexa are increasingly commonplace platforms that are inspiring imaginations. As Amazon Alexa and other Voice First technologies continue to grow and expand their presence in the marketplace, the Front Porch Center for Innovation and Wellbeing (FPCIW) believes that increased opportunities will emerge for older adults to age in place and live more independently. The enormous success of the Alexa pilot was predicated on the partnership and combined efforts of FPCIW, the Carlsbad By The Sea (CBTS) management and staff, CBTS resident technology committee, and the CBTS residents.
FPCIW believes that given the appropriate program design, community participation, and leadership involvement, Voice First solutions such as the Amazon Alexa have tremendous potential in facilitating the independence and wellbeing of older adults in senior living communities. This presentation will discuss the adoption model (for both staff and residents) which will include approaches to onboarding, training, and installation. The engagement strategies will also be shared in the form of introducing examples of the workshops and formation of “Alexa Clubs.” Participants will leave the presentation understanding how this innovative “gadget” became an essential part of the community.
- Evaluate Voice First technology and its capabilities for relevance, effectiveness and ease of use for the older adult.
- Learn of engagement and adoption strategies in introducing Voice First devices to community staff and residents.
- Discuss community-wide deployment techniques and opportunities for scaling.
- Megan Park, Field Project Coordinator and Trainer, Front Porch Center for Innovation and Wellbeing
- Bev Franco, Director of Spiritual Care Services, Casa de Manana, A Front Porch Community
|AFFORDABLE SENIOR HOUSING
||4J HUD UPDATE
Janea J. Jackson, Director, Asset Management, U.S. Department of Housing and Urban Development, Multifamily West Region