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The Latest Wrinkle January 5, 2018
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Looking Ahead to 2018

Another year is now behind us, but it seems that post-acute and long term services and supports services have still yet to stabilize and are not likely to do so in the near future. As we envision the senior care industry in 2025, we see the senior population over age 65 peak to 63.9 million in the US (from 46.8 million in 2015) with a growth rate that is largest for persons between ages 75 and 84. Those demographics alone will cause a large increase in Medicare spending since increases in the number and severity of co-morbid conditions markedly rise in this age group, along with high costs for end of life care.

With that demographic shift, Medicare and Medicaid expenditures are expected to increase at annual rates of 7.4% and 5.9% respectively. Many providers across the senior care continuum are currently struggling with occupancy (national average occupancy fell to a five year low of 81.6% during the third quarter of 2017), and are attempting to hold out until the demographics peak. But is that really enough to ensure that providers will still be able to serve our seniors well? Will the best providers survive – or will only the low cost providers survive? We have been watching the slow loss of market share for the not-for-profit providers over the past several years. What visions and opportunities lay on the horizon?

As LeadingAge Michigan looks toward its 50th Anniversary, we reflect on the course of the senior care industry in Michigan and what the role of the mission-based provider may be in the future. Challenges continue as we look toward an entire new Michigan state administration and new legislators with the Fall 2018 elections. This year we hope to bring our members together to revisit our mission and goals; it may well be a test to our commitment to serve.

Please join us in that conversation.


Each New Year brings with it new pieces of legislation to be introduced, some that carry over and need to be watched, and others that need to be followed up on. LeadingAge Michigan is very active in this space and is happy to provide you with the following updates:

Medicare Therapy Caps:

Congress failed to extend the exceptions process before the end of calendar 2017. Medicare beneficiaries now are subject to the annual per-beneficiary caps on outpatient therapy. This year the caps are $2,010 for physical and speech combined and another $2,010 for occupational therapy.

In November, the House Ways and Means Committee announced a bipartisan agreement that included making the therapy caps exceptions process permanent and extending the rural home health add-on for another five years.

However, the committee indicated that these and other “extenders” must be budget-neutral and must therefore contain offsetting spending cuts. Reimbursement reductions for skilled nursing facilities and home health care providers are on the list. Our advocacy will include the idea that we already have sacrificed as Medicare payments continue to be reduced by 2% sequestration.

Medicare Observation Days Legislation:

The Improving Access to Medicare Coverage Act. (H.R. 1421)

The legislation would resolve the observation days issue by requiring that all time Medicare beneficiaries spend in a hospital should count toward the three-day stay requirement for coverage of any subsequent post-acute care. LeadingAge is in support of the legislation.

Home and Community-Based Services Legislation:

The Community Based Independence for Seniors Act. (S. 309)

The legislation would establish a community-based special needs plan that would give low-income Medicare beneficiaries coverage for home and community-based services.

The Home Health Planning Improvement Act (S. 445)
The bill would facilitate Medicare beneficiaries’ access to home health care by allowing physician assistants, nurse practitioners, clinical nurse specialists, and certified nurse midwives to order home health services. These health care professionals are playing increasingly important roles in the delivery of health care, particularly in rural and underserved areas.

The Rural Home Health Extension and Regulatory Relief Act, (H.R. 3992)
H.R. 3992 extends Medicare payments add-on for home health care providers and delays a Medicare payment change that would have serious consequences for home health care providers around the country.


The Chronic Care Act (S. 870)

Bipartisan legislation to improve Medicare coverage of services people living with chronic health conditions need, the CHRONIC Care Act would authorize payment for telehealth for accountable care organizations and includes “home” in the definition of “originating site”. In addition, the bill calls for a GAO study to determine how barriers could be removed to enable health and long-term care providers to make effective use of technology for care planning, coordination and documentation.

The CONNECT for Health Act (S.1016)

This is a bipartisan bill to allow Medicare reimbursement for telehealth in a variety of settings and for a variety of conditions, including accountable care organizations and bundled health payments.

Telehealth Innovation and Improvement Act: (S.787)
Legislation allowing CMS to test the use of telehealth and other technologies in improving care for Medicare beneficiaries with certain defined conditions in conjunction with existing evaluations of accountable care organizations, bundled payment models and coordinated care models.

CMS Relaxes Financial Penalties Against Nursing Homes

According to an article published by Kaiser Health News on December 31, 2017, the Centers for Medicare and Medicaid Services (CMS) will reverse guidelines put in place under the Obama administration that resulted in stiff monetary penalties for nursing homes that harm residents. The argument for making this change was that regulators excessively focused on penalties instead of performance improvement. The Director of Clinical Standards and Quality at CMS indicated that the change was made because too much focus was on complying with regulations rather than on providing time and care with residents. LeadingAge joined other national long-term care trade organizations in advocating for these changes to protect members from excessive regulations that take away from bedside care.

Across the Continuum

A&D Home Care Receives NCQA Accreditation

A&D Home Health Care Incorporated, Waiver Division received notice on December 21, 2017 from the National Committee for Quality Assurance (NCQA) that it achieved accreditation for case management of long term services and supports. A&D is based in the Saginaw-Bay City area has been a MI Choice waiver agency since 1999. A&D has been a leader in innovative home and community service programs over the years and also operates the Great Lakes PACE program.

With this announcement from A&D, all six of LeadingAge Michigan’s Home and Community Service Network members now hold accreditation from NCQA. Congratulations to all of the Michigan Home and Community Service Network members of LeadingAge Michigan on this outstanding accomplishment.

CMS Releases S&C Memo Related to Texting Patient Information

On December 28, 2017, CMS released S&C Memo 18-10-ALL. This Memo informs all health care providers of CMS' stance on texting of patient information. As noted in the Memo, CMS states the following:

  • Texting patient information among members of the health care team is permissible if accomplished through a secure platform.
  • Texting of patient orders is prohibited regardless of the platform utilized.

2018 Member Awards - Nominate Your Peers!

The LeadingAge Michigan Annual Awards honor those who embody excellence in leadership, care, and service innovation, and who have made outstanding contributions to their organizations and the field of aging services. The Awards celebrate stories of employees, volunteers, residents and programs that have made a significant difference in the lives of others.

Please take the time to acknowledge and reward an individual, group, or an innovative program that has contributed to the success of your organization and senior care services.

You may submit as many nominations as you deem appropriate (one per nominee, though). You are welcome to re-send a submission for a nominee who was not selected for an award in previous years. Nominations are due Friday, January 19, 2018. You will be notified whether or not your nominees were selected to receive an award via email by late February. Nominees not selected for an award will receive a Certificate of Merit in recognition of their distinct achievements. Certificates will be mailed by the end of April.

Award Recipients will be recognized during a special 50th Anniversary Awards Gala at the 2018 Annual Conference scheduled for May 20 - 23 at Suburban Collection Showplace in Novi, MI. The taping of the interviews for the awards video will be scheduled for March.

View the award categories and submit a nomination here.

For questions contact us at or call 517.323.3687.

Home and Community Based Services

OASIS-C2 2018 Guidance Manual Effective January 1

The Centers for Medicare and Medicaid Services (CMS) has updated the OASIS-C2 Guidance Manual, effective January 1, 2018, for Certified Home Health Agencies (CHHAs) and Long-Term Home Health Care Programs (LTHHCPs). The manual changes largely focus on the One Clinician Rule and were developed based on feedback from home health stakeholders, and to better align with assessment practices in other post-acute care settings.

While one clinician must take responsibility for accurate completion of the comprehensive assessment, collaboration with the patient, caregiver, physician, or other health care personnel will be permitted effective January 1, 2018. The assessing clinician is responsible for considering available input from these sources and selecting the appropriate responses consistent with CMS data collection guidelines. For items requiring patient assessment, providers must have direct contact with the patient. Further, when collaborating, professionals and staff must establish policies to ensure appropriate assessment and documentation. Agencies may continue to limit the OASIS to only data directly assessed and collected by the single assessing clinician if they wish.

Click here for the OASIS Guidance Manual, CMS' August 2017 Question and Answer, OASIS Data Sets, and additional documents.

Skilled Nursing

CMS Updates SNF Consolidated Billing Exclusions

The Centers for Medicare & Medicaid Systems (CMS) has released an updated description of the policy on services excluded from consolidated billing.

Under the Medicare Payment System for Skilled Nursing Facilities, the daily RUG rate paid for residents is generally an all-inclusive rate that covers nursing, therapy, and other ancillary services such as medical equipment and prescription drugs. However, there are exceptions to this policy, known as consolidated billing.

Services excluded from consolidated billing can be provided and billed directly to Medicare by a provider other than the Skilled Nursing Facility. The full list of procedure codes that are not part of consolidated billing can be found here.

One change this year has to do with kidney dialysis services. Under previous practice, Medicare recipients with End-Stage Renal Disease were not subject to consolidated billing, so if they were on a Part A stay the service could be provided by an outpatient dialysis center and billed directly to Medicare. That policy has now been extended to recipients with acute kidney failure, making it easier for Skilled Nursing Facilities to accept those clients for Part A stays since their dialysis services will now be paid separately to the provider of that service.

Health Care Associated Infections in SNFs

As CMS continues its National Action Plan to Prevent Health Care Associated Infections – in skilled nursing facilities and all health care settings as well, Kaiser Health News in December reported an analysis of federal inspection records for infection control. Nursing home surveyors categorized 161 citations for infection control as serious of the 12,056 facilities that received such citations.

Over a four year review period, 74% of facilities had been cited for lapses in infection control and repeat citations were common but disciplinary action such as fines were rare. The report notes that infections are often avoidable and are the cause of about 25% of medical injuries that Medicare beneficiaries may experience while in a nursing home. Additionally, health care associated infections may result in as many as 380,000 deaths annually.

With increases in patient vulnerability and the number of multiple drug resistant organisms, along with surveys focused on infection control, members may want to review their current programs. In Michigan, over a four year period, 414 facilities were cited for infection control – 91% of facilities had been cited making Michigan the sixth most cited state in the nation.

CMS Launches New Initiative on Involuntary Discharges

The Centers for Medicare and Medicaid Services (CMS) has launched a new initiative aimed at examining the issue of facility-initiated discharges that violate federal regulations. According to CMS, facility-initiated discharges continue to be one of the most frequent complaints made to State Long Term Care Ombudsman Programs. In FY 2015, "discharge/eviction" was the most frequent nursing facility complaint category processed by the Long Term Care Ombudsman Programs nationally.

CMS notes that discharges that violate federal regulations are of great concern because in some cases they can be unsafe and/or traumatic for residents and their families. These discharges may result in residents being uprooted from familiar settings, termination of relationships with staff and other residents, and residents even being relocated long distances away, resulting in isolation and fewer visits from family and friends. In some cases, residents have become homeless or remain in hospitals for months.

As part of the initiative, CMS is evaluating facility-initiated discharge issues in nursing homes and considering a variety of interventions, including surveyor and provider training; intake and triage training; civil money penalty (CMP)-funded projects that may help prevent facility-initiated discharges that violate federal regulations; and enforcement. CMS is encouraging states to consider CMP reinvestment proposals that utilize funds to prevent improper facility-initiated discharges.

As part of the effort to fully address facility-initiated discharges that violate federal regulations, CMS will review deficiencies precipitated by facility-initiated discharges. Unless directed otherwise by the CMS Regional Office (CMS RO), state survey agencies must transfer any case involving facility-initiated discharge violations to the CMS RO for review where there is placement in a questionable or unsafe setting, where residents remain hospitalized, where there is a facility pattern, or other circumstances that the RO may identify of cases they would like transferred. This does not change any other enforcement policies that identify cases that must be transferred to the RO. Following review, the ROs may take enforcement action if they deem it proper.

Long Term Care Survey Process

On November 27, 2017, the Centers for Medicare and Medicaid Services (CMS) implemented a new Long Term Care Survey Process (LTCSP). This process is a resident-centered, outcome-oriented inspection that relies on a case-mix stratified sample of residents to gather information about a facility’s compliance with participation requirements. Residents with complaints or facility-reported incidents (FRI) can be identified offsite and up to five (across the survey team) may be included in the initial pool for review. Please note that once on site, if a team has more than five residents with complaints or FRIs to be included with the Standard survey, those residents would be in addition to the initial pool and sample size. In these cases, providers should expect either the size of the survey team to be increased or the duration of the survey to be lengthened.

The Director for the Federal Survey and Certification Section with the Bureau of Community and Health Services has communicated that revisits for standard and abbreviated surveys will be conducted via the traditional survey process for now. Apparently, the new computerized system has glitches that need to be fixed before incorporating revisit and abbreviated surveys into the new process. LeadingAge will be providing a more in-depth presentation on what can be expected from the new LTCSP process at the SNF Regulatory Day scheduled for March 27, 2018, so, please mark your calendar. More details on this day will follow.

New FTAG 693 - Monitoring the Feeding Tube

Checking for placement of a nasogastric or gastrostomy tube prior to medication or feeding administration is standard of practice. But, did you know that auscultation is no longer recommended for checking placement of the feeding tube? Movement of air would likely be heard whether the tube was in the correct or incorrect location.

The CMS Interpretive Guidance provides the following methods to verify that the tube is functioning before beginning a feeding and before administering medications:

  • Checking gastric residual volume (GRV)
    • Not recommended for individuals who are alert and able to report symptoms that indicate a feeding is not well tolerated.

    • May be appropriate when initiating tube feedings or for individuals who are unable to report symptoms such as bloating, nausea, or abdominal pain.

    • Actions to take based upon the amount of GRV vary depending on the individual and the clinical condition.

    • pH of GRV may indicate correct placement, i.e., pH < 5 generally indicates gastric contents versus intestinal contents but medications and feeding formulas can alter pH levels.

    • Changes in GRV appearance may also be helpful in confirming placement but should not be used in isolation.
  • Observing changes in external length of tubing may indicate a change in position but can only be used if the exit site was marked upon initial placement; this method does not apply to low profile G tubes (tube that sits at skin level).

X-ray confirmation is the most accurate method for verification of tube placement when concerns arise regarding dislodgement or placement. Additional information regarding monitoring of feeding tubes may be found here.

Fire Door Inspection and Testing

Full compliance with the annual fire door assembly inspection and testing requirement for nursing homes was expected by January 1, 2018. Initially, inspection and testing was due by July 6, 2017, but CMS extended the deadline to January 1 in Survey and Certification Letter No. S&C 17-38-LSC.

Annual inspection and testing in accordance with the 2010 NFPA 80 is required by Life Safety Code (LSC) section for all fire door assemblies. Non-rated doors are not subject to the NFPA 80 requirement, but CMS indicates they should be routinely inspected as part of the facility maintenance program, as all required life safety features and systems must be maintained in proper working order.

Chapter 5 of NFPA 80 specifies elements that must be verified:

  • Is the door and frame free from holes and breaks in all surfaces?
  • Are all the glazing, vision light frames and glazing beads intact and securely fastened?
  • Are the doors, hinges, frame, hardware and threshold secure, aligned and in working order with no visible signs of damage?
  • Are there any missing or broken parts?
  • Is the clearance from the door edge to the frame no more than 1/8 inch? Is the door undercut no more than ¾ inch?
  • Is the self-closing device operational? Does the active door leaf completely close when operated from the full open position?
  • Does the inactive leaf close before the active leaf when a coordinator is used?
  • Does the latching hardware operate and secure the door in the closed position?
  • Is the door assembly free from auxiliary hardware items which could interfere with its operation?
  • Has the door been modified since it was originally installed (voiding the label)?
  • If gasketing and edge seals are installed, have they been verified for integrity and operation?

The LSC surveyor will evaluate provider inspectors in terms of their knowledge of the code and their understanding of the intent of the requirement. Members should consider practicing with their inspectors by asking them to demonstrate how they have visually inspected the doors and hardware/latches to ensure they function (open/close) as designed. And, of course, document the inspection.

Four New LSC Tags in Top 15

Last year, CMS adopted by regulation the National Fire Protection Association's (NFPA) 2012 edition of the Life Safety Code (LSC) as well as provisions of the NFPA's 2012 edition of the Health Care Facilities Code (HCFC). Although the final rule was effective July 5, 2016, CMS did not begin surveying for compliance with the 2012 codes until November 1, 2016. Comparing data available through September of this year to last years' data, four K-Tags are new to the top 15 Life Safety Code deficiencies.

  • K920: Electrical Equipment - Power Cords and Extension Cords. According to the CMS crosswalk, K920 had no previous K-TAG. This K-TAG is now the number 8 most cited deficiency.
  • K918: Electrical Systems - Essential Electric System Maintenance and Testing. Although the CMS crosswalk states K918 had no previous K-TAG, generator information was previously written in K144. Even so, this K-TAG is currently the number 9 most cited deficiency.
  • K211: Means of Egress - General. At number 12, this K-TAG addresses the regulations for aisles, passageways, corridors and exits, According to S&C Letter 17-38, deficiencies associated with the annual inspection and testing of fire doors should be cited under K211 also. Remember, full compliance with the annual fire door assembly inspection and testing was required by January 1, 2018.
  • K291: Means of Egress - Emergency Lighting. At number 15, K291 addresses emergency lighting at all entrances and exits.

As a reminder, the Compliance Store is an excellent resource for all things related to compliance and has policies, logs and forms to assist in compliance with these frequently cited tags. To learn more about all the Compliance Store can provide, please contact Kasia at

MDS 3.0 User Manual Update

The Centers for Medicare and Medicaid Services (CMS) released an updated MDS user manual dated 12/15/17 which contains a number of coding tips in areas such as diagnosis of UTI, transdermal medication patches, gradual dose reductions, physical restraints, and alarms. To access the full update, click here.

Assisted Living

The Home for the Aged Licensure Act - PA 167

On February 11, 2018 Public Act 167 becomes effective redefining supervised personal care, places a cap on the number of criminal background checks that will be paid for by LARA and creates an exemption from licensure by the State of Michigan for Continuing Care Retirement Communities and many existing providers. However, these exemptions do have significant responsibilities attached to them for the provider community.

Join us in learning about this new legislation by registering for a day of education and dialogue on February 27, 2018. We are assembling an all-star faculty for this event including Phyllis Adams from Dykema, Jay Calewarts from LARA and representatives from BCHS.

In advance of the training members can review of the Exemption Application here.


Interim Final Rule on Streamlining Administrative Regulations and Implementing Family Income Reviews Under the FAST Act

On December 12, 2017, HUD published an interim final rule in the Federal Register that amends the regulatory language for Public Housing and Multifamily Housing rental assistance programs. This rule aligns the current regulatory flexibilities with those provided in the Fixing America’s Surface Transportation (FAST) Act. In addition, the interim final rule extends two of the administrative streamlining changes that were adopted in 2016 for the Housing Choice Voucher and Public Housing programs to Multifamily programs. For more information click here.

MSHDA’s Annual PHA Plan and Administrative Plan

Michigan State Housing Development Authority’s (MSHDA) Rental Assistance and Homeless Solutions Division has posted the proposed MSHDA Housing Choice Voucher FY 2018-19 Annual PHA Plan and Administrative Plan to the MSHDA website.

The proposed changes to the plan address the applications, waiting list and tenant selection, housing quality standards and rent reasonableness determinations, and project-based vouchers.
Comments are being accepted at this time. Written comments must be sent to PO Box 30044, Lansing, MI 48909 or via email to Written comments must be received by 5:00 pm on Friday, February 23, 2018.

Two public hearings are scheduled for receiving oral or written comments. The public hearing dates and times are as follows:

  • Friday, February 23, 2018 at 9:30 am at the MSHDA Lansing Office
  • Friday, February 23, 2018 at 1:30 pm at the MSHDA Detroit Office, Cadillac Place

It is expected that final Plans will be submitted to the MSHDA Board for approval at the March 2018 meeting.

You are encouraged to contact the Program Manager with any questions regarding the proposed PHA Plan and Administrative Plan at MSHDA by dialing 517-241-2427 to speak with Lisa Kemmis.

Member Value

Improve Your Bottom Line by Reducing Food Waste

When you’re serving hundreds or even thousands of meals a day, a little food waste here or there can add up. And waste is just another word for cost. In healthcare and senior-living foodservice, where there’s always pressure to cut costs, reducing food waste is a smart way to economize. Gordon Food Service has provided a number of cost-saving recommendations in the attached article.

They are a leading food service distributor and a contracted vendor with LeadingAge MI’s GPO, Value First. For further information, or to learn more contact Rob Ervin at or (517) 449-1710.


Member Update

Heritage Community of Kalamazoo to Acquire United Nursing Service Homecare Agency

Heritage Community of Kalamazoo advances its strategy of reimagining aging services as it expands into home-based care with the acquisition of United Nursing Service’s Homecare Agency. For the full press release, click here.

Vista Grande Villa and Presbyterian Villages of Michigan Execute Management Agreement

Vista Grande Villa (VGV) and Presbyterian Villages of Michigan (PVM) have announced the signing of a Management Agreement for Vista Grande Villa in Jackson. The management agreement will commence on February 1, 2018. A community event will be held at a future date to celebrate two respected organizations working together for VGV residents and seniors in the surrounding area. For the full press release, click here.

Chelsea Eisele Appointed as Executive Director for Vista Grande Villa

Vista Grande Villa (VGV) and Presbyterian Villages of Michigan (PVM) have announced the appointment of Chelsea Eisele to serve as Executive Director for Vista Grande Villa in Jackson effective February 1, 2018. In addition to her appointment as Executive Director, Ms. Eisele will be joining the Executive Leadership Team for Presbyterian Villages of Michigan. For the full press release, click here.

Education Center

2018 Call for Presentations
Join us in celebrating our 50th Anniversary by sharing your knowledge and experience.

Help shape educational sessions at LeadingAge Michigan's 50th Annual Conference or other future programs in 2018. Support the aging services industry by submitting a presentation proposal. If selected as a speaker, you will gain visibility in the long term care industry and contribute to the advancement of aging services healthcare professionals. Submission deadline has been extended to January 8, 2018.

Click Here to begin the online submission process.

Leadership Academy 2018

The academy is designed to equip new and emerging leaders with the essential insights, knowledge, and skills to directly improve leadership effectiveness.

The academy integrates adaptive and technical learning for a comprehensive training experience. We will focus on what it takes to be a successful and effective leader in today's workplace; specifically within the aging services industry. Each class will provide unique, thought-provoking, opportunities for dialogue with aging services coaches, mentors, and executives. The academy will cultivate your leadership excellence, develop your leadership potential, and assist you in making a positive impact within your organization.

We encourage applicants from various positions, disciplines, experience, industry knowledge, and companies of different sizes to ensure a vibrant exchange of ideas and discussion. The academy is for high-potential professionals who want to learn to become better managers and leaders. The application deadline is January 15, 2018.

Click Here for the 2018 Academy Brochure, Application & Commitment Form 

Nurse Aide Train-the-Trainer Workshops
January 24: Adult Learning Principles
January 25: How to Become a Qualified Instructor and Build a Program
Both workshops will be held in Okemos

Workshops will also be held March 22-23, May 3-4, August 9-10, September 13-14 and November 15-16.

Due to new State of Michigan requirements, LeadingAge Michigan will now be offering two Nurse Aide Train-The-Trainer Workshops. One full day training will be the Nurse Aide Train-The-Trainer: Adult Learning Principles. The second training will be the Nurse Aide Train-The-Trainer: How to Become a Qualified Instructor and Build a Program. The adult learning principles workshop is not required by the State but will meet one of the State of Michigan's requirements to become a qualified instructor. The how to become an instructor and build a program workshop provides a lot of valuable information but completing this workshop is not required by the State of Michigan.

Anyone who would like to learn how to teach adults or build a nurse aide training program is welcome to attend the workshops. If you are a registered nurse who would like to become a qualified nurse aide instructor, we strongly suggest you review the Nurse Aide Trainer Application before attending the workshop to make sure you meet the State of Michigan's trainer requirements.

Completing the LeadingAge Michigan Nurse Aide Train-The-Trainer Workshops does not guarantee a participant will meet the requirements as a Qualified Instructor of Nurse Aide Training Programs with the State of Michigan.

Click Here for more information and to register.

Finance & Strategy Day
February 20 ~ Lansing

Save the Date! More information and registration coming soon.

February 27 ~ Okemos

Plan to join us for a full-day program where our expert presenters will review the new legislation under Public Act No. 167 and the State of Michigan's Home for the Aged Licensure Exemption requirements and request form. Other topics to be addressed include Life Safety Code requirements, a CCRC update from the State of Michigan and HCBS Rule & Appeal Process. We are assembling an all-star faculty for this event including; Phyllis Adams from Dykema Gossett, Jay Calewarts from LARA and representatives from BCHS.

Click Here for more information and to register.

MDS RAC Certification Workshops 2018
March 13-15 ~ Novi
September 18-20 ~ Mt. Pleasant
November 6-8 ~ Grand Rapids

Did you know you can become RAC Certified in just three days?

LeadingAge Michigan, in partnership with the American Association of Nurse Assessment Coordination (AANAC), is pleased to offer the highly esteemed Resident Assessment Coordinator-Certified (RAC-CT) a certification program for long-term care professionals. This workshop is designed to increase knowledge of clinical assessment and care planning, completion of the MDS, and the regulations surrounding the RAI/MDS process. Earning the RAC-CT designation gives you the credentials to prove your assessment expertise; making you an invaluable asset for your facility, your residents, and the long-term care profession.

Click Here for additional details and registration information

LEAN Leadership Concepts
March 6: Lean Overview
April 17: Lean Problem Solving
June 12: Lean Deep Dive

All three workshops will be held in Lansing

As healthcare providers we must prepare ourselves for the new service delivery and payment models that are introduced from government and private payers. In this new world of managed care, bundled payments, value based purchasing, and accountable care, we know that organizations will need to be streamlined, efficient, and focused on outcomes in order to survive and thrive.

Lean is a system for making improvement that can be applied to any aging services provider. Doing things the way they have always been done is insufficient to keep pace with the rate of change. Leaders and staff members performing the same process day after day can become blind to the inherent problems with that process. Using a Lean approach will aid in the identification of problems and provide the necessary tools to make sustainable process improvements. The most effective Lean organizations start with leadership modeling the right behaviors which facilitate the desired culture of improvement. Using Lean leadership concepts will allow you to become a learning organization with a methodical system for process improvement and measured results.

Click Here for more information and to register.

Regulatory Day
March 27 ~ Okemos

Save the Date! More information and registration coming soon.

Building Better Working Relationships
March 29 ~ Lansing

Many of us who are managers or supervisors spend time thinking about the statement we have all heard “people leave managers, not companies.” According to a Gallup poll, 50% of employees who quit cite their manager as the reason for leaving the organization. A manager’s relationship is highly correlated with employee engagement and retention. As shown by Daniel Goleman's research, it is Emotional Intelligence (EQ) that makes and develops relationships and strong leaders. When an organization has managers and supervisors with higher EQ they will be effective leaders who interact with their staff, residents/patients, families and management more successfully.

Join us for this highly interactive session to learn more about your personal EQ, how to adapt your style to be more effective with others, how to build better working relationships and become an exceptional leader.

Click Here for more information and to register.

QAPI Certified Professional (QCP) Prep Workshop
April 25-26 ~ Lansing

An effective QAPI process and program will take you beyond compliance and enable your facility to truly transform the care you provide residents. Increase your knowledge by attending a two-day QAPI education workshop that will help you prepare for the comprehensive QCP certification exam.

To implement quality assurance and process improvement (QAPI) strategies in long-term care effectively, you need strong nurse leadership. To achieve that leadership, follow the QAPI principles taught in this course to help you fulfill your mission to provide the best possible care and quality of life for your resident.

Click Here then scroll down for additional details and registration information.

Medicare University
July 31-August 2 ~Okemos

Become the Medicare leader in your facility with this comprehensive three day workshop. This in-depth program will help you manage the reimbursement system, navigate audits, avoid risky practices, and stop drowning in confusing and ever-changing regulations.

Authored by the foremost experts in Medicare, this workshop will:

  • Increase your understanding the Medicare benefits, eligibility, and the difference between Part A, B, C and D;
  • Share the concepts of SNF skilled services, payment structures, and consolidated billing;
  • Define the qualifications and requirements for both Part A and B therapy;
  • Explain the Medicare claim review and provider appeal processes;
  • Allow you to gain confidence in the documentation process;
  • Assist you complying with billing requirements; and
  • Provide an understanding of the principles of the Beneficiary Notification Initiative.

Click Here  then scroll down for additional details and registration information.

Director of Nursing Services-Certified (DNS-CT) Prep Workshop
October 16-18 ~Okemos

Take your leadership and management talents to the next level with a preparatory workshop for AADNS’s Director of Nursing Services—Certified (DNS-CT) certification. Earning this credential validates your expertise, gives you the advantage among your peers, and helps you improve quality, communication, and resident care throughout your facility.

The DNS-CT credential from AADNS shows that you have the leadership and management skills and knowledge to excel as a DON. Certification indicates that you have met nationally recognized standards of expertise for directors of nursing services in long-term care, that you are up-to-date with the rules and regulations, and that you can lead and nurture your team.

This three-day workshop will complement your nursing expertise with leadership and management skills. Workshops are taught by individuals who go through rigorous requirements to become Master Teachers and who are experts in the field.

Click Here then scroll down for additional details and registration information.

Mark Your Calendars!

2018 Annual Conference & Trade Show
Join us for our 50th Anniversary Celebration!

May 20-23, 2018 ~ Suburban Collection Showplace, Novi

2018 Annual Leadership Institute
August 22-24, 2018 ~ Mission Point Resort, Mackinac Island

Thank You Content Contributors!

201 N Washington Square, Suite 920
Lansing, MI 48933
Phone: 517-323-3687
Fax: 517-323-4569

Our Mission: To advance the mission of our members to enhance the lives of seniors.
Our Vision: To become the voice of aging services in Michigan.

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