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The Latest Wrinkle September 15, 2017
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Readmissions Matter (Now More than Ever)


For the past decade, we have watched an increasing focus on readmission rates – by payers and insurers, hospital administrators, and policymakers. About 20% of hospital discharges to skilled nursing facilities continue to be readmitted within 30 days, and by 90 days you can expect about 33% of patients will have made it back to the hospital. The cost to Medicare for these readmissions is in the billions. Additionally, readmissions are often considered a proxy for quality of care:

  • Readmission rates are a marker for harm to the patient
  • Readmissions decrease the patient experience with their overall care
  • Readmissions cause a huge emotional toll for patients and families
  • A large portion of readmissions are considered wasted revenue and inefficient use of resources
  • About 2/3 of readmissions are considered avoidable

For skilled nursing providers, these readmission rates are more important than ever. Two percent of traditional Medicare provider payments are at risk. CMS will be initiating its SNF Value Based Purchasing Readmission Measure – called the SNFRM – for facility performance during calendar year 2017. Performance for that measure will inform member rates for fiscal year 2019, which starts October 1, 2018.

Working from baseline data established during the 2015 calendar year, CMS will be measuring overall performance based on readmissions and improvement from the baseline every year, starting with performance during calendar year 2017. On the surface, the program seems to be designed to simply cut Medicare SNF rates since 40% of the withhold will be retained by the federal government. Only 60% will be distributed to facilities based on performance.

The SNFRM uses both an achievement score which compares a member facility performance rate during a performance period (initially CY 2017) against all SNF performance during the baseline period (2015). Improvement scoring compares SNF performance during the performance period against its own prior performance during the baseline.

Every year, CMS will define certain parameters for scoring. For achievement, the threshold will be set at the 25th percentile of performance. Using the baseline year of 2015, the threshold is 20.41% a risk adjusted readmission rate - - - note that CMS converts this to a 79.59% threshold. Providers who do not meet this basic threshold (the minimum level of expected performance) will receive 0 points for Achievement.

CMS has identified its benchmark (goal for 2017) as the mean performance within the top decile of performers or for 2015, a 16.4% readmission rate (again converted to 83.6%). Facilities who achieve this benchmark will receive all 100 points. CMS will provide points for those facilities that score between the threshold and the benchmark based on a complicated formula.

The improvement score is determined by comparing the facility’s improvement from the baseline period. Between 1 and 89 points will be awarded. CMS will award each facility the higher number of points received between Achievement and Improvement. The scores are not added together. CMS will issue performance data in preview reports that should be provided about two months before the beginning of the 2019 fiscal year.

The Protecting Access to Medicare Act of 2014 (PAMA) focuses on potentially preventable readmissions. The SNF-PPR will measure a risk-standardized rate of unplanned readmissions for Medicare FFS SNF patients within 30 days of discharge from the hospital. Eventually, this measure will replace the SNFRM noted above.

Successful member facilities will have in place a robust root cause analysis process for every unplanned readmission as well as a comprehensive care management program that actively engages all of the interdisciplinary team. A genuine plan of care that is person-centered will go a long way to addressing many of the issues that ultimately lead to readmissions.

Members must note that doing things the same way they have always done will not reduce


Across the Continuum


Join us for the 2017 MI Night Out in NOLA

 Join your Michigan friends and colleagues for a fun evening of socializing and camaraderie, a taste of acclaimed classic New Orleans cuisine (best muffulettas in town) and a glass (or two) of fabled signature Pimm's Cup aperitif at the Napoleon House. This 200 year old landmark, rated among the highest historically significant locations in New Orleans, intended as a residence for Napoleon Bonaparte after his exile, is as charming and unique as its French Quarter surroundings.

When: Monday, October 30th
6:30 p.m. - 9:00 p.m.
Where: Napoleon House
500 Chartres Street, New Orleans LA 70130
Member Cost: $85 per person

Click here to reserve your spot! If you are interested in becoming a Sponsor, click here.
With questions contact Kasia Roelant, Member Relations Director, at Kasia@LeadingAgeMI.org


New Quality and Certification Oversight Reports (QCOR) website

The Centers for Medicare & Medicaid Services (CMS) have launched a new website to share survey and certification data for a variety of federally-certified provider types, including nursing facilities, hospice and home health agencies.

The Quality and Certification Oversight Reports (QCOR) website replaces the Survey and Certification Providing Data Quickly (S&C PDQ) system, and allows users to run reports that can be customized by designating provider characteristics, survey type and other factors. CMS updates the data on a weekly basis.

The website offers these report options:

  • Provider Reports: Active Provider and Supplier Counts, New Provider and Supplier Counts, Terminated Provider Counts
  • Survey Reports: Overdue Recertification Surveys, Recertification Survey Counts, Survey Activity Report
  • Deficiency Reports: Deficiency Count, Average Number of Deficiencies, Citation Frequency, Double G Citations Report
  • Enforcement Reports: Enforcement Actions, Civil Money Penalty (CMP)
  • Abuse Reports: Abuse Citation Rates

In announcing the new site and data platform, CMS said: “S&C PDQ provided summarized survey and certification data, including results of on-site inspections of providers and suppliers. The system imports data from a variety of data platforms, such as the Certification and Surveyor Provider Enhanced Reporting (CASPER) national database. However, S&C PDQ’s functionality and ease of access of information to providers and suppliers was limited, therefore CMS removed the requirements for username and passwords for accessing the data on the site, which has now become the new QCOR website.”


Compliance Made Easier – SNF ROP Phase 2 Preparedness


Stay on top of compliance by joining our newly established collaboration with The Compliance Store.

The Compliance Store, backed by 30 years of experience, is the only web-based comprehensive regulatory and compliance resource for long-term care. TCS provides a complete library of federal and state regulations and manuals as well as practical implementation resources through customizable tools and templates, complete PoC packets, assessments, forms and checklists.

To learn more about how this partnership can help you and your organization efficiently and successfully navigate the complexities of the ever changing long-term care regulatory environment, contact Kasia Roelant at Kasia@LeadingAgeMI.org or 517-323-3687


Senior Care Resources – Be Part of a High Performing Network


Senior Care Resources (SCR) members continue to outperform all other nursing home providers in Michigan. According to the most recent quality metrics available, SCR members have an average 5-Star rating of 4.9 compared to the Michigan Nursing Home average of 3.5. In addition, SCR members average 3.8 Stars for Inspections (Survey) which outperforms the state average of 2.7; a 4.4 Staffing rating compared to a state average of 3.5 a 4.8 QM rating compared to 4.0 for the state; and a 4.5 RN rating compared to 3.7 for all state facilities. SCR members are to be commended for their consistently high level of performance compared to other providers in the state.

If you are seeking for a way for your team to share information and ideas about performance improvement consider becoming a part of SCR. The structure of SCR permits members to work together through the Quality Committee to develop best practices and share ideas that have proven successful in their respective communities. The legal structure of SCR also permits the organization to speak with one voice to payers whether it be about contract terms, audit processes, or other financial considerations. It also alleviates stress on your team members by reducing the amount of time they dedicate to contracting and credentialing.

Long Term and Post-Acute Care Experts predict that the successful business models of the future are those in which stand-alone communities and long term services and supports (LTSS) providers collaborate with other providers to form a network. A vertically integrated group of providers like SCR provides a unique ability to provide health systems, accountable care organizations, and managed care organizations (MCOs) with a quality network that offers services along the LTSS continuum. Proposed changes in the way Medicaid and Medicare are funded in the future make it important for stand-alone, mission-driven providers to become part of a collaborative group.

If you are interested in hearing more about becoming part of the Senior Care Resources network, contact susan@leadingagemi.org or call (517) 323-3687.


Getting Ahead of Sepsis – CDC


For many hospitals, including those in Michigan, sepsis is the leading primary diagnosis for seniors covered under Medicare. Sepsis is a life-threatening condition characterized by a ‘whole body’ response to infection. Timeliness of treatment is crucial, as sepsis can lead progressively to tissue damage, organ failure and death. Sepsis is also a leading condition provoking hospital readmissions.

The Centers for Disease Control has just announced its ‘Get Ahead of Sepsis’ Effort with an array of education materials. Members can view the program details at www.cdc.gov/sepsis.


SNF Placement – It is All about Location


Last week, the Medicare Payment Advisory Commission (MedPAC), issued a brief on use of higher quality post-acute care providers. MedPAC is examining the role of hospitals in discharge planning and the factors that influence the beneficiary decision-making process. Almost half of skilled nursing facility residents had five or more higher quality facilities available in their area that they were not directed to by a referring hospital, according to the study.

About 15% of residents were discharged to the facility with the highest quality rating within a 15-mile radius; almost half went to facilities that demonstrated lower quality ratings by five or more providers within that radius. These differences in quality were identified as ‘non-trivial’ by the panel.

MedPAC is recommending modifying discharge planning rules to allow hospitals to recommend specific nursing home and home health providers along with the possibility of discharge planners to openly discuss provider quality ratings.


Home and Community Based Services


MI Choice Stakeholder Meetings Announced


The Michigan Department of Health and Human Services (MDHHS), Medical Services Administration issued numbered letter L 17-30 announcing stakeholder meeting dates associated with the renewal process for the MI Choice home and community based services waiver program. MDHHS is required to solicit input from stakeholders regarding the waiver program as part of the renewal process with the Centers for Medicare and Medicaid Services.

The initial stakeholder meeting will be held on September 28, 2017 from 1:00 to 4:00 PM in the Capitol Commons Center located at 400 S. Pine Street in Lansing. Additional information regarding the stakeholder meetings, including future dates, is outlined in the letter linked above.


Skilled Nursing


Jimmo Settlement Information


CMS has announced the launch of its ‘Jimmo Settlement’ website that was required as a result of the 2013 Settlement Agreement. The Jimmo settlement required a clarification of Medicare policy for providing therapy to individuals to maintain a person’s condition or slow the deterioration of a condition. The CMS webpage offers resources and responses to frequently asked questions that may assist providers in understanding the conditions in which skilled nursing and therapy can be provided and billed.

More information can be found through the CMS webpage.


Important Proposed Medicaid Policies Issued


The Michigan Department of Health and Human Services (MDHHS) Medical Services Administration has issued four proposed Medicaid policy changes that will impact providers in the near future. The policies affected are 1) Asset Verification Program; 2) Modernizing Continuum of Care – Changes to Eligibility Inquiry/Response Transactions and Unique Health Plan Identifier; 3) Elimination of the Paper Version of the Facility Admission Notice; and 4) Modernizing Continuum of Care Project. For the full article with short summaries of each bulletin and a link to the proposed policy with details click here.

New LTC Survey Process


The Centers for Medicare and Medicaid Services recently posted new forms to be used for the LTC Survey Process starting November 28, 2017. Included are a new Entrance Conference Worksheet which contains a list for beneficiary notices that were given within the past six months and a listing of directions regarding accessing electronic health record information, a Facility Matrix, and newly developed Critical Element Pathways. These new forms can be accessed via the links below and are fillable forms

Entrance Conference Forms and Matrix with Instructions

Critical Elements (CE) Pathways and Facility Tasks


Facility Assessment Toolkit


Federal tag F838 requires nursing homes to conduct and document a facility-wide assessment to determine what resources are necessary to care for its residents competently during both day-to-day operations and emergencies. All nursing homes must be ready to demonstrate compliance with this new requirement by November 28 2017. A Facility Assessment Toolkit © has been designed to provide practical, step-by-step guidance for organizations as they evaluate their individual facility resident population, resource availability and allocation in accordance with resident care and service needs and other required elements in developing their written facility assessment. Use the following links to access the toolkit and corresponding instructions.

Facility Assessment Final

Facility Assessment: How To


Clearing Up Confusion on the SNF Quality Reporting Program

The Skilled Nursing Facility (SNF) Quality Reporting Program has experienced many implementation issues since it began October 1, 2016 leaving care centers struggling to make sense of how to comply.

There has been much communication from the Centers for Medicare & Medicaid Services on issues, corrections, changes to reporting periods and implementation of the 2% payment reduction for “non-compliant” providers as well as changes to the Quality Reporting Program for the next two fiscal years.
To help care centers better understand the dates, deadlines, submissions and reports, LeadingAge had provided a summary of the following:

  • Effect of Medicare Fee-for-Service Payments beginning Oct. 1, 2017
  • Technical Coding Issues Identified for 2017 Data Delays Submission Deadline
  • Data Collection and Submission Deadline tables for MDS data in 2018, as well as the impact on FY2018 and FY2020 Medicare Fee-for-Service rates.

We also encourage care centers to watch the August 7 SNF Review and Correct Reports Refresher Webinar,


Influenza and Pneumococcal Immunizations


Federal tag F883 requires nursing homes to inform residents of the benefits and risks of the influenza and pneumococcal immunizations and ensure that each resident has an opportunity to receive them unless they are medically contraindicated, or they have been refused by the resident or perhaps have already been immunized. To avoid a citation for noncompliance with F883, which has the potential to result in substandard quality of care, the Centers for Medicare and Medicaid Services (CMS) provided the following interpretive guidance, “An effective immunization program involves collaborating with the medical director to develop resident care policies for immunization(s) that reflect current standards of practice and that include: 


  • Physician approved policies for orders of influenza and pneumococcal vaccines (administration must be based on an assessment of each resident for possible medical contraindications – see F711, for physician orders for vaccinations); 

  • Review of the resident’s record of vaccination and immunization status, including assessment for potential medical contraindications; 

  • How pertinent information and education will be provided to residents or their representatives. The facility may wish to use educational resources such as those provided by the U. S. Centers for Disease Control and Prevention (CDC); and 

  • The vaccination schedule including mechanisms for recording and monitoring for administration of both influenza and pneumococcal vaccines in accordance with national recommendations.

The CDC indicates that administering the influenza vaccine when it becomes available each season, rather than date specific, (i.e., “October 1”) is most effective. Facilities should administer the influenza vaccine when it becomes available to the facility. Residents admitted late in the influenza season (typically February or March) should be offered the influenza vaccine as late season outbreaks do occur. If a resident was admitted outside the influenza season, the facility is not expected to offer the influenza vaccine to the resident, but it may, at its discretion.”

The CDC is recommending that vaccinations against influenza should be administered to healthcare workers by the end of October 2017. Seasonal influenza vaccination resources for health professionals can be found on the CDC website.


Five Reasons Why People with Dementia Say They Want to Go Home


An excellent summary for any caregiver in your community. It might be helpful to print and post and plan to review it in your next staff and resident meetings.


Assisted Living


AFC Council  Update


The Adult Foster Care (AFC) Council met on August 9. Topics discussed included a scheduled plan to continue reviewing and updating the AFC licensing rules. The rules for Certification of Specialized Programs and both the Large Group and Small Group homes are currently being reviewed. The minutes to the council meeting are available here for your review.

A meeting has been set for September 20 to further discuss Rule Revisions. The draft revisions to date are here for your review as well.

BCAL PUB 333 Small Group

BCAL PUB 334 Large Group

To share input on these rules and revisions, please contact Laura Funsch at lfunsch@leadingagemi.org or call (517)323-3687.


Housing
TRACS User Recertification Notification

On August 23, HUD issued RHIIP Listserv 391 TRACS User Recertification Notification. This Listserv introduces a mandatory requirement to certify TRACS Users and TRACS Coordinators.

The requirement to ensure that TRACS Users and TRACS Coordinators actually need access to resident data located in the TRACS database is mandated by the Federal Information Security Management Act (FISMA) and Office of Management and Budget (OMB).

Starting September 1, TRACS Coordinators will be required to certify all TRACS Users who continue to need access to TRACS data. It is mandatory that Coordinators certify all TRACS Users no later than December 31, 2017. Users who are not certified by December 31, 2017 will no longer have access to TRACS. Coordinators may review HUD's Mandatory TRACS User Certification Instructions available on HUD's website.


MSHDA - Temporary Emergency Housing


In accordance with Revenue Procedures 2014-49 and 2014-50, the Michigan State Housing Development Authority (MSHDA) is permitting all owners of low-income housing tax credit (“LIHTC”) and MSHDA Bond properties within the State of Michigan to provide temporary emergency housing to displaced individuals affected by a Major Disaster. Information about the major disaster declarations can be accessed at www.fema.gov/disaster.

  • Hurricane Harvey received a Major Disaster Declaration on August 25, 2017, with a FEMA incident period beginning on August 23, 2017.
  • Hurricane Irma received a Major Disaster Declaration on September 10, 2017 with a FEMA incidence period beginning on September 04, 2017.

MSHDA’s authorizing memo which details all reporting requirements and the required Affidavit of Displacement can be found on the MSHDA webpage.

Providers may contact MSHDA’s Compliance Monitoring staff with any questions at 517-241-2560.


Member Value


The Importance of Skincare and Skin Health


Skin becomes vulnerable with age. This means the skin of elderly individuals is more prone to skin problems and the need for proper skincare increases. TENA can help maintain a care routine that promotes healthy skin.

For the full article click here.


Member Update


Beacon Hill at Eastgate Celebrates Grand Opening of Beacon Hill Community House with Its Auditorium & Garden Café


On Thursday, August 31, Beacon Hill celebrated the grand opening of its recent 150,000 square-foot expansion – the Beacon Hill Community House, which encompasses an auditorium and Garden Café.
The Beacon Hill Community House demonstrates Beacon Hill’s commitment to the Eastgate neighborhood and to “growing community” – the theme for the grand opening celebration. Open to churches, organizations and individuals to use for worship, entertainment, performances, or conferences, the Community House features a 150-seat auditorium specifically designed to foster community interaction not only for the Beacon Hill resident community but for the wider community in which it resides.

The adjacent Garden Café, also open to the community, represents another unique feature of Beacon Hill and its particular brand of gracious retirement living – its pledge to exceptional dining and focus on the joy found in eating beautifully prepared and nutritious meals.
Beacon Hill achieves this through its own half-acre, on-site garden which produces many of the fresh ingredients incorporated into its ever-changing menus. That yield is augmented by its pledge to obtain local, organic and seasonal produce from area famers – all of which promotes a natural, regional diet utilizing practices that create a safer and healthier environment.

“We are celebrating community to the fullest,” says Jeff Huegli, President & CEO of Beacon Hill at Eastgate. “We provide our seniors with the opportunity to enjoy a wonderful lifestyle in a real urban neighborhood – highlighted by easy, frequent interactions with neighbors, walking distance to amenities such as restaurants and grocery stores -- all nestled within Eastgate and adjacent to East Grand Rapids. This location makes our relations with and support of our Eastgate neighbors such a natural extension of our mission. The Beacon Hill Community House with its Auditorium and Garden Café help us achieve that.”

The celebration featured the James Beard award-winning chef Rick Bayless, who owns several popular restaurants in Chicago including the Frontera Grill, Toplobampo, and Xoco and is culinary host of the multiple Emmy award-nominated PBS show “Mexico – One Plate at a Time.” Chef Bayless’s Frontera Farmer Foundation, which he and his staff established in 2003, supports small Midwestern farms by awarding grants to farmers for capital improvements to their family farms, encouraging greater production and profitability and providing the base for sustainable regional cuisine.


Education Center


ATTN: Administrators
Are you in need of continuing education contact hours by October 31 for your license renewal?
Did you know pain and symptom management and human trafficking education is now a requirement for renewal?

We've got the programs you need to support the Nursing Home Administrator General Rules (effective December 23, 2014) R 339.14031 (7) states that an applicant for license renewal shall complete in each renewal period not less than two (2) continuing education hours in pain and symptom management and R 339.14002 states the training standards for identifying victims of human trafficking requirements.

Making Pain Management Less Painful
Live Webinars ~ October 3 & October 17
9:30 a.m. to 11:30 a.m. 

Pain is now considered the 5th vital sign by many. Understanding the symptoms and managing pain can take many forms. This 2-hour, live webinar will explore pain, different perspectives for pain management and how to effectively assist people that are in pain. The live webinar will be offered on October 3 and repeated on October 17.

Human Trafficking for Aging Services Providers
Live Webinars ~ October 10 & October 24
9:30 a.m. to 11:30 a.m.

This webinar will provide an overview of Homeland Security Investigations and its broad investigative authority. Learn about the types of victims, red flag indicators and strategies for identifying and responding to human trafficking focusing on the vulnerabilities of potential victims and the response from those who encounter victims of labor and sexual exploitation. We will also address how the aging services industry could possibly be utilized in both types of trafficking. The live webinar will be offered on October 10 and repeated on October 24.

All health care professionals are welcome to join the webinars. Select the topic(s) and date(s) that work for your schedule. You must be the registered attendee to receive continuing education credit.
More information and registration coming soon!


MDS RAC Certification Workshops
September 19-21 ~ Mt. Pleasant

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 more information and to register.


Certified INTERACT 4.0 Champion (CIC)
November 8 & 9 ~ East Lansing
Thank you to Burcham Hills for hosting this event.

Why become a CIC? This workshop is designed to train clinical leaders to serve as champion for implementing and sustaining the INTERACT 4.0 Quality Improvement Program (QIP) for their organization. As a clinical leader, you play an integral role in ensuring the delivery of quality care and reducing avoidable rehospitalizations. Becoming a Certified INTERACT Champion (CIC) emphasizes your commitment to ongoing quality improvement. During this 2-day interactive course, you will gain insight on strategies to improve the delivery of care, changes in condition, and how to prevent avoidable hospital transfers. Join our new Master Trainer, Betty Brunner with Pathway Health, as she provides an in-depth description of the INTERACT strategies, care processes, tools and other valuable resources. The CIC Master Teacher will share lessons learned that will allow you to be successful in implementing and sustaining INTERACT 4.0 for your organization. If you are interested in becoming certified, this training will also prepare you for the CIC Certification exam.

More information and registration coming soon!


Nurse Aide Train-the-Trainer
November 13 ~ Okemos

The Train-the-Trainer workshop is a program for registered nurses who are interested in becoming qualified instructors for Nurse Aide Training Programs with the State of Michigan. The workshop is designed to provide learners the components of a nurse aide training program, the basic Federal requirements for a nurse aide program.

Click Here for more information and to register.


Director of Nursing Services-Certified (DNS-CT) &
Administrator in Training Course

October 10-12 ~ Lansing

Gain the skills and knowledge you need to be the support your team needs. Be a more effective facility leader and champion for quality care with validation of knowledge in facility management, risk management, QAPI, survey readiness,survey management and enforcement, human resources, quality indicator surveys, MDS and Medicare processes, care management, essential business skills, conflict resolution and leadership strategies.

Take your skill set to the next level. This three-day workshop offers a specialized American Association of Directors of Nursing Services DNS-CT certification for nurses; as well as relevant content for nursing home administrators, vice presidents of clinical services, administrators in training and other long-term care professionals with facility management responsibilities.

Click Here for more information and to register.


LEAN Leadership Concepts
Training will be held this fall - dates coming soon!
Classes will be held in Lansing

Lean is a system for making improvement that can be applied to any aging services provider. 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. Many organizations solve problems by jumping to solutions before thoroughly understanding what problem they are trying to solve and/or not fully understanding the root cause of the problem. As a result, the solutions typically don’t work or are unsustainable. Most of the time it is impossible to know if the solution worked because results were not measured. Lean is often thought of as a tool for the frontline worker. In reality, 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.

More information and registration coming soon!


Leadership Academy

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.

For more information ~ please contact the Association at 517-323-3687.


Modular Education Program for Activity Professionals (MEPAP) 
Second Edition Course

We are still accepting students for 2017!


Classes offered in Southeast and West.
Accelerated courses can be scheduled at your location!

The MEPAP course prepares the activity professional for all aspects of their role. The nationally approved course curriculum is designed to enhance the skills and knowledge required to properly facilitate the activity needs for all residents in aging services settings. The 18-day course offers 180 hours of instructor-led training and 180 hours of supervised practicum assignments. After successfully completing the course, individuals will be prepared for the National Certification Council for Activity Professionals (NCCAP) exam and certification application process.

For more information ~ please contact the Association at 517-323-3687.


Mark Your Calendars!

2017 National Annual Meeting & Expo
October 29 - November 1, 2017 ~New Orleans, LA
Michigan Night Out - Monday, October 30th - Napoleon House

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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