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The Latest Wrinkle: July 28, 2017
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Cutting Red Tape?


The US House Ways and Means Committee has established a new initiative to “Roll Back Burdensome Medicare Regulations and Mandates and Improve Patient Care”. The Committee is encouraging physicians, nurses, and other clinicians and health care professions to submit their feedback by sending a form to WMProviderFeedback@mail.house.gov by August 25.

CLICK HERE for the Medicare Red Tape Relief Project submission form. The Initiative will take a three-pronged approach including provider feedback, hosting roundtables, and ultimately identifying solutions and actions.

Mission based nursing home providers such as our members understand the need to protect and serve our residents. But this may be an opportunity to provide input and feedback about the increasing deluge of regulations that often do not affect the quality of our services at all. Understanding the spirit of the law and regulations is an important factor in compliance, but this might be a chance to identify those regulations which only burden nursing home providers rather than promote positive patient outcomes.


Advocacy


SB 286 – CNA Reciprocity Update


In May 2016, the Department of Licensing and Regulatory Affairs suspended reciprocity for nurse aides who obtained their certification in another state because the practice was not supported by state law. SB286 creates such legislative support but has yet to be passed.

In May of 2017 the Bureau of Community Health Services (BCHS) provided the following guidance as a short term staffing solution to providers who may have been harmed by this change. In light of pending state legislation of SB286, BCHS’s temporary guidance is as follows:

To use a nurse aide on a temporary basis who is not currently in Michigan, the following requirements must be met.

  • The facility must provide proof in nurse aide personnel files of nurse aide certification, free from flagging, from the States of Ohio, Indiana or Wisconsin. The Department has confirmed that these states meet or exceed the Michigan training requirements. The facility must also have a copy of the nurse aide’s certificate on file.
  • The facility must have checked the registry in any other state that may have information on the nurse aide to determine if there were any charges of abuse, neglect and misappropriation of resident property.
  • The nurse aide may work for a four month time period only, which ends four months after their first day worked.

The hope was that within the four month time period, the pending legislation will be in effect granting the department authority for reciprocity with other states. On 7/12/17, this bill was referred to the Committee on Health Policy. LeadingAge Michigan continues to monitor movement of the legislation.


Across the Continuum

Updates on Managed Care in Michigan


Managed Care in Michigan
Michigan Medicaid Director Chris Priest focused on three Medicaid priorities last week at the Michigan Association of Health Plans Conference in Traverse City. Anticipated changes to the federal Medicaid financing structure and the MDHHS FY 2018 budget served as the backdrop for the discussion.

The Medicaid Administrations top priority was approval of the second waiver for the Healthy Michigan Plan, which would be necessary if the Affordable Care Act is not repealed. Second on the list was implementing the behavioral health and physical health integration pilots, which are required by the FY2018 budget boilerplate. And the final priority noted by Director Priest was addressing managed long term supports and services for Medicaid, which is also required by the FY2018 budget.

Former Medicaid Director and national health policy expert Dr. Vernon K. Smith (Health Management Associates) addressed the likely impact that federal per capita limits would have on state Medicaid programs. Dr. Smith noted that significant state general fund dollars would be needed to maintain the program if the proposed per capita limits were implemented.

Provider Rate Cuts are typically the first response to difficult budget times, followed by decreases in service packages and, ultimately loss of eligibility and access by previously covered populations. Because Michigan has used managed care to successfully hold down the cost curve in Medicaid spending in the past, there is literally no fat for cutting in the state from a physical health perspective. Dr. Smith also noted the potential impact on other state budget lines that could result from a cut in the federal participation rates that would occur with per capita limits. With more general funds required to support a skinnier Medicaid benefit other lines such as education, corrections, and transportation would likely also be cut.

MI Health Link
Enrollment in MI Health Link, Michigan’s program for integrating services for people who are dually eligible for Medicare and Medicaid, has stabilized around 38,000 enrollees per month, based on published data on the MI Health Link website for May 2017. In the Upper Peninsula, over 50% of the eligible population has elected to enroll in or remain enrolled in MI Health Link following passive enrollment. The southwest region of the state has also seen improved enrollment retention with over 40% of the dual eligible population staying enrolled in one of the Integrated Care Organizations (ICOs).

To assist the nursing home provider community and the ICOs in working better together, the MI Health Link program has convened meetings for these two groups to find ways to work more efficiently together. LeadingAge Michigan and member organizations have attended the two meetings previously held but members can contact susan@leadingagemi.org for information about future meetings. The only way to impact the processes is to attend and work together toward improvement. The Department welcomes input from providers.

At last week’s MAHP Conference, Tim Engelhardt (Director- Medicare-Medicaid Coordination Office at CMS - spoke about MI Health Link and the overall perspective of the duals demonstration across the country. While each state has implemented varying types of integrated programs, he foresees that Congress will continue to maintain a program that reduces expenditures for this costly population. Successful members will continue to learn how best to work with managed care plans whether ICOs in the demo, Medicare Advantage Plans, commercial plans, or potential Medicaid managed care plans in the future.

Lawrence Atkins, the Executive Director of the National Managed Long Term Supports and Services (MLTSS) Association also presented at the MAHP Conference. Mr. Atkins noted that 6% of the population uses Medicaid long term supports and services while accounting for 43% of Medicaid spending. He expects that managed long term supports and services will continue to grow given the anticipated change to the federal financial formula and the high cost of the population. He noted that MLTSS is different from administering other types of health care plans because addressing the social determinants related to health care are sometimes more important to the aging and disabled population than addressing physical health needs.


Is Your Patient Information Secure


LeadingAge Michigan is proud to introduce to the membership our newest Business Partner, BlueOrange Compliance. BlueOrange Compliance are experts in navigating the complex HIPAA Privacy and Security rules. They will be presenting on the topic of Privacy and Security of patient data and the Office of Civil Rights on Wednesday, August 16th at Crystal Mountain. More information on that event, including registration, can be found here.

As part of their commitment to these new standards and the LeadingAge Michigan membership, BlueOrange Compliance is offering a “complimentary” External Vulnerability scan to one of the members attending their presentation on the 16th. Your External Vulnerability Scan will include a review of your Security and Privacy compliance efforts to determine its overall effectiveness, and provide a risk profile of your organization in an easy to read report. To see what is included in the complimentary scan here.


Watch Out For These 3 Omissions in Your Food Service Contract


1. Insurance - What if a contractor's employee robs one of your residents? Do you have comprehensive crime, including employee theft, coverage in your contract? What about fire damage? Or employee disease?

2. Taxes/Licenses - Does your contract include language that requires the contractor to pay all taxes related to food service operations and secure all licenses required?

3. Defining Expenses - Management fee contracts allow the contractor to pass on 100% of the expenses they incur. Delineating what constitutes "ordinary and necessary" expense can save you thousands of dollars.

Want to learn more? Click Here for additional information about Building Innovative Partnerships through Inclusive RFPs educational video. The presentation walks you through the outsourcing process, provides information on types of contracts to consider, as well as financial incentives and disincentives.

Content and video provided by esf Consulting, a LeadingAge Michigan Business Partner. If you would like additional information, please contract Betsy Sallade-Farina at betsy@esfconsulting.com.


Home and Community Based Services


Hawaiians Say ‘Aloha’ to Home Care Services Funding


Hawaiian families can say “aloha” to funding to help pay for home care services for a family member, after Governor David Ige signed the Kupuna Caregivers Program into law. Kupuna is the Hawaiian word for elderly.

The new program gives eligible families up to $70 per day to help pay for in-home care services to better enable seniors living at home who have trouble with activities of daily living (ADLs), and could have national implications. The bill, which is deemed the first of its kind, will give financial relief to family caregivers and provide a boost for families to pay for professional in-home care services. For more, see HomeHealthCareNews.


Skilled Nursing


Highlights of QAPI Interpretive Guidance

Quality Assurance and Performance Improvement (QAPI) is the name of a new regulatory section in the requirements of participation for long term care facilities. It houses three F-tags that will go into effect this November and an additional F-tag that will be effective in November 2019. Previously, related information was housed within the Administration regulatory section and comprised of only one F-Tag.

F-520, Quality Assessment and Assurance, has been expanded to include four tags (F-865 through F-868) and now reflects the new QAPI language. According to new interpretive guidance, the intent of QAPI regulations is to ensure "facilities develop a plan that describes the process for conducting QAPI/QAA activities, such as identifying and correcting quality deficiencies as well as opportunities for improvement, which will lead to improvement in the lives of nursing home residents, through continuous attention to quality of care, quality of life, and resident safety". This plan must be presented to the state survey agency at each annual survey and upon request during any other survey beginning November 28, 2017.

Highlights of the four F-Tags are as follows:

  • F-865: This tag outlines the requirements for what must be included in the QAPI plan. It includes a detailed discussion of good faith attempts to correct an identified quality deficiency. If a surveyor determines a facility is making good faith attempts, this F-tag will not be cited, although related deficiencies may be cited (such as for F-686 Pressure Ulcers).
  • F-866: Requirements regarding QAPI feedback, data, and monitoring will not be effective until Phase 3, so no new guidance was provided regarding this tag.
  • F-867: QAA activities as previously required remain in effect, including the requirement to develop and implement appropriate plans of action to correct identified quality deficiencies. Facilities must prioritize efforts. Adverse events are a hot topic within the interpretive guidance for this tag. Performance improvement projects and other requirements relevant to the overall QAPI program won't be implemented until Phase 3.
  • F-868: This tag specifies the required members of a facility's QAA committee, the duties of the committee, and frequency of meeting. Except for the inclusion of the Infection Preventionist on the committee, this tag is already in effect.

A new QAPI/QAA Facility Task Pathway will be utilized for determining compliance with the QAPI regulations. For more information, watch this CMS video.

To learn more about creating a QAPI plan for your organization, join us for a breakout session: “Developing Your QAPI Plan” presented by The Compliance Store during the 2017 Leadership Institute on August 16-18.

Source: The Compliance Store

   

SNF QRP Reporting and “Non-Compliance” Reconsideration Deadlines


In the Skilled Nursing Facility Prospective Payment System Final Rule, the Centers for Medicare & Medicaid Services (CMS) finalized the Fiscal Year (FY) 2016 Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) requirements. Any SNF determined to be non-compliant with the SNF QRP requirements may be subject to a two (2) percentage point reduction in their annual payment update (APU). The quality measures include 1) percent of residents with pressure ulcers that are new or worsened, 2) percent of residents experiencing one or more falls with major injury and 3) percent of long-term care hospital patients with an admission and discharge functional assessment and a care plan that addresses function. The data collection period for these quality measures was between 10/1/16 and 12/31/16.

CMS has recently provided notification to facilities determined to be non-compliant with Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) requirements for Quarter 4 of CY2016, which will affect their FY2018 annual payment update (APU). These notifications of non-compliance were placed into facilities’ Quality Improvement and Evaluation Systems (QIES) - Certification and Survey Provider Enhanced Reporting (CASPER) system on July 14, 2017 and also mailed directly to providers. Providers who received a letter of non-compliance may submit a request for reconsideration to CMS via email no later than 11:59pm PST, August 13, 2017. Providers seeking reconsideration of a noncompliance notice will find instructions in the notification letter and on the SNF Quality Reporting Reconsideration and Exception & Extension webpage.

In addition, members are reminded that the submission deadline for the next MDS assessment data (SNF QRP) covering January-March (Q1) of calendar year is August 15, 2017.


CMS Compliance and Ethics Program - Phase III Requirement


The Centers for Medicare and Medicaid Services has amended the regulatory language for the revised Nursing Home Requirements to clarify that the requirement to have a compliance and ethics plan in place has a Phase III deadline (November 28, 2019). Additionally, there are a host of other technical corrections to the regulation such as cross-references, spelling, and punctuation. Use this link to view corrections published in the Federal Register.


LTC – Facility Reported Incidents (FRI)


After much discussion with the Bureau of Community and Health Systems (BCHS) and exploring the options/suggestions provided by many of our members, BCHS announced this week they have developed a new process to assist providers with meeting the “2-hour” reporting time frame when there is an alleged violation involving abuse, neglect, exploitation or mistreatment and, misappropriation of a resident’s property. Member facilities will need to complete and submit the form listed on the LARA website (found in the Long Term Care Facilities section of the Community and Health Systems section) which will satisfy the federal 2-hour reporting requirements and will still be required to enter all information into the State of Michigan’s MIACTS system within the required 24-hour time frame. Members might consider saving this link to a desk top for your team’s immediate access.

We are thankful for BCHS’s diligence in finding a workable solution. Please don’t hesitate to contact LeadingAge Michigan with your thoughts.


SNF PPS Proposed Payment Reform and Provider-Specific Impact Analysis

As previously communicated in May, the Centers for Medicare & Medicaid Services (CMS) is considering revising certain aspects of the existing skilled nursing facility (SNF) prospective payment system (PPS) payment methodology. In particular, CMS is considering replacing the SNF PPS existing case-mix classification model (RUG-IV) with a new model titled the “Resident Classification System, Version I” (RCS-I). CMS believes this proposal would be a truer representation of the case mix.

LeadingAge, along with several other associations and advocacy groups, asked CMS for additional information to better respond to the Advance Notice of Proposed Rulemaking relating to potential revisions to the skilled nursing facility prospective payment system (SNF PPS). CMS has updated their website on the topic to include the below information. The new file includes specifications (data, definitions, and methodology) and provider-specific estimated payments under the model as described. LeadingAge is reviewing this new material to incorporate into their input and comments. You are encouraged to contact LeadingAge Michigan with questions.

To assist stakeholders in their review of the Resident Classification System (RCS-I) model, CMS is providing a provider-specific impact analysis file, which details the estimated impact of the RCS-I model discussed in the ANPRM on Medicare Part A payments to each SNF in the country. They note that, as discussed in the file, the provider and resident data is for fiscal year 2014 and represent estimated payments under RCS-I, assuming no changes in provider behavior or resident case-mix. The provider specific impact analysis document can be found here.


Current Standards of Practice for Tuberculosis (TB) Screening and Testing


Michigan’s Administrative Rules for testing for Tuberculosis (TB) in Long Term Care Facilities and Homes for the Aged were updated on 3/14/17 and 5/31/17. These changes were based on a reduced TB case rate in Michigan and the Centers for Disease Control and Prevention (CDC) 2005 updated guidelines.

Revised Nursing Home rule 325.20506 requires members to develop and implement a communicable disease policy governing the assessment and baseline screening of employees and patients. The need for and frequency of routine TB testing is to be determined by a risk assessment as described in the 2005 MMWR “Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings, 2005”, Appendices B and C, and any subsequent guidelines as published by CDC. The frequency of screening for TB will be determined by the facility’s annual risk assessment.

Revised Home for the Aged rule 325.1922 specifies that an individual admitted to residence in the home is to have evidence of initial TB screening on record that was performed within 12 months before admission. Initial screening may consist of an intradermal skin test, a blood test, a chest x-ray or other methods recommended by the public health authority. The screening type and frequency of routine TB testing is to be determined by a risk assessment as described in the 2005 MMWR “Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings, 2005”, Appendices B and C, and any subsequent guidelines as published by CDC. Homes that are low risk do not have to conduct TB testing for residents.

Members are encouraged to read the entire guideline and specifically note that on page 10 of the 2005 MMWR TB Guidelines, all TB screening procedures for settings classified as low or medium risk, all healthcare workers are to receive baseline TB screening upon hire using two-step TST or a single BAMT to test for infection with M. tuberculosis. Guidelines for residents in Homes for the Aged and Long-Term-Care Facilities are noted on pages 26 & 27. The link to the MMWR TB Guideline is provided here.

A link to the revised rules is available by clicking on Nursing Homes and Nursing Care Facilities and/or Homes for the Aged in Michigan Administrative Code.


Medicaid Nursing Facility Provider Liaison Meeting Held


The Michigan Department of Health and Human Services, Medical Services Administration convened a Nursing Home Provider Liaison meeting on June 28, 2017. These meetings afford opportunity for providers to listen to and comment on the latest policy issues, billing and reimbursement information, and hear from MDHHS staff responsible for Medicaid eligibility and enrollment. LeadingAge Michigan represented its membership at the latest meeting in which much information was shared with providers, including a Frequently Asked Questions (FAQ) document providing answers to questions submitted prior to the meeting.

Important issues discussed include upcoming implementation of an electronic 2565 process, which should help enrollments to occur in a more timely fashion. This is part of the Department’s Modernizing the Continuum of Care (MCC) Initiative. The paper 2565 admission notice is scheduled to become obsolete in December 2017, with implementation of the electronic process in January 2018. Also part of the MCC is a change from Levels of Care (LOC) to Plan Enrollment Types (PET) in CHAMPS. Providers will update the system with the appropriate code when a person is admitted or discharged. The Department will need providers to test the system prior to implementation so consider taking advantage of this opportunity when it is offered. Medicaid policy bulletins will be issued to inform providers with more information when implementation is closer.

Multiple eligibility issues were discussed during the meeting and an FAQ was handed out to attendees to address some of the concerns. Michelle Best of MDHHS offered her contact information to help to resolve eligibility and enrollment problems. Her email address is BestM2@michigan.gov. This document was updated following the meeting and is available through this link

The Level of Care Determination (LOCD) process was discussed at the meeting. If there are matters of concern with the LOCD for the B7 issue, Provider Support representatives, Lynn Hicks and Lisa Biskupski-Pangborn, would appreciate receiving spreadsheets from providers to facilitate the process of resolution. These spreadsheets should be emailed to ProviderSupport@michigan.gov with attention to Lisa or Lynn. There was also discussion around the Mini-Mental that is being used to determine if a person meets Door 2 versus the BEMS. See the attached minutes for more information about the LOCD and other Medicaid provider issues. A link to the meeting minutes is found here.

The Department indicated that Nursing Home Provider Liaison Meetings would be held more frequently in the future.


MDHHS Reminder


A gentle nudge from the Michigan Department of Health & Human Services (MDHHS) is being passed along reminding providers that Nursing facilities must maintain (in English and in a legible manner), written or electronic records necessary to fully disclose and document the extent of services provided to beneficiaries. This requirement is contained in the General Information for Providers chapter of the Medicaid Provider Manual, Section 15.1 - Record Retention. Additionally, 42 CFR 483.75 - Clinical Records indicates that the clinical record must contain the plan of care and services provided.

These requirements apply to oxygen gas (either frequent or prolonged) used on a daily basis. Daily documentation would include the oxygen liter flow (based on a physician order) and frequency used.

The prompting of the MDHHS reminder came from a concern raised by an attorney asking that “guidance” be given to nursing facilities on record keeping as some facilities are saying they do not maintain such information for oxygen services.


Housing
MSHDA Updates

The list of applications for the July 17, 2017 Low Income Housing Tax Credit (LIHTC) Funding Round has been added to the "2017 Funding Round Information" page.

The 2017-2018 LIHTC Application has been updated to include the current rent limits and a few other minor changes, and can be found here.

The 10% Certification Exhibit Checklist has been updated and can be found on the MSHDA website.

As a reminder, August 1, 2017 is the deadline for submission of any project-specific waiver requests an applicant is considering requesting for the October 2, 2017 funding round. See Section V.E of the 2017-2018 QAP for further information.


HUD


HUD is preparing to restrict future payment of rental assistance payments to organizations that do not have and maintain an active Data Numbering System (DUNS) number. It is vital that all housing members have and maintain a current (active and annually-recertified) DUNS number. Effective December 1, 2017, vouchers that do not contain an active DUNS number will generate a Tenant Rental Assistance Certification System (TRACS) fatal error and will not receive payment until corrected. DUNS numbers can be registered and renewed each year at the System for Award Management website.

Please note the Tenant Rental Assistance Certification System (TRACS) Release 2.0.3.A has been delayed to 2018. It was previously scheduled for completion on October 31, 2017, but will now be available according to this new timeline:

Feb. 1, 2018 Transition begins
May 31, 2018 Transition ends
June 1, 2018 TRACS Release 2.0.2.D Transactions will be rejected

TRACS collects certified tenant data for processing from owners and management agents of multifamily housing projects, and from local housing authorities and state housing agencies acting as subsidy contract administrators for HUD. TRACS Release 2.0.3.A contains the following enhancements:

  • Race and Ethnic Data Reporting under Executive Order 13515 - Asian American and Pacific Islander Community
  • TRACS Business Edit To Ensure Extremely Low Income Requirements for 811 PRA Demonstration Program
  • Rental Assistance Demonstration (RAD) Data Reporting for Tenant Payments Exceed Total Tenant Payment (TTP)
  • Repayment Agreement Data Collection to Meet Improper Payments Elimination & Recovery Improvement Act (IPERA) Regulations
  • Revised HUD Form 52670 A – Part 6 Repayment Agreements
  • Revised HUD Form 50059, Owner's Certification of Compliance with HUD's Tenant Eligibility and Rent Procedures
  • New Family Self-Sufficiency (FSS) Program Data Collection to Record and Track Tenant Escrow Accounts

Member Value


Opening Doors to Communication for People Living with Dementia


Gordon Food Service, a Value First vendor, focuses on healthcare and the needs of long-term care providers. They have compiled a helpful guide on how to be more personable and effective in caring for residents with dementia. Taking a personal approach in understanding their needs and learning how to properly respond to avoid confrontation may be helpful in communicating with residents.

Click on the article link for further information. If you have questions, or would like to speak to a representative from Gordon Foods and learn more, please contact Rob Ervin at (517) 323-3687 or Rob@leadingagemi.org.


Member Update


State Official Visits Burcham Hills

Matt Lori - Senior Deputy Director of MDHHS Policy, Planning and Legislative Services visited Burcham Hills on July 17th. The purpose of the visit was to learn more about Life Plan Communities including the various services provided. Additionally, discussions were held regarding challenges facing the industry and how to address them. The Director was also able to share some of his top level priorities including mental health issues facing Michigan.


The GREEN HOUSE ® Workshop at Porter Hills in Grand Rapids, MI


Come visit the Green House Homes at Porter Hills, located in beautiful, Grand Rapids, MI. This is a chance to create a "seeing is believing" experience for you and your team. This day-long session will help you connect theory with practice. The workshop will help you to:
  • Learn about Green House values and essential practices, and explore how the model is reflected in various communities;
  • Hear about the growing evidence base, which shows positive financial, clinical and quality of life outcomes;
  • Speak with leadership and staff from this Green House organization and hear about their experience in developing and implementing the Green House model.
  • Step inside a Green House home to experience the impact of real home, meaningful life, and empowered staff.

Registration is complimentary and includes lunch. Please register now - this will be the only workshop in the Midwest this year, and attendance is limited.

Date: September 14, 2017, 10:00 am to 4:00 pm EST. Register


Education Center


2017 Leadership Institute
Crystal Mountain Resort & Spa
August 16th-18th

Click Here for conference brochure and to register.  

Crystal Mountain accommodations are still available. Room types are limited and our group rate is based on availability. Please call the Association at 517-323-3687 if you need assistance with your reservation.
Click Here 
for reservation information.


All-Hazards Approach: Facility-based & Community-based Risk Assessment
August 2 ~ Live Webinar

This webinar will address the national emergency preparedness final rule impacting Skilled Nursing Facilities, Nursing Facilities and Intermediate Care Facilities for Individuals with Intellectual Disabilities (NOT applicable to Assisted Living Providers). The affected providers will need to be in compliance by November 2017. We will discuss the all-hazard risk assessment approach, how to address health and safety risks for your population, the importance of focusing on the “subsistence needs” and reasons to network with other providers. Read more...

Click Here 
for
 more information and to register.


Antibiotic Stewardship: Why It's Important in LTC
August 9 ~ Live Webinar

Are you aware the new requirements for skilled nursing facilities calls for a robust infection control program that includes requirements for antibiotic stewardship? The use of antibiotics in all areas of healthcare deserves scrutiny to protect residents/patients from the threats of antibiotic resistance. An effective Antibiotic Stewardship Program will help optimize the treatment of your residents who have infections while reducing antibiotic resistance and adverse events that can be associated with the use of antibiotics. Read more...

Click Here 
for
 more information and to register.


Building Better Working Relationships
August 23 ~ Trinity Health Senior Communities, Livonia
August 29 ~ Heritage Community of Kalamazoo
September 7 ~ Masonic Pathways, Alma
Thank you to our members who have graciously agreed to host our programs.

As shown by Daniel Goleman's research, it is Emotional Intelligence (EQ) that makes and keeps someone employed. He has found that IQ takes second position to EQ in determining outstanding job performance because it is the human talents and qualities that makes and keeps one employed. When an organization has employees with higher EQ they will interact with leadership, management, co-workers, residents/patients and families more effectively. All participants will complete an online Everything DiSC Workplace Personal Profile which will be reviewed and assessed during the training. This valuable assessment tool will be included in the cost of the training. Join us to learn more about your personal EQ, how to adapt your style to be more effective with others and how to build better working relationships.

Click Here to register or for more information


Mega Rule Phase 2:
Implementation Strategies to Support Staff Competencies
August 30 ~ Okemos

CMS has embedded the requirement of demonstrating clinical competence throughout many of the new LTC regulations.  The newly released interpretative guidelines reflect more emphasis on outcomes and the capability of staff to perform acceptably those duties directly related to resident care. Our expert presenters will provide an overview of the new behavioral health, infection preventionist and caring for pressure injuries in the LTC regulations. Participants will leave with teaching tools and implementation strategies to support quality in-services for their staff. We will share information regarding the appropriate training and supervision, as well as how to demonstrate competency and skill sets that increase knowledge and practice for meeting the requirements of the these new regulations.

Click Here 
for
 more information and to register.


Nurse Aide Train-the-Trainer
September 25 ~ Okemos
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.


Certified INTERACT 4.0 Champion (CIC)
Workshop will be this fall - dates coming soon!
Training will be held in Lansing.

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!


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!


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.


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.


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 Annual Leadership Institute
August 16-18, 2017 ~ Crystal Mountain Resort, Thompsonville

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!


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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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