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The Latest Wrinkle April 27, 2018
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Let's All Celebrate May!!

In 1968, a small group of not-for-profit senior providers launched an Association to support the seniors of Michigan and the mission-based providers who serve them. One of the hallmarks of that work over the past half century has been a clear understanding that the primary goal has always been the well-being of Michigan seniors.

 This month we will be celebrating the continued mission to support independence and the dignity of all senior citizens which has been our hallmark during its fifty year existence. Please join us at our annual conference. Celebrate our 50th Anniversary with us and acknowledge the amazing commitment of our member organizations. Did you know that within LeadingAge Michigan membership:

  • 33 members have more than 50 years of service,
  • 6 have over 125 years of service,
  • 4 have over 100 years, and
  • 3 have over 75 years of service to the elderly?

Our community-supported member locations are sponsored by religious, fraternal, private, and governmental organizations with one goal – providing the best individualized care to those who need it the most – our senior citizens.

For 55 years, we have observed Older Americans Month (OAM) to recognize older Americans and their contributions to our communities. The Administration for Community Living’s Administration on Aging (AoA) leads stakeholders every May offering opportunity to hear from, support, and celebrate our nation’s elders. This year’s OAM theme,
 “Engage at Every Age,” emphasizes the importance of being active and involved, no matter where or when you are in life. Seniors are never too old (or too young) to participate in activities that can enrich their physical, mental, and emotion well-being.
May also is the month for National Nurses Week (May 6-12) – always celebrated in alignment with Florence Nightingale’s birthday. We take this opportunity to reflect on her principles and guidance as we extend a special thanks to our member nurses who continue to provide the highest level of quality care to Michigan’s seniors. You deserve special recognition for your efforts to inspire, innovate, and influence every day! When celebrating National Nurses Week members can find easy to use resources, a free Nurse Education webinar, draft social media posts and plenty of logoed gear.
LeadingAge Michigan is pleased to support the premier nursing homes in Michigan. With 84 mission-based skilled nursing facilities in membership and providing 7,026 beds for post-acute and long term services in Michigan, we want to take the opportunity to recognize our outstanding members during National Skilled Nursing Home Week, May 13 - 19.


Nursing Home Advocacy

LeadingAge Michigan and member representatives from Christian Rest Home, The Oaks at Northpointe Woods, Trinity Health Senior Communities, and Church of Christ Care Center continue to participate in workgroups with the Bureau of Community and Health Systems (BCHS) charged with a thoughtful review of the regulatory issues facing skilled nursing facilities across the state.

Some of the many issues being discussed are: Facility Reported Incidents and the MI-ACTs platform, the State Administrative Rules, Informal Dispute Resolution (IDR) process, and Involuntary Discharges. Additionally, BCHS, with the encouragement of LeadingAge Michigan has taken the important step of having an outside firm review Michigan’s reporting data and processes to determine our performance compared to regional and national comparisons.

One of the important issues on the horizon with BCHS is something currently referred to as the “Charge Nurse” rule. LeadingAge Michigan is currently not supporting this proposed revision, as discussed and will be submitting some suggested language to the department very soon. Director Horvath, being sensitive to the workforce issues facing providers. In addition, Dr. Horvath has also agreed to hold focus groups to address these issues regarding IDRs and involuntary discharges during the summer months. Stay Tuned.

Legislation to Alleviate Growing Workforce Crisis Introduced in Congress

New legislation introduced in Congress would help aging services providers alleviate its growing workforce crisis:

Improving Care for Vulnerable Older Citizens through Workforce Advancement Act (H.R. 346)

To help advance the role of direct care workers, this legislation would study care coordination and improved delivery of health services for older adults with chronic illness or at-risk of re-hospitalization. Specifically, the legislation would fund:

  • Two projects that incorporate direct-care workers into interdisciplinary care coordination teams to promote smooth transitions in care and help to prevent unnecessary hospital readmissions.
  • Two projects that focus on maintaining and improving the health status of older adults with multiple chronic conditions and long-term care needs. Direct-care workers will help monitor health status, help consumers follow prescribed care, and educate the consumer and family caregiver(s).
  • Two projects that train direct-care workers to take on deeper clinical responsibilities related to specific diseases, such as Alzheimer’s, dementia, congestive heart failure, and diabetes.

Direct Creation, Advancement and Retention of Employment (CARE) Opportunity Act (H.R. 3778)

In response to the growing need for direct care workers, this legislation would establish grants for demonstration projects on the recruitment and retention of direct care workers and the expansion of career advancement opportunities for them.

Emergency Nursing Supply Relief Act (H.R. 3351)

To help ease the present nursing shortage, this legislation would provide up to 8,000 employment-based immigration visas per year for nurses, physical therapists, and other health care workers.

Budgets Continue to Move Forward

This week, the Michigan House Appropriation Committee and several Senate Appropriation Subcommittees reported their budgets for the upcoming 2018-2019 Fiscal Year. Below are highlights of the proposals as of today:


  • An additional $10 million for local public health departments
  • $5 million in General Fund dollars to improve rural access to primary care
  • Annualized funding for the response to polyfluoroalkyl substances (PFAS)
  • $100 placeholder to create a Teacher Council in the Department of Education
  • $10 million for schools to improve mental health services and school safety
  • Closure of a second prison
  • $1.9 million to train 242 new corrections officers


  • There is $164 million in funding that is yet to be appropriated
  • $33 million additional funding to the Healthy Michigan Plan
  • $8 million for testing and response to PFAS
  • $500,000 for the Imagine Math Program
  • $25 million for schools to enhance school safety, such as door locks and security cameras
  • The education omnibus budget is $167.96 million more than the current year, and $80.91 million higher than the executive recommendation
  • The general fund budget comes in $29.62 million less than the governor’s recommendation at $1.19 billion

Prior to being reported, along with other amendments, Democratic members in both chambers attempted to add in additional funding for roads and bridges, however they were unsuccessful. The House budgets move to the full floor for a vote. In keeping with prior years, the House utilized two omnibus budgets; one for K-12 schools, community colleges, and universities and a general omnibus for all other areas. The Senate budgets will move from subcommittees to the full Appropriation Committee for consideration.

Last week the committees moved several budgets, for highlights from last week’s bill movement, please click here.

Call to Action - Mandatory Certified Nursing Assistant Training Lockout

Current federal law applies a severe penalty for nursing homes with fines over a certain level ($10,483 as of 2017) to automatically lose their ability to train CNAs for 2 years - even if the care deficiencies cited are unrelated to the nursing home’s CNA training program.

The loss of CNA training authority runs directly counter to a nursing home’s ability to provide the highest quality of care. At a time of workforce shortages, this lockout can be a major barrier to improving and maintaining high quality of care.

Tell Congress that now is the time to end the mandatory CNA training lockout!

Please be sure to add your personal story to your message to Congress, especially if your organization has experience with this issue. If you are not experiencing a lockout you can still make your voice heard and your members of Congress will hear you.

How You Can Help:

  • • Email your lawmakers TODAY by following the instructions on our Action Alert
  • Forward this action alert to your network.

Thank you for taking the time to advocate for this important issue!

Across the Continuum

Salary and Benefits Study Deadline Approaching

The LeadingAge Nursing Home Salary & Benefits study deadline of May 7th is fast approaching. Members needing additional time past the deadline of May 7th may contact Rich Cioffe, for an extension. Questionnaires are available here.

The HCS study is conducted in cooperation with LeadingAge and covers 98 jobs, fringe benefits, shift differentials, turnover rates, and more. LeadingAge participants may purchase the results at the reduced rate of $165, compared to the $350 non-participant rate. The published results will report data by revenue size, profit type, bed-size, region, state, and CBSA.

Hospital & Healthcare Compensation Service (HCS), the leader in healthcare salary and benefits research, has been providing the healthcare industry with reliable and comprehensive compensation studies since 1971.

Skilled Nursing

Important Medicaid Audit and Reimbursement Information

At the most recent Medicaid Provider Audit workgroup meeting, Medicaid representatives asked that providers be informed and reminded of some important information when submitting cost reports and in working with Long Term Care (LTC) Reimbursement and Audit Division.
First, the LTC Reimbursement and Audit Division is moving with the newly named Bureau of Audit to the Lewis Cass Building from the Capitol Commons Center. The new mailing address is:

Michigan Department of Health and Human Services
Financial Operations Administration
Bureau of Audit
LTC Reimbursement and Audit Division
P.O. Box 30815
Lansing, MI 48909

Second, the LTC Reimbursement and Audit Division asked that providers be reminded to open all materials sent to them in File Transfer as most information is time sensitive. When information is placed in File Transfer, providers receive an email from informing them that they have documents placed in their respective receptacles that must be reviewed or responded to. Please have your IT departments check to make sure that these emails are not blocked by spam filters. Only two people working for a provider can have access to File Transfer, so be sure that you are aware who these people are. If a person with access leaves your organization, you need to know how to access File Transfer.

Finally, a survey will be issued to providers following the close of an audit. The LTC Reimbursement and Audit Division asks that you take time to respond to this audit with honest feedback in order to improve processes in the future.

Medicaid Quality Measure Initiative (QMI) Resident Satisfaction Survey

Michigan’s proposed Quality Measure Initiative, yet to be approved by CMS, requires nursing facilities to conduct a Resident Satisfaction Survey in order to receive the full QMI amount for which they may be eligible. MDHHS released a numbered letter on April 23, 2013 providing details for this survey.

For nursing homes submitting an acceptable resident satisfaction survey, the QMI will be multiplied by 100%, and for those not submitting the results of an acceptable survey, the QMI will be multiplied by 85% of the amount they would have otherwise received. In order for nursing homes to be credited for submitting resident satisfaction survey data, the following information is required to be submitted electronically to MDHHS Medicaid Policy Bureau:

  • A copy of the questions from the survey
  • A summary of the survey response results
  • The number of residents residing at the NF at the time of the survey
  • The number of residents who received the survey
  • The number of completed surveys, and a breakdown of who complete the survey for the residents
  • The survey date range
  • The survey frequency
  • The entity that conducted the survey
  • The survey collection method(s)
  • An explanation of how the provider uses the survey results to improve the quality of resident care

More information, including a survey submission checklist, can be found through the following link.

Members who have a resident satisfaction survey that complies with the requirements may begin submitting surveys now in advance of the August 17, 2018 deadline. Questions should be directed to

Licensed Health Facilities or Agencies Rules Revisions Update

The Bureau of Community and Health Systems (BCHS) launched a project in 2017 to comprehensively review and update all administrative rules for licensing and regulating health facilities, as authorized in Article 17 of the Public Health Code. A big “thank you” to our members for their participation-to-date which has included Holland Home, Brookcrest, Burcham Hills as well as Margaret Chamberlain with Rolf and Gerald Abden with Dykema. Their input and insight has been much appreciated.

A steering committee reviews all comments/recommendations from the work groups. Not all recommendations can be adopted such as when they conflict with statute or with drafting requirements for administrative rules. Currently, the workgroup’s third revision includes 135 rules, a reduction of 57%.

The framework/outline of the draft rules includes ten parts. Parts One through Nine contain rules/subparts which would be applicable to all health facilities/agencies, i.e. General Provisions, Licensing, Administration etc. Part Ten is further subdivided by specific health facility type, i.e. Hospital, Hospice, Nursing Care Facility etc.

Examples of deletions in the Nursing Home rules include the removal of the following types of facilities from the general provisions as these are not currently applicable: care of the mentally ill, tuberculosis, and child care homes. As the draft appears now, the Nursing Care Facility subpart contains five rules: trust fund/surety bond, involuntary transfer/discharge, admission and medical examination, nursing care services and activity program. Other rules previously contained within Nursing Home rules have been blended into one of the nine rules/subparts which are applicable to all.

An example of a new rule (applicable to all) is titled ‘Financial Disclosure and Fiscal Audit’. This rule allows BCHS to request financial statements when the department has concerns as to the licensee’s ability to deliver the required care and services. Other new sections include the Emergency Preparedness and Quality Assessment/Performance Improvement requirements, mirroring CMS language.

The next meeting of the workgroup is May 14. Members interested in sharing thoughts or comments may contact Laura at

SNF QRP Requires New MDS Items

The IMPACT Act of 2014 established the SNF Quality Reporting Program (QRP) requiring facilities to report standardized assessment data, data on quality measures, and data on resource use and other measures. Data collection for the adopted measures began October 1, 2016 and subsequent reporting of the data affected payment determinations for this fiscal year. Data collection for FY2019 payment determinations ended December 31, 2017. That data must be submitted by May 15, 2018 to avoid a two percentage point reduction in the facility's annual payment update.

Facilities are currently in the data collection period for FY2020 payment determinations for previously adopted quality measures. Beginning October 1, 2018, facilities must also collect additional data for the following measures:

  • Drug regimen review conducted with follow-up for identified issues
  • Changes in skin integrity (modified version of current pressure ulcer measure)
  • Change in self-care score for medical rehabilitation patients
  • Change in mobility score for medical rehabilitation patients
  • Discharge self-care score for medical rehabilitation patients
  • Discharge mobility score for medical rehabilitation patients

A change table specifies the changes to the MDS effective October 1, 2018 that are a result of the new SNF QRP quality measures. The table identifies new items required to calculate the measures, whether directly or for risk-adjustment, to sections GG, I, and J of the MDS. Various revisions to current items in Section GG and M are also noted. Any additional changes to the SNF QRP will be communicated through the forthcoming FY2019 SNF Prospective Payment System (PPS) rulemaking process.

To assist our members to in preparation for these new coding changes, LeadingAge Michigan will be providing a workshop presentation facilitated by Leah Klush set for June 21, 2018 at the Okemos Conference Center.

To read more about this great learning opportunity and to register visit the LeadingAge Michigan webpage.

Assisted Living

Residential Board and Care Life Safety Codes

The Bureau of Fire Services has convened an ad hoc committee to assist in the process of promulgating revised Fire Safety Rules. The proposed rule amendments are intended to address the new requirements set forth in Public Act 167 of 2017. The Bureau of Fire Services must amend the current Health Facilities Fire Safety Rules to allow existing non-licensed home for the aged facilities to be reviewed and inspected to comply with the provisions of chapter 18 or 19 (Health Care Facilities) or chapter 32 or 33 (Residential Board & Care) of the National Fire Protection Association standard number 101. Currently the health care facilities fire safety rules do not adopt chapters 32 or 33.

Chapter 33 will be used for existing facilities that are not currently licensed as a Home for the Aged due to issues with building types etc., and are applicable to a facility that has provided information to the Bureau of Community and Health Systems (BCSH) for verification that the facility was in existence on or before February 11, 2018 and has been continuously operating.

The chairperson of the ad hoc committee indicated that the process is expected to take several weeks with meetings every two weeks. LeadingAge Michigan will be providing input and updates as the work progresses.


MHSDA - Qualified Allocation Plan

This past week Michigan State Housing Development Authority (MSHDA) released their Draft 2019-2020 Qualified Allocation Plan determining that there are three general areas of focus for the redevelopment.

  1. Enhance and iterate on the tools utilized to ensure developments are being located in areas of opportunity. For instance, interpretations are being modified that can evaluate a group of amenities that are very important to residents, like the Walk Score. In doing this, the location-based criteria is expanded to more fully assess the amenities in an area that will enhance the quality of life for residents
  2. Permanent Supportive Housing Category - To create more units targeted at critical needs of various populations. The Addendum III review process will now take place in advance of the funding round. This new timeline will allow Permanent Supportive Housing projects to receive a more focused review and usable feedback on the critical aspects of the project.
  3. Re-focus on the overall mission of the QAP. This draft project has incorporated new point incentives for a unique financing structure utilizing both 4% LIHTC and 9% LIHTC. This concept has the potentially significant benefit of reducing the burden that is placed on the already highly competitive 9% LIHTC program by leveraging the currently undersubscribed 4% LIHTC and Tax-Exempt Bond resources to assist with the financing.

LeadingAge Michigan encourages interested members to attend one of the four public hearings by MSHDA on the proposed modifications.

Security of EIV Data Critical to HUD

HUD reminds us that, "Only entities or individuals authorized by the Social Security Act and identified in HUD's Computer Matching Agreement are permitted to view EIV data, regardless of format (e.g. hard copy, soft copy, systems). Authorized entities are:

  • Owners, in connection with the administration of Multifamily Housing programs;
  • Contract Administrators (PBCAs and TCAs) and HUD staff;
  • Independent Public Auditors*;
  • OIG investigators for auditing purposes; and
  • Individuals assisting in the recertification process and who are present during the recertification interview and process.

*Note: The definition of IPA does not include other consultants hired by an O/A to audit tenant files for compliance.

Safeguards: The data provided via the EIV system must be safeguarded to ensure that it is only used for official purposes and not disclosed in any way that would violate the privacy of the individuals represented in the system data. Practices and controls must be developed by HUD and program administrators to secure information are grouped into three types of safeguards:

  • Technical safeguards: User identification and authentication, ensuring only those who have a need to use the EIV system to perform their job function have access to the EIV system, and security training;
  • Administrative safeguards: Established policies and procedures that govern the use of the EIV system; and
  • Physical safeguards: Physical measures taken to ensure data is safe when stored electronically or in hardcopy.

Download a copy of the HUD EIV Security RHIIP (#408) for more infomration on this topic.

For any questions about EIV and how it may apply email

HUD-VASH vouchers to provide housing for 5,211 veterans

In a continued effort to end veteran homelessness, the U.S. Department of Housing and Urban Development (HUD) and the U.S. Department of Veterans Affairs (VA) announced $43 million to 325 local public housing agencies (PHAs) across the country to provide a permanent home to more than 5,200 veterans experiencing homelessness. The supportive housing assistance announced today is provided through the HUD-Veterans Affairs Supportive Housing (HUD-VASH) Program, which combines rental assistance from HUD with case management and clinical services provided by VA.

A component of the Housing Choice Voucher (HCV) program, the HUD-VASH vouchers being awarded today enable homeless veterans to obtain affordable, decent housing in the private market. These vouchers are critical tools in helping communities effectively end homelessness among veterans.

In the HUD-VASH program, VA Medical Centers (VAMCs) assess veterans experiencing homelessness before referring them to local housing agencies for these vouchers. Decisions are based on a variety of factors, most importantly the duration of homelessness and the need for longer term, more intensive support in obtaining and maintaining permanent housing. The HUD-VASH program includes both the rental assistance the voucher provides and the comprehensive case management that VAMC staff offers.

Veterans participating in the HUD-VASH program rent privately owned housing and generally contribute no more than 30 percent of their income toward rent. VA offers eligible homeless veterans clinical and supportive services through its medical centers across the U.S., Guam, Puerto Rico and the Virgin Islands.

Housing Appropriations Heats Up

After two days of hearings in the House and Senate on fiscal year 2019 (FY19) funding for HUD, 34 Senators urged full renewal funding and increased new construction funds for the Section 202 Housing for the Elderly and Section 811 Housing for Persons with Disabilities programs in FY19.

An April 19 letter sent to the Senate from 34 Senators requested full renewal funding and a doubling of the new construction resources, compared to the fiscal year 2018 (FY18) HUD appropriation. The letter read in part, “…Section 202 provides a sensible and necessary approach to meeting our nation’s growing affordable housing needs for seniors. As HUD’s most recent Worst Case Housing Needs Report finds, 1.47 million very low-income elderly households are paying more than 50 percent of their income in rent.”

The letter requests $619 million for renewal funding for the Section 202 account and $210 million for new Section 202 construction funds, double the $105 million provided in the FY18 HUD appropriations bill.

LeadingAge members are urged to review the Senate letter and thank Senators who signed. This letter seeks increased funds compared to a Senate letter for FY18, which Ranking Member Menendez also led. LeadingAge is grateful for Ranking Member Menendez’s commitment to the Section 202 and Section 811 programs and their annual appropriations.

The House HUD Appropriations Subcommittee hearing on April 17 focused on oversight of programs under the jurisdiction of HUD’s Office of Public and Indian Housing. In anticipation of a rent reform package of proposals from HUD, which it referenced repeatedly in its request to Congress for FY19 funding for its programs, Representative Katherine Clark (D-MA) pushed the HUD official on how seniors would be impacted by HUD’s rent reform proposal. The HUD official responded that only newly assisted seniors would experience rent increases under HUD’s forthcoming proposal. LeadingAge opposes rent increases for any HUD-assisted resident, including newly assisted seniors. Subcommittee Ranking Member David Price (D-NC) spoke in favor of increased funding for the Section 202 program in FY19 and noted that HUD’s request is below what was appropriated for FY18.

The Senate HUD Appropriations Subcommittee held a hearing on April 18 focused on HUD’s FY19 request to Congress. HUD Secretary Ben Carson was the only witness. HUD Appropriations Subcommittee Chair Susan Collins (R-ME) expressed great concern for HUD's FY19 budget request in her opening remarks at the hearing. "The Administration’s FY19 request for HUD is $41.2 billion, a reduction of $11.5 billion and nearly 22 percent below the fiscal year 2018 enacted level. It includes several proposals that were rejected as part of the FY18 deliberations, and I anticipate that many of those same program eliminations will once again be rejected. The request reflects a significant divestment, and in some cases abdication, of a federal role in housing and community development. The request assumes state and local governments have the ability to make up for the loss of federal resources, but fails to identify how this would be possible.

Full Senate Appropriations Committee Ranking Member Patrick Leahy (D-VT) asked Secretary Carson about the White House’s forthcoming package of recommendations to Congress on what Congress should rescind, or claw-back, from the recently-enacted FY18 omnibus appropriations bill. Ranking Member Leahy repeatedly asked Secretary Carson if HUD would recommend to the White House that any housing or community development program funding be rescinded. Secretary Carson did not answer the question; Secretary Carson responded, “I will continue to advocate strongly for the elderly, the disabled, and the most vulnerable people in our society.” A White House list of recommended rescissions to the FY18 bill is expected to be sent to Congress around May 1.

Member Value

Why Request a Certificate of Insurance from a Vendor

Long term care facilities of all skill levels of care, from independent living to skilled care facilities, have independent contractors coming into the facility who provide services to the residents. The services could include physical therapy, occupational therapy, speech therapy, wound care, pharmacy, dietary consultant, lab, mobile x-ray, home health agency and many others.

We live in a very litigious society. An incident resulting from an independent contractor’s work could result in a liability claim from an injured resident or the family. Plaintiff attorneys usually look for more than one party to sue. Since an incident occurred in a facility where a resident was treated, the facility may also be named in the suit. This article explains what a certificate of insurance is, why providers should ask for it from vendors, and what more a facility can do to protect itself.

Voss Insurance is a longstanding LeadingAge Michigan Business Alliance Partner, please feel free to contact Jason Jackovich at Voss Insurance Services to discuss your situation. He can be reached at 517.455.7487 or by email at

Member Update

UMRC Foundation Welcomes Renowned Dementia Expert Teepa Snow

United Methodist Retirement Communities (UMRC) Foundation will host three days of dementia trainings by nationally recognized clinician and author, Teepa Snow, OTR/L, founder of the Positive Approach™ to Care. These complimentary events will be held on May 15, 16, and 17, 2018 at the W.J. Maher campus of Jackson College in Jackson, Michigan. The Positive Approach™ is an innovative, medically-proven, caregiving program, designed to improve quality of life and reduce stress for those with dementia and their care partners.

For more information and to register click here.

Clergy Breakfast to Focus on Dementia Friendly Worship

Clark Retirement Home and Emmanuel Hospice are co-sponsoring a morning of prayer, learning, and breakfast on Thursday, May 17. This event is for clergy and lay people who support clergy, and will focus on making worship dementia friendly. It is open to all clergy from the greater Grand Rapids area. For more information please click here.

Education Center


Join us for our 50th anniversary celebration.


Expo Booths & Sponsorships Available

Click Here for more information. 

Thank You To Our Conference Sponsors!

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Nurse Aide Train-the-Trainer
May 3, August 9, September 13 and November 15

The workshops will be held in Okemos

LeadingAge Michigan is now offering a full day Nurse Aide Train-The-Trainer workshop that meets the State of Michigan's new requirements. This workshop is not required but will meet one of the State of Michigan's criteria to become a qualified instructor.

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.

NOTE: Completing the LeadingAge Michigan Nurse Aide Train-The-Trainer workshop does not guarantee a participant will meet all of the requirements as a Qualified Instructor of a Nurse Aide Training Program with the State of Michigan.

Click Here for more information and to register.

The Quest for a Life of Quality
Practices, Perceptions and Interactions that Make or Break Resident/Client Satisfaction
June 14 ~ Lansing

Quality of Life is an individual's sense of well-being, level of satisfaction with life and feeling of self-worth and self-esteem. For every older adult, satisfaction is paramount to the way in which they experience their lives. Satisfaction for each of our residents/clients is defined uniquely and individually. A deeper understanding of satisfaction allows us to meet the needs and desires of the older adults we care for.

Under the revised nursing home regulations, the requirement for Quality of Life can be cited if a facility is found to have a significant deficiency to the degree that constitutes immediate jeopardy. In the senior living industry, providing an exceptional quality of life experience can be the difference between a great environment where every older adult wants to live or struggling to make ends meet because your residents or clients are unhappy. As leaders, our responsibility across all levels and departments is to purposefully know and develop relationships with every person in our care and assist our staff in understanding the importance of meaningful relationships. 

This full-day, interactive workshop focuses on enriching the essential connections with older adults, strengthening the rapport among employees to foster a more integrated organization community and developing collaborative communication partnerships between seniors you care for, their families and your staff.

Click Here for more information and to register.

MDS 3.0 Coding & Regulatory Updates
June 21 ~Okemos

CMS has implemented many changes in the MDS process, added new items to the MDS 3.0 data set and more changes are coming in October 2018. This interactive session will identify the new items and the manual instruction to collect and report the data. Our expert presenter, Leah Klush, Executive Director of The Alliance Training Center, will share her knowledge of the reimbursement models and connect the dots between.

  • The value of an accurately completed MDS in the face of the potential RCS1 reimbursement model;
  • Michigan’s Quality Measure Initiative (Medicaid) that will incentivize providers, from the Provider Tax pool, to increase their QM scores; and
  • How to accomplish this through some of the areas with new coding instructions in Sections G, GG, H, I, J, M, N, O and P.

Click Here for more information and to register.

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 for more information and to register.

MDS RAC Certification Workshops 2018
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 more information and to register

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 for more information and to register.

Mark Your Calendars!

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

A Special Thank You to Content Contributors Michigan Legislative Consultants and Voss Insurance Services!

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 be the voice of aging services in Michigan.

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