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The Latest Wrinkle July 29, 2016
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Not-For-Profit Celebrates 50 Years


St. Anne’s Mead retirement home for seniors celebrated its golden anniversary with a public homecoming party Saturday, July 23.

Through the Historical Marker Program initiated by LeadingAge Michigan, the event schedule included a site marker presentation by The Historical Society of Michigan. The Historical Marker Program was started to assist LeadingAge Michigan members in obtaining a landmark plaque recognizing members with 50, 75, or 100 years of service and good works within their communities.
This event honored the tradition, achievement, and value to the community of St. Anne’s Mead. In additional to the historical marker from The Historical Society of Michigan, Southfield Mayor Ken Siver presented a Legislative Tribute to the facility. Other speakers were Congresswoman Brenda Lawrence, Southfield Police Chief Eric Hawkins, and St. Anne’s Mead executive director Jane Collins.

“Groundbreaking for St. Anne's Mead took place in November 1964 and our first residents moved into a finished wing a year later, but St. Anne's did not officially open until Oct. 2, 1966, when the building was finished and dedicated,” Collins stated.

Conceived as a senior retirement home by the Episcopal Church Women at Birmingham's St. James Church, and Christ Church Cranbrook, St. Anne's Mead is a licensed, not-for-profit assisted living and nursing care facility that is planning to open a Memory Care Unit following a successful fundraising campaign later this year.

St. Anne's Mead also will hold a 50th anniversary Gala Dinner on Oct. 15 at Plum Hollow Country Club in Southfield

LMI On the Go


LeadingAge Michigan is a busy place; this newsletter item will give you a snapshot of what is happening here in our Lansing office and with our outreach activities. If you see something you have questions about, please reach out. We love to hear from you!
 
Meetings Attended:
  • Certificate of Need (CON) – Hospital LTCU
  • Licensing Workgroup – Joint Associations on unlicensed assisted living
  • MSHDA
  • Director of Nursing networking at The Friendship Village in Kalamazoo and Church of Christ Care Center in Clinton Township
  • State Executive Forum
 
 Member Visits:
  • St. Anne’s Mead, Southfield
  • Heritage Community of Kalamazoo and Nazareth Center, Kalamazoo
  • MOVE Communications, Ann Arbor
 
  Member Savings Collaboration:
  • Chelsea Retirement Community
  • Lodge at Samaritas
  • Woods at Samaritas Senior Living


Advocacy


Sign Up Now: Tall Ship Sail!


What could be better than a sail on Grand Traverse Bay on a tall ship? How about sailing on Grand Traverse Bay while sampling some of Northern Michigan’s finest wines!

Please join the LeadingAge Michigan Political Action Committee on August 25th for a 2 hour afternoon sail on Grand Traverse Bay. Shuttles will be available from the Grand Traverse Resort to the Bay for our 3pm-5pm sail. Please contact the LeadingAge Michigan office to sign up. Space is limited!


Across the Continuum


Hospitals See Stars!!

Following years of debate, hospitals this week joined other provider groups as individual facility star rankings were first published on the CMS Hospital Compare Website. Star rankings include up to 64 different quality measures including readmissions, condition – specific measures, and patient satisfaction.

Many hospitals found themselves with lower scores than desired. Of the 4,599 hospitals across the nation, 102 (2.2%) received five stars, 934 (20.3%) received four stars, 1,770 (38.5%) received three stars, 723 (15.7%) received two stars, 133 (2.9%) received one star and 937 did not have enough care episodes to be included in the calculations.


Bundled Payment Program Extended


Three new bundled payment models were proposed this week by the Centers for Medicare and Medicaid as part of the goal to better manage care for Medicare A and B beneficiaries. Patients experiencing heart attack and/or cardiac artery bypass surgery will now be included in mandated programs within certain geographic areas. Additionally, the rule includes several proposed changes to the Comprehensive Care for Joint Replacement Model. All care within 90 days of hospital discharge will be included in the episode of care.

Programs will begin in July 2017 for five years and will include many hospitals that may not be otherwise participating in such a test.

Post-acute care providers within these areas may consider partnering with hospitals within these new programs. CMS seems to be ramping up new projects as they move toward the end of the current administration. The 906-page rule can be reviewed here.


High-Alert Medications in Long-Term Care (LTC)

The Institute for Safe Medication recently released its list of High-Alert Medications in Long-Term Care (LTC) Settings. These are drugs that clinicians should recognize as producing a heightened risk for causing significant resident harm when used in error. Common high-alert medications listed include, digoxin, epinephrine, iron dextran, methotrexate, and morphine.

Preparing for 2016 – 2017 Flu Season

Members can remind residents that an annual flu vaccine is the best way to reduce the chances for seasonal influenza that can easily spread to others within a residential setting. The Centers for Disease Control and Prevention (CDC) provides free educational materials that help members limit the risk for becoming infected with the influenza virus including influenza vaccine information statements (VIS).

To prevent the risk of transmission of respiratory infections, infection control measures should be implemented at the first point of contact with a potentially infected person. These should be incorporated into infection control practices as one component of Standard Precautions: Facilities can

Post visual alerts at the entrance of facilities instructing residents/visitors to practice respiratory hygiene/cough etiquette.

Ensure the availability of materials for adhering to respiratory hygiene/cough etiquette including tissues, no-touch receptacles for used tissue disposal and conveniently located dispenser of alcohol-based hand rub where sinks aren’t available.

Offer masks to persons who may be coughing during periods of increased respiratory infection activity in the community. When space and chair availability permit, encourage coughing persons to sit at least three feet away from others in common waiting areas.

Advise healthcare personnel to observe Droplet Precautions (i.e., wearing a surgical or procedure mask for close contact) in addition to Standard Precautions when providing care to a resident who displays symptoms of a respiratory infection, particularly if fever is present. These precautions should be maintained until it is determined that the cause of symptoms is not an infectious agent.

FDA posted Warnings regarding Fluoroquinolone

On July 26, 2016, the U.S. Food and Drug Administration (FDA) issued a MedWatch safety alert regarding the use of Fluoroquinolone drugs for systemic use. This warning includes the following currently available fluoroquinolones:

Avelox (moxifloxacin)
Cipro (ciprofloxacin)
Cipro extended-release (ciprofloxacin extended-release)
Factive (gemifloxacin)
Levaquin (levofloxacin)
Ofloxacin (generic brand)

The FDA advises Health care professionals to avoid prescribing systemic fluoroquinolones to patients who have other treatment options for acute bacterial sinusitis (ABS), acute bacterial exacerbation of chronic bronchitis (ABECB), and uncomplicated urinary tract infections (UTI) because risks outweigh the benefits in these patients. Stop fluoroquinolone treatment immediately when a patient reports serious side effects and switch to a non-fluoroquinolone antibacterial drug to complete the patient’s treatment course.

Home Health and Hospice

2017 Home Health Proposed Rule
The 2017 Home Health (HH) Proposed Rule includes many changes to the HH Value-Based Purchasing (VBP) pilot that is in its first of 5 years of a five-year demonstration period.

The demonstration project includes nine states: Arizona, Florida, Iowa, Maryland, Massachusetts, Nebraska, North Carolina, Tennessee, and Washington. The proposed rule includes the following changes:

CMS proposes to calculate the benchmarks and achievement thresholds at the state level rather than at the smaller- and larger-volume cohort level for all model years beginning with CY 2016. This change eliminates increased variation caused by small regional cohorts with few agencies but still allows for inter-state variation related to state regulatory differences.

CMS is proposing to remove the following Quality Measures:

Care Management: Types and Sources of Assistance
Prior Functioning ADL/IADL
Influenza Vaccine Data Collection Period
Reason Pneumococcal Vaccine Not Received

Annual, rather than quarterly data reporting will be allowed for one of the three New Measures, Influenza Vaccination Coverage for Home Health Personnel. Agencies would report on this measure in October 2016 and January 2017 for Program Year 1. For Program Year 2, the first annual submission will be due in April 2017 (specifically, an annual submission in April for the prior 6-month reporting period of October 1-March 31 to coincide with the flu season is the proposed timeframe requirement) and annually in April thereafter. CMS believes that changing the reporting and submission periods for this measure from quarterly to annually would avoid the need for HHAs to have to report zeroes in multiple data fields for the two quarters (July through September, and April through June) that fall outside of the parameters of the denominator (October through March).

Also proposed is an increase in the timeframe for submitting the new measures data from seven calendar days to fifteen calendar days following the end of each reporting period to account for weekends and holidays.

CMS is also considering initiating public reporting for the HHVBP Model beginning no earlier than CY 2019, to allow analysis of at least eight quarters of performance data for the Model and the opportunity to compare how those results align with other publicly reported quality data.

New Hospice Report Available in CASPER Reporting Application

CMS recently announced a new Hospice Quality Reporting (QRP) report titled, “Hospice Timeliness Compliance Threshold Report” that is available to Hospice providers in the Hospice Provider report category in the CASPER Reporting application.

Reconsideration Period for Hospice Quality Reporting

As communicated in a recent Open Door Forum, the Centers for Medicare and Medicaid Services (CMS) mailed notifications to hospices that were determined to be out of compliance with Hospice Quality Reporting requirements for CY 2015 which will affect their FY 2017 Annual Payment Update. These letters were mailed on or before June 29, 2016. Hospices receiving a letter of non-compliance may submit a request for reconsideration to CMS within thirty (30) days after the date documented on the non-compliance notification letter. CMS will not accept any requests submitted after the thirty (30) day deadline. If you receive a notice of non-compliance and would like to request a reconsideration, should follow the instructions within the notification letter. Use this link to learn more about the reconsideration request process.

New Hospice Report Available in CASPER Reporting Application

CMS recently announced a new Hospice Quality Reporting (QRP) report titled, ‘Hospice Timeliness Compliance Threshold Report’. It is available to Hospice providers in the Hospice Provider report category in the CASPER Reporting application. This report displays provider level data regarding Hospice Item Set (HIS) records submitted successfully to CMS. The report displays the following information: Provider identification information, Provider CCN and FAC ID, number of HIS Records Submitted, number of HIS Records Submitted on Time and the percentage of HIS Records Submitted on Time. To learn more see the CMS website.

Skilled Nursing
LARA’s LTC Quarterly Stakeholder Update

The volume of facility reported incidents (FRIs) in Michigan far exceeds the number reported for the other states in CMS Region V, according to Bureau of Health and Community Service Director Larry Horvath. The “algorithm” for what is considered ‘reportable’ developed years ago by the State Agency did not produce the clarity as hoped and providers who believed they were reporting as required often found themselves with citations for not reporting.

LeadingAge Michigan participated in a workgroup convened by Director Horvath to revise the current State guidance on ‘reportable incidents’ and to develop a tool to assist nursing homes in conducting a thorough investigation when an incident occurs. The written guidance and investigation tools were submitted to Region V for comment before distributing to providers. Both tools will be presented by the Bureau and Director of Nursing at Beacon Hill of Eastgate during the LeadingAge Michigan SNF Regulatory Day scheduled for September 19. Click here to register.

Additionally, Director Horvath discussed the Nursing Home Administrator state rule for hospital-based long-term care units. Rule 333.21720 reads in part, “…The department shall not license a nursing home under this part unless that nursing home is under the direction of a nursing home administrator…”. Rule 333.20109 defines “nursing home” as a nursing care facility and a “skilled nursing facility” is defined as a hospital long-term care unit that is operated by and as a part of a hospital. Director Horvath stated that although there is no authority to cite a hospital-based long-term care unit for not having a licensed nursing home administrator, it is felt that residents are better served by licensed administrators. So for now, no citation is being issued but hospital providers are strong encouraged to engage licensed administrators and they anticipate that Rule 333.21720 will be amended in the future.

LeadingAge Michigan requested that the Survey Entrance list be revised to delete the item: evidence of past non-compliance for consideration. The survey protocol does not require past-non-compliance events to be shared during the entrance conference. Division Director Roepke stated after consulting with CMS, ‘evidence of past non-compliance for consideration” will be removed from the Survey Entrance list.

Draft revisions to the Administrative Rules Related to Tuberculosis will be reviewed in a hearing scheduled for Wednesday, August 17 at 8:30 a.m. in the Williams Building in Lansing. One of the rules that prompted draft wording changes was R 325.20506 - communicable disease screening. This state rule requires nursing homes to develop and implement a communicable disease policy governing the assessment and baseline screening of employees/residents AND the assessment/baseline screening should 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”. Additional language drafted into this administrative rule includes referring to the Center for Disease Control (CDC) for any subsequent guidelines and that the frequency for TB testing would be determined by the nursing home’s annual risk assessment. To read more on these guidelines click here. The “TB Risk Assessment Worksheet” is available as a guide for conducting a risk assessment and can be accessed here.


SNF Part B Rate Calculator Update

The July 15, 2016 Federal Register includes a rule that updates the Part B Rate Calculator effective 1/1/17 – 12/31/17. When the therapy calculator for the CY 2016 final rule was updated last November, the CY 2016 conversion factor was 35.8279. On 3/8/16, CMS issued a revision to the CY 2016 conversion factor, decreasing the factor from 35.8279 to 35.8043. This change in the conversion factor history has been noted at the bottom of this calculator (line 126). This number is therefore different from the number seen in last year’s calculator. This calculator is accessible via the LeadingAge website.

In addition, the SNF Part B update included CPT code changes. Deleted are 97001, 97002, 97003, and 97004 codes which were for Physical (PT) and Occupational (OT) therapy evaluation and re-evaluation time.

Additions included 97X61 – 97x68 codes reflecting PT and OT evaluation/re-evaluation based on complexity of the resident and the amount of face-to-face minutes provided with the resident and/or family. CPT codes 97607, 97608 and 97610 are also new codes and are associated with pressure wound therapy and equipment


The new Quality Measures included in the 5-Star NH rating system


There are five new quality measures (QMs) that will be incorporated in the CMS 5-Star Nursing Home Rating System. These new QMs will be phased into the rating system between July 2016 and January 2017. Starting in July they will have 50% the weight of the current measures and in January 2017 they will have equal weight as the current measures. The new QMs are:

Percentage of short-stay residents who were successfully discharged to the community.
Percentage of short-stay residents who have had an outpatient emergency department visit.
Percentage of short-stay residents who were re-hospitalized after a nursing home admission.
Percentage of short-stay residents who made improvements in function.
Percentage of long-stay residents whose ability to move independently worsened.

In addition, beginning in July 2016, CMS will calculate ratings for the QM domain from the MDS using the four most recent quarters for which data is available. This is time period change was selected to increase the number of assessments available for calculating the QM rating. CMS believes this will increase the stability of estimates and reduce the amount of missing data. Values for the claims-based measures will be calculated by using a full year of data rather than being broken out separately by quarter.

At the July 14 SNF Open Door Forum, CMS announced that facilities would be able to see a preview of their 5-Star rating the weekend of July 23 and that the full data set would be released July 27. However, we just learned that CMS has indicated they will be delaying the release of the new 5 star measures for about a week. Because of the phased in process of the 5 new QM’s and the calculation changes, LeadingAge’s Insight’s ability to modify the 5-Star report will be delayed and may not be available to mid-August. We’ll keep everyone posted when they are ready.

The 5-Star Technical Users Guide has been updated and can be viewed here.

LeadingAge has scheduled a presentation highlighting this new user guide at the Leadership Institute scheduled in August. Members may register for this presentation by clicking here.


MDS Section GG

The revised DRAFT RAI Manual v1.14 was posted in May on the CMS website so users can preview significant changes before they become effective October 1, 2016. Included in this draft manual is a new Chapter 3, Section GG: Functional Abilities and Goals.

Section GG is a result of the IMPACT Act of 2014 and will provide CMS with data for the Quality Measure Domains reflecting resident functional status, cognitive function and changes in functional and cognitive status. This data will be used in the SNF QRP (Quality Reporting Program) also beginning October 1, 2016. The October implementation date means that every resident with a first Medicare day of October 1, 2016 or after will be included in the QRP and be required to have Section GG completed. SNFs must report Section GG data on at least 80% of the MDS assessments submitted between 10/1/16 through 12/31/16 or will be subject to a penalty withhold of 2% in the FY2018 payment determination. Coding accuracy, timeliness and compliance with coding of Section GG will be critically important to members financially.

The new Minimum Data Set (MDS) section GG is coded only for Medicare Part A beneficiaries. Section GG captures resident functional abilities and goals. The information to code section GG can come from direct observation, the resident’s self-report, family reports, and direct care staff reports documented in the resident’s medical record during a three-day assessment period, which are days 1 through 3. The coding of section GG reflects the resident’s “usual performance” as opposed to the coding rules for section G which reflects the most independent or most dependent.

The final version of the RAI Manual v1.14 is expected to be released in September 2016.


PACE


PACE Milestones


Two Michigan PACE programs are celebrating major milestones in their organizations. PACE of Southeast Michigan, which is the first PACE program to open in Michigan (1995), recently surpassed 500 participants. They currently utilize a day center in Detroit and are excited to begin serving participants at their newest center in Southfield. In addition, they have an alternative care setting which serves older adults in Warren.

Senior CommUnity Care of Michigan, based in Lansing and serving older adults in Ingham, Eaton, and Clinton counties, recently enrolled its 100th participant. They have scheduled a celebration event next month to mark this special occasion.

Both PACE programs have benefitted from the strong support of other senior care organizations in the community who continue to make referrals of the PACE-eligible older adults they serve.


Assisted Living


Unlicensed Assisted Living workgroup

In the interest of keeping members up to date on a fluid process, LeadingAge staff have been participating in a workgroup organized by the Bureau of HealthCare and Community Services (BHCS) with representatives from the other associations to discuss licensure requirements for Adult Foster Care (AFC) providers. Their (BHCS) stated goal was to understand the challenges that providers would experience should new criteria for AFC licensure be adopted as their (BHCS) interpretation of the licensure rules for AFC had veered from previous interpretations. Specifically, the relevance of ‘common ownership’ or ‘relatedness’ of the entities who provide any of the five elements (supervision, personal care, protection, room and board) has been patiently discussed. This workgroup met again on July 26 to receive an update from Director Horvath regarding the Bureau’s position on unlicensed entities who provide the five elements and do not hold a license to operate as an AFC or HFA. The Bureau is exploring various mechanisms that might provide relief for those providers who may face obstacles in complying with the current AFC or HFA requirements such as the Life Safety Codes. The workgroup asked for additional time to review the ‘Resident Board and Care Facilities’ LSCs and will reconvene in two weeks to share thoughts and/or considerations with Director Horvath. If you operate a unlicensed assisted living entity and would like further information about the workgroup activities and/or the life safety code rule set please contact LeadingAge Michigan at info@leadingagemi.org.


Housing
Senate Passed Housing Opportunity Through Modernization Act


As reported by LeadingAge, the Senate passed the Housing Opportunity through Modernization Act (HR3700/S 3083). This is a significant victory for housing advocates and for housing providers as it includes several important reforms such as simplifying deductions for the elderly and people with disabilities, reducing the frequency of interim income reviews, basing rents on a tenant’s actual income in the previous year. The legislation will streamline tenant income determinations and rent setting. The bill will now be sent to the President for his signature.

So what does all this mean?

As a result of the July 14 vote, the legislation will streamline the calculation of income for purposes of rent setting. The bills would increase the threshold over which unreimbursed medical expenses for elderly and disabled households and disability-related expenses could be deducted from income from the current 3% to 10%. To protect the lowest income households from steep rent increases, the bill also increases the standard income deduction for such households from the current $400 to $525 a month, and indexes this deduction to inflation.

The legislation would also allow project sponsors/owners to rely on determinations of income conducted for other federal means-tested public assistance programs such as Medicaid and the Supplemental Nutrition Assistance Program (food stamps).

This legislation attempts to target scarce HUD rental assistance to those who need it the most by imposing restrictions on assets for Section 8 and public housing tenants. Under the legislation, a household would be ineligible for assistance if they had more than $100,000 in assets or a home they could otherwise live in.

The legislation will also modernize the ability of administrators to project-base housing choice vouchers by:

Allowing the project-basing of up to 30% of the agency’s vouchers (rather than today’s 20% of the agency’s voucher budget) when the vouchers are used to house elderly and/or disabled households, veterans, and people who are homeless.

Erasing the cap on the number of project-based vouchers used in a single senior housing community.

Extending the term for which vouchers can be project-based from 15 to 20 years and allowing housing agencies to permit site-specific waiting lists to be managed by community owners.


Section 202 Supportive Service Demonstration Status Update

The U.S Department of Housing and Urban Development (HUD) just announced that a total of 756 applications were received in response to the Notice of Funding Availability (NOFA) for the Section 202 Supportive Service Demonstration for Elderly Households in HUD-Assisted Multifamily Housing that became available in late winter.

Due to the overwhelming response to this NOFA, the application screening stage was lengthened. The application screening stage includes a review of all applications to determine duplication, eligibility and/or completeness. Once the screenings are complete, applicants will be notified in writing should additional information be required or if the application has been found to be technically deficient. If additional information is requested or if members wish to appeal a decision, follow the guidance in the written correspondence, paying particular attention to how the requested information is to be submitted.

In accordance with the HUD Reform Act (24 C.F.R. Part 4, Subpart B), the Department is limited as to the information that may be shared prior to the official award announcement.

HUD has made significant progress in the selection of the contractor that will support the implementation of the Supportive Services Demonstration, and an award of this contract is expected in a few weeks. HUD plans to solicit proposals for the evaluation of the Supportive Services Demonstration in the fall.

Member Value


Control Costs in the Summer Heat - Two Members Saw How


With the high heat this summer and excessive utility usage, we have published several articles on ways to save on utility costs. This week we want to showcase two members that recently underwent analysis by Academy Utility Consultants for their utilities and relay their savings experience.

Nursing Care Center – East Michigan

The forecasted three year savings on natural gas costs is 25.39%.
The forecasted three year savings on electric costs is 18.87%.

PACE Facility – West Michigan

The forecasted three year savings on natural gas costs is 32.32%.
The forecasted three year savings on electric costs is 31.39%.

Academy Utility Consultants is a business partner in the LeadingAge Michigan Business Alliance. They would be happy to meet with members to discuss utility needs. Performing an analysis and recommending an alternative is easy and only requires a recent month’s utility bill to perform.

If you wish to have a discussion with Academy Utility Consultants and learn more, please contact Rob Ervin at the LeadingAge MI Business Alliance (517) 449-1710 or info@leadingagemi.org



 Member Update


Standish Named Executive Director at Friendship Village Senior Living Community in Kalamazoo


 Friendship Village, a Life Care Services senior living community in Kalamazoo, announced the appointment of Betsy Standish as executive director.

Standish will oversee operations for Friendship Village to provide exceptional engaged resident services, including resident, family and employee satisfaction, staff development, compliance, and sales and marketing to ensure optimal operational efficiency and strong financial results.
 Also a top priority, Standish will manage improvements to Friendship Village buildings and grounds, including a proposed aquatic center with a therapy pool and additional garden homes, which are in high demand.

With nearly 20 years’ experience, Standish brings diverse senior living management experience to Friendship Village. Most recently, she served as executive director at The Fountains at Bronson Place in Kalamazoo. Previously, she held leadership positions in two Life Care Services communities, including the executive director of Vista Grande Villa in Jackson, Michigan, and the licensed nursing home administrator at Friendship Village. Standish started her career as an administrator at The Springs at Bronson Place in Kalamazoo.

Standish is an active member of the Kalamazoo Chamber of Commerce and the American College of Health Care Administrators, as well as the Region 5 Kalamazoo Long-Term Care Representative for the Michigan Health Alert Network and a Business Alliance Board Member for Leading Age Michigan.

“Betsy has the management experience needed to advance Friendship Village as an engaged, desirable and thriving community,” said Rick Pruett, vice president/director of operations management for Life Care Services LLC. “Her impressive track record leading operations focused on person-centered care to ensure a five-star level of resident satisfaction and employee retention makes her an asset to Friendship Village.”

Presbyterian Villages of Michigan and McFarlan Announce Management Agreement and Executive Director Selection

 McFarlan Charitable Corporation (Flint, Michigan) and Presbyterian Villages of Michigan (Southfield, Michigan) have announced the appointment of Erica Thrash-Sall as the Executive Director for the McFarlan organization effective September 1, 2016.

The appointment of Ms. Thrash-Sall coincides with the commencement of a comprehensive Management Agreement between the McFarlan Charitable Corporation (McFarlan) and Presbyterian Villages of Michigan (PVM).


Under this Agreement PVM will be responsible for the management of McFarlan’s multiple entities and Ms. Thrash-Sall will serve as PVM’s senior executive charged with leading this important new relationship. McFarlan’s community-based Board of Directors will retain the ultimate governing authority for this non-profit system.

Ms. Thrash-Sall is a proud Flint native, having graduated from Powers Catholic High School, with family members continuing to reside there. She holds an MBA degree from Lawrence Technological University and a BA degree from the University of South Carolina. For the past ten years she held increasingly responsible management positions at St. John Providence, a major part of the national Ascension Health system. Her areas of focus were community health and community benefits, Enterprising Health™ business accelerator, fund development and volunteer coordination. Prior positions included Girl Scouts of Macomb County, Freedom House, Girl Scouts of Metro Detroit and Big Brothers Big Sisters of Metropolitan Detroit. She has provided leadership in the arenas of strategic project management, fundraising and grants management, as well as board development, budgeting, quality and compliance management. She has served on the boards of non-profit organizations, including: The Grosse Pointe Academy, Lakers Aquatic Club and Freedom House. Ms. Thrash-Sall and her family are planning to move back to the Flint area in the next two months.

UMRC Foundation Receives $2.5 Million Naming Gift for New Wellness and Aquatic Center

The United Methodist Retirement Communities (UMRC) Foundation received a pledge for a naming gift of $2.5 million in support of UMRC’s state-of-the-art health and wellness initiatives for residents from Tom and Debby McMullen of Ann Arbor.

The Tom and Debby McMullen Wellness and Aquatic Center is a major component of UMRC’s Master Plan for growth at Chelsea Retirement Community, its flagship campus, and will feature an all-accessible swimming pool, warm water therapeutic pool, fitness area with specially designed cardio and weight training equipment, walking track, and more. Professionally trained clinical staff and therapists will create individually tailored fitness plans and activities to build and maintain strength and vitality in older adults.

A former swimmer himself, Tom McMullen and his wife are committed to health and fitness. However, they said it is UMRC’s faith-based mission that led them to make this gift to the UMRC Foundation.


Education Center



Annual Leadership Institute

August 24-26 ~ Grand Traverse Resort, Acme, Mich.

The LeadingAge Michigan 2016 Annual Leadership Institute will once again provide the environment for strategic thinking, reflection, and networking as Michigan’s aging services leaders convene at the Grand Traverse Resort. The educational form includes both the topics and the speakers that will be engaging and thought provoking. We especially look forward to national and state leaders join us for an update on the ever-evolving state of health care and post-acute/long term supports and services.

Enjoy overnight accommodations in the 17-story glass tower guest rooms for panoramic views of Lake Michigan and all three championship golf courses. This event is an exceptional combination of cutting edge education addressing many of today’s current issues, in an environment for the enjoyment and relaxation for you and your entire family. The conference is designed for health care professionals at all levels, finance officers, reimbursement staff, and future leaders.

Click Here for more information and to register.


Medicare University
August 2, 3 & 4, Holiday Inn Express, 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 of Medicare benefits, eligibility, and the differences between Part A, B, C and D;
  • Share the concepts of SNF skilled services, payment structures, and consolidated billing;
  • Define the qualifications and requirement for both Part A and B therapy;
  • Explain the Medicare claim review and provider appeal processes;
  • Allow you to gain confident in the documentation process;
  • Assist you in complying with billing requirements; and
  • Provide an understanding of the principles of the Beneficiary Notification Initiative.

Click Here for more information and to register.


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

Students are being accepted for fall classes.
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 and to register, please contact us at info@leadingagemi.org.


SNF Regulatory Day
September 15 ~ New Location:
Causeway Bay Hotel & Conference Center, Lansing

During this full-day program, we’ve assembled a faculty of Michigan experts who will guide you through the maze of new and revised rules, policies and procedures. Meet the recently designated State of Michigan Division Directors; Michelle Roepke, Director for the Federal Survey and Certification Division and Teri Dyke, Director for the Health Facility Licensing, Permits & Support Division who will share bureau updates including Facility Reported Incidences and Licensure and Recertification surveys. Teri Dyke  and Thomas Bissonnette, State of Michigan Nurse Consultant and Trainer, will discuss recent changes recommended by LARA for TB screening and steps for conducting a TB risk assessment. Tom Katofiasc, Clinical Manager with Omnicare/CVS will present on the components of the new federal requirement to operationalize an Antibiotic Stewardship Program and the proposed Drug Regimen Review quality measure aimed at identifying issues to reduce unplanned hospital readmissions. Laura Funsch, Director of Regulatory Strategy for LeadingAge Michigan will review what surveyors look for when investigating an allegation of abuse or neglect. Amanda Daggett, Director of Nursing for Beacon Hill of East Gate will review a newly created tool that was jointly developed with the Bureau to assist with meeting requirements for conducting a thorough investigation when there is an allegation of abuse or neglect. Margaret Chamberlain, Attorney with Kitch, will review the S & C memos and provide OIG updates.

Click Here for more information and to register.


Nurse Aide Train-the-Trainer Workshops
2016 Class Dates: July 25, September 19, and November 7
All classes will be held at the Holiday Inn Express, Okemos

This program is for licensed registered nurses who are interested in becoming qualified instructors of the Nurse Aide Training Program.

The workshop is designed to provide learners the components of a nurse aide training program, the basic Federal requirements for a nurse aide program, the mandated curriculum for a Michigan nurse aide training program, principles of adult learning, and the initial program application and addendum procedures.

Participants who successfully complete this workshop will also need to apply for qualification with the Michigan Department of Licensing and Regulatory Affairs (LARA), Bureau of Health Care Services. This workshop does not guarantee certification with the State of Michigan.

Click Here for more information and to register.


MDS RAC-CT AANAC Certification Workshop
September 20-22 ~ Okemos

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

LeadingAge Michigan, in partnership with the American Association of Nurse Assessment Coordinators (AANAC), is pleased to offer the highly esteemed Resident Assessment Coordinator-Certified (RAC-CT) certification program to 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.


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 details, please contact us Info@leadingagemi.org.


Mark Your Calendars and Plan to Join Us for …

Life Safety Code Training
October 6, 2016 ~ Lansing

Workforce Summit
October 12, 2016 ~ Lansing

2017 Annual Conference & Trade Show
May 21-24, 2017 ~ Kalamazoo


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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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