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A nnual confer ence & tr ade show M ay 20-22, 2013 • A mway Gr and Pl aza Hotel45th • Gr and R apids, MI
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WELCOME to the 2013 Annual Conference!
This year, we became LeadingAge Michigan - a new name for a new time. A new name in alignment with our national association that will create a strong and unified voice for our mission-based members. We are leading and driving the transformation of aging services in Michigan through new era practices and initiatives that will meet older adult needs and preferences. We must continue to be the strong and trusted advocate that will advance the interest of the aging consumer and our collective member ability to serve. We must LEAD. LeadingAge is an acknowledgement of the leadership path our members have taken together and will continue to take. We have made bold moves for bold times - but the race is not over - and in fact, may have just begun. Come join us in May in Grand Rapids for ‘Out of the Gate’, our annual conference event specifically aimed toward a whole new world of possibilities. We will celebrate the warmth and heart of the work our members do every day. And we will lead. This year we have invited back many old friends who have guided us so well in the past. Jamie Orlikoff will provide his insight about how transformational leadership is no longer an option - it is a requirement to succeed. It is not a time for the faint of heart, and we need to put our energies toward new charges and challenges facing us. It will be an interesting time. Bob Murphy from the Studer Group will lead us through the management tactics needed to keep on track during one of the largest transitions in health care that we will ever experience. He will focus on our ability to maintain organizational alignment, accountability, and flexibility. And to help us keep on top of the entire health reform movement, Dr. Kathleen Griffin will provide an interactive discussion of the role of post-acute care in the context of incredible growth in Accountable Care Organizations and Integrated Care Models. Nellie Johnson, our colleague from Minnesota, will provide insights into managed care. Lastly, let’s not forget the Handel Group and Dick Edwards who will both cover the important things in life. Are we ready to run the race? First, we must move ‘Out of the Gate’!!
David E. Herbel President and CEO
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schedule-at-a-glance LeadingAge Michigan Board of Directors Mark Stutrud, Chair Lutheran Social Services of Michigan Cindy Bosley, Vice Chair Masonic Pathways
Sunday, May 19 7:00 p.m.
Welcome Reception
Monday, May 20 7:30 a.m.
Registration
8:00 a.m.
Continental Breakfast
8:15 a.m. James Haveman Introductory Remarks 9:00 a.m.
David Herbel Welcome and Association Update
9:30 a.m.
Jamie Orlikoff Opening Keynote Session
10:45 a.m.
Concurrent Workshop Sessions
11:45 a.m.
Lunch and Annual Business Meeting
12:45 p.m.
Concurrent Workshop Sessions
6:30 p.m.
Fun Night
Tuesday, May 21 7:30 a.m.
Registration
8:00 a.m.
Continental Breakfast
9:00 a.m.
Bob Murphy - Keynote Session
10:15 a.m.
Concurrent Workshop Sessions
12:00 p.m.
Trade Show & Lunch
3:00 p.m.
Concurrent Workshop Sessions
6:00 p.m.
Cocktails
6:30 p.m.
Lauren Zander Awards Gala and Keynote Session
Wednesday, May 22
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7:30 a.m.
Registration
8:00 a.m.
Continental Breakfast
8:30 a.m.
Concurrent Workshop Sessions
11:00 a.m.
Dick Edwards Closing Keynote Session
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Jeff Zylstra, Secretary Royal Atrium Inn John Thorhauer, Treasurer United Methodist Retirement Communities
Barb Giles Fleischman Residence Kelly Gasior Trinity Senior Living Communities Al Kaul Lutheran Homes of Michigan Pam Montgomery Oakview Medical Care Facility
Rod Auton Centracare
Theo Omo Thurston Woods Village
Lisa Ashley
Ray Rabidoux Glacier Hills Senior Living Community
Paul Bridgewater Detroit Area Agency on Aging
David Tiesenga Holland Home
Hospice and Palliative Care Association of Michigan
Barry Cargill Michigan Association for Home Care
Chad Tuttle Sunset Retirement Communities & Services
Chris Chesny MidMichigan Health
Larry Yachcik Porter Hills Retirement Communities and Services
Pam Ditri Burcham Hills Retirement Community
Harvey Zuckerberg Life Member/Consumer
Business Alliance Board of Directors Michael Jalacki, Chair Resthaven Care Center Annette Sivertson, Treasurer Genesys Convalescent Center Susan Hurst, Secretary Evangelical Homes of Michigan Jeff Hagen Friendship Village of Kalamazoo Sue Lantzsch Morrison Senior Living
David Miller Presbyterian Villages of Michigan Don Misener Lourdes Senior Community Steve Rolston Silver Maples of Chelsea Betsy Standish The Fountains at Bronson Place Derek Weenum Providence Healthcare & Rehabilitation
Educational Foundation Board of Directors Richard Kline, Chair Covenant Village of the Great Lakes
Sheri Deisler, Secretary LeadingAge Michigan
Susan O’Shea, Treasurer Life Member
Leslie Shanlian Henry Ford Village
Tim Stoll Susan Decker, Vice Chair Heritage Community Clark at Home of Kalamazoo
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KEYNOTE Monday, 9:30 A.M. • Sponsored by Value First
Jamie Orlikoff Transformative Leadership in Challenging Times “May you live in interesting times!” That certainly applies to health care in general and aging services in particular. With Supreme Court rulings, presidential elections, and fiscal cliff(s) behind us; and with growing economic challenges, painful payment reductions, a rapidly aging population, and fiscal cliff(s) ahead of us - this is not a time for the faint of heart. The challenges, risks, and tasks facing leaders of aging services organizations are monumental and difficult to overstate. To survive and thrive in this environment, we must first realize that the changes confronting us are transformational and are NOT simply transactional. Leaders must drive their organizations to become something different, as opposed to simply doing old things incrementally better. To do this, leaders must work on the system as opposed to working only in the system. This presentation will outline the challenges driving transformational change and suggest approaches to effective transformational leadership of aging services organizations. James Orlikoff is President of Orlikoff and Associates, Inc., a consulting firm specializing in health care governance, leadership, and strategy. He is the National Advisor on Governance and Leadership to the American Hospital Association and Health Forum, and is the Senior Consultant to the Center for Healthcare Governance.
Breakout Session • Monday 10:45 - 11:45 a.m. Jumping the Curve to Deliver Value: Leaders as Systems Thinkers
James K. Haveman A New World of Healthcare in Michigan MDCH Director James K. Haveman will open our conference event with a discussion of the major issues confronting the Department. Mr. Haveman who held this same role under Governor John Engler took office on September 1 and will speak briefly about plans toward the Governor’s health and wellness agenda, managed care and mental health in Michigan. 45th A nnual confer ence & tr ade show
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KEYNOTE Tuesday, 9:00 A.M. • Voss Insurance Services
Bob Murphy Winning the Race Hands Down As regulations change and the healthcare industry continues to struggle, organizations and leaders need a greater focus on getting results with fewer resources. Leaders need tactics that are proven to help them quickly move results in critical areas: employee retention, creating a winning culture, and accountability. Even more importantly, they must learn how to build a foundation to keep the organization aligned, accountable, and agile so they can execute proven tactics quickly, consistently, and in the right sequence - ultimately sustaining results over time. Session participants will learn to immediately implement best practices from the Studer National Learning Lab, achieve breakthrough levels of accountability and staff engagement, and how to create and sustain a high performing culture. Bob Murphy is an experienced operations leader and national health care presenter with more than 25 years in health care. His efforts at Baptist Hospital have led his organization to be ranked among the top 1% in health care customer service for over eight consecutive years. Bob shares the Studer Group mission of making health care a better place for employees, physicians, and patients. Breakout Session • Tuesday 10:15 - 11:45 a.m. Go the Distance with Great Employees!
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KEYNOTE Wednesday, 11:00 A.M. • LeadingAge Michigan Business Alliance
Dick Edwards Making a Difference Eldercare Specialist Dick Edwards will close our three day experience with a focus on how being in service to older persons enriches our lives and makes us better persons. Through his Book, ‘Mom, Dad…Can We Talk?: Family Conversations that Make a Difference’, he offers reassurance to adult children trying to support their aging parents. The best support results when we communicate, share, and learn from each other. Caregivers who serve seniors will be better equipped after learning key concepts that they can apply to everyday work.
Dr. Kathleen Griffin Health Care Reform Now that the Dust Has Settled Dr. Kathleen Griffin will once again be joining us at our 2013 Annual Conference to provide an update on specifics of health care reform initiatives. As the National Director, Post Acute and Senior Services at the Health Dimensions Group, Dr. Griffin is recognized as one of the nation’s foremost authorities in post-acute care and senior services continuums.
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2013 Awar ds Gal a The Triple Crown People, Passion, Performance
Designing Your Life with Lauren Zander
MAY 21, 2013, 6:30 PM | AMWAY GRAND HOTEL | GRAND RAPIDS LeadingAge Michigan is pleased to feature Lauren Zander - Life Coach and Co-Founder of the Handel Group – during our Annual Gala event. Lauren brings nearly two decades of experience guiding executives, individuals, couples and families in designing their best lives. Her candid and engaging style will touch every individual. Join us for this memorable event. Our annual recognition event provides a wonderful fellowship experience where we recognize the warmth and heart of our members and the everyday work that they do. LeadingAge Michigan takes great pride in acknowledging individuals and organizations who embody excellence in leading, and who make outstanding contributions to their communities and profession. Plan to bring you team, trustees, residents and friends for a night of entertainment and celebration. We will start with Cocktails at 6:00 p.m. and the Program will start at 6:30 p.m. Throughout the evening, attendees can bid on a multitude of items during our PAC silent auction. All proceeds help ensure that Michigan’s mission-based members remain visible and clearly heard.
sponsored by
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Networking & Social events
Sunday Welcome Reception
Roaring 20’s Speakeasy
The sky’s the limit! Join us high atop the Amway Grand Plaza Hotel as LeadingAge Michigan welcomes attendees to the 2013 Annual Conference & Trade Show. The Amway’s Cygnus 27 will transport you to a rhythmic environment among the stars with captivating views of the Grand Rapids skyline. Enjoy an evening with your colleagues along with appetizers, cocktails and music from 7 to 10 p.m.
Follow us to the cultural edge as LeadingAge Michigan takes members back to the world of secrecy and glamour of the Prohibition Speakeasy. The Gerald R Ford Ballroom will transform you back to a time when jazz music blossomed and flappers danced - a time of great change and influence. Flappers and gents will dress for the party and the evening will hold surprises as well. We will be looking for you Monday Night at 6:30 p.m. (until 10:00 p.m.).
Annual Business Meeting Lunch Monday, May 20, 11:45 a.m. – 12:45. p.m. Ambassador Ballroom As the only state association to represent the full array of senior services, LeadingAge Michigan has a strategic role in advocating for its members and the interests of the consumer. Please join us for our Annual Business Meeting Luncheon on Monday, May 20 - where you can meet our Board of Directors, recognize our collective work and participate in the process. All conference attendees are invited.
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Monday, TIME
8:15-9:00 a.m. 9:00-9:30 a.m. 9:30-10:30 a.m.
TRACK
3 Best Practices
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4
Resident Care and Services
5
Resident Care and Services
Out of the Gate
Transformative Leadership Jamie Orlikoff
Management and Operations
Jumping the Curve to Deliver Value
Association Update David Herbel
2
B
Leadership Strategy A New World of Healthcare in Michigan James Haveman
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A
10:45 – 11:45 a.m.
Advancing Excellence Update
Turn Up the Music
Stress Management for Caregivers
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May 20
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5
Annual Business Meeting Luncheon
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2:00 - 3:00 p.m.
3:15 - 4:15 p.m.
C
D
E
PACE in Michigan
1
2
12:45 - 1:45 p.m.
IDDR Key Elements
Healthcare Reform Now that the Dust Has Settled
The Role of Protection and Advocacy in SNFs
Compliance and HIPAA Issues
Dementia Management Part I
Honoring Resident Choices
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6:30 to 10:00 p.m.
Dementia Management Part II
Bureau of Health Care Systems Update
Home Based Primary Care
Spirituality and Dementia
Roaring 20’s Speakeasy Night
11:45 a.m. 12:45 p.m.
Great Teamwork Strategies for Stress Reduction and Motivation
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Tuesday, 9:00 10:00 a.m.
10:15 - 11:45 a.m.
TRACK
F
G
Management and Operations
3
Resident Care and Services
4 Best Practices
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PROFESSIONAL DEVELOPMENT
Out of the Gate
Go the Distance with Great Employees
Anti-Psychotic Drug Use
The Five Star System
The Winners Circle 2013 Annual Trade Show Event
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5
12:00 - 3:00 p.m.
Leadership
Winning the Race Hands Down Bob Murphy
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TIME
Change is Inevitable
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May 21
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3
4
4:15 - 5:15 p.m.
H
I
Building Community Based Strategy
Dollars and Sense of the Green House ® Model
The First Hurdle: Getting Ready for Capitation
The Triple Check Process
Care Plan Development
Don’t Get Left at the Gate
Reducing Rehospitalizations from a Community Perspective
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Member Tours
6:00 to 9:30 p.m.
The Triple Crown: People, Passion, Performance AWARDS GALA
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3:00 – 4:00 p.m.
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Wednesday, May 22 8:30 - 9:30 a.m.
9:45 – 10:45 a.m.
11:00 a.m. 12:00 p.m.
TRACK
J
K
L
Leadership In Senior Services
LeadingAge Michigan New Era Initiatives
Michigan Policy Challenges
Management 2 and Operations
Michigan Medicaid Managed Care for Dual Eligibles
Dining Services Require a Fresh Approach
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Pharmacology for Congestive Heart Disease
Error Reduction in Medication Administration
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4
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Resident Care and Services
Professional Development
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Making a Difference Dick Edwards
TIME
Design Your Life
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Session Descriptions Monday Sessions Session A Transformative Leadership in Challenging Times “May you live in interesting times!” That certainly applies to health care in general and aging services in particular. With Supreme Court rulings, presidential elections, and fiscal cliff(s) behind us; and with growing economic challenges, painful payment reductions, a rapidly aging population, and fiscal cliff(s) ahead of us - this is not a time for the faint of heart. The challenges, risks, and tasks facing leaders of aging services organizations are monumental and difficult to overstate. To survive and thrive in this environment, we must first realize that the changes confronting us are transformational and are NOT simply transactional. Leaders must drive their organizations to become something different, as opposed to simply doing old things incrementally better. To do this, leaders must work on the system as opposed to working only in the system. This presentation will outline the challenges driving transformational change and suggest approaches to effective transformational leadership of aging services organizations.
Session 1B/2B Jumping the Curve to Deliver Value: Leaders as Systems Thinkers Leaders of aging services organizations are approaching the classic “two curve” problem, where what generated success in the past (the first curve) will generate failure in the future (the second curve). How and when to “jump the curve” is a tremendous challenge. This presentation will address this hurdle, and discuss the concept of systems thinking as a technique to help leaders successfully navigate the two curve problem. James Orlikoff, Orlikoff and Associates N, NHA, CDR, CDM, ATRA, SW, AFC, AD
Session 1C PACE in Michigan Michigan PACE programs have been in existence since the first demonstration project in Detroit during the mid-1990’s. The Program of All Inclusive Care for the Elderly has long demonstrated the ability to provide a coordinated and integrated set of services to meet the medical and long term supports and service needs of frail seniors. Please join these PACE providers as they discuss the value of the program both for the consumer and the community as well as issues in PACE program development. Tom Muszynski, Care Resources Rod Auton, CentraCare N, NHA, ATRA, SW, AFC, AD
James Orlikoff, Orlikoff and Associates N, NHA, CDR, CDM, ATRA, SW, AFC, AD
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Session Descriptions Session 1D/1E Health Care Reform Now that the Dust Has Settled Kathleen Griffin is joining us again to provide an update on specifics of health care reform initiatives and how they have affected postacute care providers. In addition to the final impact of sequestration and debt ceiling legislation, Dr. Griffin will focus on discussion about the incredible growth of Accountable Care Organizations and how post-acute care relationships are being developed. Discussion will include how Medicaid Managed Care programs will support growth in Medicare Managed Care within a state and the effect on long term care providers. Lastly, threats and opportunities for post-acute and continuing care providers will be discussed. This two-hour session will be interactive with time for small group discussion. Dr. Kathleen Griffin, Health Dimensions Group N, NHA, CDR, CDM, ATRA, SW, AFC, AD
Session 2C Key Elements of Independent Informal Dispute Resolution (IIDR) and Informal Dispute Resolution (IDR) The new regulations for Independent Informal Dispute Resolution (IIDR) went into effect January 1, 2012. Does your organization understand the difference between Informal Dispute Resolution (IDR) and the new process? When your staff completes an IDR or IIDR, are they putting the documents together in a complete organized manner? MPRO has over 12 years experience providing IDR services and now has contracts with several states across the country to provide IIDR services including Michigan. Come learn about opportunities to submit an IDR or IIDR in response to deficiency citations, and how the quality of documentation can affect the outcome. Charlene Kawchak-Belitsky, MPRO N, NHA, CDR, CDM, ATRA, SW, AD
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Session 2D The Role of Protection and Advocacy Systems in SNFs: Self-Proclaimed Caped Crusaders or Important Allies? Protection and Advocacy (P&A) Systems have become increasingly active in SNFs with respect to residents who are neither mentally ill nor developmentally disabled. In some States, the P&A System seeks to become an overseer of the SNF regulatory process, to ensure that State and federal regulators appropriately sanction facilities and staff for allegedly improper resident care. This program will explore the claimed legal basis for such a role for the P&A System. Joanne Lax, Dykema Gossett PLLC N, NHA, CDR, CDM, ATRA, SW, AD
Session 2E Bureau of Health Care Systems Update Much has changed at the Department of Licensing and Regulatory Affairs in the past year. During this session, you will have the opportunity to meet Carole Engle, the new Director of the Bureau of Health Care Systems - a newly created unit that combines several functions including nursing home survey and certification activities. Ms. Engle will provide an overview of activities in the new organizational unit and any current planning for the future. Carole Engle, LARA Bureau of Health Care Systems
N, NHA, CDR, CDM, ATRA, SW, AD
LeadingAge Michigan is a proud affiliate of LeadingAge - a community of 6,000 not-forprofit organizations providing senior services and dedicated to making America a better place to grow old.
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Session Descriptions Session 3B Advancing Excellence---What’s New? The Advancing Excellence in America’s Nursing Home Campaign has evolved into a key driver for nursing home quality improvement. This presentation will showcase new program goals and resources. Advancing Excellence assists members by impacting quality improvement projects within their organizations and helps prepare for the new CMS Quality Assurance Performance Improvement (QAPI) program. Yvette McKenzie, MPRO Audrey Stob, MPRO N, NHA, CDR, CDM, ATRA, SW, AD
Session 3C/3D Corporate Compliance and HIPAA Issues The Centers for Medicare and Medicaid Services has ramped up the requirements for corporate compliance programs across the board and now new requirements have been issued in the new HIPAA Final Omnibus Rule. While the date to meet the corporate compliance program requirements set forth by the Affordable Care Act has passed, there remains work to be done in ensuring nursing facility compliance programs are effective. In addition, modifications to the HIPAA privacy, security, enforcement, and breach notification rules under the HITECH Act are finalized and will require several revisions to facility privacy and security programs by 9/23/2013. Laura Ferrara, an expert in corporate compliance program development, implementation and evaluation, will provide an overview of skilled nursing facility corporate compliance program requirements and best practices that can be applied to other programs as well as an overview of the key implications related to the new HIPAA requirements. Laura Ferrara, Venture Behavioral Health N, NHA, CDR, CDM, ATRA, SW, AFC, AD
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Session 3E Home-Based Primary Care for Patients with Advanced Chronic Illness Home-based primary care delivers medical care for the advanced chronically ill in their homes. We have designed a transformative model of home-based care that is anchored by a dedicated physician and includes a multidisciplinary team specializing in care for patients with multiple chronic conditions. A familiar, trusted team holistically manages patient care, and total cost of care shifts away from high-cost institution-based care toward lower-cost home-based care. Jay LaBine, Priority Health Dr. Paul Woods, Spectrum Health Jeff Mislevy, Spectrum Health N, NHA, CDR, CDM, ATRA, SW, AFC, AD
Session 4B Put the Drugs Down & Turn the Music Up! How Technology Can Positively Impact the Lives of People Living with Dementia We use technology to stay connected to our families, our friends and the outside world and these same benefits we enjoy can allow older adults with dementia to benefit as well. The technologies discussed in this session are off the shelf, readily available, and often inexpensive devices that can dramatically change the paradigm of dementia. A special emphasis will be dedicated to highlighting technologies that can reduce the use of psychotropic drugs. Jack York, It’s Never 2 Late N, NHA, CDR, CDM, ATRA, SW, AFC, AD
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Session Descriptions Session 4C/4D Dementia Management: Interdisciplinary Team Solutions to Improve Participation and Reduce Behaviors Central to the CMS initiative to reduce SNF antipsychotic use is enhanced training on person-centered care and emphasis on nonpharmacological interventions for dementia behaviors. This session reviews dementia stages, symptoms and skills at each stage. Activity demand and client factors affecting performance including communication, environment and activity modification are discussed. Evidence-based techniques are offered to reduce behaviors without reliance on medications. Practical strategies are offered to increase performance in ADL/mobility and maintain function through caregiver/staff education. Kathleen Weissberg, Select Rehabilitation N, NHA, CDR, CDM, ATRA, SW, AFC, AD
Continuing Education To assist in meeting your annual credit requirements, application has been made with the following organizations for continuing education credits: Organization
Ohio Nurse Association
Initials N
Nursing Home Administrators Board
NHA
Commission on Dietetic Registration
CDR
Certifying Board for Dietary Managers CDM American Therapeutic Recreation Association
ATRA
Michigan Social Work CE Collaboration SW Office of Children and Adult Licensing AFC National Certification Council for Activity Professionals AD Note: Administrators certified by the American College of Health Care Administrators may use continuing education credits from LeadingAge Michigan’s annual conference toward their ACHCA certification renewal. With a total of 45 educational sessions, conference attendees can earn up to 12 continuing education credits
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Session 4E Spirituality and Dementia Spirituality connects individuals and groups to a purpose imbedded with meaning and fulfilling direction. The role of rituals and music provide a way to connect with the sacred. When individuals with dementia experience a disconnect in many aspects of life, spirituality provides a way to connect rituals creating meaning and purpose. The presentation will demonstrate ways spirituality is incorporated into life at Clark Retirement Community with an opportunity to find ways for staff to use spirituality in person centered care. Rev. Timothy, Tuthill, Clark Retirement Community N, NHA, CDR, CDM, ATRA, SW, AFC, AD
Session 5B Stress Management for Caregivers Stress Management for Caregivers is a dynamic, interactive and informative spin on one of the most universal debilitating situations that affects one’s life at work and follows us home. Leaving this session you will have the tools to decrease the stress in not only your life, but the lives of those you care for and that care for you. Jessica Selvidge, Hometown Pharmacy N, NHA, CDR, CDM, ATRA, SW, AFC, AD
Session 5C Honoring Resident Choices: Advance Care Planning Honoring Resident Choices is a pilot program in Lansing to test advance care planning interventions in long-term care facilities and includes ombudsman and long-term care surveyor education and training. The program works to increase the frequency of end of life care conversations and the establishment of advance care planning and treatment decisions for all consumers. Carolyn Stramecki, Honoring Healthcare Choices Barbara Smith, Burcham Hills N, NHA, CDR, CDM, ATRA, SW, AFC, AD
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Session Descriptions Session 5D/5E Great Teamwork Strategies for Stress Reduction and Motivation
In this inspiring and insightful break-out session, motivational teambuilding expert Bob Lancer will provide attendees with helpful strategies to increase employee satisfaction, leading to enhanced customer service and resident satisfaction. In a stressful work environment such as long term care, it is critical to keep staff motivated in order to retain great employees. Important topics in this session include: delightfully dealing with difficult people, managing work pressures with less stress, time management for a happier work day, and self-esteem and self-appreciation support. Bob Lancer, Master Trainer N, NHA, CDR, CDM, ATRA, SW, AFC, AD
TUESDAY Sessions Session F Winning the Race Hands Down
As regulations change and the healthcare industry continues to struggle, organizations and leaders need a greater focus on getting results with fewer resources. Leaders need tactics that are proven to help them quickly move results in critical areas: employee retention, creating a winning culture, and accountability. Even more importantly, they must learn how to build a foundation to keep the organization aligned, accountable, and agile so they can execute proven tactics quickly, consistently, and in the right sequence - ultimately sustaining results over time. Session participants will learn to immediately implement best practices from the Studer National Learning Lab, achieve breakthrough levels of accountability and staff engagement, and how to create and sustain a high performing culture.
Session 1G/2G Go the Distance with Great Employees! Bob Murphy from the Studer Group will present concepts from the Great Employee Handbook - the latest from Studer on leadership and organization in health care. The Great Employee Handbook provides a wealth of practical tips readers can use right now to build the best possible relationships with bosses and co-workers, become better at what we do, navigate tricky workplace situations, and create delighted customers. Participants will find key tactics that make for better employees, better employers, and allow us to be more effective with customers. Bob Murphy, The Studer Group N, NHA, CDR, CDM, ATRA, SW, AFC, AD
Session 1H Building Community-based Service Strategy through a Strategic Alliance This presentation will provide an overview of what a Strategic Alliance is and is not, how a Strategic Alliance is formed and how the strengths of the partners are leveraged in this structure. A case study will be shared of how Presbyterian Villages of Michigan and the Luella Hannan Memorial Foundation formed a Strategic Alliance. Joanne Robinson, PVM Tim Wintermute, Luella Hannan Foundation N, NHA, CDR, CDM, ATRA, SW, AFC, AD
Bob Murphy is an experienced operations leader and national health care presenter with more than 25 years in health care. His efforts at Baptist Hospital have led his organization to be ranked among the top 1% in health care customer service for over eight consecutive years. Bob shares the Studer Group mission of making health care a better place for employees, physicians, and patients. Bob Murphy, The Studer Group N, NHA, CDR, CDM, ATRA, SW, AFC, AD
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Session Descriptions Session 1I Dollars and Sense of the Green House ® Model
Session 3G Anti-Psychotic Drug Use What Should We Be Doing Now?
The Green House® Model challenges every aspect of practice to achieve the values of Meaningful Life, Real Home and Empowered Staff. While the merits of culture change to achieve person-directed care in skilled nursing is not in question, there are perceived barriers to implementing a profound transformational model like The Green House Project. We now know that it is financially and operationally feasible to implement the model with very high consumer satisfaction. This session will provide new information on financial performance, workflow, worker satisfaction, and consumer outcomes.
New OIG reports, updated regulations and proposed legislation have added a new focus on off-label antipsychotic drug use and have increased the regulatory oversight. Nursing home staff must be aware of their responsibilities related to care of residents receiving these medications and the impact their documentation has on facility reporting. Staff must appropriately complete the MDS, develop meaningful care plans, report ICD-9 codes accurately and monitor the use of psychopharmacological medications. This session will review the regulations and new surveyor guidelines related to anti-psychotic drug use and describe non-pharmacological interventions recommended.
Susan Frazier, The Green House ® Project N, NHA, CDR, CDM, ATRA, SW, AFC, AD
Session 2H/2I The First Hurdle: Getting Ready for Capitation Michigan is getting much closer to an integrated model of care for persons with Medicare and Medicaid, a program that will impact the long term care industry. Join Nellie Johnson as she discusses operational issues members need to address as this initiative moves forward. Understanding major issues in working with health plans, prior authorization processes, internal educational needs, and data and benchmarking will all be covered in this two hour interactive discussion. Nellie Johnson, Managed Care Consultant N, NHA, CDR, CDM, ATRA, SW, AD
Marilyn Mines, FR&R Healthcare Consulting Bonny Kohr, FR&R Healthcare Consulting N, NHA, CDR, CDM, ATRA, SW, AD
Session 3H The Triple Check Process: Documentation, Reimbursement and Quality The triple check process is a buzz phrase we hear all the time, but what does it really mean and how can organizations implement it? This session will look at the three components of a triple check program: proper documentation, correct reimbursement and obtaining the highest quality of care. We’ll guide you through the implementation process of a triple check program and provide you with the essential knowledge you’ll need to start (or improve) your program. Marilyn Mines, FR&R Healthcare Consulting Betsy Anderson, FR&R Healthcare Consulting N, NHA, CDR, CDM, ATRA, SW, AFC, AD
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Session Descriptions Session 3I Development of the Care Plan The care plan is an essential tool in the skilled nursing facility, but how does it come to be? Who is preparing the care plan and what information is going into it? Are we utilizing the care plan meeting to the utmost? How is the care plan used by the entire clinical staff and interdisciplinary team? This session will dissect the care plan and reconstruct it to provide an improved tool for resident care. We will look at regulatory issues and best practices to create the best care plan possible that will be used by facility staff. During this session participants will work together to complete a sample care plan to learn the process, related regulations and use of the care plan in a hands on fashion. Marilyn Mines, FR&R Healthcare Consulting N, NHA, CDR, CDM, ATRA, SW, AD
Session 4G Catch a Falling Star - The Five Star System Ever tried to catch a falling star? As consumers continue to turn to the internet and Nursing Home Compare to get information on facilities, the provider community must be vigilant to maintaining those shining stars. This program will describe the current Five Star rating system and detail how best to impact the “assigned” stars for each facility. Brenda Sowash, Plante Moran N, NHA, CDR, CDM, ATRA, SW, AD
Session 4H Don’t Get Left at the Gate Preparing for Medicare Reviews Have you been bombarded with the news about the continued and ever increasing scrutiny of Medicare claims? The Office of the Inspector General continues to release data reflecting “inappropriate payments” to skilled nursing facilities.
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What is a facility to do? Join us as we review the different contractors as well as discuss red flags, common reasons for denials and what steps to take when the “Review Letter” arrives in the mail. Brenda Sowash, Plante Moran N, NHA, CDR, CDM, ATRA, SW, AD
Session 4I Reducing Re-hospitalizations from a Community Perspective Can five competing organizations work together to share outcomes, set standards and reduce rehospitalizations? The answer is YES! Learn about best practices to reduce readmissions from these five organizations. Collaboration among providers, clinical interventions, technology, and evaluation will be discussed. Jane Johnson, Clark Retirement Community Mina Breuker, Holland Home Karen Messick, Pilgrim Manor Teresa Toland, Porter Hills Sara Lowe, St. Ann’s Home N, NHA, CDR, CDM, ATRA, SW, AFC, AD
Session 5G Change is Inevitable Except from a Vending Machine In this dynamic and interactive session on change, we will discuss what a culture is, how change plays a part in the culture of an organization, and reactions to change. We will explore ways to engage a wide range of staff within an organization to plan, implement, and embrace new initiatives. Two change initiatives in a skilled nursing home will be presented to demonstrate the strategies utilized to build a culture that embraces change. Kathy Brown, MPRO Barbara Smith, Burcham Hills N, NHA, CDR, CDM, ATRA, SW, AFC, AD
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Session Descriptions Session 5H/5I Member Tour - St. Ann’s Join us in Grand Rapids for a tour of St. Ann’s, a community that provides rehabilitation services, nursing care, dementia, assisted living and Alzheimer’s treatment to over 130 seniors in West Michigan. St. Ann’s serves the physical, mental, spiritual, and emotional well-being of their residents rooted in a Catholic faith. Residents will feel at home in this full-service campus that includes a courtyard, solarium, library, salon, barbershop and more!
Member Tour - Care Resources PACE Come with us for a tour of Care Resources, a Program of All-inclusive Care for the Elderly. Care Resources’ mission is to offer long-term care choices that promote independence, dignity, and a high quality of life for the frail elderly members of the community. Care Resources consists of five not-for-profit partner organizations that work together to deliver a variety of health and social services to the elderly population.
WednesDAY Sessions Session 1J LeadingAge Michigan New Era Initiatives Building a safe and efficient aging service system demands compassion and vigilance to ensure that providers have the support they need to deliver services, create the right organizational environment, and demonstrate value. This session will provide an update on several LeadingAge Michigan programs specifically designed to improve the not-for-profit member ability to demonstrate a value proposition. Discussion will include status updates and early findings from the APEX Initiative (About Patient Experience), the Senior Care Collaborative, and 1800SeniorCare.
Session 1K Michigan Policy Challenges Jan Hudson from the Michigan League for Public Policy will provide an overview and discussion of policy challenges facing the state, particularly related to implementation of the Affordable Care Act. As the only statewide entity committed to the welfare of Michigan’s low income citizens, the organization provides expert analysis and advocacy to Michigan policymakers, as well as understandable materials to Michigan citizens. Medicaid expansion and the new healthcare market place (also called the Exchange) will be discussed as well as other timely budget, tax, and human services issues. Jan Hudson, Michigan League for Public Policy N, NHA, CDR, CDM, ATRA, SW, AFC, AD
Session 2J Michigan’s Proposal to Integrate Care for People who are Medicare-Medicaid Enrollees Michigan has considered proposals for integrated care models for long term supports and services for almost twenty years. With the implementation of the Affordable Care Act, new opportunities to design more coordinated systems of care have arisen. Susan Yontz, Division Director for Integrated Care within the Medical Services Administration will provide a brief overview of the Michigan program and the status of implementation to date. Susan Yontz, Medical Services Administration N, NHA, CDR, CDM, ATRA, SW, AFC, AD
LeadingAge Michigan Staff
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Session Descriptions Session 2K Dining Programs in Senior Communities Require a Fresh Approach
Session 3K Error Reduction in Medication Administration
Dining service is often the second largest line item in budgets of senior communities. To optimize this investment, senior services executives must leverage it to do more than meet nutritional needs. Opportunities include: improve clinical outcomes, support marketing objectives, increase occupancy, form strategic alliances and boost employee loyalty. The fresh food continuum is a useful framework to understand the different levels of commitment to fresh food and scratch cooking and its impact on different strategic objectives.
Prescription medications are powerful substances, especially when used by frail elders. Errors in administration and other adverse drug events are often responsible for serious side effects, emergency room visits, and hospitalizations. This session will review mechanisms that can be employed to help reduce the incidence of medication errors in residential settings.
Jenny Overly, Unidine Corporation Kelly Gasior, Trinity Senior Services N, NHA, CDR, CDM, AFC
Session 4J/4K Design Your Life
Session 3J Pharmacology for Congestive Heart Disease Heart Failure is a common and often disabling condition in frail seniors and management is critical to quality of life. Early recognition and treatment of exacerbations can often delay or avoid unnecessary inpatient care. Join Tom Katofiasc from Specialized Pharmacy Services as he provides an overview of medications aimed at this serious condition. Tom Katofiasc, Specialized Pharmacy Services N, NHA, CDR, CDM, ATRA, SW, AFC, AD
Tom Katofiasc, Specialized Pharmacy Services N, NHA, CDR, CDM, ATRA, SW, AFC, AD
Is your work - life balance out of order? The Handel Group offers instruction on how to live life powerfully and effectively and deal with the important areas of life. Their revolutionary work deals with universal personal issues and gives participants the opportunity to ‘design their lives’, rather than just letting ‘life happen’ to them. Come join this amazing two hour session that will offer ways to create and lead lives of which you can be proud. Lauren Zander, The Handel Group N, NHA, CDR, CDM, ATRA, SW, AFC, AD
Session L Making a Difference Eldercare Specialist Dick Edwards will close our three day experience with a focus on how being in service to older persons enriches our lives and makes us better persons. Through his Book, ‘Mom, Dad…Can We Talk?: Family Conversations that Make a Difference’, he offers reassurance to adult children trying to support their aging parents. The best support results when we communicate, share, and learn from each other. Caregivers who serve seniors will be better equipped after learning key concepts that they can apply to everyday work. Dick Edwards, Eldercare Specialist N, NHA, CDR, CDM, ATRA, SW, AFC, AD
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Registr ation Infor Full Conference
Includes admission to all conference events, including workshops and general sessions. Continental breakfasts and lunch are provided each day. One ticket to Tuesday’s Awards Gala is also included. Monday’s Fun Night is not included.
Super Saver Rate
These rates allow facilities and CCRCs located at a SINGLE physical address to send participants at a reduced rate. A continental breakfast and lunch each day are included; however, tickets to Monday’s Fun Night and Tuesday’s Award Gala are not included. Super Saver I Rate covers up to 20 individuals.
Monday Only
Includes admission to workshops on Monday
Super Saver II Rate covers more than 20 individuals.
Tuesday Only
Special Dietary/ Accessibility Needs
only. A continental breakfast and lunch are also included.
Includes admission to workshops on Tuesday only, including Tuesday’s trade show. A continental breakfast and lunch are also included.
Wednesday Only
Participants with special dietary or accessibility needs should notify Ken Robbins at LeadingAge Michigan at (517) 323-3687 or Ken@LeadingAgeMI.org in advance so that proper arrangements can be made.
Includes admission to workshops on Wednesday only. A continental breakfast is also included.
Full Conference
Full Conference
Postmarked before May 3, 2013
Postmarked after May 3, 2013
Member
Non-Member
Member
Non-Member
Full Conference
$500
$625
$580
$825
Monday Only
$335
$415
$415
$615
Tuesday only
$335
$415
$415
$615
Wednesday Only
$205
$250
$275
$350
Super Saver I
$3,600
$4,600
$4,100
$5,100
Super Saver II
$4,100
$5,100
$4,600
$5,600
r m ation Moderator Help Wanted! No Experience Necessary
LeadingAge Michigan encourages you to make the most of your conference experience by moderating one or more workshop sessions. No previous experience is required! Specifically, moderators need to introduce the speaker(s); distribute speaker handouts; evaluations and validate CEU forms. LeadingAge Michigan will provide you the information and resources needed to do this important job and be successful in doing it. To volunteer, please indicate on your registration form. Sessions will be assigned on a first-come, first-requested basis.
Registration Options All Full Conference and Single Day attendees must register online at LeadingAgeMI.org. Super Savers should register using Page 24 in this booklet or by contacting Ken@LeadingAgeMI.org to receive the electronic form. Registration Deadline: May 3, 2013 Late rate fees apply after this date
Cancellation/Refund Policy
Please submit all cancellation requests by e-mail to Ken@LeadingAgeMI.org by Friday, May 3, 2013, to receive a full refund. Cancellations received after May 3, 2013, and registered no-shows will be required to pay a processing fee equal to 50% of the respective registration fee. We cannot accept cancellations by phone. Your cancellation will be acknowledged by a return e-mail. If you do not receive an acknowledgement within one week of sending your cancellation, please contact LeadingAge Michigan to verify receipt. An exception to the refund policy may be made as deemed by the LeadingAge Michigan Staff. Any requests for exception to the policy must be made in writing. Registrants unable to attend may send a substitute and should notify the LeadingAge Michigan office in advance.
Registration Confirmation
For individual conference registrants, your registration will be confirmed via email. For those registering under a Super Saver rate, one confirmation will be sent to the person your organization indicated as the Contact Person. If you do not receive written confirmation by May 3, 2013, please contact the LeadingAge Michigan office.
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super saver registr ation Organization Contact Person Mailing Address
City
Daytime Phone
Workshop and Event Choices - Write the workshop number you will attend.
A
Title
Zip
Contact Person’s E-mail
First & Last Name and Job Title Please type or print name as it should appear on name badge.
Name
State
B
Monday Lunch*
C D
E
Fun Night $50
F
G
Trade Show*
H I
Gala $70
J K
L
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First Time Attendee? q Yes q Yes Moderator
Amount Due for Extra Tickets
$
Name Title First Time Attendee? q Yes q Yes Moderator
$
Name Title First Time Attendee? q Yes q Yes Moderator
$
Name Title First Time Attendee? q Yes q Yes Moderator
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Name Title First Time Attendee? q Yes q Yes Moderator
Super Saver I Regular Rate $ Super Saver II Regular Rate $ + Special Events $ Amount Due $
$
Total Due This Page $ Form may be copied for additional registrants Please contact Ken@LeadingAgeMI.org for an electronic version of this form.
Make checks payable to LeadingAge Michigan Educational Foundation. Return registration forms and payment to: 201 N. Washington Square, Suite 920 Lansing, MI 48933 • Fax (517) 323-4569
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conference sponsors Exclusive Event Sponsors
GOLD Sponsors
($13,000+)
($6,000)
Agility Health Great Lakes Caring In Touch Pharmaceuticals, Inc. Masonic Pathways
silver Sponsors
McKesson Medical Surgical Mobilex USA Sodexo Senior Living Ziegler
($4,000)
GMB Architecture + Engineering
bronze Sponsors
Trinity Senior Living Communities
($2,500)
All Med Medical Supply, LLC Henry Ford Village Retirement Community Morrison Senior Living
Plante & Moran, PLLC Presbyterian Villages of Michigan Unidine
2013
TRADE SHOW Tuesday, May 21 • Noon to 3:00 p.m. DeVos Place • Exhibit Hall A
The LeadingAge Michigan Business Partners cordially invite you to experience our exciting 2013 Trade Show Event - the Winner’s Circle. Our trade show always brings excitement and energy to our conference. Have some fun and support our business associates who are critical to the success of our education and networking events. We will include over 100 exhibits that focus on newest technologies, products, and services. Refreshments and prizes make this trade show a truly enjoyable experience.
Hotel Reservations
Grand RAPIDS
LeadingAge Michigan has reserved a room block at the Amway Grand Hotel. Reservations can be made by calling the hotel at (616) 7742000 or online at http://ow.ly/fGMDq. Be sure to mention LeadingAge Michigan in order to take advantage of the group rate of $136 per night, plus taxes, for single/double occupancy.
Grand Rapids is an incredible setting for our 2013 Annual Conference and Trade Show. The city offers all of the amenities and excitement you can imagine along with a heap of small town friendliness, safety, and affordability. Our conference is centered Downtown, which is clean, safe, and within walking distance of restaurants, museums and entertainment venues. In Grand Rapids you can find an incredible variety and diversity of things to do, with convenience in location and easy transportation.