June 12, 2008 |
Vol 15, Issue
26 | |
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FAHSA
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Welcome to
this week's edition of the FAHSA Link.
Community Treasures - Celebrating the Gift of
Age - Sixteen AAHSA/FAHSA members participated in
AAHSA's Homecoming Week, "Celebrating the Gift of Age", the
week of May 26-30, 2008. Advent Christian Village, Barry
Manor Apartments, Bishop's Glen, Courtenay Springs Village,
Edgewater Pointe Estates, Hurley Manor Apartments, Indian
River Estates East, Indian River Estates West, Jefferson
Center, Lake Ella Manor, RHF/ Cloisters of Deland, Riverside
Presbyterian Apartments, San Jose Manor, St. Andrews Estates
North, St. Andrews Estates South and The Estates at Carpenters
opened their doors and invited the local community to discover
how their organizations and the people they serve make their
communities better places to live. More than 24 events
took place, from picnics to dinners. The events were
declared very successful by all involved. This event
will become an annual Homecoming Celebration, so make plans
now to host your event next year. To view the
photo album of some of the events, CLICK HERE to open
a power point presentation.
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CCRC /
Retirement Community News |
Survey Indicates
That Majority of Resident Councils Hold Open
Meetings -- Twenty-three
retirement communities responded to a June 5, 2008 FAHSA
survey about resident council meetings. All but one of the
respondents was from a continuing care community. 82.6% of the
respondents indicated that all resident council meetings are
open to the resident body. Several commented on the importance
of open communication between resident leaders and others,
including the administration and board of the
community.
Ø
16 of the
respondents indicated that their resident council meets
monthly; three meet quarterly; two meet every other month; and
three meet eight to 10 times a year.
Ø
19 of the
respondents reported that resident council meetings are open
to all residents.
One respondent indicated that every other meeting is
open. Another reported that although the council meetings are
open, the meeting for setting the agenda is closed.
Ø
Two respondents
reported that council meetings are completely closed, but an
open meeting is held once a year. One televises the
meeting.
Ø
The two remaining
respondents said that in lieu of an open resident council
meeting, the council holds a monthly town hall meeting with
the resident body. Any resident may request that a topic be
placed on the agenda for that meeting.
Ø
Three of the
councils that have open meetings also hold a monthly resident
"town hall meeting" to encourage more communication between
the resident council and the resident body.
Ø
One council opens
its meetings to prospective residents and family
members.
Ø
A few suggestions
and observations were made by respondents. Few residents
attend open resident council meetings. The "town hall
meetings" hosted by the resident council draw larger crowds.
It's important to remind residents periodically that resident
council meetings are open and that there is a process to
follow for getting an issue on the agenda or addressing the
council. Open communication is important, especially with
newer residents who want to be connected and involved.
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District and Membership
News |
Disaster Preparedness Experts Share Valuable
Information at FAHSA Regional Meetings -- Last week,
FAHSA held a series of regional meetings on disaster
preparedness. The four-hour educational sessions
featured Helene Wetherington, AIPC, CEM, Emergency Management
Services Director, Calvin, Giordano & Associates, Inc., a
well-known speaker with extensive public policy and practical
experience in a wide range of disasters ranging from wildfires
to hurricanes. Shared Service Vendors, Marcela
Frizone-Anderson from CPSI (Care Purchasing), Tim Gregson, Ron
Peabody, and Vicki Martin from FMS Purchasing; FAHSA staff,
Janegale Boyd and Susan Tobin; various county disaster
emergency management experts, Alfred Grasso, Palm Beach
Department of Health, Edward J. McCrane Jr., Emergency
Management Chief, Dave Freeman, Emergency Management Chief,
Janet Kreischer, Aging Resources Disaster Leader and Kavin
Catalfu, Public Health Preparedness, provided tips on how to
prepare for disaster-based lessons learned during the 2004
hurricane season. Read more about this and other news in
this week's General Alert, GEN
08-04. |
Education News |
Upcoming Audio
Conference -- Join AAHSA on Tuesday, June 24 from
12:30 - 1:30 p.m. ET for the Strategies for Managing
Operational Costs Amidst Economic Uncertainty audio
conference. Join Larry Minnix, AAHSA president and CEO, and
Dan Gray, president of Continuum Development Services, for an
in-depth discussion about how to strategically plan during
these unpredictable times. CLICK HERE to
download a complete description of the program, or for more
information, contact Kevin Bradley, kbradley@aahsa.org or
(202) 508-9457. Five Education
Scholarships Available for Convention from the Scott Boord
Career Development Scholarship -- The Scott Boord
Career Development Scholarship enables FAHSA members to send
eligible staff to FAHSA or AAHSA educational conventions,
workshops and seminars. The maximum amount of funding
available per applicant is $500.00. The funds can be used to
cover registration fees, travel, or other conference-related
expenses. The selected recipients receive credit on the
FAHSA registration or reimbursement of expenses by submitting
an expense form with the attached receipts. The
scholarship is funded by the Silent Auction held each year in
conjunction with FAHSA's Annual Convention and Exposition and
FAHSA's Annual Housing & Service Coordinator Workshops.
For more information, or to apply for a
scholarship, please click HERE. Also, take a look at
FAHSA's 2007 Convention highlights -- to find your 15-seconds
of fame!!!
Upcoming Educational
Events: July 27 - FAHSA's 5th
Annual Strategic Visioning Workshop, Boca Raton Resort &
Club July 27 - FAHSA's Preceptor Training
Program, Boca Raton Resort & Club July
28-31 - FAHSA's 45th Annual Convention and
Exposition, Boca Raton Resort & Club September
16-17 - FAHSA's 25th Annual HUD and Service
Coordinator Workshop, Hyatt,
Jacksonville
FAHSA Calendar of
Events |
General News |
Governor Approves HIV/AIDS CE Glitch
Bill -- Well in advance of the 2008 legislative
session, Rep. Joyce Cusack and Sen. Gwen Margolis filed a bill
at FAHSA's request to fix an inconsistency with the HIV/AIDS
continuing education requirements for licensed healthcare
professionals. As a result of their efforts and stakeholders'
support, SB 646 passed. The law was approved on Tuesday by
Governor Crist. The new law eliminates the
HIV/AIDS biennial educational update for individuals working
in facilities licensed by AHCA and clarifies that the same
HIV/AIDS educational requirements apply to all licensed
nurses, physicians, nursing home administrators, and other
licensed health care professionals, regardless of their place
of employment. There are exceptions depending on the
professional licensing board. For example, certified
nursing assistants must continue to comply with their
in-service requirement which requires CNAs to complete a
HIV/AIDS biennial update. As approved, the
new law takes effect on July 1, 2008.
Other General Alert
News:
·
Disaster
Preparedness Experts Share Valuable Information at FAHSA
Regional Meetings
·
Durable Medical
Equipment Changes Are Coming
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Home
and Community-Based Services News |
CMS Outlines Rights of Medicare Hospice Patients
Aimed at Improving Quality of Care -- Medicare
beneficiaries with terminal illnesses have their right to
determine how they receive end-of-life care outlined for the
first time in a new regulation soon to be published by the
Centers for Medicare & Medicaid Services. In the
first overhaul of regulations governing the hospice industry
since 1983, the new Medicare Conditions of Participation (CoP)
include explicit language on patient rights that had not
existed under the previous regulations. Although many
hospice patients are already active in their own treatment
plans, this regulation is the first to set out a detailed list
of patient rights. CLICK HERE to view
the entire Press
Release. |
Housing
News |
Governor Signs HB 1489,
Residential Tenancies Bill - Yesterday, Governor
Charlie Crist signed H.B. 1489, a bill sponsored by
Representative Pat Patterson (R-26) and co-sponsored by
Representative Kevin C. Ambler (R-47) and Representative Ed
Homan (R-60). This bill allows landlords to terminate
rental agreements and recover liquidated damages or charge
tenants early termination fees for breach of agreement, or
both, under certain circumstances: requires tenant to indicate
acceptance of early termination fee or liquidated-damages
provision in rental agreement in order for provision to take
effect. At the present time, we have asked HUD to
comment on their interpretation of the bill and whether or not
member communities can change their lease documents to reflect
the new changes in law. Department of
Elder Affairs To Host Meeting in Tampa - The
Communities for a Lifetime Bureau will hold a public meeting
on June 17, 2008 from 10:00 a.m. to 12:30 p.m. at the Embassy
Suites Hotel, 555 North Westshore Boulevard, Tampa, FL 33609.
The meeting will be held to provide technical assistance to
communities to address the benefits and challenges of an
increasing elder population. In addition, the forum will
enlighten individuals on methods for improving networking
collaborations among local, state and governmental agencies
including civic, business, faith-based and grassroots
efforts. The forum will present the opportunity to
showcase best practices identified in participating
communities. For more information, contact Janine
Rogers-Harris, DOEA, rogersj@elderaffairs.org
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Legislative News |
Governor Signs Budget Bill -- This
week, with little fanfare, Gov. Charlie Crist signed the
state's $66 billion budget for Fiscal Year 2008-09,
vetoing only three items. The budget a record $6
billion lower than the one he signed last year. More cuts may
come after the November election if revenues from the state
sales tax continue to drop. FAHSA
Priority Bills Become Law this Week -- In addition to
the Governor approving SB 646 by Sen. Margolis (HB 153 by Rep.
Cusack) relating to the HIV/AIDS biennial educational for
individuals working in AHCA licensed facilities (see article
in NH Alert, NH 07-29), the following FAHSA priority bills
will become law: CS/HB 727 / SB 1554 Fire
Safety/ Nursing Home Fire Protection Loan Guarantee Loan
Program / Rep. H Gibson / Sen. Wise HB
727 was amended for FAHSA to extend the application deadline
for applying for the State Fire Marshal Nursing Home Fire
Protection Loan Guarantee Program from June 30, 2006 to July
1, 2009. It requires nursing homes that are not
protected by an automatic sprinkler system to submit
engineering plans to AHCA by December 31, 2008. A 6-month
extension may be requested. HB 727 also requires the State
Fire Marshal to conduct a study on the use of
voice-over-Internet-protocol telephone service for monitoring
fire alarm systems. Effective Date: July 1,
2008 CS/HB 697 /SB 560 Building
Standards/Carbon Monoxide Detectors in Nursing Homes / Rep.
Aubuchon / Sen.
Constantine FAHSA staff drafted and
amended to HB 560 with AHCA, FHCA and the Florida Hospital
Association (FHA) that relaxes the carbon monoxide detector
requirement for nursing homes that passed last session. As a
result, a new hospital, hospice facility, or nursing home
facility must install an operational carbon monoxide detector
inside or directly outside of each room or area within the
building where a fossil fuel burning heater, engine, or
appliance is located rather than within 10 ft. of each room
used for sleeping purposes. Effective Date: July 1,
2008. CS/HB 247 / CS/CS/SB 686
Nursing Home Regulation Rep. Murzin / Sen.
Bennett SB 686 authorizes facilities
with standard licenses to provide CNA training without
becoming an approved school. It eliminates the one day
initial adverse incident report. It directs AHCA to assign
standard licensure status to a facility that has corrected
specified deficiencies and makes the last survey for a
facility that has been on a six-month survey cycle to count as
a regular survey if the deficiencies leading to more frequent
surveys is overturned. For purposes of compliance with minimum
staffing requirements, the bill authorizes a nursing home to
allocate a licensed nurse's time between CNA duties and
licensed nursing duties without first obtaining approval from
the Agency for Health Care Administration, as required by
current law. Effective Date: July 1,
2008. CS/HB 35 / SB
226 Social Worker Licensure Rep. Richardson / Sen.
Rich This new law makes it a first
degree misdemeanor for a person to hold himself or herself out
as a social worker unless the person has a bachelor's or
advanced degree in social work. As requested by FAHSA, it
exempts persons who used the title "social worker"
continuously with the same employer prior to July 1, 2008.
Also requested by FAHSA, it exempts persons who provide social
work services under administrative supervision in long-term
care facilities licensed by AHCA. Effective Date: July 1,
2008. CS/HB 243 / CS/CS/SB 564
Automated External Defibrillators Rep. Anderson / Sen.
Constantine SB 564 is intended to reduce
the legal liability for businesses that use automatic external
defibrillators. We are seeking legal guidance to determine if
the new law will help FAHSA members when a health care
professional uses the device. This is one of the topics that
will be discussed during a legal session at the annual
meeting. The bill requires any "person or entity in
possession" of an AED to properly maintain and test the device
and provide training to anyone who is expected to be a user of
the AED; encourages persons who possess an AED to notify,
rather than register with, the local emergency medical
services director of the location of the device; and broadens
the civil immunity provided under the Cardiac Arrest Survival
Act for harm resulting from the use of an AED. Effective Date:
July 1, 2008.
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Nursing
Home News |
Proposed Minimum Standards for Nursing Homes Rule
(Chapter 59A-4, FAC) -- This week, Carol Berkowitz,
Senior Director of Regulations and Compliance attended a
proposed rule hearing on the Minimum Standards for Nursing
Homes --Chapter 59A-4, FAC. This was one of many
meetings held for the past four years to review this
rule. To read FAHSA's comments, please see this week's
Nursing Home Alert, NH 08-19. Other
Nursing Home News:
- Clarification on Satellite Phones in Nursing Homes
- Durable Medical Equipment Changes are Coming
- AHCA Plans Cultural Change Meeting on Tuesday, June
17
FAHSA Nursing Home
Alert Page
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Ziegler
Capital Markets |
2008
AZ 100: Additional Listings
The
2008 AZ 100 publication has as its primary listing a
ranking of the largest not-for-profit multi-site senior
living organizations providing market-rate housing. The
publication also ranks the largest affordable
(non-market rate) senior housing multi-site providers,
health-care sponsored senior living providers,
single-campus senior living communities, and
single-campus senior living providers. These additional
listings expand the breadth of our examination of
not-for-profit senior living providers (See Chapter 6 of
the publication [table numbers referenced below] for
these additional listings). Today's Z-News
highlights the ten (10) largest affordable
(non-market rate) senior housing providers and
health-care sponsored senior living providers.
Largest Not-for-profit Providers of
Affordable Senior Housing Over 50 percent of the
organizations in the 2008 AZ 100 primary ranking provide
non-market rate senior housing, but their number of
subsidized units varies widely. The 54 organizations are
significantly disparate in size: the largest,
National Church Residences (AZ 100 #61, OH), with
218 facilities and 15,786 affordable units; the
smallest, United Methodist Retirement Homes, Inc.
(AZ 100 #83, NC), with one facility of 24 units.
In
addition to these senior living providers, there are
AAHSA members that focus solely on affordable senior
housing (and/or other non-senior living services). When
this group is combined with the 2008 AZ 100 primary
ranking, the largest ten providers of affordable senior
housing are ranked as follows:
RANK |
SYSTEM
NAME |
STATE |
UNITS |
FACILITIES |
1 |
National
Church
Residences (AZ 100 #61) |
OH |
15,786 |
218 |
2 |
Retirement
Housing Foundation (AZ 100 #6) |
CA |
9,984 |
116 |
3 |
Volunteers
of America (AZ 100 #15) |
VA |
8,421 |
139 |
4 |
Christian
Church Homes of Northern California |
CA |
5,230 |
61 |
5 |
Elderly
Housing Development & Operations
Corporation |
FL |
3,709 |
47 |
6 |
Presbyterian
Homes and Housing Foundation of
Florida |
FL |
2,607 |
14 |
7 |
United
Church Homes (AZ 100 #39) |
OH |
2,253 |
51 |
8 |
SPM |
FL |
2,152 |
25 |
9 |
Catholic
Housing Management |
FL |
1,984 |
14 |
10 |
TELACU
Residential Management |
CA |
1,910 |
27 |
See
Table 6-1 of the 2008 AAHSA Ziegler 100 publication for
a ranking of the largest 100 AAHSA-member organizations
providing affordable senior housing.
Largest
Health Systems That Provide Senior Living (Table
6-2) The 2008 AZ 100 primary ranking
specifically excludes healthcare-sponsored providers of
senior living because their operations typically
are focused predominantly on acute care, with
corporate and financing structures quite different from
multi-sites focused predominantly on senior living
services. The ranking of healthcare-sponsored providers
of senior living is shown below.
RANK |
HEALTH
SYSTEM NAME |
SENIOR
LIVING DIVISION |
STATE |
UNITS |
FACILITIES |
1 |
Catholic
Health East |
|
PA |
3,643 |
37 |
2 |
Catholic
Health Initiatives |
|
WI |
3,527 |
22 |
3 |
Trinity
Health |
Trinity
Continuing Care Services |
MI |
3,439 |
27 |
4 |
Catholic
Healthcare Partners |
|
OH |
3,061 |
17 |
5 |
Ascension
Health |
|
MO |
2,888 |
18 |
6 |
Covenant
Health Systems |
|
MA |
2,657 |
15 |
7 |
Deaconess
Associations |
Deaconess
Long Term Care |
OH |
2,633 |
24 |
8 |
Berkshire
Health Systems |
Berkshire
Healthcare |
MA |
2,317 |
16 |
9 |
Provena
Health |
Provena
Senior Services |
IL |
1,630 |
15 |
10 |
Bon
Secours Health System |
|
MD |
1,541 |
16 |
See
Table 6-2 of the 2008 AAHSA Ziegler 100 publication for
the largest 37 AAHSA-member health systems that provide
senior living.
You
can obtain a copy of the 2008 AZ 100 publication by
visiting www.aahsa.org OR www.zieglerseniorlivingfinance.com.
Prepared
by Kathryn Brod, Sr. Vice President, Ziegler Capital
Markets |
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Preferred Business Associates
News |
FAHSA's
Preferred Business Associates Program (PBAs) -- A
list of PBAs can be found by on the FAHSA Web site www.fahsa.org and
selecting Preferred Business Associates from the left side
menu bar or clicking on the FAHSA Preferred Business
Associates Page hyperlink. FAHSA members can also use the
on-line directory to search for PBAs by specialty.
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Job-Mart |
FAHSA is pleased to provide an opportunity for
you to advertise your "position wanted" or "position
available" through the FAHSA Link newsletter and on our
Web Page.
FAHSA members may use the Job Mart services at no charge. A
nominal fee of $25 will be charged to nonmembers.
Your Job Mart advertisement will be displayed on our Web
site for approximately three months. The FAHSA Link is
published weekly and distributed to our membership which is
comprised of nursing homes, CCRCs, HUD housing, assisted
living facilities, independent living facilities and
companies/firms.
To reserve advertisement space in our Job Mart program,
please complete the application and fax it
to FAHSA at (850) 671-3790 or E-mail Erin Steele at esteele@fahsa.org
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Copyright 2008 -- Publication of the
Florida Association of Homes and Services for the Aging
(FAHSA).
- FAHSA Chair: Alma Ballard
- FAHSA President/CEO: Janegale Boyd
- Managing Editor: Gail Matillo
Copyright
Information: Copies of the articles and other information in
this publication may be noncommercially reproduced for the
purpose of educational or scientific advancement. Otherwise,
no part of this publication may be reproduced or utilized in
any form or by any means, mechanical or electronic, including
photocopying, microfilm and recording, or by any information
storage and retrieval system, without the written permission
of the editor.
Correspondence: Should be addressed to:
Editor, 1812 Riggins Road, Tallahassee, FL 32308. For
telephone inquiries, call (850) 671-3700. Or E-mail FAHSA at
info@fahsa.org. © 2008 FAHSA. All rights reserved.
Disclaimer: The information contained in this
correspondence is not intended as a substitute for legal
advice. Please discuss any information gathered from this or
any other FAHSA publications with your legal counsel in the
context of your particular situation before implementing any
new policies or procedures.
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