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June 25, 2009 |
Vol 16, Issue 29 |
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Welcome to this week's edition of the FAHSA Link.
Janegale Boyd and Larry Minnix Address
Democratic Blue Dog Task Force on Health Care Reform
- Thanks to the efforts of Congressman F. Allen Boyd
(D- 2), Janegale Boyd, FAHSA's President/CEO, Larry
Minnix, President/CEO, and Marsha Greenfield, Esq.,
Senior Legislative Counsel, both with the American
Association of Homes and Services for the Aging (AAHSA),
are scheduled to address the Democratic Blue Dog
Task Force June 25th about health care reform.
Earlier this week, Janegale met with several members
of Florida's Congressional delegation including
Congresswoman Ginny Brown Waite (R-5), Congresswoman
Debbie Wasserman Schultz (D-20), Congressman
Kendrick Meek (D-17) and the legislative aide of
Congresswoman Kathy Castor (D-11). During the
meetings, and as part of the testimony, Janegale
spoke about the LarsonAllen study findings on the
future demand for services by elder Floridians.
Because of population projections and current
funding limitations, she emphasized that the
challenges facing the state of Florida in planning
and providing for the needs of those aged 65 and
older will be daunting in years to come. For this
reason, long-term care cannot be ignored when
crafting a health care reform plan. We will provide
more information about the discussions and the
Democratic Blue Dog Task Force meeting next week.
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ALF News |
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The 2009 Overview of Assisted Living
- The 2009 Overview of Assisted Living is the
second collaborative publication of statistical data on
the assisted living business, fashioned after a similar
report issued in 2006. The research is based on the
responses of approximately 500 assisted living
communities: 37% were free-standing assisted living
providers; 28.1%, a combination of assisted living and
assisted living dementia care; 18.5% in a combination of
assisted living and independent living, 6.9% in a
combination of assisted living and nursing, and the
remaining 9.6% in CCRCs. Respondents included for-profit
(65.6%), not-for-profit (30.3%), and government owned
(2.7%) providers. Though 47 states were represented in
the study, nearly 60% of the respondents came from 10
states, with Iowa having the highest percentage of
respondents (66 out of the 481).
The 2009 Overview of Assisted Living (the "2009
Overview") provides information on an array of topics,
including occupancy and staffing rates, monthly service
fees, employee benefits, and resident profiles, services
and amenities. In many cases, comparative statistics
are provided so the reader can understand how the 2009
Overview compares to the results of the 2006 Overview.
Some of the findings from the 50 page document include:
- Across all assisted living community types,
there is an average of 27.7 FTES in all departments
serving AL and dementia care residents; this is less
than the 2006 Overview's reported average of 33
FTEs. Among all assisted living community types, the
average total staffing is 83.6 FTEs per 100
residents (compared with the 2006 Overview's
reported average of 71 FTEs per 100 residents).
- The average length of stay varies by the type of
community: for men, the longest average length of
stay is in the CCRC (42.4 months), whereas for
women, the longest average length of stay is in
AL/IL (36.6 months).
- The average monthly rate across all community
types is $3,022; 45% reported tiered pricing (as
opposed to one, all-inclusive rate, hourly charges,
other).
- 91% of all assisted living community types
provide three meals per day in basic rates.
- A significant percentage (92%) provides or
arranges hospice care for their residents.
- More than two-thirds of communities allow
residents to have a personal pet.
- While an increasing percentage of residents
indicate self-reliance in their payments, in the
2009 Overview 76.6% of the residents say they or
their families pay for their assisted living stays
(down from 85%); an increasing percentage report
support from long-term care insurance (6.1% vs. just
over 3% in 2006) and likewise there has been a small
increase in Medicaid participation.
AAHSA will sell the Report when it
becomes available. Cost is $125. Lauren Shaham, AAHSA,
is maintaining a list of individuals who are interested
in ordering. Please E-mail her at ngoodall@aahsa.org to
be added to the list, and she will call / e-mail when
they have the books available for sale.
Source: Ziegler Capital Market Group
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CCRC
News |
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CCRC Salary Survey Results (Excerpted from
the HCS Press Release) -The national
average hourly rate of RNs in Continuing Care
Retirement Communities (CCRCs) increased 2.31% in
2009, according to the eleventh annual Continuing
Care Retirement Community Salary & Benefits Report,
just published by Hospital & Healthcare Compensation
Service (HCS). By comparison, the hourly rate of
RNs increased 4.24% in 2008.
513 CCRCs participated in the study and provided
compensation data on more than 73,674 employees
nationwide, covering 42 management and 40
non-management positions. Data are reported
according to revenue size, total unit size,
geographic region, city, and state. Also covered
are 22 fringe benefits, turnover rates by
department, and projected salary increases for 2009
to 2010. Data are effective as of March 2009.
The complete 280+ page Report will be published in
late June. The cost of the Report is $295, while
the AAHSA member price is $225. In addition, the
Report results are available in Excel, enabling
clients to upload data directly into their pay
systems. The Excel tables contain the salary/hourly
data from the published Report and show the results
by job for each grouping (i.e., state, beds, profit
type).
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District and Membership News
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Governor Crist Appoints Two to the Board of
Nursing Home Administrators - This week,
Governor Christ appointed long-standing FAHSA
member, Patricia Freeman, of Palatka Health Care
Center, to the Board of Nursing Home
Administrators. Pat succeeds Suyrea Reynolds, and
is appointed for a term beginning June 22, 2009, and
ending October 31, 2012.
Pat currently serves as the Administrator of Palatka
Health Care Center, a 180-bed skilled nursing center
in Palatka, Florida. The center is one of the
largest business entities in Putnam County with
approximately 230 employees.
For years, Pat has been involved in public policy
and legislative issues involving health and senior
services, reimbursement/fiscal management and
education, working with lawmakers, associations and
others on these complex issues. She recently
completed a four-year term on the FAHSA Board of
Trustees. She has been a member of the Rotary Club
of Palatka since 2000 and is the immediate past
President of the Club. She is currently serving on
the Board of Directors for the Putnam County Chamber
of Commerce. She was one of the key business leaders
representing Putnam County in the first Regional
Leadership Academy in 2005. She also serves on the
Advisory Board for Haven Hospice.
The Governor also appointed Robert (Bobby) Rosenthal
of Miami. Bobby is currently a nursing home
administrator and president of 21st Century Health
Group, Inc. He succeeds Brett Barnett, and was
appointed for a term beginning June 22, 2009, and
ending October 31, 2012.
Congratulations to both Pat and Bobby and we look
forward to working with you in the future!
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Education News |
Bring Your Residents for a Day of Education -
During FAHSA's Annual Convention and Exposition, your
residents may be interested in attending some of the
educational programs being offered during the
convention. On Wednesday, July 8, Fred Schafer, the
"Fitness Food Dude", will be presenting three sessions
focusing on how to improve mental, emotional,
intellectual, financial and spiritual health. The
plenary session, 'Entering the High Performance Zone in
a High Demand World' will provide information about
reconditioning your body, lowering blood pressure,
increasing longevity, lowering body fat, reducing aches
and pains and increasing strength and energy. Two
afternoon sessions featuring Mr. Schafer will spotlight
supportive nutrition methods and reducing stress. In
addition, residents may be interested in attending the
Grand Opening of the Exhibit Hall, which will feature
more than 135 exhibitors. Tickets are available for
lunch and an evening reception in the exhibit hall.
'Changing Lives' Within Sight - If you
haven't registered for FAHSA's 46th Annual Convention
and Exposition, there's still time.
Online registration is still available and the early
bird rate has been extended. Take advantage of the
special pricing and register now.
Upcoming Educational Events:
- July 6 - 10 - FAHSA's 46th Convention
& Exposition, Orlando
- August 18 - Webinar, Tips to Avoid
Claims
- September 9 - FAHSA's HCBS Workshop
- September 10-11 - FAHSA's Affordable
Housing and Service Coordinator Workshop,
Jacksonville
- September 22-25 - Regional Meetings,
TBA
- November 18 - 16th Annual Maintenance
Workshop, Orlando
FAHSA Calendar of Events |
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General News |
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Nestle Toll House Prepackaged, Refrigerated
Cookie Dough - The U.S. Food and Drug
Administration and the Centers for Disease Control
and Prevention are warning consumers not to eat any
varieties of prepackaged Nestle Toll House
refrigerated cookie dough due to the risk of
contamination with E. coli O157:H7 (a bacterium that
causes food borne illness). They are also advising
consumers to throw out any packages and not to cook
the dough because they may get the bacteria on their
hands and cooking surfaces. The warning is based on
an ongoing epidemiological study conducted by the
CDC and several state and local health departments.
Since March 2009, there have been 66 reports of
illness across 28 states. Young children and the
elderly are at highest risk. The bacteria can lead
to serious kidney damage and even death.
Individuals who have recently eaten prepackaged,
refrigerated Toll House cookie dough and have
experienced any of these symptoms should contact
their doctor or health care provider immediately.
Any such illnesses should be reported to state or
local health authorities. For more information,
click here.
Legislature Changes Corporate Laws
- Governor Crist signed Senate Bill 2330 by Senator
Garrett Richter (R-Naples) into law (P. L.
2009-205). This bill makes numerous changes to the
laws governing for profit and not-for-profit
organizations, respectively. Since the result of
these changes may require an update of your
association's bylaws and policy documents, this
article, reprinted with the permission of the
Florida Association of State Executives, attempts to
highlight some of the more important changes for
501(c) corporations. These changes go into effect
October 1, 2009. Given space limitations for this
article, please go to the
Florida Senate Web page to read the bill in its
entirety.
New Definitions - Florida will
recognize a "Mutual Benefit Corporation," which is
defined as a corporation not formed under 501(c)(3),
and not organized for religious or charitable
purposes. This new term appears throughout the
bill.
The bill includes a definition of "Distribution"
that allows not-for-profit corporations to donate or
transfer assets or income to another, as long as
neither is a member of the other. The bill amends
the distribution; exception section to allow
corporations regulated under chapters 718, 719, 720,
721 and 723 (e.g., homeowners associations) to
disburse refunds or proceeds to its members.
Member Issues - Section 617.0605,
F.S. prohibits the transfer of membership or
membership rights unless otherwise allowed in the
articles of incorporation or bylaws of a mutual
benefit corporation. Section 617.0606, F.S.
states that the resignation of a member does not
negate any obligations incurred or commitments made
before resignation.
Section 617.0607, F.S. addresses the termination,
expulsion and suspension of members from a
corporation. Under the new law, the corporation
cannot impose these sanctions except pursuant to a
procedure that is fair, reasonable, and executed in
good faith. If written notice is given, it must be
communicated via certified or first-class mail. The
sanctioned member has one year after the effective
date of the sanction to challenge the action. The
member may be liable to the corporation for dues,
assessments or fees incurred before the expulsion or
suspension.
The right to call special meetings of the members
has been expanded to allow holders of at least 5% of
the voting power to do so, unless otherwise provided
in the bylaws. [617.0701(3)(e), F.S.]
The statute provides for circumstances under which
the corporation may reject the vote of a member.
The law now allows members and proxies to
participate in meetings via remote communication.
(617.0721, F.S.)
The bill creates an entire section governing the
process under which a member may bring a derivative
action against the organization. (617.07401, F.S.)
Board of Directors - Except for
homeowners' associations and their counterparts, an
organization may permit a director as young as 15
years of age to serve as long as the bylaws or AOI
permit. (617.0802, F.S.) Directors under 18,
however, may not be counted toward quorum (617.0824)
Removal of a director under 617.0808, F.S., has been
more thoroughly explained and is worth reading, as
the statute assumes you will use this process
regardless of what the bylaws dictate. A director
may be removed by a vote of directors if that
position was filled by a vote of the directors. A
majority vote is adequate if removal is for cause,
and a 2/3 vote is required if there is no cause. If
a director was elected by a vote of the membership,
then the membership must vote to remove that
director. In cases where removal is based upon
violation of attendance policies, the board has the
authority to remove that person with a majority
vote.
A vacancy of a director who was elected by a class,
chapter, unit or group may only be filled by a vote
of the members of said class, chapter or group.
(617.0809, F.S.)
Finances - 617.1605, F.S., will no
longer require the board to supply each member with
a complete financial report of receipts and
expenditures. Instead, release of financial data is
contingent upon a member's written request.
Source: Florida Society of Association
Executives, June 2009.
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Housing News |
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EIV Webcast Answers Available - The
questions posed during and after the December 16-17,
2008, webcast have been answered. The Department
encourages course participants as well as owners,
management agents, service bureaus and contract
administrators who were unable to view the webcast
to download and review all of the information
presented in this
question and answer summary. Many common
questions regarding the EIV system were posed, and
the Department hopes that the given answers will be
helpful to users of the EIV system.
Other Housing News:
- Translations of HUD Model Leases and Sample
Documents
- Reminder of Upcoming Change to Requirements for
Resident Disclosure of Social Security Numbers
- Changes in Reporting Requirements for AFS
- Revised UPCS Inspection Protocol for Inspecting
Stoves and Ranges during REAC Inspections
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U.S. House Releases Draft for Health Care
Reform - On June 19, the House Committees
on Education and Labor, Ways and Means, and Energy
and Commerce released an
850-page discussion draft (pdf) of their health
care reform proposal along with a
four-page summary document (pdf). An AP story
summarized the draft legislation by saying it would
"impose new responsibilities on individuals and
employers to get coverage, end insurance company
practices that deny coverage to the sick, and create
a new government-sponsored plan to compete with
private companies" (" Democrats
try to regain health care momentum," June 19).
An additional document released by the committees
titled " What's
in the Health Reform Bill for You?" (pdf) lists
"12 ways health care reform will help you and your
family" - and groups them into four main categories:
- Lower Costs
- Greater Choice
- Stability & Peace of Mind
- Higher Quality
Source: Quality Care Through Quality Jobs, June
22, 2009
Four Amendments Certified for Florida's 2010
Ballot - Four amendments have been
certified for Florida's November 2010 ballot. The
first three were proposed by the Legislature and the
fourth through a petition drive.
- Amendment 1 would repeal a constitutional
provision that requires public financing of
campaigns for the governor and the three Cabinet
positions for candidates who agree to spending
limits.
- Amendment 2 would require the Legislature to
provide an additional homestead property tax
exemption by law for military personnel including
reservists and National Guard members deployed in
the previous year outside the continental United
States, Alaska, or Hawaii in support of military
operations designated by the Legislature.
- Amendment 3 would lower the cap on property tax
assessment increases on businesses and other
non-homestead properties from 10% to 5% and require
the Legislature to provide an additional homestead
exemption for people who have not owned a principal
residence during the preceding eight years.
- Amendment 4, also known as the Hometown
Democracy Amendment, would require voter approval of
new city and county comprehensive plans or
amendments to those plans.
FAHSA has not taken a position on any of
the amendments, and is not likely to do so. We will,
however, provide you with the pros and cons of the
amendments as they become available from impartial
sources.
FAHSA Legislative Update Page |
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Nursing Home News |
Prevent 2010 Medicare Cuts - Act Now -
President Obama has just called for another $313
billion in Medicare cuts in order to finance health
care reform, which would jeopardize the 2010
Medicare payment update for skilled nursing
facilities as well as for home health care
providers. Proposals also are circulating on Capitol
Hill and within the administration to impose survey
revisit user fees and to bundle post-acute Medicare
payments to all providers. Please
Contact Congress immediately in opposition to
reimbursement cuts for providers of long-term
services and supports. Contact: Marsha Greenfield,
(202) 508-9488.
CMS Web Site on Recovery Act and Health Information
Technology Now Available! - A new Web site
is now available from the Centers for Medicare &
Medicaid Services (CMS) concerning Health
Information Technology as provided for in the
American Recovery and Reinvestment Act of 2009. On
this Web site, you can find information pertaining
to the Medicare and Medicaid incentives for
electronic health records adoption and important
links to related Web sites at the Department of
Health and Human Services.
Posted now are:
- A CMS fact sheet and questions/answers
pertaining to the incentive programs
- Link to press release pertaining to the process
of defining meaningful use (Comments are due June
26, 2009.)
- Resources on Health IT and privacy & security (HIPAA)
Bookmark this
Web site to find the latest on Health Information
Technology.
Other Nursing Home News:
- CMS Revises Interpretive Guidance for Several
Tags
- Nursing Home Staffing Report Due July 15
- Provider Alert/AIDS Supplemental Payment
Authorization Requests
- CMS: Civil Money Penalty (CMP) Funds
- DMEPOS Competitive Bidding
FAHSA
Nursing Home Alert Page
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Preferred Business Associates News |
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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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Career Center |
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Welcome to the Florida Association of Homes
and Services for the Aging Career Center!
Your destination for exciting Aging Services job
opportunities and the best resource for qualified
candidates in the Florida Aging Services Industry.
Searching for a job in Aging Services?
Looking to fill a position? This job board is custom
tailored for the Aging Services industry, which
means we attract the most qualified professionals in
Florida.
Create an Employer Account, search
resumes and post your Aging Services job now!
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Copyright 2009 -- 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, MPA
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. © 2009 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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