Florida Association of Homes and Services for the Aging
October 22, 2009 Vol 16, Issue 46 
 
 
 

Welcome to this week's edition of the FAHSA Link.
 
AAHSA, FAHSA and the Askew Institute Invite You to Attend an Important Event - The American Association of Homes and Services for the Aging (AAHSA), and the Florida Association of Homes and Services for the Aging (FAHSA) in conjunction with the Askew Institute on Policy and Society at the University of Florida, would like to invite you to attend an important event on October 30 at the Doubletree Hotel, 10100 International Drive, Orlando.  This statewide discussion has been organized to promote a dialogue among members and policy leaders about the future of long-term care and how we, in Florida, are going to pay for it.  This interactive discussion has been designed for all members and all member types - from CCRC to HCBS.  Now is the time to develop and share ideas, hear from national and state policy leaders, and voice your opinions about the future of quality care for Florida's elders.  After the event, the Askew Institute will prepare a synopsis of the presentations, member discussions and recommendations.
 
Come and join AAHSA's President/CEO Larry Minnix, FAHSA's President/CEO Janegale Boyd, and FAHSA's Public Policy team to explore and generate new ideas to meet future challenges.  A charge for lunch, $30, is the only cost to attend this event.  Register online now by clicking HERE or download the brochure. Bring your staff!  We look forward to seeing you on October 30 in Orlando!
In This Issue
ALF News
District and Membership News
Education News
General News
Housing News
Nursing Home News
Preferred Business Associates News
Career Center
FAHSA Quick Links
 
ALF News

Senate Interim Study Issues Recommendations to the Legislature on Florida ALF Licensure Structure -- During the legislative interim, the Senate Health Regulations Committee reviewed the current ALF licensure structure in Florida.  The purpose of the review was to determine whether modifications to Florida's licensing structure might be appropriate at this time.  The Senate Interim Report includes input from stakeholders (including FAHSA) and a review of ALF licensure in other states.
 
There was also concern that the repeal during the 2009 legislative session of a requirement for a medical review team to assess whether a resident is appropriately residing in an ALF created uncertainty regarding the determination of a resident's placement in an ALF.  Senate staff also reviewed the implications of this repeal.
 
Senate staff recommends the following changes to the Legislature: 
  • Repeal the LNS specialty license and authorize a standard-licensed ALF to provide the nursing services currently authorized under the LNS license.
  • Require an additional inspection fee of $296 plus $10 per resident based on the total licensed capacity for initial and renewal applications for an ALF standard license of a facility that indicates that it intends to provide LNS services.
  • Require ALFs to periodically report information electronically to AHCA, as determined by rule, related to resident population, characteristics, and attributes.
  • Authorize the AHCA to determine the number of additional inspections required for an ALF that provides LNS based on the type of nursing services provided and the number of residents who received LNS as reported by the ALF.
  • Repeal the requirement for the AHCA to inspect all ECC licenses quarterly. 

Thank you FAHSA members for participating in the two surveys and providing input for the Senate Interim Study.  Your opinion was most helpful to Senate staff preparing the report.  For more detailed information, please click here for the ALF Alert 09-09.  Click here to read the complete Senate Interim Study.  

District and Membership News
 
Bill Nelson Visit to MJHS
Miami Jewish Health Systems on the Front Page of the New York Times - "Senator Tries to Allay Fears on Health Overhaul", by Robert Pear, included a photo opportunity featuring Bill Nelson's visit to the Miami Jewish Health Systems (formerly Miami Jewish Homes and Hospital).  Twice in the past month, Mo Funk and his staff have received coverage in this national publication!   Click here to view the September 23 article. 
Education News

EIV: Access and Troubleshooting the HUD Secure System Webinar - "Potholes, Speed Bumps & Roadblocks ~ Navigating the Road to EIV Access" - Topics for this webinar will include: the multi-tiered process required of Coordinators to gain full working access to EIV; common mistakes that prevent smooth completion of HUD's multi-step EIV access process; MOR requirements related to approval for EIV access; and the differences between the process for Coordinators and the process for Users in gaining access to EIV.  Click here to register.

Upcoming Educational Events: 
  • November 10 - EIV: Access and Troubleshooting the HUD Secure System Webinar
     
  • November 17 - Medicare / Medicaid Recovery Audit Contractor and Coding Workshop, Regal Sun Resort, Orlando
     
  • November 18 - 16th Annual Maintenance Workshop, Regal Sun Resort, Orlando

FAHSA Calendar of Events

General News

Executive Agencies Submit FY 2010-11 Budget Requests with Significant Budget Cuts - Cutting the budget is the name of the game again.  Both the Agency for Health Care Administration (AHCA) and the Department of Elder Affairs (DOEA) are proposing significant budget cuts for the coming fiscal year.  This is necessary to cope with the loss of federal stimulus dollars, as the enhanced match ratio drops back to its pre-ARRA level (American Recovery and Reinvestment Act of 2009) on January 1, 2011.  For Erwin Bodo's complete summary, click here to go to the General Alert.
 
Good News/Bad News: State Revenues Exceed Estimates, But Unemployment Rate Reaches Highest Level in Decades - Florida's unemployment rate in September climbed to 11%, the highest it has been in 34 years (October 1975).  The September rate is 0.2 points higher than the previous month (August 2009) and 4.3 points higher than one year ago (September 2008).  The state has lost 360,000 jobs since September 2008.
 
Consumer confidence is up and foreclosures are down.  At a recent meeting of the Florida TaxWatch Council of Economic Advisors, there was a consensus that a slow national recovery has begun or will soon begin.  To read more from the TaxWatch E-Communique, click here to go to the General Alert for this week.
 
FAHSA E-mail Server to be Replaced - We would like to advise you that the FAHSA e-mail server is due for a replacement.  This work will take place on the weekend of October 24 and 25.  We anticipate that the work will not cause any interruption in the delivery of e-mail messages you send to FAHSA, but with computer work you never know what can crop up...We ask for your patience and understanding in case you receive system messages that your e-mail has not been delivered..If the matter is urgent, please call FAHSA at (850) 671-3700 to convey the information. 
 
Housing News

Proposed Changes to the Final Rule, Effective January 31, 2010 -- Amendments May Change the Final Rule -- On October 15, 2009, the Federal Register published proposed amendments to the Final Rule on Income Determination.. You can find it by clicking here.
 
Register for FAHSA's EIV Webinar featuring Denise Murphy - Register now for FAHSA's EIV Webinar on November 10 from 10:00 a.m. to 12:00 p.m. featuring Denise Murphy, Murphy Consulting.  Ms. Murphy will discuss "Potholes, Speed Bumps and Roadblocks, Navigating the Road to EIV Access."  Denise has more than 20 years of affordable housing experience. Register now! 
 
Other Housing News:
  • New Players Ensuring Efficiency at HUD
  • Register for EIV Webinar - November 10
  • Comment on New PBCA Operational Standards Framework
  • More on EIV
  • Obama Administration to Ensure LGBT in HUD programs
  • Grants.gov - New Contact Center Hours
  • Did You Know? 
Nursing Home News

AMDA Requests Comments on the Clinical Practice Guidelines on Nutritional Status in LTC Settings -- AAHSA received a request from the American Medical Directors Association (AMDA) for review and comment on the Clinical Practice Guideline (CPG), Altered Nutritional Status in the Long Term Care Setting.  Read more by clicking on this week's Nursing Home Alert, NH 09-37 below. 

Other Nursing Home News:

  • FADONA Region III to Host the Intermediate QIS Training Course
  • Medwatch Post September 2009 Labeling Changes
Preferred Business Associates News
Carlton Fields Logo 
Carlton Fields
, Attorneys at Law, represents all members of the health care industry, including continuing care retirement communities, nursing home operations, hospice organizations, and assisted living facilities.  Our representation includes handling all types of litigation, compliance, administrative, regulatory matters, and legislative and executive branch advocacy.  Most recently, Carlton Fields passed a major piece of economic development legislation enabling not-for-profit senior living, hospice, and certain independent living companies to reach tax-free bond financing for capital improvements and campus expansions across Florida.  We offer health care professionals the combined experience of a large multidisciplinary team of lawyers and government consultants.  It was our pleasure to provide copies of the Older Floridians Handbook, co-authored by our firm, to FAHSA members at the annual convention. For more information about the services offered by Carlton Fields, or to receive your free copy of the Older Floridians Handbook, please click here.   
 
 
Riding the Wave
 
New Operating Environment Emerging for Aging-Services Providers
-- The effects of the recession and health care reform may require providers to reinvent their organizations by restructuring operations, refocusing core strengths, and redesigning service offerings.
 
"Aging-services providers should plan for a 'new normal' operating environment," states Nancy Rehkamp, a health care principal with LarsonAllen. "It's time they begin rethinking how to measure and demonstrate value while achieving their missions with different resources."

Read our white paper to learn about:
  • The changing net income and wealth of older adults
  • Uncertainty in the housing market
  • Resetting unemployment rates
  • Flat to declining reimbursement
  • Increasing caregiver responsibilities and financial support
  • How we can help

CoupleWithDollarFAHSA'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.

 
Career Center
 
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?

We feature various Aging Services jobs. Ready to start your job search?
Click here to find your next Aging Services job!

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!
 
Copyright 2009 -- Publication of the Florida Association of Homes and Services for the Aging (FAHSA).
  • FAHSA Chair: Terri Cunliffe
  • 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.