Florida Association of Homes and Services for the Aging
October 29, 2009 Vol 16, Issue 47 
 
 
 

Welcome to this week's edition of the FAHSA Link.
 
Protect Yourself from Influenza -- This year the Centers for Disease Control and Prevention (CDC) recommends seasonal and 2009 monovalent H1N1 influenza vaccination for all health care workers because of their critical role in the health care system and their increased risk of exposure to patients with influenza, as well as concern about transmission of the viruses to susceptible patients. The 2009 H1N1 monovalent influenza vaccine is made in the same way as seasonal flu vaccine, which has a very good safety track record.  Preliminary data suggest that the immunogenicity and safety of these vaccines are similar to those of seasonal influenza vaccines 
 
Seasonal influenza vaccination among health care personnel reduces the flu-related mortality risk among patients at highest risk of severe illness.  Despite the documented benefits of health care worker vaccination, seasonal influenza vaccine coverage in past seasons among this group has remained low (<50%) nation-wide.  Influenza outbreaks in hospitals and long-term care facilities have been associated with low vaccination rates among health care workers, while higher vaccination levels among staff are associated with a lower incidence of nosocomial influenza cases.
 
More information on locating 2009 monovalent H1N1 and seasonal vaccine, priority groups for vaccination, and vaccine safety is located at www.flu.gov.
 
H1N1 Influenza National Conference Call Series for Community and Faith-Based Organizations -- The Department of Health and Human Services (HHS) Center for Faith-based and Neighborhood Partnerships (HHS Partnership Center) and the DHS Center for Faith-Based and Community Initiatives will be hosting a series of conference calls beginning on November 3, 2009 to review the "H1N1 Flu: A Guide for Community and Faith-based Organizations (C/FBOs)".  
 
This series of calls will cover the H1N1 flu guide in detail to address key issues regarding flu prevention and response. The calls also provide an opportunity to hear from you about the best practices and the challenges in your communities regarding the prevention and spread of H1N1 flu.
 
The November 3 Call: Part One will cover the following topics: 
  • Section A. Community and Faith-based Involvement
    What can CFBOs do to help people stay healthy during the 2009-2010 flu season?
    How can your organization create effective partnerships for the 2009-2010 flu season?
  • Section C. Communication
    How can your organization communicate effectively about flu?
  • Appendices
    Appendix A: About Flu
    Appendix B: Resources
    Appendix C: Lessons Learned from the Minnesota Immunization Networking Initiative (MINI): Delivering Flu Vaccine in Non-traditional Settings
Register and download a copy of the guide by clicking here
In This Issue
Education News
General News
Home and Community-Based Services News
Housing News
Legislative News
Nursing Home News
Preferred Business Associates News
Career Center
FAHSA Quick Links
 
Education News

It's Not Too Late to Attend the LTC Forum Tomorrow in Orlando - 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.  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!
 
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
  • December 1 - CCRC Benchmarking Webinar
General News

Geriatric Gap Affects Politics -- American politics has been defined by gender gaps, racial gaps, geographic gaps and the gap between the religious and the secular.  Now comes the geriatric gap. As the population ages and the nation faces intense battles over rapidly rising health care and retirement costs, American politics seems increasingly divided along generational lines.
 
The question is how real and defining this gap is going to be - whether in 10 or 20 years it will prove as consequential or intense as, say, the gender divide.
 
As distasteful as the notion of intergenerational conflict may seem, the fight over health care - not to mention the election of health care reform's current chief proponent, President Obama - suggests that something is going on.  Older Americans are more likely to oppose Obama's initiative than any other age group. The White House views this dynamic as one of the biggest obstacles to tamping down public concerns about its approach and assembling a legislative coalition to get a bill passed in Congress.
 
Older voters were one of the few groups Obama did not win in the presidential election last year, leaving him and his party particularly reliant on younger voters, who do not show up at the polls as reliably as older people do.  They have a dimmer view of his presidency than the rest of the nation.
 
And there is no reason to think that whatever tensions have been unearthed with this fight are going to end once it is resolved.  Obama has signaled his intention to tackle the long-term financial problems of Social Security, another issue the elderly play an outsize role in, and they tend to be resistant to change there, too.
 
Americans are living longer and staying healthier longer. With that has come a more active approach to life in retirement.  Older Americans are more engaged. They are more likely to watch television news, show up at town hall meetings and call their members of Congress. That has proven especially true when it comes to health care.
 
(Excerpted from The New York Times, 9-13-09)
 
Medicare Part A Deductible to Rise by $32 in 2010 -- The Medicare Part A deductible will increase by $32 in 2010 to $1,100, according to the Centers for Medicare & Medicaid Services -- The beneficiary pays the deductible when admitted as a hospital inpatient.  Medicare Part A pays for skilled nursing facility, inpatient hospital, hospice and certain home health care services. Beneficiaries must pay an additional $275 for days 61 through 90 in 2010, and $550 for lifetime reserve days. Only about 1% of Medicare beneficiaries have to pay a premium for Part A services.

Meanwhile, a total of 27% of Part B beneficiaries will see a monthly premium increase in 2010 as a result of a "hold harmless" provision in the current law. The increase will raise the 2010 Part B monthly premium to $110.50 from $96.40. In 2010, the Part B deductible will be $155.

Source: McKnight's LTC Daily News, October 21, 2009
 
 
Home and Community-Based Services News
 
AHCA Hosts NH Transition Meeting -- This week, AHCA held a public meeting for stakeholders to report the status of the nursing home transition project. As mentioned in a previous FAHSA article,  Long v. Benson, the class-action lawsuit alleged that the state discriminates against adult Medicaid residents with various disabilities by preventing them from moving out of nursing homes into less restrictive community settings was put on hold for a year.   U.S. District Judge Hinkle agreed to put the lawsuit "in abeyance" for up to a year while the state implements a transition program for Medicaid nursing home patients.
 
The lawsuit was brought against the state by the American Association of Retired Persons (AARP) and others.  According to AHCA, about 40,000 Florida Medicaid patients are in nursing homes.  The Agency reports that approximately 8,000 patients or one-fifth of the total Medicaid nursing home population could seek to move into home or community-based settings.
 
The purpose of the meeting was to provide an update of the collective efforts of state agencies including AHCA, DOH, DCF and DOEA.  It was stated that the Medicaid Nursing Home Transition Initiative involves the voluntary transfer of an eligible Medicaid beneficiary residing in a nursing home to an appropriate community setting such as a family member's home, individual's apartment or home, an assisted living facility, or adult family care home.
 
For more details of the Nursing Home Transition, visit the AHCA web page for periodic announcements and updates.
 
Free Hospice Month Event -- Suncoast Hospice cordially invites you to a free Hospice Month event in honor of partnerships in care and compassion in the community.  Please join us on November 18 at 3:30 p.m. as Ken Ross presents the Life and Legacy of Hospice Pioneer and Mother, Dr. Elizabeth Kubbler Ross. Please RSVP to 727-523-3397.
Housing News

Reminder - CDBG Application Cycle Opens - The Department of Community Affairs (DCA) will open an application cycle from October 27 through December 15, 2009 for the availability of disaster recovery funding in the amount of $81 million to address needs resulting from federally declared disasters occurring in 2008.  The federal declarations issued by the Federal Emergency Management Agency (FEMA) cover counties affected by Tropical Storm Fay (FEMA-3288-DR and FEMA-1785-DR), Hurricane Ike (FEMA-3293-DR), and Hurricane Gustav (FEMA-1806-DR).  For more information, please contact DCA at (850) 922-6075.
 
Notice of Telephone Public Meetings -State of Florida's Proposed Neighborhood Stabilization Program 2 Strategies -- Florida Housing Finance Corporation is holding telephonic public meetings November 2-4, 2009, to provide information and solicit comments regarding the implementation of its proposed Neighborhood Stabilization Program 2 (NSP2) strategies.  Read more by clicking on this week's Housing Alert, 09-28.
 
Free Antivirals Available for Residents - Several retail pharmacies are participating in an antiviral stockpile program and can offer free antiviral medications to those who can not afford them.  For a complete list of the pharmacies participating in this program, CLICK 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:
  • Notice of Telephone Public Meetings
Legislative News

AHCA Seeks Ideas for Regulatory Reduction Bill -- During the 2009 Legislative Session, a bill passed (SB 1986) that contained a few changes that the Agency for Health Care Administration (AHCA) was pursuing to reduce regulatory costs.  The bill, which is now law, eliminated nurse monitors, the monthly report of nursing home bed vacancies, and the requirement for nursing homes to post policies on loss of resident property.  It also eliminated overlap in the reporting of abuse, neglect and exploitation by excluding such acts from the definition of an adverse incidents; however, they must still be reported to AHCA and the Department of Children and Families (DCF), as required by law.
 
AHCA hopes to pursue another regulatory reduction bill in 2010.  We need your ideas not only for nursing homes but also assisted living, home health, and other regulated entities.  We will suggest that the legislature reduce the number of visits by a nurse to ALFs that are licensed for Limited Nursing and Extended Congregate Care or at least give AHCA more discretion to vary the number of visits based on survey history.  If you have any other suggestions, please forward them to Carol Berkowitz, FAHSA Director of Regulation and Compliance, at cberkowitz@fahsa.org.

House Considers Adding CLASS Act to Health Care Reform Bill -- Democrats in the U.S. House of Representatives are strongly considering adding the CLASS Act to their version of health care reform.

The Community Living Assistance Supports and Services (CLASS) Act, which is supported strongly by AAHSA, would establish a voluntary government-run long-term care insurance program that would help defray the costs of nursing home and in-home care in the event of a disability.  The late Senator Ted Kennedy (D-MA) proposed it in the Senate Committee on Health, Education, Labor and Pensions (HELP). The House has yet to adopt the plan.  Though plans have not been finalized, one Democratic aide said there is "strong support" for the measure in the House, The Associated Press reported.

Because the program will spend the first several years only collecting money and not paying out any benefits, opponents predict it will become unsustainable.  It will need large infusions of cash starting around 2019, after it begins to pay our benefits, they argue.
 
AAHSA and its President and CEO, Larry Minnix, are the major proponents of CLASS. Larry is meeting with key players in Washington this week in an attempt to allay fears and correct misconceptions about the program.

Source: McKnight's LTC Daily News, October 28, 2009
Nursing Home News

Governor Crist Appoints Thomas W. Arnold as Secretary of Agency for Health Care Administration -- Yesterday, Governor Charlie Crist appointed Thomas W. Arnold of Tallahassee as Secretary of the Agency for Health Care Administration.  He has served as the agency's Chief of Staff since 2008.  "Tom's extensive knowledge of managing Florida's Medicaid programs is especially important as our nation's discussion of health care moves forward," Governor Crist said. "With 30 years of experience with Florida's health and human service programs, Tom has the expertise we need at this critical time."
                                   
Tom has served in a wide variety of public health administrative roles.  Previously, he was the state Medicaid director within the Agency for Health Care Administration from 2004 to 2007.  He has also served within the Florida Department of Health as deputy state health officer during 2008, deputy secretary from 2003 to 2004 and director of administration from 1998 to 2003. Prior to the creation of the two state agencies, he served in various roles within the Florida Department of Health and Rehabilitative Services from 1979 to 1998.  Arnold served in the United States Marine Corps Reserve from 1970 to 1976 and earned a bachelor's degree in accounting from Florida State University.
 
Congratulations Tom! You have what it takes to do a great job
 
Other Nursing Home News:
 
  • Updated Guidance on Infection Control Measures for 2009 H1N1 Influenza in Health Care Settings
  • News From the October Board of NHA Meeting
  • Bidding Is Now Open for the Round 1 Rebid of the DMEPOS Competitive Bidding Program
  • New Requirements for Medicare DMEPOS Suppliers
  • Eighth & Final Special Open Door Forum Bidders' Conference for the Round 1
  • Rebid of the Medicare DMEPOS Competitive Bidding Program
  • Revised Medicare Resident, Practicing Physician, and Other Health Care
  • Professional Training Publications
     
Preferred Business Associates News
CoupleWithDollar
 
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.
 
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.