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October 29, 2009 |
Vol 16, Issue 47 |
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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:
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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?
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Section C. Communication
How can your organization
communicate effectively about flu?
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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.
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Education News
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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
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General News |
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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
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Home and Community-Based Services News |
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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. |
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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
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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
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Nursing Home News |
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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
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News From the October Board of NHA Meeting
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Bidding Is Now Open for the Round 1 Rebid of
the DMEPOS Competitive Bidding Program
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New Requirements for Medicare DMEPOS
Suppliers
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Eighth & Final Special Open Door Forum
Bidders' Conference for the Round 1
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Rebid of the Medicare DMEPOS Competitive
Bidding Program
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Revised Medicare Resident, Practicing
Physician, and Other Health Care
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Professional Training Publications
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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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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: 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.
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