| December 20, 2007 |
Vol 15, Issue
3 | |
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FAHSA
LINK | |
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| Welcome to this
week's edition of the FAHSA Link.
Happy
Holidays! The
FAHSA Board of Directors and Staff wish you, your family and
staff a safe and healthy New Year! The FAHSA office will be
closed from December 25 through January 1, 2008, so the LINK will not be published
next week.
Next week, in case of an emergency while the office is
closed, please contact Janegale Boyd (850/294-3412) or Gail
Matillo (850/294-3415).
First
Series of FAHSA Regional Meetings Scheduled: Mark your calendar now
to participate in this exciting value-added service!
-- One of the "Big Ideas" adopted by the FAHSA Board is to
hold periodic regional meetings throughout the state to give
members an opportunity to network and learn while earning
continuing education credit. At each of these
meetings, an educational presentation will be featured on a
topic that is of interest to all members. In addition, attendees
will have the opportunity to participate in a roundtable
discussion for their membership type. The first group of
regional meetings will feature Morrison Senior Dining's "Voice
to the Silent Generation". Please mark your
calendar and plan to attend one or all of the meetings at the
nearest location.
Watch your e-mail for more information.
- February
27 -
Southwest Florida Regional Meeting (Districts 9, 10, 11 and
12)
11:00 a.m. to 3:15 p.m., Shell Point Retirement
Community, Ft. Myers
- February
28 - Central Florida
Regional Meeting (Districts 4, 5, 6, and 13)
11:00 a.m.
to 3:15 p.m., Village on the Green, Longwood
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February
29 - North Florida
Regional Meeting (Districts 1, 2, 3, and 14) 11:00 a.m.
to 3:15 p.m., River Garden Hebrew Home for the Aged,
Jacksonville |
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CNA
License Renewals Underway -CNAs must renew their
licenses by December 31, 2007. To renew, please send
the renewal fee ($50 or $80, depending on whether the renewal
is for a two-year or three-year period), and any address
changes to the Department of Health, Board of Nursing, 4052
Bald Cypress Way, Bin #C13, Tallahassee, FL 32399-3252. Click on the following
web sites for more information -- Basic Regulatory
Information, or Renewal
Information. | |
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| District and Membership News |
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deHoernle
Alzheimer's Pavilion Receives Respite Care Grant --
The Community Outreach Committee and the Foundation Board of
the Boca Raton Community Hospital Foundation approved a grant
of $22,100 to the Count and Countess deHoernle Alzheimer's
Pavilion located in Deerfield Beach. The grant will help fund
day and overnight respite care for those suffering from
Alzheimer's disease in order to ease the strain on their
caregivers.
Alicia Schindler,
the Executive Director of the deHoernle Alzheimer's Pavilion,
an affiliate of the Miami Jewish Home and Hospital at Douglas
Gardens, said, "We sincerely appreciate the continued support
of the Boca Raton Community Hospital Foundation. This grant
will allow Palm Beach County's memory impaired residents to
receive adult day services and overnight care 365 days a year.
It will also provide much-needed support and counseling for
their caregivers."
Upcoming
Membership Events:
- January 8 & 9 - FAHSA
Board of Trustees and Public Policy Committee Meetings,
Boca Raton Resort & Club, Boca Raton
- February
27 -
Southwest Florida Regional Meeting (Districts 9,
10, 11 and 12)
11:00 a.m. to 3:15 p.m., Shell Point
Retirement Community, Ft. Myers
- February
28 - Central Florida
Regional Meeting (Districts 4, 5, 6, and 13)
11:00
a.m. to 3:15 p.m., Village on the
Green, Longwood
- February
29 - North Florida
Regional Meeting (Districts 1, 2, 3, and 14)
11:00
a.m. to 3:15 p.m., River Garden Hebrew Home for the Aged,
Jacksonville
- April
14 - FAHSA Board of Trustees
Meeting, Wingate Inn, Tallahassee
FAHSA Calendar of
Events |
| Education News |
|
FAHSA's
5th Annual Dynamic Directions Advanced Nurse
Leadership Workshop will be held on January 15 &
16, 2008 at the Safety Harbor Resort & Spa. Don't miss this
opportunity to gain knowledge from the experts. READ
THE BROCURE and REGISTER ONLINE.
FAHSA's
Next Webinar - Medicaid Billing with Florida's New Fiscal
Agent, EDS, takes place on January 22. The current Medicaid
fiscal agent contract with ACS will end on February 29,
2008. The new fiscal agent, EDS, will begin claims
processing on March 1, 2008, so it's important to make this
training a part of your "To Do" list. READ
THE BROCURE and REGISTER ONLINE.
Upcoming
Educational Events:
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January
15 & 16-
FAHSA's Dynamic Directions Advanced Nurse Leadership
Workshop
including QIS Training, Safety Harbor Resort
& Spa, Safety Harbor
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January
22 -
Webinar -- FAHSA's
Medicaid Billing with Florida's New Fiscal Agent --
EDS, 2:00 p.m.,
EST
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January
29 -
Webinar -- FAHSA's CCRC Occupancy Issues, 2:00
p.m., EST
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April 15 & 16 -
FAHSA Legislative Workshop, Leon County
Civic Center, Tallahassee
FAHSA Calendar of
Events |
| General
News |
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Snipes
to Serve as Acting Director of Medicaid - Dyke Snipes
has been selected to serve in the role of Acting Director of
Medicaid. Dyke
will assume this role effective January 2, 2008. He will serve in this
capacity while the Department conducts a nationwide search to
fill the position of Deputy Secretary of Medicaid.
Dyke has served as
Assistant Deputy Secretary for Medicaid Finance since 2004,
and has 29 years experience with the State of Florida. Most of
that time was spent working with Medicaid, health care
services, and funding issues for health care services through
numerous positions at AHCA, the Florida Legislature, and the
Florida Department of Health.
Minnesota
Ruling May Affect Tax Exemptions for Nonprofits -
Last week, the Minnesota Supreme Court issued a
ruling that could affect the exemption from property taxes for
a substantial portion of nonprofit organizations in Minnesota.
The case, "Under the Rainbow Child Care Center, Inc. v. County
of Goodhue" overturned a decision by the Minnesota Tax Court.
The Tax Court had ruled that a nonprofit day care center
qualified for the property tax exemption even though it did
not meet the third criterion listed in the North Star case,
which concerns whether the recipients of the "charity" are
required to pay for the assistance received in whole or in
part. The Supreme Court ruled the nonprofit cannot qualify as
"an institution of purely public charity" without satisfying
this criterion.
Although the
Supreme Court has never ruled that all six factors in the
North Star case must be met to qualify for the tax exemption,
it stated that some factors are essential. It specifically
mentioned, for example, that it could not envision a situation
in which the sixth factor--dividends or assets upon
dissolution not being available to private interests--could
not be met and the organization still qualify as a charitable
institution. In this case, the Court ruled that the third
factor is also essential. The Court held that the third factor
"tests for a value that is fundamental to the concept of
charity--that is, whether the organization gives anything
away."
The Court stated
"it is not sufficient that an organization serves a worthwhile
purpose, or even that it does so on a nonprofit basis". An organization must
provide its 'charity' to recipients free-of-charge or at
considerably reduced rates." The day care center in question
actually charged rates higher than its market competition for
infants, toddlers, and preschool children. The rates it
charged for school age children were between the high and low
rates of its competitors.
Government
programs provided subsidies to families who could not afford
to pay the charges of the day care center. The Court's
decision indicates that payments from government programs on
behalf of individuals who cannot pay are not an indication of
a charitable act by the organization. Although the individual
does not pay the charges, the organization does get paid, and
consequently the fundamental concept of charity has not been
realized, even though the government payments may be
substantially discounted.
Stetson to Offer
Seminars for Seniors -- Stetson University College of
Law invites local seniors to attend an Elder Law Pro Bono
Seminar on January 26, 2008 from 9:00 a.m. to 12:00 noon at
the Hamilton Auditorium of Pasadena Community Church, 227
70th Street South in St. Petersburg. Information will be
presented on proper planning for end-of-life issues. Stetson law students,
under the supervision of Mr. Charles R. Gallagher, Esq., will
be drafting Florida Bar approved living wills and the
designation of health care surrogate documents free of
charge for all attendees. All are encouraged to
attend this informative seminar on vital issues affecting
seniors. For more
information, or to arrange for a seminar at your facility,
please contact Casey Stoutamire, cstoutam@law.stetson.edu.
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| Housing
News |
|
National News --
Project-based Assistance (PBA) renewals will be funded at
$6.139 billion, up $163 million from last year. In addition,
any amounts recaptured from the prior-year unobligated tenant
or project-based rental assistance may be used to renew or
amend PBA contracts in FY08. Owners of rental properties with
PBA estimate that this year's renewal funding is short by $2 -
$2.5 billion. Section 211 of the bill
directs HUD to submit a report to Congress by August 30, 2008
detailing the number of federally-assisted housing units under
lease and the per-unit cost of those units.
The conferees
beefed up some of
their bill and report language requiring HUD to account for all outstanding
tenant and project-based contracts on a
project-by-project basis and their costs and report regularly
to the Appropriators. This is in response to the late HAP
debacle this year where HUD was behind as much as two months
in paying owner / managers of buildings with project-based
vouchers in them.
An even more
specific and hefty requirement requires HUD to report quarterly to
the Appropriations Committees on the number of PBA units by
HUD region, including the number of opt-outs and an analysis
of the number of federally-assisted units being refinanced
under the Mark-to-Market program. The bill goes on to
state, "The Secretary shall identify in detail and by project
all the efforts made by the Department to preserve all Section
8 project-based housing units and all the reasons for any
units which opted out or otherwise were lost as Section 8
project-based units. Such analysis shall include a review of
the impact of the loss of any subsidized units in that housing
marketplace, such as the impact of cost and the loss of
available subsidized, low-income housing in areas with scarce
housing resources for low-income families."
The Appropriators
weren't done. Responding to the continuing problem of late HAP
payments to landlords and management agents, Section 235 of the
bill directs HUD to provide a "complete and accurate
accounting for FY07 and FY08 of "actual" PBA renewal costs;
revised budget estimates of the cost to renew all PBA
contracts expiring in FY07 and FY08 and to identify all
sources of funding that HUD will use "to fully fund all 12
months" of PBA contracts expiring in FY07 and 08. HUD must report this
information to Congress within 60 days of enactment of the
Omnibus bill. Anytime after that, HUD "may" revise and update
its cost estimates if an audit of the project-based program
"reveals additional information that may provide Congress a
more complete understanding of the Secretary's implementation"
of the PBA program. The same section of the bill
directs HUD, as part of next year's budget submission, to
provide a project-by-project analysis "that verifies that such
budget request will fully fund all project-based contracts" in
FY09, including expiring contracts.
In addition, the
Conference Report
accompanying the bill further states, "The Appropriations
Committees note the Department's inability to identify actual
funding needs for Project-based Rental Assistance renewals.
The Appropriations Committees also finds that the Department
has not been aggressive in reducing the impact that its
decisions are having on the affordable housing community. In
light of what appears to be a severe funding shortage, the
Department has taken the drastic step of abandoning its
practice of 12-month contracts and has been sending short-term
renewal that impact owners, landlords, financial institutions,
and most importantly tenants of Project-based
housing."
A
large part of the problem is that the Administration has not
determined if 12-month contracts can be conditioned on the
availability of funds, and can be funded incrementally. The Appropriations
Committees directs HUD and OMB to make a final determination
about whether an Anti-Deficiency Act (ADA) violation would
exist under those circumstances by January 15, 2008. If
not, a violation would exist, and HUD is then instructed to
immediately begin issuing two-month contracts subject to the
availability of funds. If a violation would exist or has
occurred, the administration must report that violation to the
Committees immediately.
HUD Translated
Materials for Persons With Limited English Proficiency --
The bill increases the Fair Housing account by
$380,000 and requires HUD to create and promote translated
materials on its programs for people who have limited English
proficiency. HUD has recently required private property
owners to bear this cost. This provision had been successfully
offered as a floor amendment to the Senate version of HUD
appropriations by Senator Bob Menendez (D-NJ). A word of caution, however,
this does not mean that contract funding/payment issues are
fully resolved. Congress did not provide a full 12
months of funds for all contracts, and funds will continue to
be placed incrementally onto contracts. But the
mere fact that there is a full appropriation (as part of the
omnibus) instead of just another long-term Continuing
Resolution (like last year), HUD's financial management team
should have a better time of trying to access and release
funds.
Once this
legislation is signed into law (the President has indicated he
will not veto it), and HUD gets its money from the Treasury,
we expect to see much larger increments - perhaps enough to
carry all existing and renewal contracts through the end of
the fiscal year (Sept 30, 2008). We know
that the HUD funding staff wants to get as much attached to
individual property contracts as soon as they can.
Your continued
advocacy and communication to the FAHSA office on these issues
are critical, and we depend on you to let us know when you are
having any problems.
Keep those e-mails coming!
FAHSA Housing Alert
Page |
| Home
and Community-Based Services News |
|
Hospice RN
Pay Rises 3.4% - The national
average hourly pay for registered nurses providing hospice
care has risen to $25.86 per hour, according to results of a
new national survey. Meanwhile, the national average for
licensed practicing nurses in hospices rose 2.8% to $18.51 per
hour. Among other
key information in the 2007-2008 Hospice Salary and Benefits
Report from Hospital & Healthcare Compensation Service:
turnover was 20.4% for RNs and 21.6% for LPNs in hospice
settings. Earlier this year, HHCS surveys showed that national
average pay rates were $25.00 and $24.48 for RNs serving as
staff members and charge staff nurses, respectively, in
nursing homes. LPNs in nursing homes, meanwhile, averaged
$18.74 and $18.00 for regular staff and charge-nurse
designations,
respectively. |
| Nursing
Home News |
|
CMS
Proposes "The PACT" - CMS is proposing a new pilot
study, "The PACT" (Positive Action-Critical Thinking). This is
a pilot designed to promote improved resident outcomes for
Medicare beneficiaries with pressure sores. The goal is to
formulate a PACT between the following key stakeholders in a
community:
·
Nursing homes
with a high incidence of pressure sores
·
Administrators
·
Corporate
Owners
·
Directors of
Nursing Services
·
Medical
Directors
·
State Survey
Agencies
·
Long-Term Care
Ombudsman
·
Clinical Nurse
Consultants
·
Quality
Improvement Organizations
·
CMS Regional
Office & Central Office staff
·
Area
Hospitals
·
Hospital
Associations
·
Home Health
Agencies
·
Nursing Home
Associations
·
NPUAP
The
purpose of forming the collaborative effort is to encourage
CMS providers with a high prevalence of pressure sores to (1)
improve quality care and services; (2) reduce the prevalence
of pressure sores; and (3) foster improved outcomes in
clinical settings.
This goal might encompass a long-term care facility,
the hospital or a resident's home for community-based care and
services, in other words across the full continuum of
care. The goal is
Positive Action, Critical Thinking and Success of the
Government Performance Results Act (GPRA) goals related to
pressure sores.
Since FAHSA is on
the steering committee and will be providing input into the
research, selection, and criteria set forth, members will
benefit from timely updates.
FDA
Cautions Fatal Skin Reactions Due to Carbamazepine
Therapy - FDA informed health care professionals that
dangerous or even fatal skin reactions (Stevens Johnson
syndrome and toxic epidermal necrolysis), that can be caused
by carbamazepine therapy, are significantly more common in
patients with a particular human leukocyte antigen (HLA)
allele, HLA-B*1502. This allele occurs almost exclusively in
patients with ancestry across broad areas of Asia, including
South Asian Indians. Patients with ancestry from areas in
which HLA-B*1502 is present should be screened for the
HLA-B*1502 allele before starting treatment with
carbamazepine. If these individuals test positive,
carbamazepine should not be started unless the expected
benefit clearly outweighs the increased risk of serious skin
reactions. Patients who have been taking carbamazepine for
more than a few months without developing skin reactions are
at low risk of these events ever developing from
carbamazepine. This is true for patients of any ethnicity or
genotype, including patients positive for HLA-B*1502.
Read the complete MedWatch
2007 Safety Summary including a link to the FDA
Information for Healthcare Professionals Sheet and the Drug
Information Page regarding this issue.
|
| Sponsor |
They bring this collective
experience - broad perspective and first hand knowledge of
many financial products - to every engagement. Contact Jerry Swiacki at (770) 772-4778, ext.
203 or e-mail Jerry at gswiacki@lancasterpollard.com for
more
information. |
| 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.
|
| 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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FAHSA's Group Purchasing Organizations
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FAHSA is pleased to tell
you about the FAHSA Group Purchasing Organization (GPO). The GPO program
further enhances the value you receive from your membership
and is required for us to be in compliance with
Medicare Safe Harbor requirements The FAHSA GPO program, in
conjunction with the AAHSA, Care Purchasing (CPSI), and FMS
Purchasing and Services (FMS) GPOs offer you the opportunity
to save daily purchases from over 200 vendor partners. To view these vendor partners
please click on the Preferred
Business Associated Guide and go to pages
22-25.
FAHSA members participating in these programs
are saving from seven to 50% off list prices. In addition to these
savings, your participation allows FAHSA to receive non-dues
revenue based on your purchases. This revenue assists
FAHSA to provide the educational programs and advocacy you
expect while keeping membership dues' to a
minimum.
There is no obligation or
commitment on your part to participate in the FAHSA GPO
programs. This is simply a value added member benefit.
Our program is
also not exclusive; you can belong to one or all three
GPOs. We simply
ask that you look at all of the FAHSA programs and decide the
best savings for you.
We
have three (3) Enrollment Agreements and ask that you
complete one or all and fax the completed enrollment to the
GPO at the number listed on the form. Click below to
obtain the enrollment form.
- AAHSA
Enrollment Form
- Care
Purchasing Enrollment Form
- FMS
Purchasing & Services Enrollment Form
If you are
already enrolled in one of the GPOs, you are still required to
complete a new enrollment form in order to have the FAHSA GPO
covered under the Medicare Safe Harbor Laws.
If you have any questions, please call Julie
Copeland, Vendor Relations Coordinator or Janegale Boyd,
President/CEO (850) 671-3700. Thank you for your
continued support of
FAHSA. |
| Save
10% |
Use FAHSA's
Self-Study Training Modules to Meet Regulatory Requirements -
If your
community is looking for an efficient and cost-effective way
to ensure that new and existing staff meet mandatory
educational training requirements, consider purchasing one or
more of FAHSA's training
Videos/DVDs:
·
HIV/AIDS Prevention &
Treatment
·
Domestic
Violence
·
Medical
Errors
·
OSHA Universal Precautions
& Infection Control
·
Resident Abuse
Prevention Program
The
advantage of using the training series is that individuals can
work at their own pace and complete the training on their own
or as part of a group.
For new hires, this option in invaluable. It not only saves
time, it saves money in regulatory
problems!
To order please click HERE for order
form. |
| Offer
Expires: December 31,
2007 |
Copyright 2007 -- 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. © 2007 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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