Topics & Presenters
Wednesday, November 8th
Wednesday, November 8th - 9:00a
Building and Sustaining Excellence
Presenter: Holly Harmon, RN, MBA, LNHA, FACHCA
American Health Care Association/National Center for Assisted Living
Tired of constantly putting out fires? Challenged with ever changing regulatory requirements? Looking to improve your organizational outcomes such as readmissions, employee results, etc.? This session provides an overview of a performance excellence framework that can help address these questions. The AHCA/NCAL Quality Award Program, based on the Baldrige Criteria for Performance Excellence, focuses on helping organizations become integrated management systems whereby all parts of the organization are working together to achieve excellence. This framework is not a momentary fad but rather a proven way to build and sustain organizational excellence. Participants will learn to: * Distinguish between the characteristics of a compliance-oriented organization verses excellence-focused. * Summarize the key features of systems-based performance improvement. * Recognize the benefits of implementing systems-based performance improvement. * Identify the steps for engaging in a Quality Award journey. Presenter: Holly Harmon, RN, MBA, LNHA, FACHCA American Health Care Association (AHCA/NCAL) Holly brings both passion and a wealth of practical, real-world, clinical and operational experience to her role as Senior Vice President, Quality, Regulatory & Clinical Services at American Health Care Association (AHCA). Her extensive service in a wide array of settings including post-acute care, long term care, residential care, assisted living, independent living, a psychiatric hospital and occupational health have provided her with insights, knowledge, skills and innovative ideas which she exuberantly shares with others. At AHCA she oversees the quality, regulatory and clinical efforts. In this role, she has led AHCA’s national quality initiative that identified national priority goals and developed tools and resources for providers to achieve these goals. She designed and launched AHCA’s infection preventionist certificate program, that has trained over 4,000 individuals nationally. In addition, she coordinates the development of staff training modules in AHCA’s online learning management system, which includes training of over 200,000 individuals as temporary nurse assistants during the pandemic. She also led AHCA’s advocacy and feedback to CMS and CDC on how clinical guidance needs to pay attention to the resident’s quality of life. In addition to her vast clinical experience, Ms. Harmon has put her dynamic energy into leading the statewide Maine Culture Change Coalition/LANE as President, the Maine Partnership to Improve Dementia Care in Nursing Homes as Co-Chair, Vice-President of American College of Health Care Administrators, Maine Chapter and the Maine LANE Co-Convener for the national Advancing Excellence in America’s Nursing Homes Campaign. She also served as the Director of Quality Improvement & Regulatory Affairs at the Maine Health Care Association. She puts her boundless energy and warm and energetic personality into training, education and presenting both, nationally and locally. She has made simplifying the complex world of long term and post-acute care policy and practice an art.
Wednesday, November 8th - 10:15a
Common Fair Labor Standards Act Violations and How to Avoid Them
Presenter: Ana Maria Rogers
United States Department of Labor
Correctly calculating overtime pay and properly designating employees as exempt or non-exempt are just two of the complicated aspects of complying with the Fair Labor Standards Act (FLSA). These errors can be costly if revealed during a Wage and Hour investigation or litigated in a private lawsuit. In this session, our speaker will show you how to avoid making inadvertent mistakes and explain options for correcting unintentional underpayment. We will also delve into Child Labor and the Pump Act in this session and allow for a brief Q&A session. Presenter: Ana Maria Rogers is the Community Outreach and Resource Planning Specialist (CORPS) for the Northern New England District Office for the Wage & Hour Division. Before becoming the CORPS she was an investigator in the Portland, ME office for three years. Prior to joining WHD, Ana Maria worked for the Department of Defense in New Jersey and Ohio. She graduated from New Mexico State University with a bachelor’s degree in business administration with a concentration in Human Resources.
Wednesday, November 8th - 11:30a
Updates & Conversation with Team from Office of Professional Licensure & Certification (OPLC)
Presenters: Lindsey Courtney & Michael Porter
OPLC
As there has been an increase in oversight and investigations conducted by OPLC, this program presents an opportunity for representatives for OPLC to provide updates to providers and address questions. Presenters: Lindsey B. Courtney Office of Professional Licensure & Certification Lindsey is currently the executive director of the New Hampshire Office of Professional Licensure and Certification, the state agency responsible for administering occupational licensing boards in New Hampshire and, until recently, the Prescription Drug Monitoring Program. Lindsey attended Northeastern University and thereafter New England School of Law. She clerked for the New Hampshire Superior Court and practiced medical malpractice and personal injury law at Abramson, Brown & Dugan, before joining the Department of Justice as litigation counsel to the Department of Health and Human Services. Lindsey has served on the Board of Directors of the New Hampshire Women’s Bar Association since 2014 and is presently the NHWBA President. She is co-founder of the NHWBA’s award-winning Women to Women Project, designed to unite women attorneys with female inmates at the New Hampshire State Prison for Women for the purpose of providing general legal information in family law. Lindsey has been an active member of several associations, including most recently as regional representative to the American Association of Health and Human Services Attorneys. Michael Porter, Esq. Office of Professional Licensure & Certification Michael Porter, Esq. began his career with the Office of Professional Licensure and Certification (OPLC) in 2018 as the Real Estate Investigator/Prosecutor assigned to the Real Estate Commission. In 2019, Michael was promoted as one of the two rules’ attorneys within the OPLC. In August 2020, Michael became the current Administrator III/Investigations Bureau Chief for the OPLC-Division of Enforcement (since August 2020) responsible for the implementation of policies and procedures of the division, oversight of all investigations involving 54 professional licensing boards and direct supervision of 10 employees and 5 contract investigators. Michael attended Franklin Pierce University and earned a Bachelor of Arts in Criminal Justice (Suma Cum Laude). Michael is a 2013 graduate of the Massachusetts School of Law and is admitted to practice in both New Hampshire and Massachusetts. Prior to joining OPLC in 2018 as the Real Estate Investigator/Prosecutor, Michael worked 25 years as an investigator with the NH Public Defender. Michael has been the guest and keynote speaker before a number of professional associations including the NH Bar Association, NH Realtor’s Association, Colby-Sawyer College (Nursing Program), and other various professional associations.
Wednesday, November 8th - 1:15p
SurveyLIVE!
Presenters:
Certified SNF/NFs - Kristie Holtz - DHHS, Bureau Chief - HFA, Certification
ALFs/RCs/SRCs & Non-certified nursing facilities - Kelly Keefe, Bureau Chief - HFA, Licensure
DHHS Surveyor Teams will provide pertinent updates and discuss recent trends in surveys.
Wednesday, November 8th - 2:30p
What’s Next? The Power of Purpose to Advance Senior Healthcare Leadership
Presenter: Jerald Cosey, HFA
J Cosey Speaks
Today’s operational and clinical leaders navigate “white flag” moments daily. Responsibilities include quality outcomes, operational excellence, and staff development within a highly regulated industry, which may influence burnout as a healthcare professional. The worldwide COVID pandemic has compounded realities for the senior healthcare community. An epidemic that has scrutinized yet galvanized the industry and required professional and personal sacrifice. As operational and clinical leaders transition out of the worldwide pandemic, they must ask themselves “what’s next”? What’s next for the senior healthcare industry, their specific organization and the communities in which they influence? This keynote presentation delivered by Empowerment Speaker and fellow Healthcare Facility Administrator, Jerald Cosey, is designed to Rehydrate participants as they discover the following objectives: •A motivational message designed to honor and empower healthcare professionals from a Health Facility Administrator’s perspective. •Identify the empowering value of “COVID Conviction”, a term captured by J.Cosey, as he led a senior living community through the pandemic. •Engaging keynote designed to rehydrate your memberships calling to serve humankind as a senior healthcare professional. •Focus leader’s attention towards post pandemic recovery and goal development. •Uncover strategies designed to capture developmental goals to propel post pandemic outcomes and operational/clinical excellence. •Each attendee will have the opportunity to revisit their individualized calling to health care and leave the conference with a visual keepsake as a reminder of that calling. •This message aligns across the entire healthcare spectrum, including Skilled Nursing, Assisted Living, Home Health and Hospice. Jerald Cosey is a senior healthcare leader, consultant, and professional speaker. He is the owner of J Cosey Speaks, a training and development company dedicated to empowering leaders to advance senior healthcare. Jerald recently served as the operational leadership development director for American Senior Communities (ASC), Indiana's largest senior living and senior healthcare company. In this role, he was responsible for developing leaders for over 90 skilled nursing and assisted living communities in Indiana and Kentucky. Jerald, a licensed healthcare administrator, operated two SNFs over eight-and-a-half years. As executive director of Greenwood Meadows, a skilled nursing facility operated by ASC. His facility earned the 2019 American Health Care Association's Silver Quality Award. Jerald graduated from Kentucky State University in 1990 with a BA in Business Administration. Jerald began his pharmaceutical career in sales, joining Pfizer Pharmaceuticals in 1996. He quickly advanced to the leadership role of district sales manager. During his 18-year pharma career, Jerald received several distinctions. He was named District Sales Manager of the Year twice and a Vice President's Management Club member four times. He founded Graceful Moments, an outreach ministry focused on minimizing isolation within the senior living community. Experiences he had during outreach stoked a desire in Jerald to serve others professionally, and in 2013, he resigned from his sales career to become an Administrator in Training, completing work for his Health Facility Administrator license and Nurse Aide certification. Jerald resigned from his position on September 1, after celebrating his 10th anniversary, to coach, train and develop leaders nationally. Jerald is a member of the Board of Directors of the Indiana Society for Post-Acute and Long-Term Care Medicine. Jerald considers himself a professional servant and is committed to advancing senior healthcare as a speaker, consultant, and coach.
Thursday, November 9th
Thursday, November 9th - 9:00a
A Conversation with AHCA/NCAL President & CEO - Mark Parkinson
A State of the State of Long-term care address and time for Q & A with Mark Parkinson. Mark Parkinson is the President and CEO of the American Health Care Association (AHCA) and National Center for Assisted Living (NCAL), which represents over 14,000 skilled nursing facilities and assisted living centers. Parkinson served as the 45th Governor of the State of Kansas. Prior to that, he was the owner and operator of long term care facilities in Kansas and Missouri. Under Parkinson’s leadership, AHCA/NCAL focuses on delivering policy solutions to the Hill and CMS, with a special emphasis on quality care. AHCA/NCAL is now the largest association in long term care and is at record membership. His vision has brought Parkinson recognition. He has been named a Top Association CEO by CEO Update and a top lobbyist for seven consecutive years (2013-2019) by The Hill, a leading Capitol Hill newspaper. Parkinson also has the distinction of being selected as one of the “100 Most Influential People in Healthcare” by Modern Healthcare in 2015. Most recently, Parkinson was named Top CEO in the small-employer category by The Washington Post 2019 Top Workplace survey.
Thursday, November 9th - 10:30a
Legal Updates
Presenter: Charles Powell III
Devine, Millimet, & Branch
RSA 151-I:2--A Refresher and Brief War Stories Seven Years from Enactment A Brief Lesson on Admissions Agreements IJ Lessons & After Tag Concerns RSA 151-I:2--A Refresher and Brief War Stories Seven Years from Enactment The participant will understand: -the basic functioning of the Special Medicaid Representative statute and how ALFs, NFs, and SNFs can use it; -the advantages of the statute over guardianships as well as possible drawbacks (and the solutions to those drawbacks); -the lessons learned in actual application to maximize the statute’s effectiveness. A Brief Lesson on Admissions Agreements The participant will understand: -certain general requirements of and recommendations for ALFs, NFs, and SNFs in admissions agreements; -general admission agreement provisions designed to protect the facility on an ongoing basis; -recommended notice provisions to incoming residents and family to manage expectations; -“receipt and understanding” provisions; -Notice provisions under RSA 151-E:19; -The need for contractual commitments to apply for Medicaid. IJ Lessons and After Tag Concerns The participant will understand: -effective IJ response protocols and the need to respond quickly and appropriately to DHHS concerns; -the “after IJ” ramifications and possible further investigations; -using the IJ process to build or rebuild relationships with DHHS.
Thursday, November 9th - 11:30a
Lunch - NHHCA & LTCF Annual Meeting
NHHCA Members & LTCF Board Members Only
Thursday, November 9th - 1:00p
Add-on Session for SNFs/NFs
NH's Changeover to PDPM for Medicaid Reimbursement*
Presenter: Kris B Harmony
Accordion Healthcare Consulting
Medicaid Case Mix PDPM This session not only reviews the MDS 3.0 Version 1.18.11 changes which went into effect October 1, 2023, this session also discusses and reviews critical elements necessary for Medicaid Case Mix PDPM reimbursement. Areas such as ARD Management, Significant Change Assessments, ICD-10 Coding, Case Mix Calculator, ADL Coding, Diagnosis Selection, Diagnosis Sequencing, Section G Versus Section GG, Therapy Involvement and Spell if Wellness related to CMI, Systems, Forms and Best Practices. This session will spend a portion of time discussing Section GG and its impact on the Five Star Rating System, the QRP System, Medicaid Reimbursement, Medicare Reimbursement, and provide attendees with a Nurse Aide ADL Flow Sheet designed to simultaneously source both Section GG and Section G (for those states keeping section G for the 2-year grace period offered by CMS). The speaker explains the ramifications of Section G removal and the coding concerns related to Section GG. Section G sourced multiple quality measures in the Five Star Quality Rating system. Providers need to expeditiously revamp systems, tools, and forms for accurate coding.