Spring Leadership Conference

M

ichigan Center for Assisted

Liv

ing

Heal

th Care A

ssociation of Michigan

FireKeepers Hotel & Casino Battle Creek, MIMarch 19-20, 2014

We Are The Solution

thePurposeThe purpose of this conference is to provide long-term care and assisted living leaders (including homes for the aged, adult foster care and other independent and supportive living settings) with quality, implementable standards of practice to promote facility/center management, operations and optimal resident care and service.

targetAudienceThis conference is designed for executive-level leadership including facility/center owners, corporate-level consultants, administrators, directors of nursing, nurse managers, directors of finance and other long-term care and/or assisted living management personnel (including homes for the aged, adult foster care and other independent and supportive living settings).

educationOverview Opportunity to earn up to 10 continuing education contact hours Keynote address by Governor Rick Snyder (invited) Closing keynote presentation by Dr. Steven Levenson 4 General sessions 12 concurrent breakout sessions focused on legal/regulatory

areas, reimbursement/finance areas and assisted living (including homes for the aged, adult foster care and other independent and supportive living settings) areas

continuingEducationFor this conference, participants will have the opportunity to earn up to 10 contact hours in the following professional disciplines:

Licensed Nursing Home Administrator | Adult Foster Care Licensee | Certified Assisted Living Director

Participants may also earn up to 10 nurse contact hours.HCAM is an approved provider of continuing nursing education by the Wisconsin Nurses Association, an accredited approver by the American Nurses Credentialing Centers Commission on Accreditation.

lodgingAccommodationsOnce you have registered for the Spring Leadership Conference, please secure your hotel reservation directly with the FireKeepers Hotel & Casino located at 11177 E. Michigan Ave., Battle Creek, MI 49014. Rooms have been reserved for participants at the discounted group rate of $129 per night if booked prior to February 24. Complimentary self parking is available.

To reserve your room by phone, call (877) 352-8777 prior to February 24. Be sure to mention HCAM at the time of reservation to receive the discounted group rate.

printingSessionMaterialsIn an effort to be environmentally responsible, HCAM/MCAL is trying to reduce the amount of paper we use at our educational programs. Electronic program materials and handouts will be accessible online before, during and after this program on the association website:

www.HCAM.org www.MichCAL.com

Instructions on how to access and print program materials will be e-mailed to all registered participants (if an e-mail address is provided on the registration form) in the weeks leading up to this conference.

Visit our website at

www.hcam.org for full session descriptions!

Thursday March 20Time Program/Event Presenter

8:00 Registration Opens8:00-9:00 Plated Breakfast8:45-9:00 Closing Remarks

9:00-10:00 Back to the Future: Applying Quality Basics in a Decade of Startling Change Dr. Steven Levenson, Genesis Health Care

10:00-10:15 Networking & Refreshment Break

10:15-11:15 Breaking the Rx Hex: Secrets to Safe & Effective Medication Use Dr. Steven Levenson, Genesis Health Care

Financial Risk Management: Tools to Minimize Financial Loss Due to Payment Challenges

Margaret Chamberlain & John Hessburg, The Kitch Firm

CPR in the Continuum of Care: Myths, Realities & Challenges (Part 1) Josh Allen, Care and Compliance Group

11:30-12:30 Affordable Care Act Updates: The Real Facts Rob Pivonka, Rolf Goffman Martin Lang

Building the Future: Factors for Consideration Brendan Healy, Lancaster Pollard & Rob Long, Plante & MoranCPR in the Continuum of Care: Myths, Realities & Challenges (Part 2) Josh Allen, Care and Compliance Group

12:30-1:30 Sponsored Luncheon

1:45-2:45 How to Keep A Crisis Under Control: Effectively Managing Public Relations Greg Crist, AHCA & Elizabeth Thomas, HCAM

Under Siege: Preparing For & Defending Against Governmental Investigations & Audits (SNF)

Brenda Sowash, Plante & Moran & Aric Martin, Rolf Goffman Martin Lang

Preparation for Inspections & Special Investigations (AFC & HFA)

Angie Szumlinski, Health Cap RMS & Andrea DeLand

3:00-4:00 2014 Regulatory Update Andy Rothman & Vickie Burlew, Lebenbom & RothmanEverything You Need to Know About Maintaining Sufficient Cash Flow Beth Sullivan & Alisha Davis, Plante & Moran

The HCBS Rule and Other News from Washington Dave Kyllo, National Center for Assisted Living

Wednesday March 19Time Program/Event Presenter

9:00 Registration Opens9:00-10:00 Continental Breakfast & Networking10:00-10:15 Welcome & Opening Remarks10:15-10:45 Michigans Plan for Boosting Senior Services Governor Rick Snyder (Invited)

11:00-12:30 Integrated Care Project/Managed Care Initiative Update Jan Getty, Resource Link of Michigan & Betsy Rust, Plante & Moran12:30-1:30 Provided Luncheon

1:30-2:30 Data Analysis: A Critical Element For Success in a Managed Care Environment Bill Hartung, Healthcare Data Consulting

2:45-3:45 The Managed Care Organization Perspective Rick Murdock, Michigan Association of Health Plans

4:00-5:00 Legal Hot Topics: DNR & Employment Law Update Andy Rothman, Lebenbom & Rothman & Grant Pecor, Clark Hill5:00-7:00 Strolling Happy Hour & Dinner

Agenda

Integrated Care Project/Managed Care Initiative Jan Getty | Resource Link of MichiganBetsy Rust | Plante & Moran LTC Managed Care will be implemented in Michigan through the Integrated Care Organization (ICO) Demonstration for dual eligible Medicare and Medicaid beneficiaries. The entry of duals into managed care will have an evolving impact on how nursing facilities provide care and operate their businesses. This session will explore managed care from the perspective of the ICO health plan, how nursing facilities interact with plans and how to manage the cost of care.

Data Analysis: A Critical Element for Success in a Managed Care EnvironmentBill Hartung | Healthcare Data ConsultingData is an essential element in todays world of health care for measuring outcomes and performance. What data is relevant? How can it be used to drive quality of care? How to manage the collection and distribution of all this data? All of these questions and more will be addressed during this session on data collection and analytics. Health Care Reform not only changed health care but it mandates the evaluation and monitoring of those changes. Data exchanges for care and quality will be an ongoing part of the new paradigm in providing managed care in long term care environments.

The Managed Care Organization PerspectiveRick Murdock | Michigan Association of Health PlansThe Michigan Association of Health Plan members will provide an inside look on how they are getting ready to implement the Michigan ICO Duals Demo later in 2014. This session will discuss how health plans develop provider networks, contracting for care, communication with nursing facility providers and the need for electronic data exchanges. A question and answer period will allow attendees a chance to interact with key health plan CEOs involved in the Michigan ICO Duals Demo to seek insight into how this integrated care proposal will move forward.

Legal Hot Topics: DNR & Employment Law UpdateAndy Rothman | Lebenbom & RothmanGrant Pecor | Clark HillThis session brings you two authorities in the field of Long-term care law Andy Rothman, JD speaking on the impact of the changes to Michigans Do Not Resuscitate Law and Grant Pecor, JD addressing a myriad of labor issues facing us in 2014. Join us in learning how to implement the changes in the DNR law and how to prepare for employment law changes affecting our labor force resulting from the Affordable Care Act and recent labor law decisions.

Michigans Plan for Boosting Senior ServicesGOVERNOR RICK SNYDER, Michigan The Governors Executive Budget for Fiscal 2015 contains $51.6 billion in spending including $17.4 for Medicaid services. Healthcare is an economic force in Michigan and the largest private sector employer. This session will discuss the impact of healthcare on the Michigan economy and caring for citizens seeking Medicaid and other services. The Governor will present his policy of a No Wait state including: services to those on the wait list for Home and Community Based Waiver program, expansion of PACE, services for seniors offered through the Office of Services for the Aging, Healthy Michigan/Medicaid Expansion and Mental Health Commission recommendations.

Back to the Future: Applying Qual ity Basics in a Decade of Start l ing ChangeDR. STEVEN LEVENSON, Genesis Health CareThe health care system is undergoing dramatic changes. Roles of long-term care facilities are evolving rapidly and calling for consistently high levels of organization, reliability, and clinical competence. Facilities are challenged to identify how to meet high expectations in the face of uncertain reimbursement. The surprising answer lies in solid grounding in certain enduring and universal clinical and operational principles and practices. This session will review those basics and how best to use them to your advantage.

Keynote Sessions

General Sessions

Breaking the Rx Hex: Secrets to Safe and Effective Medication UseDr. Steven Levenson | Genesis Health CareOver the years, the number of medications available for various conditions has increased dramatically. At the same time, concerns about safe and effective medication use have persisted. There have been many initiatives to try to focus on which medications to use, when, and for what indications. Still more initiatives have developed to tell everyone what not to use. Common examples are the push to treat pain and the pressure not to use certain medications to manage behavior and psychiatric symptoms. This session will cut through all of this to focus on the basics: regardless of the category or the initiative, how facilities can use all medications appropriately and safely to do the most good possible while simultaneously resulting in the least possible harm.

Affordable Care Act Updates: The Real FactsRob Pivonka | Rolf Goffman Martin LangEmployers are struggling trying to determine their obligations under the Affordable Care Act (ACA) and how it could affect their business. Issues are further complicated by implementation delays and confusing and inaccurate information in the press. This session will help prepare employers for the implementation of the employer mandates under the ACA.

How to Keep a Crisis Under Control: Effectively Managing Public RelationsGreg Crist | American Health Care AssociationElizabeth Thomas | Health Care Association of MichiganIts late at night when the phone rings. The TV cameras will be at your facility first thing in the morning. What do you do? What do you say? This program will deconstruct all the facets that build a proper media story, as well as help attendees know the steps they can take to properly manage media inquiries, both benign and crisis-driven.

2014 Regulatory UpdateAndy Rothman | Lebenbom & RothmanVickie Burlew | Lebenbom & RothmanFeeling like you are running on the hamsters wheel trying to catch up with the changes by CMS and the state? Are the changes happening so fast that you feel you cannot keep up? This session is for you! Not only does it provide tools and information to meet current expectation; it prepares you for the changes that are still in the development phase. Attend for discussion of reportable events, antipsychotic medications, changes to Michigans DNR law, QAPI, and much more.

CPR in the Continuum of Care: Myths, Realities & Challenges (Part 1 & 2)Josh Allen | Care and Compliance GroupHow CPR is handled in any senior-living community or long-term care facility when a resident is not breathing and/or is pulseless has become a hot button issue due to recent national media coverage of a 911 call in California. This two-part session will consider what really happened and what you should consider when establishing your policies and procedures. We will also explore broader end of life issues, including hospice services, honoring resident wishes, and DNRs. This session is of interest to all levels of long-term care and residential living settings.

Preparation for Inspections & Special Investigations (AFC & HFA)Angie Szumlinski | Health Cap RMSAndrea DeLandThere are things that keep every Administrator awake at night: elopements, falls, citations, census, etc. Have you ever had a knock at your door, the receptionist with a deer in the headlights look hands you a business card with a Federal insignia on it? Hopefully you will never have this experience; however, if you do, will you know what to do? What rights do you, your residents, your facility and your staff members have? This session was developed with you in mind! We will discuss the who, what, when, where, why and how to manage these visitors while protecting your rights and the rights of those entrusted to your care.

The HCBS Rule and Other News from WashingtonDave Kyllo | National Center for Assisted LivingThis seminar provides an overview about Congressional and Administration activities that affect assisted living, including recent Congressional oversight and details about the new CMS rule governing home and community-based settings under Medicaid waiver programs. New federal government statistics comparing five sectors of long term care will be presented, along with several initiatives being undertaken by federal departments and agencies that affect assisted living. Other key industry trends and state policy developments will also be discussed.

Legal Regulatory

Sessions

Assisted Living

Sessions

Save the DatesMI-NADONA/LTC RN Boot Camp

March 26-27 & April 16-17| Lansing

HCAM Medicaid Cost Reporting 101April 11 | Lansing

HCAM Billers Institute & NEW! ICD-10 TrainingApril 28-29 | Lansing

HCAM|MCAL U.P. Education ConferenceApril 30 - May 1 | Marquette

MCAL Medication ManagementMay 1 | Marquette

OR August 12 | Lansing

MI-NADONA/LTC Certified Dementia Practitioner Seminar: Preparation for CDP Certification

August 8 | Midland

MCAL Medication Management: Train the TrainerAugust 12 | Lansing

HCAM/MCAL Annual Convention & ExpoSeptember 14-17 | Grand Rapids

HCAM MDS 3.0 UpdateOctober 10 | Lansing

MCAL Future Leaders Cohort DOctober 16 | Lansing

MI-NADONA/LTC Annual Convocation & ExpoOctober 22-24 | Battle Creek

Financial Risk Management: Tools to Minimize Financial Loss Due to Payment ChallengesMargaret Chamberlain | The Kitch FirmJohn Hessburg | The Kitch FirmIn this economy, providers are increasingly facing difficulties with receiving payment. These problems arise in part out of the simply failure of the resident or their fiduciary to make payment, the failure to comply with the Medicaid application process, or in the worst scenarios, the financial exploitation of the resident. There are Federal and State laws, rules and regulations that create boundaries on actions a provider can take in these circumstances. This presentation will provide attendees with the tools to minimize financial losses due to non-payment.

Building the Future: Factors for ConsiderationBrendan Healy | Lancaster PollardRob Long | Plante & MoranIn this presentation, Lancaster Pollard and Plante Moran will take a detailed look at accessing capital for renovations, expansions and new construction. Lancaster Pollard will provide an overview of the different methods and sources available for finding project capital and what organizational considerations lenders and equity providers will focus on in their review of the project. Plante Moran will examine the environmental, demographic and reimbursement considerations that must be analyzed when a borrower is considering a potential project. At the end of the presentation the audience should have a solid understanding of what factors to consider in developing a project plan and what potential options would be available to finance that project.

Under Siege: Preparing for & Defending Against Governmental Inspections & Audits (SNF)Brenda Sowash | Plante & MoranAric Martin | Rolf Goffman Martin LangLong-term care and post-acute providers continue to be under a very high level of scrutiny, not only from traditional oversight agencies, but also from many other sources. The Department of Justice (DOJ), the Office of Inspector General (OIG), numerous governmental contractors (MACs, ZPICs, MRAs, MICs), private whistleblowers (qui tam relators) are just some of the prying eyes watching over todays providers. This session will identify the entities that are targeting you, identify risk factors that may make you a target, and discuss how to structure internal mechanisms to prepare for and respond to such scrutiny

Everything You Need to Know About Maintaining Sufficient Cash FlowBeth Sullivan | Plante & MoranAlisha Davis | Plante & MoranThis session will review of the current operating procedures for a SNF, describe the way cash is booked into the GL, review how to reconcile these amounts with contractual adjustments, and review how to determine if a Medicaid settlement is accurate utilizing cash receipts and audit adjustments.

Reimbursement Finance Sessions

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Health Care Association of MichiganPromoting Excellence in Senior Care

Regions 1, 2 & 3

M

ichigan Center for Assisted

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Strolling Happy Hour & Dinner

Enjoy networking with colleagues and associate partners during this two-hour event. This event will feature a HOSTED premium bar, a strolling

dinner with themed food stations and an incredible atmosphere. This event will provide participants and associate

partners the perfect opportunity to make evening plans to enjoy the hotel or surrounding community together.

Wednesday, March 195:00 - 7:00 PM

FireKeepers Hotel & Casino

Health Care Association of MichiganPromoting Excellence in Senior Care

Michigan Center for Assisted LivingA Division of HCAM