The 2018 LeadingAge Iowa Spring Conference, Life On Purpose ...

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Verbalize three leadership strategies for successful implementation of an infection prevention and control program. Laur
The 2018 LeadingAge Iowa Spring Conference, Life On Purpose, features more than 45 educational sessions designed to reach all types of long term supports and services professionals. It’s the only Iowa conference focused on CCRCs and the continuum of care and offers unparalleled networking opportunities to build camaraderie with long time friends and new acquaintances. This conference continues our unparalleled commitment to high quality education that serves the interests and needs of all aging service providers – long term care, assisted living senior housing, and community service programs. Topics for this year’s conference include workforce, technology, clinical, strategy/finance, and sales/marketing and fundraising. Updates from the State Fire Marshal’s Office, OSHA, and DIA for both long term care and assisted living are sessions that we expect to be popular. Last year with Power of Purpose, we were encouraging our members to focus on their WHY or their core missions; to leverage it and tell that story to the world around them. In 2018 our theme will be Life On Purpose. The play on the words is intentional, designed to be unexpected and edgy. We like the double meaning. First, it focuses on living intentionally. Our members are helping older people live a life they choose, not one handed to them by circumstance. It also inspires them as leaders. It celebrates their choice to work in our field and by doing so, they are truly living a life centered on a higher purpose. This theme lends itself to a wide variety of content about how leaders at every level can create organizations where residents and staff are empowered, have choices and feel motivated every day to continue to live a life of meaning and passion.

101 - Managing Nutrition and Unintended Weight Loss Unintended weight loss in residents of our communities and in home care is a harmful occurrence that should be prevented if possible. Clinical consequences of this type of weight loss include functional decline, infections, pressure injuries, exacerbation of cognitive and mood disorders, and increased use of all types of health care providers. The treatment and management of compromised nutrition and subsequent weight loss is directed at identifying its underlying causes with the goal to improve overall nutrition and prevent further weight loss with interventions that are consistent with the individual’s wishes. In this hour, the presenter will touch on the importance of nutrition assessment and appropriate interventions that might be considered. • Define the three main categories and three primary etiologies of unintended weight loss (UWL).

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Describe challenges that can inhibit adequate nutrition status in older adults. Discuss clinical consequences of weight loss. Explain how to develop interventions that are consistent with the individual’s wishes and in line with the newer RoPs. Dr. Kathleen C. Niedert, PhD, RD, CSG, NHA, Executive Director, Western Home CommunitiesParkview Manor Campus, Reinbeck 102 - Best Practices for Infection Control for Environmental Services This session will discuss best practices for infection control within the health care environment including: evaluation, standardization, training, and management. Walk away with valuable resources related to training staff and better understand how to manage staff, process, and levels of clean. • Effectively evaluate their current environment and infection control process. • Implement acceptable housekeeping standards within the industry. • Identify valuable resources related to training staff. • Manage staff, process, and levels of clean. Chad Cox, General Manager, Hillyard Des Moines, Urbandale 103 - How to Know Whether Your Job Descriptions are Helping,or Hurting Job descriptions (JDs) that are not thorough, accurate and up to date will increase the cost and duration of worker injuries. The difference between good and bad JDs can be razor thin. Current and exacting JDs expedite a safe return to work AND can be used to avoid claims altogether. It pays (literally) to know the difference. Good ones, put simply, need to include robust measures of each job's unique functional requirements. If they do, they will streamline hiring, lower turnover, increase productivity and lessen overall workers compensation expenses. Learn from a job analytic expert on what defines a "robust measure" and an overall good JD and, perhaps most importantly, how to identify the bad ones before it costs you. • Identify what detail is needed to make a job description useful. • Recall why bad job descriptions can actually make claims more costly. • Manage an aging workforce via injury prevention options such as stretching programs, job rotations, pre-work screens, return-to-work screens. • Assist doctors treating and releasing injured workers using objective facts, not patient's self-reports. • Develop processes for treating therapists that can streamline treatment of injured workers for quicker (and safer) return to work. • Establish effective job assignments, rotations, accommodations, and open-position advertising. Dr. Mindy Oxenford, DPT, PT, Director of Outpatient Services, E3 Millennium Work Therapy Services, Des Moines 104 - Strategic Planning: Pie in the Sky to Grounded Application – Making it Real for Daily Operations

BKD believes that strategy makes the mission. With strained Medicaid reimbursement, it is time to reevaluate our organization’s mission - take stock in where we have been, are now and want to be in five years. Using an organization’s mission as a lens, project five years forward to chart a course for success through the use of big data, market conditions, and evolving trends in postacute care, aging services and senior living markets. Evaluate areas to reduce expenses, but most importantly evaluate additional revenue opportunities. Keeping our mission as the guidepost for these decisions will achieve the best outcome for our residents, employees and community as a whole. • Evaluate areas to reduce expenses. • Evaluate additional revenue opportunities. • Improve outcomes for residents, employees and the community as a whole. John Harned, Director, BKD, Springfield, MO 105 - Strategies for Successful Operationalizing Infection Prevention and Control Join us for this fast-paced, highly interactive session on user-friendly, realistic strategies for a successful infection prevention and control program. This engaging session will take you through key process items from systems, assessment process, tracking -- to making sense of your process! You won’t want to miss this session! • Describe the recent industry expectations for infection prevention and control. • Identify the clinical processes affected by the industry updates. • Verbalize three leadership strategies for successful implementation of an infection prevention and control program. Laura Chambers, RN, MSN, Pathway Health Services, Lake Elmo, MN 106 - Palliative Care and Dementia Alzheimer's disease is the sixth leading cause of death in the United States. However, patients with Alzheimer's disease and related dementia frequently do not receive palliative care services, even though research clearly identifies the benefits to the patient with the disease and their caregivers. Palliative care has also been shown to improve quality of life and reduce health care costs for those with this disease. This presentation will provide background information into the challenges associated with providing palliative care for people with Alzheimer's disease and related dementia and identify strategies to improve the use of palliative care in long term care and home and community based services. • Define palliative care and identify appropriate uses of palliative care for persons with dementia. • Identify three benefits of palliative care for persons with dementia and their caregivers. • Recognize three strategies to implementing palliative care in their current setting. Dr. Yogesh Shah, MD, MPH, Broadlawns Medical Center, Des Moines 107 - The 2-Inch Blind Disconnect: The Case for Emotional Intelligence in the Sales Process We'll discuss the disconnect between SCRIPTING and SENSITIVITY -- the fact that the elements of the sales process that are truly important to our audience may not be ones that the traditional process tells us are important. Sometimes it makes sense to let the heart take the

lead as the head takes a back seat! From initial screenings -- which shouldn't be screenings at all, but real conversations -- through mystery shopping and deposit appointments and everything in between -- we're taught to follow a script, either formal or informal. (Case in point: A daughter stops by to inquire about an apartment for her mother. Before we take the time to learn the mother's name, we're asking about her ADLs, her bowel habits, and her ambulation. Or -- rather than tune into a prospective resident's lifestyle needs and desires, we focus on amenities such as 2-inch blinds, countertop materials, or stackable washer-dryer units.) Emotional intelligence is recognized as increasingly important in the corporate world in general -- but especially in the sales process. We'll use real-life examples as well as video to delve into what it is, how -- or IF -- a person can cultivate it, and how to maximize it. Lisa Ryan, Director of Marketing and Communications, WesleyLife, Johnston Ward Phillips, Director of Sales, WesleyLife, Johnston 201 - Dining on Purpose This session will help your dietary personnel balance innovative trends with diverse resident and family preferences. Discover how your foodservice distributor can be a valuable partner and resource for solving the challenges of diverse resident populations. You’ll be presented with ideas on how to adjust your menu and dining concepts as you feed multiple generations with different needs and wishes. • Identify strategies to balance innovative menu trends with diverse resident and family preferences. • Discover the value of partnering and drawing resources from your foodservice distributor. Bret Tupper, RD MBA, Business Solutions Specialist, USFoods, Rosemont, IL Shawn Kiene, Food Fanatics Chef, USFoods, Coralville, IA 202 - Preventing Legionella Disease Using a Water Management Approach Prevention of Legionella disease has been under increased scrutiny by CMS recently. This presentation will focus on how to prevent Legionella growth in man-made water systems using a water management approach. Legionella illness, transmission, outbreaks, characteristics in water systems, CDC Legionella toolkit, and testing will be described. • Define Legionella ecology. • Identify illness and transmission of Legionella Disease. • Implement a water management plan to reduce growth and amplification in water systems using ASHRAE 188-2015 guidelines and CDC toolkit. Nancy H. Hall, BS (MT ASCP), Environmental Microbiology Manager, State Hygienic Laboratory, Coralville 203 - Performance Management The key to effectively managing employee performance is to clearly communicate individual goals and priorities that relate back to the employer mission, vision and values; holding individuals accountable; and providing appropriate recognition for those that exceed expectations. This training will provide supervisors with the tools to do just that by demonstrating the importance of integrating performance review processes, informal and

formal meetings with employees. In addition this training will educate managers on appropriate ways to handle risky issues that may likely arise when coaching employees including providing documentation of performance issue best practices. • Utilize best practices to improve leadership skills for effectively managing employees. • Identify performance issue best practices that improve risky issues related to employee coaching. • Develop integrated performance review process for information and formal meeting with employees. Jen Tourville, HR Consultant, Marsh and McLennan, Minneapolis, MN 204 - Is Your Revenue Cycle A Fixer Upper Does your organization’s revenue cycle need a remodel or a complete renovation? This session will provide resources to add to your “toolbox” to help strengthen the foundation of your revenue cycle. We will discuss real life scenarios and simple strategies and “tools” you can implement at your organization. This session will focus on nursing homes. •

Identify tools and resources to assist in building a solid foundation for your revenue cycle. • Examine the internal control structure of the of cash receipts cycle and provide best practices. • Discuss how the government is remodeling the current reimbursement system. • Summarize key items to include when developing your blueprint for monitoring accounts receivable. Juli Pascoe, CPA, Director, BKD, LLP, Springfield, MO Julie Bilyeu, Managing Director, BKD, LLP, Springfield, MO 205 - Best Practice Approach to Antibiotic Stewardship—Essential Strategies for Compliance! Join us for this realistic presentation on key strategies for implementation of a robust antibiotic stewardship program. This engaging and lively presentation will also walk leaders through the specific components and expectations of the new antibiotic stewardship requirements and how it impacts your operation and clinical systems. This is one presentation you will not want to miss! • Review industry expert resources that will assist organizations with compliance with Phase 2 antibiotic stewardship. • Describe user friendly system inclusions for antibiotic stewardship. • Verbalize three leadership strategies for oversight of the antibiotic stewardship program for quality and compliance. Laura Chambers, RN, MSN, Pathway Health Services, Lake Elmo, MN 206 - Understanding and Responding to Dementia-Related Behaviors Program helps caregivers to understand dementia-related behavior. During the middle stage of dementia, the person with the disease often starts to exhibit new behaviors that can be confusing for a caregiver. These behaviors are a form of communication and are essential to understanding the needs of the person with dementia. Through practical information,

resources, and interviews with experts, this program will help caregivers to address the challenges of dementia-related behavior. • Identify common triggers for behaviors associated with dementia. • Explain the process for assessing and identifying challenging behaviors. • List strategies to address some common dementia-related behaviors. • Identify common triggers for behaviors associated with dementia. • Develop strategies for your staff team to address some common dementia-related behaviors. Susan Callison, BS, Program Specialist, Alzheimer’s Association, West Des Moines

207 - Data Driven Web Design: How a Comprehensive Approach Will Set Your Site Up for Success (Part 1 of a 2-part session) Content is king when moving website visitors to the information they need, when they need it. In this highly practical, 2-part session, our presenter will show you how to update your site to reflect your brand and include all the stakeholders. You’ll learn a content-first web strategy and a process to manage the project efficiently and effectively. This session will review the analysis, planning and execution of a conversion optimized website redesign. It will serve as a blueprint for an update or a rebuild of your current site. (Session continues at 2:30 – see session 307) • Review the analysis, planning and execution of a conversion optimized website redesign. • Discover how content moves website visitors to the information they need. • Develop a strategy to update and rebuild your website to reflect the organization brand. Ryan Erwin, Web Strategist, Orbit Media Studios, Inc, Chicago, IL 301 - Disaster Preparedness for Culinary Services No provider is immune from the threat of emergency situations. Some are the result of natural disasters such as winter storms, flooding, fire or extreme heat. Others are the result of manmade situations. However, with preplanning and emergency preparedness, not all emergencies need to end in a disaster. This session, geared toward culinary services, will review the requirements for keeping food at the correct temperatures and other safety precautions you must take in the event of a disaster. The presenters will specify what training needs to occur before a disaster happens to ensure staff are prepared to handle whatever comes their way and preserve regulatory compliance. In addition, the session will include strategies and resources for operating food service during and after disaster events. • Review requirements for keeping food at the correct temperatures and other safety precautions you must take in the event of a disaster. • Specify what training needs to occur before a disaster happens so staff are prepared to handle whatever comes their way and preserve regulatory compliance. • Identify strategies and resources for operating food service during/after disaster events. Mary Ryan, Corporate Director of Culinary Services, Walker Methodist, Minneapolis, MN Laurie Thompson, Corporate Project Coordinator, Walker Methodist, Minneapolis, MN 302 - LTC Life Safety Code

This session will focus on the fire and life safety regulations for nursing homes. It will cover an overview of the Life Safety Code (LSC) including the top 10 LSC violations. We will review the submittal of plans of correction. There will be time to ask questions during this session. This session will focus on nursing homes. • Identify the top 10 life safety code violations. • Develop satisfactory plans of correction. Kyle Gorsh, Fire Prevention Bureau Chief, Fire Marshal’s Division, Iowa Department of Public Safety, Des Moines 303 - Creating an On-Purpose Culture: What it Means, Why it Matters Do you know the condition of your culture? How do you learn more about your team members and the environment in which they show up to work every day? Have you implemented bookstudy trends like Strengths Finder, DISC, Five Dysfunctions of a Team, etc. and enjoyed fun conversations with team members about the unique responses for each team member -- only to find yourself thinking, Now what do we do? Attendees will learn about how to assess your culture -- is it doing as well as you think it is? Maybe not; maybe better! -- and determine how best to connect it to a desired outcome that will help your organizational culture thrive. Is your organization ready to seek a NEW paradigm to create a thriving culture? Open your mind, think outside of the box, and get engaged in thought-provoking discussion to transform your workplace culture into one of purpose and well-being. Your team members are sure to benefit! • Identify the importance of building an on-purpose culture to influence mindsets, behaviors, and beliefs. • Develop an on-purpose work culture that impacts organizational success. • Outline specific examples of how to incorporate purpose-building into the culture of any organization. Jennifer Browne, Co-founder and Leader of Onebody3 and President of Benefit Source, Inc., West Des Moines 304 - Why Didn't Someone Tell Me? This session will discuss the advantages and disadvantages of being a Next Gen ACO partner with Iowa's health systems. Presenters will also discuss new treatment innovations such as the elimination of the Medicare three-midnight rule, as well as new cutting-edge types of care that eliminate hospital stays and potentially nursing home stays, unless we react quickly to be part of the solution. Attendees will be amazed at the changes that have already occurred but not yet shared with Iowa's nursing home providers. • Identify what health systems and hospitals are doing no, that will impact nursing homes future. • Explore how Next Gen ACO is different than Shared Savings ACOs. • Examine future models of care. Lance Horbach, Representative-Retired, Independent Insurance Senior Living Team Director, Marshalltown Marna Mitchell-Butler, IIS Senior Living Specialist, Independent Insurance Services, Marshalltown

305 - Behavioral Health Strategies for Post-Acute Care – Caring for the “Spirited” Customer This session will provide long term care leaders the elements required for behavioral health under the new Requirements of Participation for skilled nursing facilities. Resources will be provided to assist leaders with creating a behavioral health program. The presenter will describe three leadership strategies for caring for someone with behaviors or mental health issues. • • •

Identify the required elements for behavioral health for Phase 2 of the new RoP. Locate helpful resources to assist with creation of a behavioral health program. Describe three leadership strategies for caring for someone with behaviors or mental health issues. Leah Killian-Smith, BA, RHIA, NHA, Director of Quality and Government Services, Pathway Health Services, Inc., Lake Elmo, MN 306 - New Initiatives to Combat Elopement Liability This session will help senior service organizations reduce the risk of liability arising from incidents of elopement and wandering. Attendees will learn state of the art technical initiatives to protect residents from unobserved wanderings and elopements. Legal responsibilities and regulatory risks will also be addressed. • Identify state of the art technical initiatives to protect your residents from unobserved wandering and elopements. • Evaluate legal responsibilities to prevent residents who are known elopement risks from injuring themselves. • Recall the regulator's perspective to issue licensing, certification or maltreatment determinations if an organization failed to meet its elopement prevention responsibilities. Samuel Orbovich, Shareholder, Fredrikson & Byron, P.A., Minneapolis, MN 307 - Data Driven Web Design: How a Comprehensive Approach Will Set Your Site Up for Success (Part 2 of a 2-part session) (Continuation of session 207) Ryan Erwin, Web Strategist, Orbit Media Studios, Inc, Chicago, IL 401 - Food Safety: Keep Calm and Follow the Rules The F-tag numbers may have changed, but the intent remains the same. Food safety and sanitation continue to be heavy hitters among state surveyors. But the good news is that there are simple steps we can follow to avoid citations. • Devine the regulations regarding food safety and sanitation. • Discuss common citations and ways that they can be avoided. • Develop a plan for educating staff and incorporating a culture of service. Julie Halfpop, RDN, LD, Director of Nutrition Services, Martin Bros. Distributing, Inc., Cedar Falls

402 - Assisted Living Fire Safety/Fire Safety Updates This session will focus on the fire safety regulations for assisted living programs. Frequently cited deficiencies will be reviewed as well as plans of correction. We will review the reports that are required that the fire marshal wants to see. • Identify the top cited deficiencies in assisted living programs. • Develop satisfactory plans of correction. Kyle Gorsh, Fire Prevention Bureau Chief, Fire Marshal’s Division, Iowa Department of Public Safety, Des Moines 403 - 2018 Legal Updates That Impact Your Organization and Operations This session will explore updates in federal and state laws as well as recent cases and enforcement activities that impact long term services and support services (LTSS) and their operations. Hot topics such as social media and granny cams will also be reviewed. • Discuss recent changes to select state and federal laws impacting long term care providers. • Describe recent cases and enforcement initiatives of state and federal authorities that impact long term care. • Analyze how new laws, cases and enforcement initiatives impact operations and strategic compliance activities. Alissa Smith, Attorney, Partner, Dorsey & Whitney, Des Moines 404 - Navigating and Making Sense of So Many SNF Quality Measures Skilled nursing providers are being measured, tracked, and scored on a litany of quality measures from multiple public agencies and data sources. This session will discuss the differences between the quality metrics tracked by various public agencies, how referral sources and consumers view these quality scores, and how these metrics have a revenue impact on providers. The presenters will also provide examples of where to find your quality scores and how to monitor your results. • Discuss the various quality metrics impacting skilled nursing facilities. • Monitor and track your facility’s scores on various quality metrics. • Recognize how your quality scores impact your revenues. Ashley Mahoney, CPA, Manager, CliftonLarsonAllen LLP, West Des Moines Jhonna DeMarcky, Reimbursement Director, CliftonLarsonAllen LLP, West Des Moines 405 - Telemedicine-Enabled Bedside Medicine - Case Studies Using Virtual Physician Services in Urban and Rural SNFs Nursing facilities are being asked to provide care for sicker, more complex patients and at the same time have vastly improved clinical outcomes. Adding to this challenge, reimbursement has declined as more of our patients are participating in managed care insurances. The need to provide safe, consistent acute medical care on-site in nursing facilities 24/7, with improved clinical outcomes has become an imperative. Building a cost-effective infrastructure to respond to this mandate requires new tools, systems and approaches. This session will explore actual case studies to highlight how a virtual physician service can be implemented in both urban and

rural settings to improve access to care and reduce costs without being competitive with physicians and nurse practitioners already providing services to your residents. • Utilize telemedicine technology as an enabler of direct medical care. • Implement cost-effective strategies to provide advanced medical care on-site in nursing homes and assisted living facilities resulting in positioning facilities to be in network, grow admissions and enhance their STAR rating. • Outline impact of a dedicated after-hour physician group on nursing skills and their clinical confidence. • Discuss the impact on the rural facility: improved care, reduced costs and improved the financial capacity by utilizing virtual physician services for basic primary care, specialty consults and behavioral health services. John Whitman, MBA, Faculty Member, Wharton School, University of Pennsylvania, Pennsylvania, PA D. David Chess, MD, Founder and Chief Medical Officer, Tapestry Telehealth, Pennsylvania, PA 406 - Good Oral Health: The Path to Total Health Good daily oral care is vital to the overall health and well-being of the Iowans you serve. Presenters will provide information about the need for medical and dental integration, the implications of poor oral hygiene, the value of oral health training for all staff, and the vital role that direct care and nursing staff play in ensuring those served in nursing home, assisted living and home care settings receive optimal oral care. Mouth Care Matters (MCM) and I Smile Silver are complimentary programs endorsed by the Lifelong Smiles Coalition, led by Delta Dental of Iowa Foundation. • Discuss the importance of placing a high priority on good daily oral hygiene provided by direct care staff. • Recall how the oral systemic connection affects total health including aspiration pneumonia and diabetes. • List approaches for providing oral care, denture care, and the use of products available. • Identify normal and abnormal conditions of the mouth. Carol Van Aernam, RDH, BA, Consultant, Iowa CareGivers, Lifelong Smiles Coalition, West Des Moines Carole Ferch, RDH, I Smile Silver Coordinator, Scott County Health Department, Davenport 407 - Telling Tales -- Why Storytelling Matters in Senior Living Everyone has a story to tell -- and the stories we tell in senior living can make the difference between healthy occupancy and empty apartments. Successful selling is about emotion, and there's no better way to make an emotional connection with a prospective resident or adult child decision-maker than to tell a story that tugs at the heartstrings. We'll explain the basics -and the importance -- of content generation: encouraging your team members to look for and spot good stories, and to leverage them to illustrate your talking points. It's not about attracting residents, clients, and team members who have interesting stories to tell; it's about realizing that EVERYONE has a good story and training yourself to go after it and tell it in a way that will resonate with your audience.

Lisa Ryan, Director of Marketing and Communications, WesleyLife, Johnston Ward Phillips, Director of Sales, WesleyLife, Johnston 501 - Advanced Health IT: The Key to Quality and Successful Partnerships Advanced health IT is becoming imperative for long term services and supports (LTSS) providers to thrive into the future. These tools drive quality improvement, facilitate strategic partnerships, and support our workforce. Join Dr. Majd Alwan, the executive director for the Center for Aging Services Technology (CAST), to learn about advanced health IT in our field and understand the health IT capabilities, interoperability standards, clinical decision support, health information exchange, reporting and advanced data analytic tools. Dr. Alwan will share statistics on adoption within the profession and help attendees understand through case studies where these tools have been most effectively utilized within the post-acute sector. Attendees will also learn more about the interactive resources available through CAST to help providers plan, adopt and effectively utilize advanced health IT technologies. Advanced health IT is a complicated and diverse subject that is becoming increasingly important in today’s environment, come learn what possibilities would be appropriate for your community and how to move forward. Discover how advanced health IT capabilities are becoming key drivers of strategic partnerships and quality measures. • Evaluate statistics on adoption and effective utilization of advanced health IT tools in the long-term and post-acute care sector. • Utilize interactive tools CAST has developed to help providers adopt and utilize advanced health IT technologies. Dr. Majd Alwan, PhD, Senior Vice President, LeadingAge Center for Aging Services Technologies, LeadingAge, Washington, DC 502 - If Only We had the Money: Finding Energy Savings to Reinvest Into Your Communities So much effort is expended to become a quality provider with great senior living delivery systems, however, many facilities are operating with inefficient heating and cooling systems that have a huge impact on their bottom line. We have found that by performing a simple energy analysis, many issues can be identified and evaluated from a cost benefit standpoint to save your campus significant sums of money on your energy budgets. This additional revenue can then be utilized for other improvements to your facilities to enable them to continue to compete in an ever-evolving marketplace. Let Shive-Hattery & Steve Roe, executive director of Oaknoll Retirement Residence, show you real-world benefits of utilizing energy companies’ rebate and benchmarking programs and how to determine the low-hanging fruit that can be used to decrease your energy costs, collect rebates and enable your facilities to operate at higher profitability. We can even provide you with information you may be able to use to immediately renegotiate your rates and start saving money today. • Discuss energy company incentive programs and how to take advantage of financial assistance and rebate opportunities. • Identify untapped energy cost savings opportunities throughout your facility. • Explain how your energy savings can be utilized for capital improvements to keep your facility competitive in the changing marketplace.



Discover how an Iowa facility saved $30,000 a year (28 percent of their gas costs) without any initial investment. Steve Roe, MBA, LNHA, Executive Director, Oaknoll Retirement Residence, Iowa City Tim Fehr, PE, Mechanical Engineer, Shive-Hattery, Iowa City Mark Seabold, AIA, Architect, Shive-Hattery, Iowa City 503 - Staying Power: The Key to Reducing Turnover Many managers are attempting to lead and communicate with people the same way they did more than a decade ago. This program shows managers where the workforce is headed and what adjustments need to be made to be successful. • Equip leaders with ways to slow down the revolving door of employee turnover without their department. • Prepare managers for effective training, mentoring, and leadership of the impending shorter-term workforce. • Discuss ways to improve trust, loyalty and retention by increased transparency. Leah Brown, Crescendo Strategies, Louisville, KY 504 - Survival in the Rapidly Changing Health Care Industry This session will give an overview of the 2018 health care landscape and what providers can expect, particularly in long term care, and managed care as it continues to grow. • Identify how health care has and is developing toward managed care and value-based outcomes. • Discuss how to maximize reimbursement in contracts and operations as we move from fee for service to value-based reimbursement. • Recall the value of collaborations and an update on Iowa Aging Services Network (IASN), a network of LeadingAge Iowa providers focused on quality and contracting. Steven R. Wermuth, Partner, Strategic Health Care, Columbus, OH 504 - Baseline Care Planning - Do You Know What You Need to Know? This presentation will provide the information needed to work through the requirement to develop a Baseline Care Plan for all new admissions to the long term care facility. We will cover: a) corresponding Federal regulations and where to locate them; b) the reason why Baseline Care Planning is a critical element of care; c) how the IDT works together to develop a personcentered Baseline Care Plan and d) the difference between the Baseline Care Plan and the Baseline Care Plan Summary. • Locate the regulation that addresses Baseline Care Planning. • Describe the major components of a person-centered Baseline Care Plan. • Implement a process to lead/participate in the interdisciplinary team development of Baseline Care Plans for new admissions. Mary Madison, RN, RAC-CT, CDP, Clinical Consultant, Briggs Healthcare, West Des Moines 506 - DIA Update for Assisted Living

This session will provide information on recent updates as well as commonly cited deficiencies for assisted living programs. Attendees will have the opportunity to ask questions during this session. • Identify the most commonly cited deficiencies for assisted living programs. • Discuss the trends that DIA is seeing in assisted living program inspections. Linda Kellen, RN, MS, Bureau Chief, Adult Services/Special Services Bureaus, Department of Inspections and Appeals, Des Moines 507 - Fundraising is a Team Sport! Raising money is often the most feared and least understood piece for our facilities – often viewed as a “necessary evil.” By changing how we think and talk about raising money, using Marcy’s Cycle of Successful Relationships, and seeing how everyone everyday plays an important role in generating support, this can be a joyful experience for staff, donors, volunteers and leadership. • Discover new ways to think positively and in new ways about fund raising to become more comfortable interacting with your team. • Develop skills to become more comfortable interacting with your donors and colleagues. • Discuss the Cycle of Successful Relationships • Identify specific actions you can take to strengthen engagement with your organization in the fundraising process. Marcy Heim, CFRE, PLCC, President and Founder, The Artful Asker, Madison, WI 601 - Strategic IT Planning for Providers of Aging Services Technology and advanced health IT are incredibly important and cannot be planned for in a silo. It is critical that your organization’s strategic plan incorporates technology and advanced health IT planning. During this session, attendees will learn how to move forward with their plan. Presenters will discuss how to conduct IT assessments, strategic IT planning, infrastructure update and operational planning for technology applications and learn about the CAST strategic IT planning tools available to assist and support the process. Additionally, attendees will learn about one of their peer’s IT planning journey, its role in the overall strategic plan, and lessons learned. • Understand the importance of incorporating technology and IT planning into your organization’s strategic plan. • Learn how to conduct IT assessments, strategic IT planning, infrastructure update and operational planning for technology applications. • Discuss the outcomes and lessons learned from providers who have implemented strategic IT planning into their organization. Dr. Majd Alwan, PhD, Senior Vice President, LeadingAge Center for Aging Services Technologies, LeadingAge, Washington, DC Joe Velderman, MCP – Director of Consulting Services, ProviNET Solutions, Tinley Park, IL 602 - OSHA for Long Term Care and Assisted Living

Knowledge is power. Nowhere is that more evident than with workplace safety and health compliance. OSHA enforcement inspections can result in citations that are time consuming and expensive. How can your organization avoid violations? During this session, we will discuss frequent citations in the industry. The focus will be on what OSHA cites and how to prevent citations. Appropriate for skilled nursing and assisted living communities. • Identify frequent citations in skill nursing and assisted living communities. • Describe how your organization can prevent OSHA citations. David Phillips, Industrial Hygienist, Iowa OSHA Consultation, Des Moines 603 - Keep My People: 25 Ways to Build a Place Where People Want to Work Reay for immediately-actionable tactics to take back to your organization? This rapid-fire session shares transferrable best practices we’ve learned from various leaders, organizations and industries. • Discover how to make new hires feel more welcome and train them more effectively. • Identify ways to offer more flexible scheduling and more creative advancement opportunities to staff. • Share recognition and communication methods that help keep staff longer. Leah Brown, Crescendo Strategies, Louisville, KY 604 - Discharge Strategies for Behavior and Failure to Pay and the Final Regulations - Plus New CMS Initiative Involuntary discharge situations affect skilled nursing and assisted living facilities when residents, families and others are disruptive or abusive. Resident behavior and non-payment for a stay impacts the entire operations of post-acute care facilities and presents potentially dangerous and difficult environments for operators along with potentially significant economic considerations. Facilities are allowed to involuntarily discharge a resident in narrow situations and, if allowed, must initiate the discharge and provide proper notice as required by federal law. CMS routinely penalizes post-acute care facilities for not following the rules. Facilities must consider the risks and regulatory analysis, as well as practical considerations, also refer to the Surveyor Guidelines. This session will look at legal and operational aspects of these challenging events. What types of notice? What steps and actions are recommended? What happens when a resident appeals the discharge? What is a discharge hearing like? It will address operational considerations, including risk and regulatory analysis as well as criminal and civil aspects. We will also discuss the final regulations. Are you ready? It is time to carefully and objectively evaluate your current discharge planning processes, as well as identify opportunities for improvement that are consistent with what is coming down the road. • Discuss final federal regulations and state laws outlining discharge process. • Identify when and how discharge planning is appropriate. • Define the appeals and hearing processes involved with discharge planning. Sean Fahey, Attorney, Hall Render Killian Heath & Lyman, Indianapolis, IN 606 - Living on Purpose

This topic of living with purpose will be expanded in this session to discover the importance of a life with purpose for our residents, families, and staff. Through real life stories and evidencebased research, we will provide insight and understanding on how living a purposeful life brings feelings of value and a sense of belonging for people as they age. The session will also discuss the difference between a meaningful life and a life on purpose. Finally, the session will describe the value of purpose for those residents who are living with dementia. • Describe the value of a life with purpose in any living situation. • Discuss how purpose could impact staff recruitment and retention. • Distinguish between a purposeful life and a meaningful life. • Summarize how to facilitate purposeful living into your mission. Dr. Kim Bergen-Jackson, PhD, RN-BC, LNHA, Administrator, Oaknoll Retirement Residence, Iowa City 607 - How To Ask for Anything – Artfully! What if you had a specific three-sentence recipe to ask for anything? What EXACTLY do you say? Marcy’s three-sentence ask will give you a clear path. As she says, “A confused donor doesn’t give and a confused fundraiser doesn’t ask.” Get crystal CLEAR on exactly how to write and speak an ask. You’ll also learn how to apply this ask formula not only for major gifts, but for event sponsors, operations, board service, endowment gifts and annual fund leadership gifts (even getting your wash done). You may rock at creating a great relationship but the gift comes from a clear ask confidently delivered. Learn how to do it with Marcy. • Think positively about asking others for money. • Develop a simple three-sentence recipe to present a clear ask. • Recognize why your ask must be clear. • Write and speak your own ask. • Dramatically increase your “yeses” to fundraising and other requests • Apply this ask formula to secure a “Yes” to whatever you want. Marcy Heim, CFRE, PLCC, President and Founder, The Artful Asker, Madison, WI 701 - Shared Care Planning and Coordination Technologies: Provider Case Studies Technology can seem like an overwhelming, abstract topic. Attendees at this session will explore the range of shared care planning and care coordination technologies available today and how aging services providers across the continuum are utilizing them to advance quality and be key players in today’s health care environment. The examination of application in peer providers across the country will help attendees understand what technology solutions may meet their organization’s strategic goals and learn how to plan and select the solution. Further, this session will discuss lessons learned by providers who have implemented shared care planning and coordination technologies in their organization. • Explore the range of shared care-planning and coordination technologies available to help aging services providers be key players in today’s health care environment. • Strategize how to plan for and select a care-planning and coordination technology solution that meets your organization’s needs.



Discuss the lessons learned from providers who have implemented shared care-planning and coordination technologies in their organization. Dr. Majd Alwan, PhD, Senior Vice President, LeadingAge Center for Aging Services Technologies, LeadingAge, Washington, DC 705 - DIA Update for Long Term Care DIA will share updates and regulatory trends for long term care providers including but not limited to, policy and legislative issues, CMP and enforcement, survey trends and implications of the new RoPs and DIA’s plans to enforce them. In addition, latest updates regarding the new unified survey process that was implemented in 2017 will be discussed. • Identify frequently cited deficiencies in long term care organizations. • Discuss the new survey process and current trends in the survey process. Kathy Kieler, Bureau Chief, Department of Inspections and Appeals, Des Moines Mindla White, Bureau Chief, Department of Inspections and Appeals, Des Moines 706 - Is That a Picasso? No, It’s My Assisted Living Service Plan Van Gogh said, "I wish they would only take me as I am." A service plan is kind of like that. The service plan communicates to staff, at all levels, about the tenant. A service plan should be individualized to reflect the tenant's needs and requests for assistance. This session will help walk through the steps of creating an individualized service plan. In addition, participants will learn how to use the service plan to direct staff what to watch for and when to communicate to the nurse. • Create a service plan that is individualized to each tenant. • Recall the DIA requirements for service plan development. Stacy Hejda, Vice President Regulatory Compliance, Assisted Living Partners, Cedar Rapids 707 - It’s a RAP! A Relationship Action Plan for YOUR Donors Your donors - the folks whose giving makes transformations in your organization. What’s the next step? Is this “in your head?” If we don’t know where were going, any road will do and it could be a chaotic journey! Join Marcy Heim to learn this 10-step process to move from reactive to proactive. We’ll learn how to create a RAP – a relationship action plan. This is a key tool for replacing overwhelm with focus and serves your donor and your mission. This tool can be used for one major donor or a group of donors you want to segment. Burn that candle, but not at both ends! Treat your donors, your very best friends, well. • Develop a process for engaging with your donors over the long term. • Describe successful strategies for increase both the numbers and amounts of major gifts. • Discover how to incorporate RAPs into what you already do. • Ensure that donors are appreciated and thanked. • Raise more money both short and long term. Marcy Heim, CFRE, PLCC, President and Founder, The Artful Asker, Madison, WI