LEADER 2016 Winter Newsletter  
Message from the President
2016 is going by quickly!  My term as President of LEADER has been an honor and a joy.  Thanks for the opportunity to serve.  I'd like to share with you some accomplishments of LEADER in 2016. 
 
The LEADER Summit in March was a huge success!   A special thanks goes to Jeri Shread, Education Chairperson, and the Education Committee for providing a diverse group of speakers and topics. The attendance and participation was great considering the flooding in North Louisiana.  Leader received the most in sponsorships at this year's Summit than any other year.  This is a good indication of the support for Person-Centered Care.
 
Networking, sharing ideas and expertise are opportunities to learn what someone else has accomplished with Culture Change.  Rosie Kiper coordinated and showcased projects or programs that were successful.  Presenters shared their presentation with the attendees from across the state.  Ed Smith activated the Awards Committee which is a sub-committee of the Education Committee.  Recognition was given to those companies and individuals who continue to support LEADER with Culture Change and Person-Centered Care year after year.
 
LEADER hosted the Pioneer Network Conference in New Orleans this summer.  It took a lot of effort and work to coordinate, but it was an awesome learning experience to all that attended.  We are proud of KaraLe Causey and her leadership as President of Pioneer Network.  KaraLe served as the first President of LEADER with its formation and continued to serve for several years.  Michelle Vellion with Elder Outreach coordinated the creation of the Louisiana Festival themed float centerpieces.  Dine Arounds were arranged by LEADER, and LEADER provided room monitors for the sessions.  Registration scholarships were offered to nursing homes for a staff member (CNA, social worker, activities staff) and Ombudsmen, and LDH to attend the Pioneer Network Conference.
 
Work with the Dementia Partnership Coalition helped to reduce the use of anti-psychotics in the state.    A recognition of appreciation is extended to Barbara Anthony, Wanda Spurlock, William Day, and Margie Huguet for their education, tools, and awareness of reducing anti-psychotics.
 
LEADER finalized the Strategic Plan for 2017.   LEADER membership has increased by 51 new members since last year.  We have seen an increase in a diversity of member types to include Assisted Living and Home Health.  One of our goals is to transform communities and enrich the lives of residents in different settings with Person-Centered Care.
 
The LEADER website was updated to include a wealth of information about Person-Centered Care, events, the Dementia Partnership, resources, and the past newsletters.  Pioneer Network webinars are available to the LEADER Chapters to show at their meetings.  The chapters will provide a notice of the meeting, time, location, and the topic offered.  A Lafayette Chapter will be created in 2017.
 
LEADER is offering a FULL two day Summit in 2017 with 16 concurrent sessions instead of 12. A  LEADER membership meeting and educational opportunities will be held at the Summit.  Please mark your calendars for March 15 & 16, 2017.  Lights, Camera, Action:  Setting the Stage for Person Centered Care! Please plan on joining us.
 
I want to thank the LEADER board and Executive Committee for their dedication and support during my term as President.  Past President, Jolie Harris, provided a wealth of knowledge and assistance throughout the year. The Tatman Group Management Services provided by Keli Ourso Williams and Marissa Ruffino to LEADER provided management and daily support for me.
 
With more and active members of LEADER, our mission is stronger.  Thanks to the communities that support the LEADER mission of Culture Change and Person-Centered Care.   We appreciate your support of LEADER. We look forward to working with you in 2017.
 
Thanks for the opportunity to serve as the 2016 President of LEADER.  Have a Merry Christmas and Happy New Year!
      
Sincerely, 
 
Lance Linscombe
LEADER President

COMING SOON!
  LEADER 8th ANNUAL SUMMIT
 
LIGHTS CAMERA ACTION
SETTING THE STAGE FOR PERSON CENTERED CARE
MARCH 15 & 16, 2017
PARAGON RESORT, MARKSVILLE, LOUISIANA
  ONLINE REGISTRATION COMING SOON
 
The 2017 LEADER Summit is one of many exciting, educational events happening in Louisiana! But it's the only event that will bring together more than 400 healthcare professionals and caregivers for a full 2 days of powerful education sessions, dynamic speakers and exceptional networking opportunities.
 
This year there are 16 education sessions to choose from, along with rock star speakers in person-centered care. Topics to be covered include:
 
Our Summit spotlight shines on our 2 plenary speakers Leah Klusch, Executive Director at Alliance Training Center and Larry Johnson, Owner at Johnson Training Group. Leah will be presenting on "Making Sure Your Cast And Crew Are Focused On Person-Centered Care" and Larry will be presenting on "Turning Patients, Residents And Families Into Outrageously Loyal Fans". Our luncheon speaker  Senator Jonathan Perry , will be presenting on "F Plus 2H: Focus At The Workplace Through Heart And Hard Work". 

Other confirmed Summit speakers and topic are as follows: 
  • Plenary Speaker Leah Klusch with Alliance Training Center - will be presenting a concurrent session, "The Value Of Uninterrupted Sleep For Elders". 
     
  • Kareen King with The Golden Experience - will be presenting two concurrent sessions, "Finding Emilou: A Relationship-Centered Care Case Study In Concert" and "Let's Get Unreal! How To Plan And Facilitate A Creatively Engaging Group Experience For Older Adults". She will also be presenting a group activity session that will engage all Summit attendees titled, "Let's Get Unreal! Improvisational Exercises To Incorporate In Activity Programming". 
     
  • Sarah Ragona with SHRM (Society for Human Resource Management) - will be presenting two concurrent sessions geared toward administrators, "Staff Recruitment Management" and "Staff Retention Training". 
     
  • Camille Pavy Claibourne with the University of Louisiana at Lafayette - will be presenting two concurrent sessions, "Purses And Shoes For Sale: Strategies For Caring For Individuals With Dementia" and "How To Involve Families In The Care Of Their Elders".
     
  • Dr. Elizbeth Curtis, Jolie Harris with CommCare Corporation and William Day with PCSA - will be presenting a concurrent session, "Clinician's Perspective In A Culture Change Model".
     
  • Plenary Speaker Larry Johnson with Johnson Training Group - will be presenting a concurrent session, "There is No 'They'".
     
  • Stephanie Hoffman with Music & Memory - will be presenting two concurrent sessions, "How To Improve The Quality Of Life & Reduce Anti-Psychotic Use" and she will facilitate a panel of grant winners, "Grant Winners Panel: The Application Process, Challenges, And Best Practices". 
     
  • Linda Bump with Action Pact - will be presenting a concurrent session geared toward dietary managers and dietitians, "Using The New Dining Practices Standards As A Guide To Person-Centered Care" and a panel sharing "Outcomes Of Enhancing Dining Satisfaction, Staff Knowledge And Nutritional Outcomes Using State Grant Dollars".
     
  • Dr. Jeffrey Keller with Pennington Biomedical Research Center - will be presenting a concurrent session on "Preventing and Managing Alzheimer's Disease: Lessons For Long Term Care From The Latest In Research And Technology". 
     
  • Julie Kueker with eQHealth Solutions - will be presenting a concurrent session on "The Final Rule As It Relates to QAPI And Resident's Choice". 
     
  • Donna Boudreaux and Abigail Benoit with Nexion Healthcare were the 2016 Poster Presentations winners. They will be presenting a concurrent session regarding structural changes and will give an update on their winning presentation. 
 
Lights, Camera, Action - Living the Reel Life!  What better way to help others understand person centered care and culture change than to showcase a project or program you have implemented in your community or business. Our poster session offers you that opportunity. The winner of our Poster Presentation will receive an award at our reception.  Details can be found below and at our website,  www.laleader.org.

And the Award goes to... You're invited to join us at our reception on Wednesday evening where we will recognize some of our outstanding members who exemplify person centered care.  This event is also a fun and easy way to network with peers and forge new relationships.  There is no other industry where sharing among peers is more imperative! 
 
Our Walk of Fame will be filled with A-List Stars! The Exhibitors Gallery will be filled with an array of product and service displays so that you can learn more about the resources available to help with providing the highest quality of care. We wish to thank the generous sponsors and those companies that will be in the Exhibitors Gallery- without their contribution, we could not provide the quality education, activities and resources at our Summit.
 
LEADER's 2017 Summit Planning Committee has created a very special red carpet event that you will not want to miss. Registration will be open soon. Remember members of LEADER receive a discounted registration fee for the Summit.  Also, a block of rooms have been reserved at the Paragon Casino Resort at a discounted rate.  You can make your room reservations today by calling the reservations office (800) 642-7777 and/or fax to (318) 240-6601.  When making your reservations, please refer to the LEADER 8th Annual Culture Change Summit - LEAM14G , in order to receivethe discounted room rate. 

I look forward to seeing all of you on March 15th - 16th at our 8th Annual Summit at the Paragon Casino Resort Hotel in Marksville, Louisiana.
 
Jeri Shread
2017 Summit Planning Chair; Secretary, LEADER Board of Directors

Thank You To Our Current 2017 Summit Sponsors
PLATINUM

 


GOLD

 









LEADER  Poster Sessions at the 
8th Annual Summit 

The LEADER Summit is all about networking, sharing ideas, trends and expertise.  The poster session is an excellent way for you to showcase any project or program relating to Culture Change and Person-Centered Care that has fostered success or enriched your facility in some way.

Your poster or story board will be presented for a specific time each day and viewed  by attendees from across the state. A summary of your project or program must be included with your presentation. There will be an award for the poster that best demonstrates Culture Change and Person-Centered Care.

Dementia Partnership Coalition Update
By Barbara Anthony, Dementia Partnership 
Coalition Coordinator  

According to the latest CMS data report for Quarter 2, 2016, 100 of the 281 nursing homes in our state ranked below the current national average of 16.3. In Louisiana data gathered for Quarter 3, 2016, over 50% of the nursing homes had a decrease in its use of antipsychotics for that quarter. I would like to commend all of the nursing homes for their efforts to reduce the use of antipsychotics in the state. The Action Plan for fiscal year 2016/2017 and other information about what the Coalition is doing will be posted on the LEADER website under the "Dementia Care" tab. 

Regulatory Update
By Margie Huguet, LDH Health Standards Section

The Department of Health and Human Services along with the Centers for Medicare & Medicaid Services (CMS) published a Reform of Requirements for Long-Term Care Facilities on October 4, 2016.  The revised requirements take effect November 28, 2016.   Provider access to CMS online training will be located at http://surveyortraining.cms.hhs.gov/pubs/ProviderTraining.aspx.  This training will be available November 18, 2016 through July, 2017.
 
Among the many revisions, a new section entitled "Comprehensive Person-Centered Care Planning" has been added to the requirements.  There is also a requirement to include the addition of a nurse aide and a member of the food and nutrition services staff to the required members of the interdisciplinary (ID) team to develop this comprehensive care plan.  Louisiana nursing homes should be familiar with the importance of both Person-Centered Care Planning and the inclusion of direct care staff on the ID teams as these were topics of discussion during the Louisiana Dementia Partnership trainings.
 
Health Standards Section received scholarship funding to send 25 surveyors to the 2016 Pioneer Network Conference in New Orleans.  The knowledge gained was shared with all nursing home survey staff during the October HSS Annual Surveyor Conference.  Much of this sharing included the importance of getting to know the resident first and then using this knowledge to incorporate into the care plan so that it is reflective of the resident as an individual.  The revised requirements define this person-centered care process as a means to focus on the resident as the locus of control and support the resident in making their own choices and having control over their daily lives. 
 
Nursing home providers are encouraged to continue the work begun on antipsychotic medication reduction.  The most recent data released by CMS shows a slight increase in the Louisiana percentage rates (19.35%).  Be aware that the revised requirements will shift the focus to the reduction of all psychotropic medications and not just antipsychotic medications.  Louisiana nursing homes are headed in the right direction; we just need to keep the momentum going.
 


The CMS Final Rule: A positive Change for Resident
By Julie Kueker, eQHeath Solutions, Quality Improvement Specialist 

On October 4, 2016, The Centers for Medicare & Medicaid Services (CMS) published its Final Rule that reformed the requirements for long-term care facilities. These requirements had not been updated since 1991, and with significant modifications to the nursing home industry, CMS felt it was past time for change.  There are three implementation phases to this rule, allowing nursing homes to update and create policies to implement the changes over the next three years. The first phase is to be implemented on November 28, 2016.
There are six themes of the Final LTC Rule:
  • Person-Centered Care
  • Quality
  • Facility Assessment, Competency-Based Approach
  • Alignment with the Department of Health & Human Services (HHS) priorities
  • Comprehensive Review and Modernization
  • Implementation of Legislation
The most exciting part of this final rule is what it means for person-directed care.  It calls for culture change in the form of expansion of resident rights, control and choices over their lives.  It mandates that residents be given self-determination that includes activities, the health care they receive, and being front and center in their care planning process.  A baseline person-centered care plan is required within 48 hours of admission, and a copy provided to the resident, family or representative. 
 
It is important to CMS that the resident's abilities do not diminish unless circumstances are unavoidable.  The final rule also requires facilities to ensure that residents who have never been on a psychotropic drug, to not initiate one unless medically necessary.  In addition, it further clarifies that PRN orders for psychotropic drugs are limited to just 14 days unless their primary care practitioner documents a rationale for a drug extension.
 
Choice in dining and addressing food sources is also in the final rule.  It requires that you provide alternative nourishing meals and snacks for those residents who want something to eat outside of traditional dining schedules.  The final rule also clarifies that it is okay for a resident to consume food not obtained by the facility, and provides guidance on how to cook and serve food from local producers or their own garden.
 
Changes can also be found in quality improvement in the QAPI process, and the eventual requirement that each home must perform a Performance Improvement Project(s).  Don't forget to seek assistance from Quality Insights. Contact Julie Kueker at julie.kueker@area-j.hcqis.org to help you get ready for your QA modifications found in the final rule. 
 
The final rule contains wonderful changes for person-centered care, and the hope of this new regulation is to improve the quality of life and care for those entrusted to you for their healthcare.


LEADER | (225) 767-7640 | info@laleader.org | www.laleader.org