WINTER DISTRICT WEBINAR January 29, :30 3:30 p. m.

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WINTER DISTRICT WEBINAR January 29, 2019 1:30 3:30 p. m. THANK YOU! Jeff Heedum jeffh@hcis mbs.com AS YOU HAVE QUESTIONS, TYPE THEM INTO YOUR? CHAT BOX TODAY S PLAN 1. Association Update 2. Unanswered Questions WE LL RESPOND TO THEM THROUGHOUT THE SESSION AND AT THE END OF THE WEBINAR 1

Heath Boddy President and CEO Cindy Kadavy Senior Vice President Ashlee Fish Advocacy Coordinator Pam Truscott Vice President of Professional Development Marcia Cederdahl Director of Regulatory Guidance LEGISLATURE Bills Capitol Update Videos Feb. 11 reception Playing Offense 2

Legislative Update Newly Elected Senators Senator Arch Senator Brandt Senator Cavanaugh Senator DeBoer Senator Dorn Senator Gragert Senator Hansen, B. Senator Hunt Senator La Grone Senator Lathrop* Senator Moser Senator Murman Senator Slama 2019 2020 Biennium 3

2019 2020 90 Day Session January 9 June 6 A balanced budget must be passed 60 Day Session First Day January 8 Will include carryover legislation from 2019 Committee Selection Health and Human Services Committee Senator Howard Chair Senator Arch Vice Chair Senator Cavanaugh Senator Hansen, B. Senator Murman Senator Walz Senator Williams Appropriations Committee Senator Stinner Chair Senator Bolz Vice Chair Senator Clements Senator Dorn Senator Erdman Senator Hilkemann Senator McDonnell Senator Vargas Senator Wishart 2019 NHCA Legislative Efforts 4

LB 22 Change provisions relating to the Nursing Facility Penalty Cash Fund Introduced by Senator Kolterman on January 10, 2019 Referenced to the Health and Human Services Committee Committee Hearing: January 23 rd, 2019 LB 181 Require a report from DHHS to the Appropriations Committee of the Legislature regarding long term care sustainability Introduced by Senator Bolz on January 11, 2019 Referenced to the Appropriations Committee A study to look at access to long term care services across the state LB 403 Provide a duty for the DHHS when calculating certain Medicaid rates Introduced by Senator Stinner on January 17, 2019 Referenced to the Appropriations Committee Removes the inflation factor from the Medicaid rate calculation 5

LB 404 State intent relating to Medicaid budgeting Introduced by Senator Stinner on January 17, 2019 Referenced to the Appropriations Committee Creates three programs inside of the Medicaid Aid budget Other Legislation of Interest Enter your questions and comments for discussion in the? chat box 6

REIMBURSEMENT State budget Medicaid Nursing facility Assisted living Medicare Enter your questions and comments for discussion in the? chat box Regulations Plans of Correction Facility initiated transfers Abuse reporting Sufficient staff Medicaid Waiver AL OSHA reporting 7

Regulations All Cause Harm in NF Antipsychotic medication use Enter your questions and comments for discussion in the? chat box Survey Nursing facility Assisted living Life safety 4 th Tuesday @10:00am 8

Other Repackaging bulk meds Medicare D co pays Over the counter products Enter your questions and comments for discussion in the? chat box Workforce Care for the Aging NHCA online job board Foundation scholarships DHHS NA & MA registry update 9

30 AVERAGE DAYS BETWEEN APPLICATION & ON REGISTRY SOURCE: Nebraska Department of Health and Human Services Division of Public Health Nurse Aide Medication Aide 40 Hour 25 20 15 10 5 0 National Update Government shutdown NF RoP Phase 3 Medicaid Enter your questions and comments for discussion in the? chat box 10

Spring Convention April 15 17, 2019 Kearney Awards NALA & NNFA Programming NALA & NNFA Resident of the Year NALA/NNFA Vendor of the Year Watch your inbox, nominations due in March Scholarships due March 8 RN & LPN Dietary Administrator Activities Social Services AHCA/NCAL Congressional Briefing Nurse advancement Mike Rayburn Video 11

Quality Awards January 31 at 7pm CT/6pm MT Submit to Quality Award Portal No late submissions Review begins in late February Bronze & Silver notified in June Gold notified in May Quality Initiative AHCA/NCAL (2018 2021) AHCA Hospitalizations Customer Satisfaction Functional Outcomes Antipsychotics NCAL Hospital Readmissions Customer Satisfaction Staff Stability Antipsychotics Long Term Care Trend Tracker (LTCTT) AHCA/NCAL Web based tool Access key information Exclusive benefit for members Benchmark metrics help@ltctrendtracker.com 12

Nebraska Association of Home Health Agencies (NAHHA) Launch Education PDGM Quality Reporting Sessions at NHPCA Conference Advocacy Unanswered Questions? THANK YOU! 13