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News & Notes -November 27, 2018
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News and Notes

November 27, 2018

Mark your Calendars

Tuesday StandUp all sessions held 10:00-10:15 AM

Dec 11- Non-Therapy Ancillary and PDPM

Housing Happenings all sessions held 9:00 to 9:15 AM

December 12- Hoarding: What you should know, and what you can do

Peer Networking Forums

January 9 - Nursing Home Administrators

January 23 - Spiritual Life/Chaplains

Registration is now open for:

Finance and Strategy Symposium- Nov 29

Getting Value out of Value-Based Purchasing- Dec 4


Looking Toward the Future

I hear more and more LeadingAge Maryland members commenting on the challenge of planning for the future in the midst of so much that is changing. What is the right number of skilled beds or assisted living units? Should we invest in some form of home care? What will consumers of the future want as they age? Which technologies will be major disruptors? Will we find trained and committed employees to carry out our mission? What can we do for the people on our subsidized housing waiting lists? What about new payment models and partnerships? What creative innovations can we develop?

These are great questions with no clear answers. However, as we look toward the future, we might suggest several things, and will reflect more on this in future issues of News and Notes:

· We need to get more comfortable with the idea of taking bounded risks on some experiments, with the idea that some of our experiments will fail, and that’s okay. Our field (and our boards) are not good at that and, sometimes, are even worse at pulling the plug when lack of success is evident. Maybe we can help one another with this. Our annual conference in April 2019 will feature a “Stoop Storytelling” - type session in which LeadingAge Maryland members talk about “something that failed” – let us know if you’d like to share your story.


We need to step back from reacting to the urgent to ask the “what if” questions. What is it people who are aging in Maryland want and need? What if we could start from scratch to design services and supports? What if we took seriously the gifts and talents of all people and had them take the lead in figuring out how to put them to use? What if we were able to form different kind of partnerships? Our theme for 2019 will be “what if”… and that reflects the 2019 Annual Conference theme. Keynote sessions will focus on “what if”, including Dr. Cynda Johnson, founding dean of the new medical school at Virginia Tech, whose charge was to invent medical education for the future from a clean slate; and Dr. Jeffrey Ash, associate dean for diversity and inclusion at the University of Maryland School of Nursing.


Let us know how you are envisioning the future of your organization and how being part of the LeadingAge Maryland community can make a difference.






Updates from the Board of Directors

As 2018 ends, the LeadingAge Maryland Board of Directors is saying goodbye to Terry Snyder, current Board Chair. Terry, president of Roland Park Place, was a founding Board member and has been a terrific supporter of LeadingAge Maryland. We will miss her wisdom. At the November meeting, the Board elected Steve Coetzee (Fahrney Keedy), Pete Dabbenigno (Glen Meadows) and Tina Poffenberger (St. Johns Towers & Commons) to first terms on the Board. Continuing on the Board are: Mike Brady (Hospice of the Chesapeake and incoming Chair), Kevin Harrington (Friends House), Bill Holman (Ginger Cove), John Howl (Broadmead), Candace McMullen (Homewood), Steve Powell (Carroll Lutheran Village & Lutheran Village at Miller’s Grant), and Aileen Tinney (Keswick Community Health). We are looking forward to 2019 with this great Board. Please contact any of them if you have ideas or questions.

Emerging Leaders Spring 2019 Cohort – Applications Now Being Accepted

Applications are now being accepted for our Spring 2019 Emerging Leaders Cohort. This highly interactive program meets once a month for four months. Current cohort members tell us that the best things about the program are the opportunity to learn more about their individual styles and personalities, how to best work with those who have differing styles and personalities,getting to know other emerging leaders, and the adult-centered,interactive learning environment.

Dates for the Spring 2019 Cohort

· February 19

· March 13

· April 23

· May 14

All sessions are held from 10am-4pm at the Asbury Support and Collaboration Center in Frederick, Maryland.

Cohort members have said that some of the most powerful moments of the program so far have been…

"…realizing that although we are so different in leadership styles, I could not do my day to day work without these other minds and personalities."

"… realizing we are all people that want to do the best for those we serve and while we all may have different approaches, it is possible to work together and achieve our goal."

"… realizing that qualities I may find difficult to work with can also be qualities I need to look for in a teammate."

"I've learned how I can change things immediately to help the flow at my workplace."

To learn more or apply, please click here or contact Allison directly at, or 240-750-9925.

Abilities Network is a nonprofit organization providing the following human service programs: Community and Employment Partners, Healthy Families Baltimore County, Project All Children Together (ACT) and Senior Services Move Management.

Grant Funding Available - Move Management & Clutter Management Services

Announcing grant funding available to assist lower income seniors in the Baltimore Metro area. They have funding to help not only with Move Coordination Services for incoming residents, but also de-cluttering services for current residents who are at risk of eviction. Qualifying candidates only pay 25-35% of the total expenses, while the rest is covered by the grant funding.

Who should apply?

For Move Management Services, a candidate must be a senior moving into a subsidized senior apartment community (HUD or Tax Credit). For Clutter Management Services, a candidate must be a senior currently living in subsidized senior apartment community (HUD or Tax Credit) and at risk of eviction due to clutter issues.

The grant funding is available on a first come, first served basis while the funds last.

Please contact Heather Murphy, Director of Move Management Services, at 410-828-7700 ext. 1271 or e-mail to schedule a consultation.

Member News

Member News

LeadingAge Maryland Founding Board Chair to Retire

Geary Milliken, CEO of Carroll Lutheran Village and the Lutheran Village at Miller’s Grant (now together in newly-formed Lutheran Social Ministries of Maryland), has announced that he will be retiring in June 2019.Board Chair, Wanda Lynn, has announced that a search committee and a transition committee have been formed to guide the process forward to identify new leadership and celebrate Geary and his faithful work and achievements.

Geary was instrumental in the founding of LeadingAge Maryland and served as its first Board Chair, so we, too, celebrate his great work in Maryland.

Do you have something important to share?

We love to hear from our members. Please send any information regarding transitions, events, accomplishments and awards to Christen Ensor at censor@leadingagemaryland.organd we'll put it in next edition of News and Notes.


Last Chance to Register for The Finance And Strategy Symposium November 29th

LeadingAge Maryland and Ziegler are again joining forces for this symposium targeted to future-thinking staff and board leaders of not-for-profit organizations that provide supports and services to older adults. It will be held in Asbury’s new Support and Collaboration Center in Frederick, MD – an open design concept you will want to see!

The agenda includes:

  • The State of Senior Living 2018 – Amy Castleberry & Lisa McCracken (Ziegler)
    - Key trends in the sector; expansion & contraction; capital markets
  • Positioning for the Future: Asbury Communities Case Study – Doug Leidig (Asbury)
    - Asbury’s bets for the future; portfolio re-balancing; new opportunities
  • The State of Construction 2018 – Frank Muraca (ARCH Consultants), Ken Noreen (Wohlsen Construction), Amy Young (Wagman, Inc.)
    -Impact of tariffs, labor markets, supply chain, bright spots, challenges
  • Positioning for the Future: Evangelical Lutheran Good Samaritan Society Case Study – Grant Tribble (CFO, ELGSS)
    - Rationale for affiliation with large health system in the Midwest; lessons learned expanding home health; creation of an Institutional Special Needs Plan & more
  • Maryland Healthcare Update- Maansi Raswant, (VP of Policy and Data Analytics, Maryland Hospital Association)
    -Implications of renegotiated Medicare waiver; health care landscape

Register here.

Save the Date

Peer Networks

Each peer networking forum includes time for learning, networking and peer-to-peer problem solving. Most peer networks meet quarterly from 10am-3pm. To attend a forum or for more information please contact Allison Ciborowski.

January 8 - Nursing Home Administrators - Broadmead, Cockeysville

January 23 - Spiritual Life/Chaplains - Ingleside at King Farm, Rockville


New Webinar: Getting Value out of Value Based-Purchasing

December 4, 12- 1pm.

Complimentary session offered in collaboration with LW Consulting

At the beginning of October, the Centers for Medicare and Medicaid Services (CMS) began enforcing Skilled Nursing Facilities (SNF) Value-Based Purchasing (VBP) Program . The program was the most recent endeavor to improve health care by paying providers based on the quality of their care instead of the quantity.

Speakers: Patty Klinefelter

Click here to register.

Tuesday StandUp

Free, educational teleconferences held from 10-10:15am every other Tuesday.

To join, call 1 310-372-7549, Conference Code 505134

Dec 11- Non-Therapy Ancillary and PDPM

If you have questions or would like to attend any of these events please contact Allison Ciborowskior 240-750-9925.

Housing Happenings

LeadingAge Maryland and LeadingAge DC have come together to provide educational teleconference series designed specifically for affordable housing professionals. These short, practical learning sessions are designed specifically for service coordinators, property managers, and other individuals who work with older adults in affordable housing settings. Call in the third Wednesday of every month from 9-9:15am - Simply dial310-372-7549,and enter conference code 505134. Click here for more information.

Upcoming sessions:

Wednesday, December 12, 2018


Hoarding: What you should know, and what you can do.

Heather Murphy, Director of Move Management Services, Abilities Network

Recent Events

Did you miss the Trauma-Informed article from Mckinght's Long Term Care News Featuring Jill Schumann of LeadingAge MD and Lisa Schiller, of MHY Family Services

The Centers for Medicare & Medicaid Services is requiring the implementation of trauma-informed care by November 2019 under Phase 3 regulations. Providers are likely to see it as “one more thing” and do the minimum. But as Jill A. Schumann, president and CEO, LeadingAge Maryland, explained during a session at last month’s annual convention, it is “worth the investment of time to implement a more pervasive, organization-wide approach.”

What that means is not only helping residents receive the mental health services they need but creating an environment that’s safe for staff and residents when it comes to trauma-related issues. Schumann is quick to point out that nursing homes aren’t counseling centers, and a provider doesn’t have to dig out the root cause in order to help a resident feel safe. Click here to read the full article.

Emerging Leaders Session 3 was held November 13th

The Fall 2018 Cohort met for their third session together on November 13. The group explored topics like practicing and fostering accountability, ditching the drama at work, and re-framing the stories we tell ourselves. Key take aways from the group included “the realization that drama is emotional waste and not productive”, “staying forward, bought in, and resilient”, and “accountability is a mindset, not a skill set”.

Applications are now being accepted for the Spring 2019 cohort. Email Allison for more information. or visit

MDS Coordinator Peer Networking Forum

MDS Coordinators from across the region gathered for a morning of networking and learning on November 14. Special thanks to Carroll Lutheran Village for hosting. The group discussed many topics, including section N and GG of the MDS; Drug Regimen Review challenges and successes; how to determine clinical significance of medication changes; and resources and tools that have been helpful in education nursing teams about MDS and changes. The MDS Coordinator Network meets quarterly, and is open to any MDS professional who works in a LeadingAge Maryland nonprofit provider member organization. To receive updates, please email Allison

Social Work Peer Networking Forum

On November 8, social workers from across the region gathered for a day of learning and networking at Asbury Methodist Village. The group discussed many topics, including gun policies, care plan processes and procedures, resources for caring for individuals with traumatic brain injuries, and how to attract more social work students to the field of aging services. This group meets quarterly, and any social worker who works in a LeadingAge Maryland nonprofit provider member organization is welcome to attend.




LeadingAge News/Resources

Medical and Recreational Marijuana in Senior Living Webinar- from the LeadingAge Learning Hub

December 12,2-3 PM$99 Member Rate

Senior living providers struggle to navigate the legal risks of recreational and medical marijuana laws. While 31 states and the District of Columbia have laws legalizing medical marijuana in some form, there are some states who have additionally legalized recreational marijuana use. Despite these state efforts, marijuana remains illegal on the federal level.

Register here

LeadingAge is pleased to partner with Ziegler, a LeadingAge Gold Partner to bring you the 15th edition of the LeadingAge Ziegler 200 (“LZ 200”).

This publication has become an eagerly anticipated annual report of the largest, most complex not-for-profit senior living organizations, since its inception in 2004. Our 2018 report demonstrates the significant role that LeadingAge member not-for-profit organizations play in the aging services field. From the oldest to the newest, the largest to the smallest, each organization has a unique story that includes commitment, community support, stewardship, resilience, and a reputation for going above-and beyond. Clickherefor the full publication.

Congress Must Finish HUD Funding Bill

The Issue:

Will you stand up for housing funding for older adults?

Congress is back for a Lame Duck session and must enact a final fiscal year 2019 HUD appropriations bill as soon as possible. HUD’s programs are currently funded under a Continuing Resolution through Dec. 7. Housing providers and the residents they serve need a full-year appropriations bill to ensure uninterrupted funding for the next year. Please send a message to your lawmakers today to ensure funds for affordable housing for older adults is passed in time!

How You Can Help:

  • Call or email your lawmakers TODAY!
  • Share our action alert with your networks

Steps for Sending an Email:

Visit this action alert information page and follow the instructions to email your senator/representative.

CMS’ new SNF – Patient Driven Payment Model (PDPM) webpage is now available

This website includes a variety of educational and training resources to assist stakeholders in preparing for the PDPM implementation:
•Fact sheets
•PDPM Training Presentation
•Implementation tools (including PDPM GROUPER logic)

They will be providing a SNF PPS – PDPM National Provider Call on Tuesday, December 11, 2018 from1:30 to 3 pm ET.Registerhere

On October 1, 2019, the new Patient Driven Payment Model (PDPM) is replacing Resource Utilization Group, Version IV (RUG-IV) for the Skilled Nursing Facility (SNF) Prospective Payment System (PPS). Topics:
•Overview of PDPM, a new case-mix classification system for SNF Part A beneficiaries
•Changeover from RUG-IV to PDPM

For more information, review the FY 2019 SNF PPS final rule, and visit the PDPM webpage. A question and answer session follows the presentation; however, attendees may email questions in advance to with “December 11 Call” in the subject line. These questions may be addressed during the call or used for other materials following the call.

LeadingAge currently has an overview webinar available on the LeadingAge Learning Hub with more resources being planned for 2019. If you have questions about the PDPM, please contact Aaron Tripp directly at

We are Called LeadingAge for a Reason-From LeadingAge National- Conversations with Katie

We need to lead. And lead we will… by answering these and other questions:

How will our communities adapt to the unprecedented number of older adults?
Who will work in our field?
Who, among the many kinds of providers, will be the winners and losers in this ever-changing landscape?
Will the notion of “retirement” even exist?
What will older adults expect? Demand?

For the full article click here


Other News and Resources


Meet Cindy Pearson, your Value First Business Development Manager.

Her job is to help LeadingAge members to get the best pricing on their food service operations, office supplies, janitorial supplies, and sanitation supplies.

Cindy brings over 25 years of business development experience to LeadingAge and is excited about helping LeadinAge members save on their purchases.

She can be reached at 202-904-0672 or at

Housing America's Older Adults

The Harvard Joint Center for Housing Studies (JCHS) released a report, Housing America’s Older Adults 2018, which shows that more than half of the nation's households are now headed by someone at least 50 years of age. It finds that nearly a third of households age 65 or older (9.7 million) pay at least 30 percent of their income for housing, and more than half of these pay over 50 percent. According to the report, in 2016, 17 percent of households age 50 and over included someone who had difficulty climbing stairs or walking, but only 3.5 percent of U.S. homes had three key features for those with mobility challenges: single-floor living, no-step entries and extra-wide halls and doors. JCHS suggests that in the years to come, supportive and accessible housing will be in even greater demand. (JCHS, November 14).

Emergency preparedness efforts that every facility in every state can emulate

Recently, a column in McKnight’s Senior Living highlighted emergency preparedness efforts in Arizona. As a unique progression to those efforts, an informational video has been produced to showcase the effectiveness of training, cooperation and collaboration of long-term care providers in the state.

Named after Arizona’s Emergency Preparedness Program for long-term care facilities, the “Disaster Ready” video provides an excellent overview of what providers in every state should be doing to make sure that they are ready for emergencies and disasters. The video is posted on YouTube.

Senior living and other long-term care providers in states across the nation continue to emphasize emergency preparedness. Comprehensive regulations now enforced by the Centers for Medicare & Medicaid Services are requiring many healthcare facilities to be prepared for emergencies and disasters in accordance with a risk analysis or hazard vulnerability assessment. States often look to CMS when crafting regulations that affect assisted living as well. (click here for the full article from Mcknight's Senior Living November 26 edition).

Webinar: Racial Wealth Gap Simulation (Free)

Nov 28th at 2pm

Join the Building Movement Project and special guest Marlysa D. Gamblin from Bread for the World Institute for a 60-minute webinar to talk about Bread’s new Racial Wealth Gap Learning Simulation—an interactive tool that helps people talk about race and learn about the importance of racial equity.

Register here (FREE).

CliftonLarsonAllen 33rd Edition Skilled Nursing Facility Cost Comparison Report

CliftonLarsonAllen, LLP recently released the 33rd edition of their Skilled Nursing Facility Cost Comparison Report. The report contains 2017 cost data and presents analysis and trends from financial data derived from Medicare cost reports. The report presents and analyzes more than 30 financial ratios that facilities can use to benchmark their own performance compared to that of their peers; both nationwide, and by CMS region.

It’s time to #BrightenUpLTC(Article from McKnights Long-Term Care News- Nov 27)

McKnight recently wrote an article about the wonderful things you and your institution are doing to brighten up the lives of residents, employees and perhaps members of the community. They launched "The Brighter Side”“feature last year.

The Brighter Side is a year-round feature that runs every Wednesday in the Daily Update, so you can help McKnight by sharing items at any time at #BrightenUpLTC.The story must occur in or around a skilled nursing facility, it makes you smile and it’s something that your peers might be interested in reading about. Pictures are optional.

Submit your stories to,or share it on Twitter with the hashtag #BrightenUpLTC. Selections will appear in story form in the Daily Update. Click here for the full article.(They’re all collected at The Brighter Side section online)

Advancing dialysis

More frequent hemodialysis is associated with improved clinical outcomes among residents requiring dialysis in skilled nursing facilities. Click here to download the full story.

Want to see what LeadingAge Maryland has been up to? Visit us:

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2019 Summer Symposium - Technology: Now, and Not Yet

MDS Coordinators - Peer Networking Forum

Nursing Home Administrators - Peer Networking Forum

Social Workers - Peer Networking Forum

Spiritual Life - Peer Networking Forum