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Report
2012 Business Meeting
North Carolina Health Care Facilities Association
Raleigh, NC
2012 Business Meeting
North Carolina Health Care Facilities Association
Raleigh, NC
Diane Packard
Presiding
2012 Business Meeting
North Carolina Health Care Facilities Association
Raleigh, NC
Secretary/Treasurer’s Report
Kevin G. Cox
2012 Business Meeting
North Carolina Health Care Facilities Association
Raleigh, NC
Nominating Committee Report
Randy Uzzell
2012-2014 Slate of Officers
Chair
First Vice Chair
Secretary/Treasurer
Hospital Affiliated Vice Chair
Independent Owner Vice Chair
Cheryl Clapp-Coleman
Kevin Cox
Phillip Hill
Renee Rizzuti
Jim Martin
Clapp’s Nursing Center
Autumn Corporation
Principle Long Term Care
Carolinas HealthCare System
Tullock Management Company
Multi-Facility Vice Chair
Non-Proprietary Vice Chair
National Multi-Facility Vice Chair
District I Vice Chair
District II Vice Chair
District III Vice Chair
District IV Vice Chair
District V Vice Chair
Member-at-Large
Member-at-Large
John Barber
David Kidder
Steven Jones
Vickie Beaver
Paul Babinski
Denise Clapp-Campbell
Gary Trullinger
Joan Garvey
Chris Bryson
Mary Beth Turman
White Oak Management, Inc.
Carolina Adventist Retirement Systems
Kindred Transitional Care & Rehab-Raleigh
Choice Health Management Services
Liberty Healthcare Rehabilitation Services
Clapp's Convalescent Nursing Home
Sava Senior Care
Liberty Healthcare Rehabilitation Services
UHS-Pruitt Corporation
Principle Long Term Care
2012 Business Meeting
North Carolina Health Care Facilities Association
Raleigh, NC
Report From Capitol Hill
Neil Pruitt
AHCA:
“Forwarding our Commitment to Quality”
Neil Pruitt, Jr.
AHCA Chair
AHCA Strategic Plan
Strategy 1 – Redefining the Consumer
Experience
 Quality as an expectation
 Focus on customer service
Strategy 2 – Becoming Part of the Solution
 New relationships with CMS
 Proactive political relationships
Strategy 3 – Thinking Differently
 New payment models
 Embrace the spectrum of services
AHCA Strategic Plan
Strategy 4 – Promoting Technology
 Re-launch LTC Trend TrackerSM on a new platform
 Enable members of all sizes to evaluate and adopt technology
that advances quality and promotes efficiency
Strategy 5 – Being Present
 Member participation in grassroots
 Member participation in quality initiatives
New AHCA Quality Cabinet
 AHCA Board of Governors endorsed establishing a new overarching
Quality Cabinet
 AHCA Quality Cabinet will coordinate and direct our collective efforts
to advance quality of care and quality of life issues
 Mary Ousley – former AHCA Chair and 2011 Friend of Quality
awardee – will serve as Chair
 Howie Groff – Former AHCA BOG Member and NCAL Chair – will
serve as Vice Chair
 AHCA’s Quality Cabinet will help to guide efforts of AHCA’s:





Quality Improvement Committee
Clinical Practice Committee
Survey/Regulatory Committee
Workforce Committee
Consumer Experience
Strategy 1: Redefining the Consumer
Experience
Overall Consumer Satisfaction Overall Workforce Satisfaction
 Compiled from opinions of 90,576
residents and 140,828 family members
 Compiled from opinions of
257,676 employees
Source: The 2010 National Survey of Consumer & Workforce Satisfaction in Nursing Homes conducted by My InnerView.
Strategy 1: Redefining the Consumer
Experience
Since 2009, nursing facility health survey
citations have been on a steady decline and have
dropped nearly a full percentage point in two
years
Every Medicare and Medicaid certified nursing facility in America must be
surveyed once every 15 months
Conference Committee Action on Payroll
Tax Cut and Doc Fix
• Extends payroll tax cut and physician fee
schedule until 12/31/12
• Therapy cap exceptions process continues until
12/31/12
• SNFs are a pay-for through a reduction of bad
debt coverage
− Dual eligibles reduced over three years
 2013 at 88%
 2014 at 76%
 2015 at 65%
− Non-duals will be reduced this year from 70% to 65%
Bad Debt Opportunities
• AHCA and its Finance Committee will work on
budget neutral options to present to
policymakers in an effort to limit the impact of
the bad debt
• AHCA to produce state-by-state data for state
affiliates to help them fend off additional cuts
from Medicaid
• Any action will take place at the end of the year
so Members of Congress will need to be
educated on these options in advance
President’s Budget
• Challenges
−
−
−
−
−
Reduce Medicare bad debt payments
Penalty for hospital readmissions
Threat to market basket
Lower provider tax rate
Blended FMAP rate formula
• Opportunities
− Site neutral bill
− AHCA’s hospital readmission proposal
Strategy 2: Becoming Part of the Solution

Some at CMS, on The Hill
and most advocacy groups
view the sector as an
obstacle to improving quality

CMS has rejected our notion that we are the
cost and quality solution:

“analysis of recent quality measure data related to
rehospitalizations, for example, which appears in the March 2011
Report to Congress suggests that quality of care within SNFs has
not been improving….We (CMS) do not agree …that shifting
patients…to a SNF setting is necessarily more beneficial to the
patient…” (SNF PPS Final Rule, August 2011).
Strategy 2: Becoming Part of the Solution
 Proving our commitment to improving
quality demands that we have better ways
to measure our progress
 Developing better outcome measures that
can validate our claims and document our
quality efforts is essential
 AHCA will lead the quality issue by
adopting significant quality efforts and
programs
Strategy 3: Thinking Differently
 Beginning in fiscal year 2012, CMS will rank hospitals based on 30-day
readmission rate for the top three diagnoses causing the majority of
readmissions:
 Heart attack
 Heart failure
 Pneumonia
 Hospitals that fail to meet CMS’
rehospitalization standards will have a
percentage of total Medicare payments
withheld:
 2013: up to 1%
 2014: up to 2%
 2015: up to 3%
Source: Sections 1151 and 3025 of the
Patient Protection and Affordable Care Act
CMS Five Star System
Percent of Facilities Survey Star Rating Ranked within each State
<20
>20 and <43.33
>43.33 and <66.67
>66.67 and <90
>90
Percentiles
Bottom 20 percent
within a state
Top 10 percent (facilities
with lowest survey score)
within a state
AHCA Proposed Five Star
Proposed recommendations to revise Five Star
rating system
 Expand domains of measures used
 Hospitalization
 Rehab
 Satisfaction
 Expand measures within existing domain
 Add turnover and retention
 Change weights for each domain
 Use targets/benchmarks to assign star rating rather than
percentile ranking
Strategy 4: Promoting Technology
 LTC Trend Tracker provides members with the
ability to benchmark their quality, clinical and
financial data
 Domains - Staffing, Rehospitalization, Survey
Findings, Medicare Cost Report, Medicare
Utilization, Retention and Turnover, Resident
Characteristics, Five Star Ratings, Five Star Staffing
 Participants – 581 organizations; 4,061 facilities
 Utilization – 1,300 reports per month (Jan. through
Aug. 2011) up from 800 reports per month in 2010
LTC Trend Tracker Growth Multi and
Single Organizations 2010 – 2011
700
581
600
500
388
400
346
300
200
235
175
2010
2011
213
100
0
Multi
Single
Total
Strategy 5: Being Present
 AHCA Board of Governors Adopted Three Quality Principles:
I.
Improvement in four clinical measures which are meaningful, measurable,
and moveable:
1.
30-Day Hospital Readmission
2.
Customer Satisfaction (Post-Acute and LTC)
3.
Staff Turnover
4.
Antipsychotic Rx Reduction
II.
Development of a Therapy Outcome Measurement System
III.
Promote Proactive Payment Models (January retreat)
 AHCA will not be successful without the full support of our
members
October 2011 Public Education
MOTION: To formally replace the term
“nursing home” with “skilled nursing care,”
augmented by centers where appropriate, to
describe our profession.
Breaking the Nursing Home Paradigm
State-of-the-Art
Rehab Suite
Aquatic Therapy
Pool
Private Suites
Restaurant-Style
Dining Rooms
Sitting Rooms
Spa
Movie Theater
Coffee Shop
Internet Cafe
Breaking The “Nursing Home” Paradigm
“The system should not overpay for certain
patients, which creates incentives for nursing
homes to spiff up their buildings and set staffing
levels to entice profitable patients. I encourage
CMS to continue taking steps to address these
issues.”
- Stark
Thank You!
2012 Business Meeting
North Carolina Health Care Facilities Association
Raleigh, NC
CON Construction Rules
Kristi Huff
Certificate of Need
• House Select Committee on Certificate Of Need Process and
Related Hospital Issues
• Committee Charge:
– To study House Bill 743 and House Bill 812;
– The legal requirements and process governing DHHS determinations
on applications for CON including an analysis of exceptions granted
under policy AC-3;
– Issues related to publicly owned hospitals including the appropriate
role of State-owned hospitals;
– Whether a hospital operating under a Certificate of Public Advantage
(COPA) should be required to comply with the same rules, policies and
limitations to each county in which it operates;
– The extent to which a publicly owned hospital should engage in
business with an entity having a COPA or operating under an
exemption under the CON laws of the state;
– Any other matter reasonably related to the above.
Certificate of Need (continued)
• 3 public hearings across the state: Fletcher, Mt.
Holly, and Wilmington
• Topics of discussion include:
– Appeals process
– Raising monetary thresholds in the law for diagnostic
centers, major medical equipment, renovations,
expedited reviews
– SHCC Appointments made by Governor and
legislature
– Whether State Ethics Act should apply to the SHCC
– Transparency in the CON process
Construction Rules Review
• Governor’s Executive Order 70: identify rules
that are burdensome, duplicative, or impose
unnecessary costs
• Nursing Home Physical Plan Rules review –
meeting with Construction Section and DHSR
leadership
Construction Rules Review (continued)
• Areas likely to be changed:
– Exempt certain small projects from a plan review
(and fee)
– Eliminate references to a “nurse’s station” or
nursing unit in the rule
– Bath/shower rooms – for every 120 beds
– Soiled utility/soiled linen rooms
– Handrails – maximum opening between handrails
of 12 feet
2012 Business Meeting
North Carolina Health Care Facilities Association
Raleigh, NC
Payment For Services
John Barber
Sam Clark
What’s Up With Our Medicaid Rates?
• There has been some confusion and uncertainty
surrounding nursing home rates.
• The state is currently working on a State Plan
Amendment that will address multiple rate changes.
• NCHCFA will review the SPA before it is sent to CMS
for approval.
What’s Up With Our Medicaid Rates?
Provider Assessment Increase
• The provider assessment, currently assessed at an
overall rate of approximately 5.5%, will be increased
to 6%.
• The increase will be approximately $1 per nonMedicare day.
• The effective date of this change will be January 1,
2012.
• Medicaid rates will be increased to repay the
provider the Medicaid portion of the assessment.
What’s Up With Our Medicaid Rates?
Case-Mix Adjustments
• The frozen case-mix will be unfrozen and the rates
effective April 1, 2012 will be adjusted for acuity
using the December 31, 2011 snapshot date.
• Quarterly CMI adjustments will resume beginning on
July 1, 2012.
What’s Up With Our Medicaid Rates?
Rate Reduction
• The current 3.51% rate reduction will be adjusted to
an amount needed to achieve a 2.17% average
reduction for the state fiscal year (July 1, 2011-June
30,2012).
• This will be effective January 1, 2012.
• The rate reduction will be adjusted again effective
July 1, 2012 to ensure that the annual reduction in
SFY 2013 will be 2.17% plus the impact of any other
adjustments approved by the legislature.
Fair Rental Value
• Aging of facilities
• April Updates
– Cost per square foot $142 increased to $147
– Most location factors will increase
Medicare Bad Debt
• The final agreement on Medicare "doc fix" legislation will
reduce Medicare reimbursement for uncollectible bad debt,
but not as much as in the bill originally passed by the House
last fall.
• Section 3201 - Reducing Bad Debt Payments – This provision
would phase down the bad debt reimbursements to 65
percent beginning in FY2013 for providers who are currently
being reimbursed at 70 percent, while phasing in the
reduction to 65 percent over three years for those who are
reimbursed at 100 percent of their bad debt. (88%, 76%,
65%)
• Effective for cost reports beginning on or after 10/1/12.
• The legislation also extends the therapy caps exceptions
process through December 31, 2012.
National Issues
• Mike Cheek with AHCA will be addressing
more of the national issues during the
Tuesday morning session.
HMS Credit Balance Reviews
• HMS has completed their first round of reviews.
• Most of the findings have involved
– Resident monthly liability in the month moving
from Medicare to Medicaid
– Medicare Part C Co-insurance paid by Medicaid
for dual eligible residents
• NCHCFA recently met with the State and HMS on the
outstanding issues.
• HMS is getting ready to start round two.
Medicaid RACs
• Medicare RACs have been around for several
years, but have been concentrating on
hospital issues.
• States are required to contract with Medicaid
RACs.
• NC is preparing an RFP.
• Can’t review items that have already been
reviewed.
Cost Report Audits and the MDS Reviews
• The audits of the 2009 cost reports have been called
off.
• The MDS reviews continue.
– MDS reviews of snapshot dates not used for setting rates
are purely educational. Rates are not adjusted.
– After the M&S audit was completed, they choose multiple
REHAB RUGs from the CMI report, asked to see the Start of
therapy, END of therapy dates and the log showing they
were treated. These are strictly information gathering
audits that DMA has asked them to do. It is not reflected
on the report she gives to center and she says she has no
idea of what the purpose of the audits are. She has just
been told to gather the data.
Medicaid Cost Report Transition
• The Medicaid cost report as you have known it is no
more.
• NCHCFA and other interested parties are currently
working with DMA.
• Moving forward, nursing homes will
– Use the Medicare cost report, 9/30 year end not required
– File supplemental schedules to account for certain
Medicaid specific items
– More information to come
Ask-the-Contractor Teleconference
Palmetto GBA had to cancel the February 9,
2012, J11 Part A Ask-the-Contractor
Teleconference (ACT). The rescheduled date and
time for this ACT is Wednesday, February 22,
2012, from 2 p.m. to 3 p.m. ET.
Conference Call Information
• Teleconference Number: (866) 449-7848
• Confirmation Code: 52721579
Keeping Up-to-Date
• Providers should be receiving electronic
notices from CMS, Palmetto GBA and
Medicaid electronically.
• Our weekly newsletter, UPDATE, in the next
several issues will list how to sign up for these
important items.
2012 Business Meeting
North Carolina Health Care Facilities Association
Raleigh, NC
President’s Report
J. Craig Souza
2012 Convention & Trade Show
Trade Show SOLD OUT for
30th Consecutive Year
“Thank You TRADE MEMBERS!”
2011 Full Registrations
402
2012 Full Registrations
345
Future Meetings
2012 Mid-Year Meeting
August 14-17, 2012
Marriott Grande Dunes
Myrtle Beach, SC
2013 Convention and Trade Show
February 10-13, 2013
Greensboro, NC
2013 Mid-Year Meeting
August 6-9, 2013
Marriott Grande Dunes
Myrtle Beach, SC
2014 Convention and Trade Show
February 23-26, 2014
Greensboro, NC
Nursing Facilities, Staffing, Residents and Facility
Deficiencies, 2005-2010
•
•
Conducted and published by the Department of Social & Behavioral Sciences at the
University of California San Francisco.
Released in October, 2011
– Offers calendar year data of the following:
• Facility characteristics
• Resident characteristics
• Nurse staffing (RNs, LVNs, and NAs) hours per resident day.
• Data on facility deficiencies based on state surveyor evaluations.
Nursing Facilities, Staffing, Residents and Facility
Deficiencies, 2005-2010
• North Carolina skilled nursing facilities champion quality
improvement and have instituted best practices that are
working to transform the health care system for the frail and
elderly.
• This report reflects that as the level of resident need increases
and nursing home residents become more medically complex.
North Carolina continues to provide the highest level of care
and is scoring better than the national average in almost every
category.
RESIDENT CHARACTERISTICS
•
AVERAGE SUMMARY SCORE FOR RESIDENT ACUITY USING THE MANAGEMENT
MINUTE INDEX
2005
NC 116.70
US 102.20
•
2006
114.90
101.60
2007
114.90
101.30
2008
111.16
99.91
2009
107.46
96.74
2010
104.46
91.62
North Carolina scores decreased from 116.70 in 2005 to 104.46 in 2010 but have
consistently remained above the national average. In 2010, the Average Acuity
Score for an NC resident was 12.84 points above the national average.
FACILITY DEFICIENCIES FROM STATE SURVEYS
FINDINGS - DEFICIENCIES FROM QUALITY OF CARE EVALUATION
2005
PERCENT OF FACILITIES
WITH NO DEFICIENCIES
NC
US
PERCENT OF FACILITIES
RECEIVING A DEFICIENCY
FOR ACTUAL HARM OR
JEOPARDY OF RESIDENTS
NC
US
2006
2007
2008
2009
2010
79 percent increase.
6.34
5.51
6.60
6.03
8.21
6.24
14.66
6.86
14.75
6.63
11.35
6.11
25 percent decline.
25.61
25.97
25.47
27.70
20.77
26.57
17.07
25.68
17.56
24.67
19.15
23.36
FACILITY DEFICIENCIES FROM STATE SURVEYS
Percent of Facilities with Deficiencies
2009
2010
PHYSICAL RESTRAINTS
60 percent decline from 2005.
NC
US
8.67
10.78
2.84
8.79
NC
US
13.82
20.35
13.00
20.23
NC
US
9.60
21.15
11.35
19.69
NC
US
0.47
2.84
0.00
2.89
DIGNITY
29 percent decline from 2005.
HOUSEKEEPING
39 percent decline from 2005
SUFFICIENT NURSING STAFF
PRESSURE SORES
10.21 percent below national average.
NC
US
10.07
21.16
9.22
19.43
ACCIDENT ENVIRONMENT
19.31 percent below national average.
NC
US
24.59
45.43
23.40
42.71
Average Full Time Equivalents/HPPD –Staff (12/2011)
RN
US
FTE
7.43
NC
HPPD FTE
0.41 7.35
LPN
14.94
0.83 15.53
0.85
NA
44.32
2.42 43.13
2.42
Total
66.13
3.66 67.20
3.67
HPPD
0.40
Government Performance Results Act
Restraints %
Year - NC / Region / Nation
2003 – 9.4
9.4
7.7
2011 - 2.5
3.4
2.7
Change
rate in % 73.4
63.8
64.9
GPRA
Pressure Ulcers - %
Year NC / Region / Nation
2003 – 10.1
9.4
8.9
2011 - 8.4
7.8
7.4
Change
Rate%
16.8
17.0
16.9
Five Star Rating
Five Stars:
Four Stars:
Three Stars:
Two Stars:
One Star:
Dec 2011
16.4%
27.3%
20.0%
19.7%
16.6%
Dec 2010
15.8%
25.6%
20.8%
19.4%
18.4%
Dec 2009
10.8%
26.0%
21.2%
18.6%
23.4%
P R E S I D E N T ‘S 2013 BUDGET
Skilled Nursing Provisions
“Reduce Medicare Coverage of Bad Debts”…would reduce bad debt payment to 25% for all eligible providers
beginning in 2013. Savings: $36 billion over 10 years.
“Phase Down the Medicaid Provider Tax Threshold Beginning in 2015”…proposes to limit taxes on health care
providers to help finance the State share of Medicaid program costs by phasing down provider tax threshold
from 6% to 3.5% beginning in 2014. Savings: $21.8 billion over 10 years.
“Apply a Single Blended Matching Rate to Medicaid and CHIP Starting in 2017” …Proposes to replace current
FMAP formula with a single matching rate specific to each State that automatically increases if a recession
forces enrollment and State costs to rise beginning in 2017. This would result in the State’s share of Medicaid
to increase and the federal share to decrease. Savings: $17.9 billion.
P R E S I D E N T ‘S 2013 BUDGET
Skilled Nursing Provisions
“Encourage Efficient Post-Acute Care” ….gradually realign payments with costs through adjustments to
payment rate updates in 2013 through 2022. Savings: $10.16 billion savings by 2017, $56.67 billion over 10
years.
“Adjusting SNF Payments to Reduce Unnecessary Hospital Readmissions”…..reduces SNF payments by up to 3%
beginning in 2016 for facilities with high rates hospital readmissions. Savings: $1.95 billion by 2022; $460
million by 2017.
“Strengthen the Independent Payment Advisory Board (IPAB) to Reduce Long-Term Drivers of Medicare Cost
Growth”
HOUSE AND SENATE REACH AGREEMENT ON PAYROLL TAX CUT & SGR
Skilled Nursing Provisions
1. Section 3005 –Outpatient Therapy Caps - (summary)
Extends the therapy cap exceptions process through December, 31, 2012.
Adds requirements for physician review of the therapy care plan.
Spending caps ($1,880 in 2012) would be extended to hospital outpatient
departments.
HHS is to collect data to assist in reforming payments for therapy services.
MedPAC to recommend improvements to outpatient benefit to reflect the individual needs of
patients.
2. Section 3201 –Reducing Bad Debt Payments – (summary)
Phase down bad debt reimbursements from 100% for dual eligibles to 65% beginning in 2013.
Reduction of 12% in 2013, 12% in 2014 and 11% in 2015.
NC General Assembly
Medicaid Day Weighted CMI
1.0800
1.0600
Medicaid Case-Mix Index
1.0400
1.0200
1.0000
0.9800
Not used for rates
0.9600
June 2003 CMI .94
September 2011 CMI 1.07
0.9400
0.9200
Jun-03
Jun-04
Jun-05
Jun-06
Jun-07
Jun-08
6/30/03 through 9/30/11
Jun-09
Jun-10
Jun-11
Jun-12
MDS Reviews
% of Facilities Over Adjustment Threshold
(facilities subject to rate adjustment)
90%
% of Reviews Over the Unsupported Threshold
80%
77%
2004-5 was the first year of the review process. These reviews
were educational in nature and no rates were adjusted.
70%
60%
50%
40%
29%
30%
18%
20%
14%
13%
11%
10%
2009-10, 25%
2010-11, 25%
10%
0%
2004-5, 40%
2005-6, 40%
2006-7, 35%
2007-8, 25%
2008-9, 25%
Review Period and Corresponding Re-RUG Threshold
Average Occupancy
95%
90%
85%
80%
75%
70%
65%
60%
55%
50%
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
US
87.50%
86.60%
86.70%
86.50%
70.90%
85.10%
85.30%
84.90%
83.40%
83.40%
83.40%
NC
91.70%
90.10%
90.50%
89.20%
89.50%
89.20%
88.80%
88.70%
88.00%
87.10%
86.70%
Average Medicaid Rate Graph
$170
Rebasing
1/1/08 and 10/1/08
$160
147.84
$150
$140
137.88
135.28
139.06
$130
FRV Implemented
1/1/2007
$120
$110
$100
2.3% increase
1/1/11
156.51
159.88
156.90
149.22
3.51% reduction
7/1/11
158.85
155.11
$550
Average NC Medicare Rate
$500
483.85
469.22
$450
417.87
$400
$350
$300
424.82
Medicare Average LOS
50
NC Continues to have a higher
Medicare length of stay than the US.
45
Days
40
35
30
25
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
US
38.11
37.2
38.06
38.16
38.09
37.69
37.87
37.86
37.1
37.23
36.89
NC
44.32
44.26
44.15
45.77
44.87
43.36
42.41
41.06
38.01
40.66
39.79
Medicare Utilization
16%
NC Continues to have a higher
Medicare utilization than the US.
14%
Medicare Percentage
12%
10%
8%
6%
4%
2%
0%
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
US
8.30%
9.10%
10.20%
11.10%
11.90%
12.60%
13.00%
13.10%
13.50%
13.60%
13.70%
NC
9.90%
10.80%
11.90%
13.00%
13.40%
14.20%
14.10%
14.30%
14.40%
14.50%
14.90%
New Faces in State Government
After November Election**
•
•
•
•
New Governor
New Lieutenant Governor
New Secretary of DHHS
3 New U.S. House Members
– Reps. Myrick, Miller and Shuler not running
• 8 New N.C. Senate Members
• 28 New N.C. House Members
**As of February 16, 2012
General Assembly Outlook, 2012-2013
Issues on the Horizon
• Medicaid Budget
• Managed Care
• Certificate of Need Changes (Appeals,
Composition of SHCC, Thresholds)
• Mental Health Care
• Health Benefits Exchange
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31. NC HEALTH CARE FACILITIES PAC (NCHCFA)
$530,400
$355,000
$344,500
$339,200
$302,000
$294,550
$294,500
$277,250
$272,500
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$98,500
Who Is
FutureCare?
A statewide
non-profit leader in
focusing on
technology,
innovation and best
practices in longterm care.
FutureCare of North
Carolina is a
subsidiary nonprofit of the North
Carolina Health
Care Facilities
Association.
FutureCare of North Carolina Board of Directors
Chris Bryson
UHS- Pruitt Corporation
Ken Burgess, Chair
Poyner Spruill
Gerald P. Cox
Autumn Corporation
Dr. Gordon DeFriese
Former President
and CEO of FutureCare
Cheryl Geddie
Haymount Rehabilitation
and Nursing Center
Dr. Laura Gerald
NC State Health Director
Ted Goins
Lutheran Services for the Aging
Polly Johnson
North Carolina
Foundation for Nursing Excellence
Deborah Lekan
Duke School of Nursing
Dr. Darlyne Menscer
Carolinas Healthcare System
Diane Packard
Rehab and Health Care Village Green
William A. Pully
NC Hospital Association
Robert Seligson
NC Medical Society
Randy Uzzell
Britthaven
J. Bradley Wilson
BCBSNC
Jeff Wilson
Long Term Care Management Services
J. Craig Souza, Vice Chair
NCHCFA
Samuel Clark, Secretary-Treasurer
NCHCFA
Polly Godwin Welsh
NCHCFA
Cameron Graham
Executive Director
Mandy Richards
Program Director
FutureCare Staff
Contact Information
Cameron Graham
FutureCare of North Carolina
Mailing Address
5109 Bur Oak Circle
Raleigh, North Carolina 27612
919.782.3827
E-mail
[email protected]
Our mission is to improve the
quality of long-term care for all
North Carolinians for the elderly
and disabled, with a special focus
on skilled nursing care.
Mission
Future Care of North Carolina
seeks to achieve its goals by
bringing together leaders from
across the state from within the
long-term care field: researchers,
health care foundations,
policymakers, quality
improvement organizations, and
corporations.
In order to achieve this
mission, we need your
INPUT and SUPPORT!
• Develop nursing staff to expert
level in order to reduce
unnecessary emergency room
and hospital admissions
Goals
• Prepare potential residents and
family members to access
quality and innovative care
• Increase access to technology
and innovative solutions in
long-term care
• Educate the citizens of North
Carolina (and lead the nation)
on best practices in long-term
care
Current Programs
1. Medication Error
Management Training
for Skilled Nursing Staff
Using a High-Fidelity
Mannequin Simulator
2. Mouth Care Training
for Skilled Nursing Staff
AHCA’s Public Education &
Communication Campaign
NORTH CAROLINA HEALTH CARE
FACILITIES ASSOCIATION
2012 Business Meeting
North Carolina Health Care Facilities Association
Raleigh, NC
Chair’s Report
Diane Packard

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