This presentation will describe the ways that implicit bias among health care providers contributes to health disparities and impacts health outcomes. It will offer strategies participants may use to uncover and overcome their own implicit biases, recognize it in their institution's providers and policies/practices, and provide tools to mitigate the bias, leading to improved patient care outcomes.

Nurse Learner Outcome: At the end of this presentation participants will self report on the post session evaluation a knowledge gain of how to recognize implicit bias, and how to mitigate the effect bias may have on their delivery of clinical care.

Learner Objectives:

1. Differentiate between stereotypes, prejudice, implicit bias, and racism
2. Name three examples of health disparities
3. Describe how implicit bias affects health outcomes
4. List two strategies for managing implicit bias

This session provide an overview of current industry trends from a finance and reimbursement perspective and will discuss the changes in current and future Michigan Medicaid reimbursement environment and provide insight on the potential change to the current Medicaid cost based reimbursement system, and the impact that it may have on SNF operators. It will also cover the FY 2023 update to Medicare reimbursement, the Patient-Driven Payment Model, and the Value-Based Purchasing Program (VBP). Further, it will discuss the impact of the growth in managed care utilization and market penetration and review State and regional managed care utilization and market penetration data.

Nurse Learner Outcome: At the conclusion of this session, participants will self-report on the post session evaluation, a knowledge gain of the current Medicaid reimbursement environment in Michigan as well as potential changes to a new acuity-based system and how each may impact operations and care in LTC.

Learner Objectives:

1. Describe how Medicaid reimbursement will be handled for the period from 10/1/2021-9/30/2022 and 10/1/2022-9/30/2023?
2. Examine how Medicaid rates will be set for periods beginning 10/1/2023 and after?   
3. Discuss how providers operating in Michigan might be impacted if the State were to move away from the current cost-based reimbursement system to an acuity-based or hybrid system, and fair rental value for capital.
4. Discuss how Medicare Advantage and other Medicare replacement plans impact your bottom line.   

In this interactive, fast-paced session, we will discuss the often overlook research on growing occupancy and revenue. Once we have defined the issue surrounding historically low occupancy and revenue, we will use 8 research-based Standards which when executed, will ensure your occupancy and revenue success!

Nurse Learner Outcome: At the conclusion of this educational activity, participants will self-report on the post session evaluation a knowledge increase of challenges in recruiting and retaining nursing staff in a rural area.

Learner Objectives:

1. Discuss research which proves that our historic approach to selling senior living is largely ineffective.
2. Define 8 sales standards which will ensure success in growing occupancy and revenue.
3. Practice this behavior-based selling approach.

As the PHE winds down and COVID becomes a way of life, do you fear annual survey? Many LTC providers had not fully integrated changes required by Phase 3 of ROPS when COVID hammered us. LTC has seen huge turnover. This session should ease your mind and provide you with information and tools to be ready for Phase 3 survey. Learn what policies need to be in place. Discover what is expected under the new trauma-informed care. And discuss person-centered care - doing things the way the resident wants - enhanced dignity and leads to happy residents with positive outcomes.

Nurse Learner Outcome: Participants will self-report a knowledge gain in the federal requirements of participation in the areas of Trauma-Informed Care and Person-Centered Care approaches on the post session evaluation.

Learner Objectives:

1. Describe Phase 3 ROPs.
2. Define trauma and what trauma informed care involves.
3. Discuss how person-centered care results in compliance with the regulatory requirements.

Toni Fisk discusses dementia and how it affects the dining experience. Characteristics of dementia are demonstrated and the direct correlation of how it relates to the socialization and the action of eating will be shared. Our overall mission is to provide socialization, increased food consumption, improved hydration, and dignified dining. We must always focus on persons with dementia completing daily activities and tasks for themselves, for as long as they can. We will segue into the service standards and environmental aspects of the physical dining space. Best practice recommendations for the standard dining model and what considerations/actions should be undertaken to improve the dining experience for persons living with dementia. This is a SPECIAL SESSION! Audience members will be given the opportunity to volunteer to participate in and bear witness to what it “feels” like to engage in a simulated dining experience. Volunteers will be garbed in unique props to simulate vision, hearing, hand coordination and physical discomfort challenges as they go through the motions of managing a meal. We will have a question-and-answer segment to reveal what their experience was!

Nurse Learner Outcome: At the conclusion of this education session, participants will self report a knowledge gain of how the the reduced visual capabilities of a person with dementia affects the general quality of life and specifically, the ability to consume food and beverage in a social setting.

Learner Objectives:

1. Identify Dementia 101 basics for all resident-facing staff: elevating your performance when assisting and working with Residents living with brain change.
2. Differentiating and elevating your resident engagement by improving your current social dining model.
3. Easy to implement approaches for increased food consumption, improved hydration, and dining with dignity techniques.
4. You are an active learner… you walk in the shoes of someone with dementia through the simulated dining experience.

The assessment and management of acute and chronic pain is important in maximizing patient outcomes. However, opioid drug abuse is a significant issue in health care today. This session will help the participant balance the management of pain with the prevention of opioid misuse.

Nurse Learner Outcome: At the conclusion of this session, participants will self-report an increase in their knowledge of the appropriate assessment and treatment of acute and chronic pain.

Learner Objectives:

1. Understand the neurobiology of pain.
2. Describe the factors influencing pain.
3. List 3 pain management strategies.

During this interactive session, join moderator Pam McKenna in discussing and sharing road blocks and best practices based on today's earlier presentations. We will cover workforce challenges, the CNA registry, and reimbursement challenges. Participants will dive into "real life" scenarios, road blocks, facility best practices and identify opportunities for improvement and solutions that will promote optimal care of residents and facility operations.

Nurse Learner Outcomes:

1. At the conclusion of this educational activity, participants will self-report on the post session evaluation a knowledge increase of challenges in recruiting and retaining nursing staff in a rural area.
2. At the conclusion of this educational activity, participants will self-report on the post session evaluation,a knowledge increase on general reimbursement challenges including adapting to the discontinuance of Public Health Emergency guidance, resources and strategies to increase reimbursement.

Learner Objectives:

1. Identify challenges in the current long term care workforce environment.
2. Discuss the transition to the new CNA registry, challenges, best practices and collaboration opportunities for CNA testing.
3. Identify challenges in reimbursement and changes with reimbursement post public health emergency.

We'll explore the vast changes and the evolution process which brought the Assisted Living Industry to where we are today in 2023. We'll explore the challenges we face of having to do more with less which makes reducing employee turnover more important than ever before in the history of assisted living and health care as a whole. We will explore and learn together some key employee development strategies and retention strategies which have been used and is proven effective. Lastly, we will focus on creating a caring culture for our employee team members and tools to accomplish this all-important strategy.

Nurse Learner Outcome: At the conclusion of this session, participants will self report on the post session evaluation a knowledge increase of new strategies, principles and techniques to reduce costly employee turnover.

Learner Objectives:

1. List 4 key strategies to reduce turnover.
2. Be able to creatively list at least 2 new employee development strategies.
3. Methods to analyze key turnover positions in their facilities and develop an understanding of the "why" behind the turnover.