Imagine the end to floor wars, cross-shift conflicts and the “churn and burn” nature of healthcare!  Are you ready to do everything necessary to keep folks from rushing to the exits? Are you ready to make this the "Year of Retention?" Today, let’s declare a moratorium on uncooperative, unengaged, and uncommunicative behaviors.  Haphazard nonspecific retention and engagement strategies guarantee increased abysmal morale, high accident rates, and pervasive overtime costs. The sheer impact of replacement costs alone threaten organizational survival. GREAT NEWS AHEAD! Retention 911: Reviving, Inspiring, Engaging, Retaining! dives deep into the hearts and minds of your colleagues to reveal what inspires and motivates human beings to embrace change, own problems, and take personal accountability for their part in creating a magnetic community. Our buildings deserve the peace that comes from a workplace culture defined by passion, purpose, cooperation and unprecedented levels of morale and engagement. You will walk away with countless strategies created to kick the “workforce crisis” right in the tail!

Nurse Learner Outcome: At the conclusion of this session, participants will self-report a knowledge gain of the sources and manifestations of "compassion fatigue" and outcome based strategies to overcome it on the post session evaluation.

Learner Objectives:

1. Examine the motivations and aspirations of their colleagues, especially during periods of unrelenting change.
2. Identify the sources and manifestations of “compassion fatigue” in order to reduce workplace negativity with outcome-based strategies.
3. Develop a 30-Day Plan-of-Action focused on higher morale, psychological safety, and increased sense of belonging within their departments/organizations.

Phil Scalo, Chair of the AHCA Board of Directors, will give an update on the state of the sector today and where it is headed, the biggest challenges the sector faces at the federal level, and what to expect for 2024 and beyond.

Nurse Learner Outcome: At the conclusion of this session, participants will self-report a knowledge gain of the impact of Washington politics, including President Biden's proposals, on their, staff, residents, operations, and finances.

Learner Objectives:

1. Describe the legislative initiatives impacting long-term care.
2. Discuss how the implementation of the administration's proposals, particularly the mandatory staffing agencies, can impact operations.
3. Discuss how the November 2024 elections may impact the implementation of policies pertaining to long-term care.

This program will provide Michigan skilled nursing facilities an overview of the changes in rate setting, initial and final settlements, and related limits as allowed by the State Plan Amendment 0013 and audit requirements. The rate setting methodology was changed for state fiscal years 2022 and 2023 to recognize the financial toll on providers through the pandemic. The rates will be based on the actual provider costs from their Medicaid cost reports for fiscal year 2022 and 2023. This rate methodology change flows through to the settlement for these years and directly impacts the amount of QAS paid based on these rates. The program will also present the latest information regarding the development of a new reimbursement system for skilled nursing services. MDHHS and HCAM along with other stakeholders have been meeting frequently to design this system. The program will also provide an overview of the MI Health Link transition to a HIDE SNP. Types of D-SNP's will be discussed, along with information regarding how the HIDE SNP transition will effect providers going forward.

Nurse Learner Outcome: At the conclusion of this educational activity, participants will self-report on the post session evaluation a knowledge gain of potential changes to Medicaid reimbursement for FY 2025 on the post event evaluation.

Learner Objectives:

1. Describe the changes in Medicaid rate setting, settlement, audit and related variable cost and plant limits for SFY 22-24, along with upcoming SFY 25 changes.
2. Discuss the proposal to revise the current reimbursement methodology potentially effective October 1, 2024.
3. Discuss the MI Health Link program transition to a HIDE SNP and how this will effect providers in Michigan.

This session will provide a national update on the assisted living trends and most recent workforce data including NCAL’s priorities, key initiatives, and resources to advance our profession.

Nurse Learner Outcome: At the conclusion of the session, participants will self-report a knowledge gain of federal activity that is impacting assisted living regulations on the national level and how it influences state regulations on the post event evaluation.

Learner Objectives:

1.     Understand what activities federal policymakers are undertaking that impact assisted living.
2.     Learn national workforce, regulatory, and legislative trends, and developments.
3.     Learn current efforts and resources to help assisted living professionals succeed now and in the future.

This interactive lecture provides knowledge, essential tools, best practices and key steps to implement immediately for managed care success. Knowledge of the nuts and bolts of preparing for and working with managed care daily will be given through this deep dive along with system development encompassing contracting, case management and billing. Attendees will leave with tips, tricks and techniques to navigate the many nuances of managed care and how that equates to operational and financial success.

Nurse Learner Outcome: At the conclusion of this session, participants will self-report a knowledge gain of the how to manage Managed Care contracts and maximize the reimbursements available on the post session evaluation.

Learner Objectives:

1.     Describe what aspects of managed care contracts are not being maximized for full reimbursements.
2.     Identify where we stand on a managed care proficiency scale defined by best practices.
3.     Analyze what we are being paid for and if the levels listed are appropriate for our services.
4.     Develop a managed care strategy and game plan to ensure we are not leaking managed care revenue.

This session will provide an overview of emergency and disaster planning in assisted living including the challenges, common risks and hazards, and how you can assess what you need to plan for.

Nurse Learner Outcome:At the conclusion of this session, participants will gain knowledge on ways to prepare for emergencies and mitigate risk.

Learner Objectives:

1.     Understand emergency and disaster planning challenges that assisted living provider face.
2.     Learn to identify common risks and hazards that may occur.
3.     Learn how to be prepared for emergencies to minimize injury and loss.

The regulatory environment for long-term care providers has shifted significantly over the last decade to include what feels like greater scrutiny. The purpose of this presentation is to share with providers what is causing some of these shifts from a historical perspective, discuss how these changes are affecting the current environment, and anticipate what we may see in the future. In addition, we will discuss the shared passion AHCA has with providers to drive improvements in the survey and enforcement environment through advocacy efforts. Our hope is this session will ignite a fire in providers to join forces at the local or national level to drive change.

Nurse Learner Outcome: At the conclusion of this presentation, participants will be able to self-report a knowledge gain in the understanding of the impact CMS’s history and regulatory changes as well as state specific changes have on providers today.

Learner Objectives:

1. Explore CMS’ history and regulatory changes as well as state specific changes and how they impact providers today.
2. Provide insight into what we can expect from CMS and the state related to survey and enforcement currently and going forward.
3. Describe for providers the connections between OIG reports, the NASEM report, the Presidential plan, and CMS activity to show potential future changes.
4. Explain what AHCA is doing in advocacy to CMS and federal lawmakers related to improving the survey and enforcement environment.

The Office of the Attorney General continues to focus its attention on senior living providers in Michigan. Using real life examples, we will present assisted living providers with the tools to identify areas where they may have exposure to litigation or regulatory risk. What policies and procedures should you be implementing to limit your exposure? What steps should you take to respond after an adverse event that may lead to litigation? This presentation also will examine potential changes to the adult foster care regulations that would have a significant impact on the day-to-day operations of these facilities.

Nurse Learner Outcome: At the conclusion of this session, participants will self-report a knowledge gain of potential regulatory and litigation risks and how to mitigate these risks through internal policies, procedures, and practices on the post event evaluation.

Learner Objectives:

1.     Identify internal policies, procedures, and/or practices that may be deficient in mitigating regulatory and litigation risks.
2.     Implement new policies/procedures/practices to mitigate regulatory and litigation risks.
3.     Discuss common deficiencies that open-up assisted living facilities to regulatory penalties and litigation