February 16-19, 2021 A Virtual Experience - Washington ...

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February 16-19, 2021 A Virtual Experience - Washington ...
February 16-19, 2021
A Virtual Experience
February 16-19, 2021 A Virtual Experience - Washington ...
We welcome you to the 2021 WHCA Winter                    CONTINUING EDUCATION UNITS
Conference, Together We Will. Join us from                Skilled Nursing (SNF) provider attendees of the
anywhere February 16-19, 2021, for extraordinary          WHCA Winter Conference Together We Will
education topics during this virtual conference           can earn up to 28 continuing education units
experience.                                               (CEUs) over the course of the entire series, and
                                                          Assisted Living (AL) provider attendees can
REGISTRATION INFORMATION                                  earn up to 20 CEUs. The CEU code will be sent
There are two registration options for providers:         to the email entered in the online registration
Individual Registration                                   form. It is the responsibility of the virtual series
     $149 per person                                     attendee to keep track of which classes they
This registration option allows an individual to          attend.
register.                                                 This series is approved for CEUs for assisted living
Per-Facility Registration                                 and skilled nursing professionals who participate in
      $499 per facility                                  the live sessions or who complete the recorded
                                                          webinars through April 19, 2021. Each session with
This registration option allows a facility to have as
                                                          an asterisk (*) next to it is DSHS approved for AL
many individuals from the same facility (or from          CEUs. All sessions are approved for SNF CEUs.
the same corporate office) for one low price. Once
registered as a facility or corporate entity, the
initial registrant will receive a priority code so they   SCHEDULE OF EVENTS
can register individuals at later dates if more
                                                          Tuesday, February 16, 2021
individuals wish to participate. Please note, only
                                                          1:00 PM         Legislative Update
individuals who are registered from a facility will
receive CEUs.                                             2:00 PM         KEYNOTE*

CANCELLATION POLICY                                       3:30 PM         General Session*
All cancellations received in writing on or before        Wednesday, February 17, 2021
Monday, February 9, 2021, are subject to a $25 per        9:00 AM         Assisted Living Session*
person cancellation fee. There will be no refund for                      Skilled Nursing Session
cancellations after February 9, 2021.
                                                          1:00 PM         General Sessions*
                                                          3:00 PM         Assisted Living Session*
                                                                          Skilled Nursing Session
                                                          Thursday, February 18, 2021
                                                          9:00 AM         Assisted Living Session*
                                                                          Skilled Nursing Session
                                                          1:00 PM         General Sessions*
                                                          3:00 PM         Assisted Living Session*
                                                                          Skilled Nursing Session
                                                          Friday, February 19, 2021
                                                          9:00 AM         Assisted Living Session*
                                                                          Skilled Nursing Session
                                                          1:00 PM         General Sessions*
                                                          3:00 PM         Assisted Living Session*

         Register Here!
                                                                          Skilled Nursing Session
February 16-19, 2021 A Virtual Experience - Washington ...
Charter Construction                                  Mercury Pharmacy Services, Inc.
          Consonus Healthcare                                   Performance Systems Integration
          Consulting Resources                                             Corporation
        Cunningham Elite Staffing                                   Select Rehabilitation, Inc.
     Harmony Healthcare International                                 Sound Telemedicine
                Medline                                                The Partners Group
                                                                         Vikor Scientific
              WHCA would like to thank the following organizations for supporting the WHCA Virtual
                               Winter Conference by sponsoring the event itself!

WHCA would like to thank the following organizations
for supporting the WHCA Virtual Winter Conference by
   sponsoring an educational session and providing               Conference App
                   quality content.

                                                                    2021 WHCA Virtual Winter Cnference

                                                             The WHCA Winter Conference App is you one-stop
                                                             lcoation for all conference details. Schedule of
                                                             events, attendess, business partners, virutal
                                                             meetings, and more! Be sure to type
                                                             winter2021.whca.org in your search bar to access
                                                             this wonderful tool!
                                                             Special thank you to ARRIS Healthcare, our Winter
                                                             Conference App Sponsor!
Educational Sessions
The WHCA Together We Will Virtual Winter                    Wednesday, February 17, 2021
Conference educational sessions are designated
into three tracks and are marked so you know the            9:00 – 10:30 AM
intended audience for each.                                  Regulatory Trends and Updates in Assisted Living
                                                            Vicki McNealley, WHCA Director of Assisted Living
 Skilled Nursing                                           During this session, Vicki McNealley, WHCA’s Director of
 Assisted Living                                           Assisted Living, will share insight on current regulatory
 General Audience                                          requirements and the regulatory trends in assisted
                                                            living as the COVID-19 pandemic continues. Participants
Tuesday, February 16, 2021                                  will learn about regulations regarding reopening,
                                                            current and projected inspection (survey) activity, the
1:00 PM – 2:00 PM
                                                            vaccine rollout, repealed regulations, and the new
 WHCA 2021 Legislative Update                              regulations and requirements in place as assisted living
Robin Dale, CEO | Lauri St. Ours, Executive VP for          providers respond to the COVID-19 global pandemic
Governmental Relations | Paul Raines, Associate             and public health emergency. Participants will have the
Director for Governmental Relations | Jeff Gombosky,        opportunity to ask questions to get clarification on the
Lobbyist                                                    current requirements.
The next three months of Washington’s legislative
session are critical to both assisted living and skilled
                                                             Regulatory Trends and Updates in Skilled Nursing
nursing providers. During this opening session of the       Elena Madrid, WHCA Executive Vice President for
WHCA Winter Conference, WHCA’s legislative and              Regulatory Affairs
governmental affairs team will provide insight on the       During this session, Elena Madrid, WHCA’s Executive
priorities of the upcoming session, the ways in which       Vice President for Regulatory Affairs, will share insight
providers can engage in advocacy and outreach to            on current regulatory requirements and the regulatory
legislators, and the work WHCA is doing on behalf of        trends in skilled nursing as the COVID-19 pandemic
providers to attain optimal public policy and funding for   continues. Participants will learn about current CMS
assisted living and skilled nursing providers.              requirements, regulations regarding reopening, current
2:00 PM – 3:00 PM                                           and anticipated survey activity, the vaccine rollout,
 The Companionship Culture: Resident/Caregiver             repealed regulations, and the new regulations and
Engagement through Life Stories                             requirements in place as skilled nursing providers
Jerald Cosey                                                respond to the COVID-19 global pandemic and public
With demanding responsibilities in the areas of             health emergency. Participants will have the
operations, staff development, and regulatory               opportunity to ask questions to get clarification on the
compliance, today’s operational and clinical leaders        current requirements.
navigate “white flag” moments daily. Those moments
that makes us want to give up. The COVID-19 pandemic        1:00 – 2:30 PM
has taken its tolls on healthcare providers as well as       FINDING New “Together We Can” Team Members
residents as the impacts of isolation and ongoing           Lou Ann Brubaker
scrutiny by governmental agencies and the general           Over the past several months, long term care providers
public continue. During this opening keynote session,       have battled the COVID-19 pandemic in addition to
Jerald Cosey, a long term care administrator, will share    staffing challenges they already faced. As the pandemic
powerful stories to demonstrate the relevance of the        goes on, providers face even more complications
work being done each day and how your own stories           regarding staffing. During this session, participants will
can help mitigate the risks associated with long term       learn how to address the barriers that prevent people
isolation and physical separation. This motivational        from applying for a job including making it more difficult
message will inspire all long term care professionals,      than it should be, focusing on the wrong items in the
honor the work they are doing, and help uncover             outreach message, ignoring low-hanging fruit, and
strategies to improve engagement through intentional        making sure to make a good impression from the get-
relationships between residents and staff. Join us as we    go. As well, the presenter will share insight on how to
help reignite your calling to serve humankind as a senior   create a desire for individuals to join your team even
care professional.                                          before they arrive for an interview by demonstrating
how to create a compelling argument for your facility,         cleaning program, and will help you get to know the
how to address COVID-19, and describing how your               biggest bacteria offenders so you can ensure your
facility functions during times of crises. Finally,            kitchen and dining facilities are free of bacteria and
participants will learn what questions to ask to learn if a    danger to staff and residents.
potential candidate will be a great addition to their
team.                                                           Plop, Plop, Fizz, Fizz, Oh, What a Provider Relief It Is
                                                               Bill Ulrich, President & CEO of Consolidated Billing
 Helping Residents and Families Look Ahead:                   Services, Inc.
Advance Care Planning and POLST                                The Department of Health and Human Services (HHS)
Sharmon Figenshaw | Tamara Steffen                             worked quickly at the beginning of the COVID-19
People enter long term care realizing that it will likely be   pandemic to issue funding to healthcare providers
their “last home”. This realization is often accompanied       across the nation. Part of the funding package was
by a fear for the loss of autonomy, dignity, and self-         allocated to skilled nursing centers to help them
representation. The somewhat daunting transition to            respond to COVID-19 and continuing providing quality
one’s “last home” would ideally include offering a             care for their residents. Nursing homes received
facilitated advance care planning conversation that            multiple distributions beginning on April 10, 2020, and
would provide an opportunity to plan and articulate            continuing into 2021. During this session, Bill Ulrich,
one’s future health care goals and wishes along with           President and CEO of Consolidated Billing Services, Inc.,
thoughtful identification and communication with one’s         will provide insight on the Provider Relief Funds skilled
health care agent. During this session, participants will      nursing centers have received, the expectation around
learn skills to open up these conversations empowering         accounting and recordkeeping for the funds, and what
individuals to consider the essential components for           to expect as we move forward with regard to funds
their quality of life, to make important choices about         received via the Provider Relief Fund distributions.
how medical decisions will be made, and to name who            Learn how Provider Relief Funds may impact cost
they choose to speak on their behalf if they are, or           reporting, accounting, allocation, and other
become, unable to speak for themselves. As well, the           government-provided funding mechanisms like the
presenter will review available documents including the        Paycheck Protection Program (PPP). Sponsored by
new/revised Washington advance care planning                   Consolidated Billing Service, Inc., a WHCA Associate
documents from the Honoring Choices Pacific                    Business Partner.
Northwest Advance Directive. Participants will also see
the new (proposed at this time) version of the POLST
and review some basic tips for discussing POLST with
                                                               Thursday, February 18, 2021
residents and families. Participants will be given the         9 – 10:30 AM
opportunity to identify and address key challenges in           Wellness During the Pandemic and Beyond
creating system change as well as approaching                  Elizabeth Allen, Tacoma Pierce County Health
individuals with difficult and critical conversations.         Department Behavioral Health Policy Coordinator
Dialogue will be encouraged to collaborate and create          COVID-19 has upended our daily routines, our future
solutions for common problems, as well as the                  plans, and our lifestyles. As long term care providers,
opportunity to access statewide resources and teams to         there are daily challenges both at work and at home.
support their work. Sponsored by Honoring Choices              During this time, it is of utmost importance that
Pacific NW.                                                    caregivers at every level need to be mindful of self-care
                                                               so they can continue caring for the residents they serve.
3:00 – 4:30 PM                                                 During this session, participants will learn some ways to
 To Clean or Not to Clean – That is NOT the Question          manage stress, sleep, physical activity, eating well, and
Reynold Landry                                                 more to take care of you right now. One of the most
Join us for an enlightening presentation on what can be        outstanding things long term care professionals are
lurking in your kitchen if staff is not effectively cleaning   doing right now is showing up. This session is critical to
and sanitizing work and prep areas. Participants will          all long term care professionals as it supports wellness
learn to identify key hotspots where bacteria can fester       through self-care enabling you to continue showing up
as well as tips and principles to effectively create a         to care for the residents you serve.
culture of cleaning and sanitizing that will take the
worry out of the daily routine. The presenter will share
examples of improper cleaning and sanitation, why it is
better to create a culture of cleaning rather than a
 Best Practices in COVID-19 Response in Skilled              3:00 – 4:30 PM
Nursing                                                        Infection Control, Infection Prevention – Is Your
Nancy Butner | Linda Emmett | Lisa Stubenrauch |              Foundation on a Solid Rock or Floating Down River?
Elena Madrid, Moderator                                       Laurie Johnsen, RN, CRNI, FCN; Jesse Kinsey, BS, RN,
Since the onset of the COVID-19 pandemic in                   Nurse Consultant
Washington making us Ground Zero for the virus here in        In this session, the presenters will review general
the United States, long term care providers have rallied      Infection Control elements, what Infection Prevention
to the challenging nature of this public health               looks like today, common errors of infection control and
emergency. During this session, we have invited three         prevention measures along with resources available to
providers to give insight on the best practices and           correct those errors and educate moving forward.
response methodologies they have seen, utilized, and          Sponsored by PropacPayless/PharMerica
developed throughout the many months of battling the
virus. As time passes, we learn more, discover more,           COVID-19 and Infection Control
and better understand how to adequately respond and           Kris Mastrangelo, President & CEO, Harmony Healthcare
manage this public health emergency. Learn from your          International
colleagues and discover the ways others are                   This session will address current information on
overcoming the challenges of COVID-19 to keep                 infection prevention and control programs (IPCP)
residents, staff, and the greater community safe.             leveraging best practices from those who have faced
                                                              the challenge of infection control with the COVID-19
1:00 – 2:30 PM                                                pandemic. It provides the knowledge you need to have
 Together We Can Face Workforce Challenges                   for an active functioning IPCP and to create policies and
Lauri St. Ours, WHCA Executive Vice President for             procedures that meet regulatory requirements.
Governmental Relations | Paula Meyer, MSN, RN, FRE,           Attendees will review infection prevention and control
Executive Director, Nursing Care Quality Assurance            principles and gain information and tools to assist in
Commission | Vicki McNealley, WHCA Director of                avoiding citations from a Focus Infection Control
Assisted Living                                               Survey. Sponsored by Harmony Healthcare
The pandemic has exacerbated staffing challenges for          International, a WHCA Associate Business Partner.
long term care providers who have struggled with
getting workers trained, licensed and/or certified in the
state of Washington. This session will update providers
                                                              Friday, February 19, 2021
about workforce policy issues of greatest interest to         9:00 – 10:30 AM
providers, including legislative initiatives related to LTC    Best Practices in COVID-19 Response in Assisted
staffing, long term care staffing waivers, nurse licensing    Living
challenges and barriers, and programs and initiatives         Dr. Albert Munanga, Era Living | Wendy Gardner,
designed to support the LTC workforce.                        Merrill Gardens | Vicki McNealley, Moderator
                                                              Since the onset of the COVID-19 pandemic in
 KEEPING “Together We Can” Team Members                      Washington making us Ground Zero for the virus here in
Lou Ann Brubaker                                              the United States, long term care providers have rallied
As providers work to ensure the safety of their residents     to the challenging nature of this public health
and staff, it is of utmost importance to have good team       emergency. During this session, we have invited
members committed to your organization. During this           providers to give insight on the best practices and
session, participants will learn how to keep outstanding      response methodologies they have seen, utilized, and
team members. The work to keep individuals begins as          developed throughout the many months of battling the
you prepare them for their first day and engage in the        virus. As time passes, we learn more, discover more,
onboarding process. Learn the importance of keeping           and better understand how to adequately respond and
things interesting and how to make new hire success a         manage this public health emergency. Learn from your
team activity. Participants will also learn why exit          colleagues and discover the ways others are
interviews are done at the wrong time and the two             overcoming the challenges of COVID-19 to keep
activities every human resources director or team             residents, staff, and the greater community safe.
should make sure happens each year. Finally, the
presenter will share the major drivers of why individuals
decide to leave and reveal the things that help you earn
staff trust.
 Common Dermatology Problems in the Aging                    patients that might benefit from decreased risk for
Resident                                                      hospitalization due to COVID-19, candidates for
Ryan Dirks, CEO, United Wound Healing                         administration, and benefits vs. risks. Finally, this
There is more that can go wrong with your resident’s          session will help identify COVID-19 impact on
skin than a wound or ulcer. Thirty percent of long term       medication optimization. Your pharmacy partners are
care residents have dermatological conditions that            here to help guide through this stage of the pandemic
cause discomfort and can be successfully treated by a         and lead us all on the road to recovery. Sponsored by
specialist. In this session, you will learn how to identify   Consonus Healthcare, WHCA Affinity Partner.
common skin conditions that often go untreated in the
aging population. These conditions include rashes,            3:00 – 4:30 PM
MASD, allergic reactions, and benign as well as                It’s About Time to Gain Control of Your Time
malignant skin lesions. Sponsored by United Wound             Martha Bryan
Healing, a WHCA Associate Business Partner.                   The ability to control your time is one of the most
                                                              powerful skills you can ever develop. This program is
1:00 – 2:30 PM                                                designed on the premise that “it is not lack of time but
 Risk Management in a Pandemic: It is the Same but           lack of direction.” It focuses on first being effective and
Different                                                     then becoming efficient. It emphasizes time as an
Carin Marney, Lane Powell | Deanna Winchester, Propel         important investment and how that investment can be
Insurance                                                     made more efficient in small ways. It will help identify
The wise saying goes, an ounce of prevention is worth a       major time robbers, establish goals and priorities to
pound of cure, and nothing could be truer when it             manage time more effectively, and modify behavior
comes to risk management in long term care.                   patterns to improve time use. The goal of the program
Organizations do all they can to mitigate the risk of         is to have participants leave the program feeling and
damage, both physical and conceptual, by ensuring             being in greater control over their work and life.
proper policies and procedures are in place, employees
are trained and provided all the information they need         PDPM: Case Studies and Tools for Success
to perform to standards, and proper infrastructure            Kris Mastrangelo, President & CEO, Harmony Healthcare
exists to support risk management practices as well as        International
responses to disaster if it occurs. During this session, a    Amidst the COVID-19 global pandemic, the skilled
team of legal and insurance experts will provide insight      nursing profession still needs to navigate through the
on the elements of good risk management and how               infant stages of the recently implemented PPS PDPM
your strategies must adapt to accommodate a disaster          reimbursement system. Harmony Healthcare
like the ongoing COVID-19 pandemic. Participants will         International (HHI) highlights tools, strategies and
learn about the key elements of risk management               systems that help the healthcare professional better
particular to policy and procedure, insurance, staffing,      understand the PDPM system. This session uses case
employee performance, public relations/crisis                 studies to depict how accurate coding directly impacts
communications, and more. Sponsored by Lane Powell            care planning and reimbursement in the areas of
and Propel Insurance, both WHCA Affinity Partners.            COVID-19 Isolation, Infectious Diseases, Diagnoses
                                                              Coding, IPA versus 5-Day, Function Scoring, Cognitive
 Road to Recovery - The COVID-19 Vaccine                     Scoring, HIPPS Codes, ICD-10 Codes, depression,
Eric Lintner, Consonus Pharmacy                               tracheostomy, I.V. Fluids, I.V. Meds, and other clinical
The senior care industry has been tested in                   components for the Medicare Part A patient
unimaginable ways by the pandemic. The good news is,          population. Sponsored by Harmony Healthcare
there is a light at the end of the tunnel with the            International, a WHCA Associate Business Partner.
development of a COVID-19 vaccine. This feat of science
brings us hope on the road to recovery. A pharmacist’s
role is to provide unbiased and evidence-based
education to patients about the risks and benefits of
medications. That includes vaccines. In this session,
you’ll hear first-hand from a pharmacist about the
COVID-19 vaccine landscape, including roles in ongoing
monitoring of vaccine safety and public and healthcare
confidence in their safety. In addition, this session will
review monoclonal antibodies for LTC use, including
Conference                                                    range of experiences -- working with Owners, CEOs,
                                                              Presidents, Directors, Managers, Technicians, Skilled
                                                              Trades as well as Line Staff. Fascinated by what makes

Presenters
                                                              some individuals strive to be the very best, Martha has
Elizabeth Allen is the Tacoma Pierce County Health            devoted her life to studying peak performers. She is a
Department’s Behavioral Health Policy                         highly effective organization consultant and dynamic
Coordinator. She has been supporting children, youth          public speaker who is recognized for her informative,
and families in the Puget Sound area for over 20              down-to-earth, and entertaining keynote presentations
years. Elizabeth’s work includes leading the health           and workshops on motivation, personal effectiveness,
department’s ACEs and Resiliency Team, perinatal              leadership, customer service, and change management.
mental health, school based health center workgroup,          Her programs on implementing quality, excellence,
Tacoma Ministerial Alliance’s behavioral health               leadership, vision and strategy, self-esteem and success
committee, Opioid Task Force, Social Emotional                psychology bring about immediate changes and long -
Learning workgroup, and supporting the county’s               term results. She gives such practical ideas, methods,
behavioral health tax. Elizabeth is passionate about          tips and techniques that participants emerge excited,
health equity and access to quality care for all.             enthusiastic and eager to apply her ideas in their work
She is a certified Mental Health First Aid instructor and     and personal lives. You will enjoy spending time with
has degrees from The Ohio State University as well as         her!
the University of Missouri. Elizabeth is mom to two
great teens and wife of a combat veteran.                     Jerald Cosey is a senior healthcare leader and
                                                              professional speaker. He currently serves as executive
Lou Ann Brubaker For over 32 years Lou Ann Brubaker           director of Greenwood Meadows, a skilled nursing
has helped senior care organizations enhance their            facility operated by American Senior Communities. His
occupancy/mix, staff recruitment/retention, supervisory       facility earned the 2019 American Health Care
skill, and customer service success. Her clients include      Association Silver Quality Award. In addition to his
providers along the entire continuum of post-acute            skilled nursing facility role, Jerald is the Operational
care. Lou Ann presents frequently to national, state and      Leadership Development Director for American Senior
regional senior care associations and works with              Communities. In this position, he is responsible for
provider teams at the facility level. She is Past-            development of operational leadership for over 90
Chair/Trustee of The Beacon Institute, the former             skilled nursing and assisted living communities in
educational subsidiary of Maryland’s Leading Age              Indiana and Kentucky. This role complements Jerald’s
affiliate. Lou Ann Brubaker’s diverse professional            desire to advance senior health care as an industry
experience ranges from administration of a senior             across the globe. Jerald began his professional career in
citizen utility assistance program, the transitioning of an   sales, joining Pfizer Pharmaceuticals in 1996. He quickly
in-house advertising agency to a revenue-generating           advanced to the leadership role of district sales
division and the management of more than 35 satellite         manager, a position he held for over 15 years. He
operations and 500 sales representatives within a             worked in this industry at various companies before
services organization. Just prior to founding her own         transitioning to the senior care profession in 2013.
company, she directed the North American marketing            Jerald is founder of Graceful Moments, an outreach
for an organization that in three years grew to become        ministry focused on reducing isolation among seniors.
the world’s largest provider of online medical, scientific    This ministry began at an American Senior Communities
and technical information.                                    facility, with Jerald visiting two men every week to
                                                              shoot the breeze and enjoy each other’s company. This
Martha Bryan is a management consultant, author,              ministry expanded to volunteers from his church, Grace
speaker, and seminar leader who speaks nationally and         Church in Indianapolis. The volunteers made monthly
internationally regarding the development of human            visits to love on seniors. This outreach kindled a desire
potential and personal excellence. With an education          in Jerald to serve others professionally and in 2013, he
background in teaching, she has taught at both high           resigned from an 18-year pharmaceutical sales career to
school and college levels and has held positions in both      become an Administrator-in-Training. Jerald considers
government and private industry. Her work career              himself a professional servant and is a patient advocate
expands from farm laborer and cafeteria helper to             for people with ulcerative colitis and Crohn’s disease.
positions in staff support, sales, training and personnel     He is committed to advancing senior care as a speaker
administration. After 20 years in public sector               and senior health facility operator.
administration, Martha resigned to start her own
consulting and public speaking firm. She has a wide
Ryan Dirks, CEO of United Wound Healing, became                  Jesse Kinsey, BS, RN, Nurse Consultant In her role with
interested in caring for patients as a Physician Assistant       PropacPayless, a Pharmerica Company, Jesse serves as a
with the goal of extending the hands of physicians and           Long Term Care Nurse Consultant for customers
providing care in under-served areas. His passion for            throughout the Big Sky State of Montana as well as
sports as an NCAA athlete and Olympic hopeful made               Wyoming. With over 10 years of experience in Long
sports medicine a natural fit. In 2011, Ryan was                 Term Care Pharmacy services in depths of Infusion
introduced to skilled nursing wound care and felt a              Therapy Instruction, Compliance, Education, Quality
unique calling to provide specialty care in an often             Assurance, MDS, Director of Nursing and Correctional
under-served area. Today Ryan is the CEO of United               Medicine, her experience and expertise continue to be
Wound Healing, a mobile provider of wound care. His              an asset to the customer base. Jesse is an advocate for
dedication to helping patients heal their wounds, along          quality, safety and support for the elders by means of a
with his commitment to providing wound care                      community based approach and involvement.
education and support to clinical providers, is second to        Identifying and connecting needs with resources is an
none.                                                            ongoing mission. When not serving the community in
                                                                 which she lives, the Montana native can be found with
Sharmon Figenshaw, RN, MN, ARNP, ACHPN-BC, is a                  her family exploring and enjoying the backcountry and
Palliative Care Nurse Practitioner working with families         backroads of the Big Sky.
facing end-of-life transitions for over 30 years. She is
active in end-of-life community education and outreach,          Reynold Landry is an independent consultant and
including state and nation-wide projects on advance              owner of Advanced Dietary Consulting Service of Kaplan
directives and end-of-life choices. She has served as co-        Louisiana. Over the past 30 plus years Reynold Landry
chair for the Washington POLST task force since its              has worn many hats, like Executive Chef, Executive
inception in the state in 2001. She continues to work as         Pastry Chef, Corporate Chef, CDM, Corporate CDM/Chef
a nurse practitioner in palliative care and hospice in her       and now National Speaker and consultant. Chef
community. Like Tamara, she is now a consultant for              Landry’s focus is on increasing resident and patient
Honoring Choices Pacific Northwest (HCPNW) where                 satisfaction through restaurant style dining,
she is working in the arena of POLST and Serious Illness         individualized centered care and regulatory compliance.
Communication, training medical team members to                  Chef Landry brings a new twist to the speaking circuit
discuss serious illness, to listen for the individual’s story,   where he incorporates personal stories and practical
and to align care with the values and wishes of                  knowledge in his presentations that listeners can relate
individuals along their health care journey.                     to and learn from.

Laurie Johnsen, RN, CRNI, FCN has been working in long           Eric Lintner, BS, RPh, doesn’t know if his career path
term care since 1993 in a variety of roles, including DNS        was luck or destiny, but he’s glad it happened the way it
which contributes to the consultant knowledge and the            did. He started college as a biochemistry major, but
ever changing world of regulations. As a pharmacy                changed his mind when he just happened to make some
nurse consultant with PropacPayless, a Pharmerica                friends who were on their way to pharmacy school.
company, her ability to work with skilled and assisted           Before becoming the Clinical Projects Director of
living facilities alongside nurses throughout multiple           Pharmacy for Consonus Healthcare in Oregon, Eric
states has brought about a reputation of knowledge,              served as the General Manager and was responsible for
skills and partnerships. In her role, Laurie has been            day-to-day operations and department management.
involved in many aspects of consulting in regards to             He conducts frequent customer business reviews to
compliance within regulatory agencies such as Board of           help them identify money-saving opportunities. With
Nursing, Board of Pharmacy, CMS and more. In                     patient safety as his top priority, he’s implemented
addition, Laurie is actively involved with Educational           robotic packing technology to improve efficiency and
program development, Quality Assurance, an IV Nurse              accuracy, and has been involved in spearheading
Educator, policy and procedures, with coaching and               Consonus’ adoption of electronic medical records ahead
educating as a targeted focus. Amongst patient safety            of most competitors. After graduating with a Bachelor
and advocacy, Laurie enjoys empowering nurses with               of Science in Pharmacy from Oregon State University,
confidence and improving skills while consulting on              Eric worked in retail pharmacy, hospital pharmacy
system development. In her spare time, she enjoys                management, IV program creation and as a consultant
spending it with her family and traveling.                       pharmacist. He’s also an accomplished entrepreneur
                                                                 who created both retail and long-term care pharmacy
                                                                 companies before joining Consonus in 2004. Speaking
                                                                 engagements find him discussing topics like managing
pharmacy costs, coping with regulatory changes,              resolving and avoiding licensing disputes, survey
enhancing patient safety and the benefits of electronic      enforcement actions including civil money penalties
medical records. He serves on the board of the Oregon        (CMPs), Informal Dispute Resolution (IDR) and
State Pharmacy Association, and is a member of the           administrative appeals, compliance programs, transfers
American Society of Consultant Pharmacists and other         and discharges, risk management, and disciplinary
professional organizations. Eric and his veterinarian wife   actions.
of 28 years have three children, two cows and seven
horses, including two ponies and a miniature mule. He        Kris Mastrangelo, OTR/L, LNHA, MBA, is a nationally
enjoys water and snow skiing, scuba diving and has just      recognized keynote speaker with more than 24 years of
taken up adventure motorcycle riding. He’s an active         experience in the Health Care industry with a specialty
volunteer at his church, and has done short-term             in the Post-Acute Care Arena. An Occupational
mission work in Guatemala.                                   Therapist degree from Tufts University followed by a
                                                             Master's in Business Administration from Salem State
Elena Madrid, RN, BSN, is the Executive Vice President       University coupled with a Nursing Home Administrator's
for Regulatory Affairs for Washington Health Care            License, affords Kris an in-depth perspective into the
Association (WHCA). She supports WHCA members by             clinical, financial, and operational components critical
providing answers and insight to regulatory questions        for business success. Initially providing direct care as an
and expectations. Elena’s long and focused background        Occupational Therapist, Kris became familiar with the
in survey and enforcement as a surveyor and field            Medicare, Medicaid and HMO reimbursement systems.
manager for DSHS provide her with extensive                  Her position evolved into the facility level and multi-
knowledge and insight on regulatory compliance, the          facility management of Rehabilitation Programs to Vice
survey process, and policies and procedures. Elena also      President of Operations for a national consulting
provides support, resources, and training regarding          company to Vice President of Reimbursement. Kris
quality. As staff liaison for the Skilled Nursing Quality    currently owns and operates Harmony Healthcare
and Regulatory Executive Advisory Committee, Elena           International (HHI) which she founded in 2001.
works with members to promote quality care and
services at every level. At DSHS Residential Care            Vicki McNealley, PhD, MN, RN, is the Director of
Services where she was a field manager with oversight        Assisted Living for the Washington Health Care
of assisted living and skilled nursing communities, Elena    Association (WHCA). Vicki is directly responsible for
was responsible for the supervision of licensors,            supporting WHCA member assisted living providers
surveyors, and complaint investigators for assisted          through regulatory clarification, nurse consultation,
living communities, skilled nursing facilities, and adult    facility system evaluation, advocacy, and education.
family homes in eastern Washington. Elena has also           Vicki is responsible for developing and implementing
worked as a director of nursing in both assisted living      WHCA programs to support providers in these areas. As
and skilled nursing. She is a registered nurse and brings    staff liaison for the Assisted Living Quality and
a wealth of knowledge regarding long term care               Regulatory Executive Advisory Committee, Vicki works
requirements and the regulatory issues affecting long        with members to promote quality care and services at
term care providers.                                         every level. Vicki spent ten years as the assisted living
                                                             director for WHCA prior to serving as the Corporate
Carin Marney represents health care and long term            Director of Regulatory Compliance for Village Concepts
care providers in regulatory and litigation matters. She     for over six years. She has extensive experience as a
has extensive experience advising clients in this highly     teacher, consultant and provider, and has been involved
regulated industry on compliance and helping them            in assisted living operations and policy work since 1999.
resolve disputes, both in and outside of court. Carin        Vicki has served as a national award reviewer for the
serves as the Co-Chair of Lane Powell’s Senior Living and    American Health Care Association and worked closely
Long Term Care Team. Carin works with a range of long        with the American Assisted Living Nurses Association to
term care providers, including: skilled nursing, assisted    develop its certification exam. Vicki is a registered nurse
living, independent living facilities, CCRCs, long term      with a master’s degree in community health nursing
acute care hospitals, dialysis clinics, and other health     and a doctorate degree in nutrition.
care providers. Carin has defended long term care
clients and other health care providers throughout the       Tamara Steffen, MSW, received her Bachelor's degree
Pacific Northwest in high profile litigation involving       in Recreation Therapy from San Francisco State
allegations of neglect and abuse of vulnerable adults        University and later her Master's degree in Social Work.
and wrongful death. She also routinely advises and           Tamara presents with over 20 years of experience
represents clients in regulatory matters, such as            practicing Social Work in Central Washington. She
initiated and supported the development of a system
wide advance care planning program within a large
medical organization in central Washington. She has
served as the Executive Director of a long-term care
community in Central Washington. She now is an
independent clinical consultant, offering geriatric care
management and serves as faculty for the Honoring
Choices Pacific Northwest (HCPNW) initiative for
advance care planning across the state.

Bill Ulrich, President/CEO of Consolidated Billing
Services, Incorporated (CBSI), has more than 26 years
of experience in the health care industry as a financial
and Medicare consultant beginning in 1989 with The
Hillhaven Corporation and founding his own consulting
company in 1998. Prior to founding CBSI in 1998, Bill
was Vice President of the consulting subsidiary of a
national nursing home chain, where he directed the
efforts of 43 experts who provided daily,
comprehensive consulting services to 300 long term
care facilities nationwide. Bill is a nationally-recognized
expert and frequent speaker on Medicare, Medicaid,
and billing issues. Bill currently represents the American
Health Care Association on the National Uniform Billing
Committee (NUBC). Bill has served on the legal
committees and reimbursement committees for several
state healthcare associations in addition to serving on
the Finance Committee at the American Health Care
Association. He has given hundreds of day-long PPS
updates and in-house presentations regarding PPS
regulations and requirements, has developed corporate
compliance programs, and has conducted Medicare
billing training ss nationwide.
Affinity Partners
  We appreciate the Associate Business members who support WHCA at least $10,000 in sponsorship dollars
annually. Their support enables us to offer quality educational programming, resources, tools, and information
                                      promoting quality care and services.

                                 For more than three decades, ALRS has been the nation’s leading provider of
                                 respiratory care services. Our primary focus at ALRS is helping our patients achieve
                                 their best possible quality of life. We are committed to providing in-person, on-site,
                                 24/7 care management and support for all of our patients. And we provide all
                                 necessary training to caregivers when patients are ready to transition to the home.

                                Offering consulting, contract therapy, and long term care pharmacy services including
                                eMAR technology, on-site staff education, IV infusion services, rapid medication
                                delivery 24/7. ALSO providing contract therapy and temporary therapy staffing.
                                Collaboration with facility staff ensures optimal clinical and financial benefit and the
                                highest level of customer service.

                                 For nearly 25 years ERNwest has been helping employers like you save money, time,
                                 and frustration on their Workers’ Compensation programs and have earned a
                                 reputation as one of the most effective and knowledgeable companies in the state.
                                 Our highly experienced and trained staff works as a team to get to know your business,
                                 which allows us to provide you with guidance and advice that is right for your
                                 company.

                                Our Senior Living and Long Term Care Team is a regionally and nationally recognized
                                practice devoted to the representation of seniors housing and long term care clients
                                for all of their needs; regulatory, compliance, risk management, transactional,
                                employment, IP, litigation, tax and real estate.

                                PayNorthwest offers a cloud-based, unified human capital management platform that
                                can be configured to your specific business requirements. You get streamlined
                                workflows, higher data integrity with one database and single employee record, easy-
                                to-use reporting, and world class security. Only pay for the capabilities you need, when
                                you need them.

                                PharMerica is a national leader with a local touch in over 140 pharmacies. With 30+
                                years of senior experience, innovative technology and comprehensive offerings, we’re
                                improving care to help people live their best life. We’re also advancing our clients’
                                success by ensuring access to medications, controlling pharmacy costs, and fostering
                                regulatory compliance.

                               As senior living communities prepare to care for the largest retiree population in
                               history, more and more are turning to Propel. With deep experience and broad
                               industry involvement, our experts specialize in forward-thinking solutions for every
                               type of building, from independent and assisted living communities to skilled nursing
                               centers, life plan communities and more. We help clients thrive in a complex and
                               increasingly litigious environment.
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