Ignite JANUARY 14-16, 2020 - Washington Health Care Association - Hotel RL Olympia - Washington Health Care Association ...
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Washington Health Care Association
JANUARY 14-16, 2020
Hotel RL Olympia
2300 Evergreen Park Dr SW | Olympia | 98502
Find stunning views of Capitol Lake from the Hotel RL
Olympia and discover all the city has to offer. From
historical attractions, to local coffee and brew pubs, the
Olympia region is simply one of a kind!
CONFERENCE ACCOMMODATIONS
Room reservations can be made now by calling the hotel
directly at (360) 943-4000 or by calling 800-RED-LION. All
reservations must be made by calling and cannot be made
online. Rooms are $131 per night plus applicable taxes.
To receive the negotiated room rates, make your
reservation on or before Tuesday, December 24, 2019.
The WHCA room block will fill up fast, so do not wait. After
December 24, reservations will be made dependent on
hotel availability and available rates.
CONFERENCE CANCELLATION POLICY
Cancellations made in writing on or before January 7, 2020,
are subject to a $25 per person cancellation fee. All others
are eligible for a refund. REGISTRATION INFORMATION
CONTINUING EDUCATION Full Conference Package: Includes entry to all conference
Attendees may earn up to 15 approved continuing education January 14-16, lunch on Tuesday and
education units for assisted living and skilled nursing. A link Wednesday, refreshment breaks offered throughout, the
and instructions on how to obtain CEs will be sent Friday, Exhibit Showcase, the Legislative Reception, and up to 15
January 17, along with a conference evaluation. continuing education units. $159 (non-member $318)
LEGISLATIVE ACTIVITIES Tuesday Only Package: Includes entry to the education
offered on January 14 (two educational tracks available),
We encourage you to meet with your legislators while you
lunch, refreshment breaks, and up to six continuing
are in Olympia. For assistance in scheduling meetings,
education units. $89 (non-member $178)
please contact Paul Raines, WHCA’s Associate Director for
Regulatory Affairs. The Legislative Reception on
Wednesday Only Package: Includes entry to educational
Wednesday, January 15, 2020, is our official forum to
sessions offered on January 15 (variety of concurrent
connect with legislators.
sessions available), lunch, refreshment breaks, entry to
the Exhibit Showcase, the Legislative Reception, and up to
six continuing education units. $89 (non-member $178)
Thursday Only Package: Includes entry to educational
sessions offered on January 16 (variety of concurrent
sessions available), refreshment breaks, and up to three
continuing education units. $69 (non-member $138)
GENERAL ASSISTED LIVNG SKILLED NURSING
TUESDAY, JANUARY 14, 2020 2:30 PM Break
8:30 – 9:00 AM Registration 2:45 – 3:45 PM
9:00 – 10:30 AM Six Steps Leading to Quality Healthcare, Staff,
2020 Legislative Briefing Engagement, Retention and Cost Reductions
Assisted Living – Facility Training 101
10:30 - 10:45 AM Break
Winning with Wound Care in the Patient Driven
10:45 – 12: 15 PM Payment Model
Supporting Trans Clients: Beyond the Basics
3:45 PM Break
12:15 – 1:15 PM Lunch
4:00 – 5:00 PM
1:15 – 2:45 PM
Everyone Cannot Be A 5! How to Supervise Those Who Are
Late Life Suicide Prevention in Long Term Care Facilities
Not Your Top Performers
2:45 – 3:00 PM Break Monitoring a Resident’s Well-Being
3:00 – 4:30 PM Taking Advantage of CMS Quality Initiatives: How
Safe Resident Handling Programs: How Can They Assist to Nursing Homes Can Improve Bottom Line, Market
Improve Resident Care and Experience Position, and Quality of Care through QAPI
4:30 PM Education Adjourns 5:00 PM Education Adjourns
5:00 PM WHCA Board Meeting 6:00 PM Legislative Reception
Columbia Room at the Capitol
WEDNESDAY, JANUARY 15, 2020
8:00 – 8:30 AM Registration & Continental Breakfast
THURSDAY, JANUARY 16, 2020
8:30 – 9:30 AM
8:30 – 10:00 AM
New Procurement and A/P Strategies That Translate into
Introducing the RCS Behavioral Health Support Team,
Long Term Savings
Serious Mental Illness
Transfer and Discharge Requirements for Assisted Living
Surrogate Decision Making in Assisted Living Communities
The Importance of Therapy Team Partnering with
SNF Quality & Regulatory Executive Advisory Committee – DSHS
Interdisciplinary Teams for Best Quality of Care
Update
9:30 AM Break
10:00 AM Break
9:45 – 10:45 AM
10:15 – 11:45 AM
Improving Antibiotic Stewardship through Molecular UTI
Artificial Intelligence Enhances Residents’ Well-Being and
Detection
Staff Coaching by Detecting and Preventing Falls
AL Quality & Regulatory Executive Advisory Committee –
Assisted Living Physical Plant Standards – Update on the New
DSHS Update
Regulations
Best Practices in Desprescribing during Transitions of Care
Skilled Nursing Quality and Regulatory Executive Advisory
in Long Term and Post-Acute Care Communities
Committee Meeting
11:00 – Noon
11:45 AM – 1:15 PM Lunch and Exhibit Showcase
Fire Door Annual Inspection Requirements
Fir Ballroom
Assisted Living Quality and Regulatory Executive Advisory
1:30 – 2:30 PM Committee Meeting
The Network: Supporting Healthcare Emergency Response by Nursing Home Grant Program – CMP Reinvestment
Enhancing Partnerships Program
Home Care Aide Credential Overview and Update
Noon Conference Adjourns
LTC Workforce Update and Round Table Discussion
WHCA would like to thank the following organizations that will be exhibiting at the conference.
Be sure to visit them in the Exhibit Showcase on Wednesday, January 15, from 11:45 a.m. – 1:15 p.m.
Advanced Lifeline Respiratory Services McKesson Medical-Surgical
Advantage Surgical and Wound Care Medtrainer
American Medical Technologies Mercury Pharmacy Services
ARRIS Healthcare National Database Corp.
Charter Construction Navigator Group Purchasing
Columbia Roofing & Sheet Metal Omni Staffing Services
Concordia University PayNorthwest
Consonus Healthcare Services PropacPayless – A PharMerica Company
Consulting Resources Propel Insurance
Cunningham Elite Staffing Reliant Rehabilitation
Dispatch Health RF Technologies
Eldergrow Schetky NW Sales, Inc.
ERNwest Schryver Medical-Diagnostic Labs (Trident Care)
Encore Rehabilitation Services ServPro of Puyallup/Auburn
Fidalab Soundview Medical Supply
Geneva Woods Health Supplies PNW, LCC Stanley Healthcare
Infinity Rehab The Partners Group
Intalere Time Equipment Company
Interactive Medical Systems, Inc. Trace Coaching
k.p.d. insurance & RISK SOLUTIONS United Wound Healing
VitalCare LLC
WHCA would like to thank the following organizations for supporting the Winter Conference by
sponsoring an item or event.
WHCA would like to thank the following organizations for supporting the WHCA Winter Conference by sponsoring
an educational session and providing quality content.
2020 Legislative Briefing; WHCA Lobby Team Late Life Suicide Prevention in Long Term Care
There is much at stake in the 2020 legislative Facilities; Julie Rickard, PhD, Moment by
session. Skilled nursing facilities are at a critical Moment Suicide Prevention, LLC
juncture with a spate of closures driven by This session will focus on suicide prevention in
inadequate Medicaid funding. DSHS has the later years. While all populations have
recommended the Legislature act by adopting shared risk factors, few talk about the unique
annual rebasing using the most currently- factors that go with aging. This session will
available DSHS cost data with an inflation begin with protective factors through the life
factor to address cost growth between the span, moving into recognizing and understanding
base year and the rates year. The House and what puts seniors at risk for suicide, as well as
Senate will be asked to consider this urgently- identifying unique modifiable risk factors. Attendees
necessary proposal—and it will be contingent will learn how to manage ongoing suicidal behaviors
on all providers to advocate for funding. At the in a facility, including ways to prevent worsening
same time, there are always a number of policy behaviors. Lastly, there will be a discussion on ways
issues that impact skilled nursing and assisted to protect your license through treatment planning
living operations that are under consideration and coordination of care. An innovative program
in the Legislature. This session will provide an will be discussed that focuses on improving
update about issues, opportunities, and outcomes in senior suicide.
challenges with the Legislature, and will
provide a roadmap about how you can help
advocate. Safe Resident Handling Programs: How Can They
Assist to Improve Resident Care and Experience?
Lynda Enos, HumanFit LLC
Supporting Trans Clients: Beyond the Basics Research has shown that traditional methods of
Trystan Reese, Collaborate Consulting, LLC using body mechanics and use of gait belts have not
During this session, participants will learn the reduced the risk or incidence of caregiver injuries
basics of gender identity, with lots of time to from manual resident lifting. However,
answer questions about language and concepts comprehensive safe resident handling programs
along the way. This session will cover some of have been shown to not only reduce injuries to
the useful context that may impact the ways in caregivers but to residents in nursing homes. These
which transgender people need unique programs have also improved caregiver satisfaction
supports in health care and supportive living and reduced caregiver turnover.
systems, including how and why transphobia This session will discuss evidence-base components
shows up in those systems. This session will of cost effective safe resident handling and mobility
also address what specific needs transgender (SRHM) programs that are designed to suit nursing
elders have, and how to create structures that homes and assisted living facilities with or without
allow them to age with grace. Finally, we will memory care with the goal of reducing caregiver
look at ways to facilitate productive injuries but enhancing resident safety and their
conversations about gender identity in groups, ability to maintain and/or promote independence.
providing concrete skills for leading dialogue, Topics will include how to start or enhance a SRHM
even in situations in which not everyone agrees program, effective SRHM education and training and
on what should be discussed in a public setting. much more!
Introducing the RCS Behavioral Health Artificial Intelligence Enhances Residents’ Well-Being
Support Team, Serious Mental Illness; Jeannette Horton and Staff Coaching by Detecting and Preventing Falls;
and Andrew Cochran, Department of Social and Health Tom Bang, Safely-You, Wendy Gardner, VP Health
Services (DSHS) Services, Merrill Gardens
Residential Care Services (RCS) has developed the Behavioral According to a study done by the CDC, the rate of mortality
Health Support Team (BHST) in the last year that is available to from falls more than doubled from 2000 to 2016 for people
providers who are caring for residents with challenging over the age of 75. With this in mind it is no surprise that falls
behavioral health needs. We combine regulatory and mental are making a dramatic impact on long term care communities,
health knowledge to help providers find person-centered including occupancy, operational efficiency, risk, and liability
interventions that are also in keeping with the state and and compliance management. The substantial impact has
federal rules. Attendees will learn more about the BHST, sparked the Senate Aging Committee to actively seek ways to
including real case presentations regarding work the team has reduce older Americans’ risk of falls and fall-related injuries due
done, as well as how to make a referral. A brief overview of to the $50 billion annual cost. With 80% of all falls going
serious mental illness will also be provided to help increase unwitnessed, and the average resident in dementia-care
understanding of what these diagnoses look like and how they communities falling two times more than other residents,
develop. Sponsored by DSHS. assisted living communities are tapping into artificial
intelligence-enabled videos to unlock the mysteries of these
Surrogate Decision Making in Assisted Living falls since these residents cannot communicate the cause or
Communites; Manpreet Kaur and Gail Mautner, Lane activities leading to their falls. These privacy-compliant videos
Powell, PC are helping caregivers identify root causes and implement
Assisted living communities are charged with promoting and appropriate person-centered care changes.
protecting resident rights, including the right to grant or
This session will take a deep dive into published research
withhold informed consent to various health care decisions.
results and provider experiences observed from thousands of
How do you promote resident rights in this area when the
captured fall videos. An example from one published study
resident has designated an agent under a power of attorney or
revealed that 38% of “found-on-floor” events were intentional
there is another surrogate decision-maker appointed by the
by the resident; 31% of the time, residents moved themselves
court or as a result of no power of attorney having been signed
to a different location from the original event; 72% of these
by the resident? It can become more complex as residents’
events occurred in a resident’s bedroom and 53% of events
acuities continue to increase and their conditions decline. The
occurred when a resident was getting out of bed. Ninety-three
need to rely on surrogate decision makers becomes difficult
percent of falls did not result in injury, enabling a 61%
when you are dealing with POAs, DPOAs, guardianships,
reduction in EMS calls and a 40% reduction in falls. The fall
resident representatives, and family members.
videos are pinpointing root causes and nuances of individuals'
In this session, Lane Powell attorneys will review the different behaviors within their own environment. The knowledge
types of surrogate decision makers and the laws surrounding gained from these videos is marking a turning point in the
substituted, delegated and surrogate decision making with community provider industry to finally bend the curve on the
residents in assisted living, as well as resident capacity and significant number of rising senior falls. Sponsored by
informed consent. In doing so, we will discuss some of the SafelyYou.
common challenges and pitfalls assisted living communities
face when balancing these requirements. Assisted Living Physical Plant Standards – Update on the
Sponsored by Lane Powell, PC. New Regulations; Greg Pyle, Lane Powell, PC
DSHS conducted a multiple-year work process to revise
SNF Quality & Regulatory Executive Advisory
outdated physical plant standards for licensed assisted living
Committee – DSHS Update; Candy Goehring and Bett facilities. The goal of the project was to modernize the rules
Schlemmer and update key provisions related to dementia care standards.
During this session, you will receive a briefing about the newly-
adopted standards. This information is particularly important
for those who plan to develop, renovate or update their
assisted living centers in Washington.
LTC Workforce Update and Roundtable Discussion; Lauri
St Ours, Elena Madrid, Vicki McNealley, and Ashley
Lunch & Exhibit Showcase Winkle, Administrator – Puget Sound Healthcare
This session is designed to update providers on the policy-level
Fir Ballroom work on the long term care workforce, and to conduct a
roundtable discussion about the challenges and barriers you
are facing related to staff hiring, training, certification and
retention. In addition to the work of the Washington Nursing
The Network: Supporting Healthcare Emergency Care Quality Assurance Commission on long term care staffing,
Response by Enhancing Partnerships; Aaron Resnick, NW there are a number of other initiatives underway to address
Healthcare Response Network staff shortages. Learn about those efforts and share your own
The key to a successful healthcare response in an emergency is challenges during this session. The update is appropriate to
having a coordinated system for all levels of healthcare—from assisted living and skilled nursing facility operators.
hospitals to outpatient clinics, long term care to home health
providers—to work together, to support care for the
community. The Northwest Healthcare Response Network
(NWHRN) administers the healthcare coalition serving 15
counties and 25 sovereign tribal nations in Western
Washington. In preparedness time, the NWHRN supports
collaborative planning, training, exercise, and information
management systems to bring together healthcare
organizations and community partners to robustly plan for
emergencies. In a response, the NWHRN supports the
coordination of healthcare organizations with regional public
health and emergency management partners to support the
community’s healthcare needs.
Long term care facilities are stressed day-to-day to support
their healthcare clients, maintain staffing, supplies, and
operations. In an emergency, long term care facilities serve
vulnerable clients that have critical ongoing healthcare needs
and depend on a variety of facilities and community support.
Additionally, in larger emergencies, long term care facilities
may require evacuation and the support of other facilities and
community partners to ensure the safety of their clients. Is your
organization prepared to support your clients’ needs in a
disaster? What can you do in advance to prepare to support
your community and healthcare systems?
The NWHRN supports healthcare planning by creating forums
and opportunities for partners to share best practices,
participate in collaborative planning, receive healthcare-
oriented emergency response training, and participate in
exercises with your healthcare and regional response partners.
In this presentation, the NWHRN will provide examples of long- Washington Health Care Association’s
term care specific planning, training, and exercise opportunities
available. The presentation will also provide an overview of
how long term care partners can bolster their organizations’
2020 LEGISLATIVE RECEPTION
emergency preparedness planning and use real world examples
to show how they can integrate into a community response.
WEDNESDAY, JANUARY 15
Sponsored by Northwest Healthcare Response Network
6:00 PM TO 7:30 PM
Home Care Aide Credential Overview and Update;
Stacey Saunder, Department of Health (DOH) LEGISLATIVE BUILDING | COLUMBIA ROOM
Attendees will take away an understanding of the process for
obtaining a Home Care Aide credential, what the Home Care
Aide credential covers and requires, and how that may differ
from an employer's requirements. Attendees will also gain an
understanding of the new WAC 246-980-150, Standards of
Practice, including how that applies to complaints and actions
taken against a certified Home Care Aide by the DOH.
Sponsored by DOH.
Six Steps Leading to Quality Healthcare, Staff Everyone Cannot Be A 5! How to Supervise Those Who
Engagement, Retention and Cost Reductions; Sue Trace, Are Not Our Top Performers; Bionca Lindsey, Nutrition
Sue Trace, LLC dba Trace Healthcare Coaching Care Professionals
This session is an overview of the science behind and the Every organization has employees who will never be the best
underlying positive psychology principles synthesized into the performer. They will not achieve the highest rating and the best
evidence-based PROPEL Coaching™ methodology for nursing part is your organization needs them just as much as they need
leaders and their care teams. Implementation of the PROPEL everyone else. The hardest part of this dilemma is not the
principles have proven to vastly improve the healthcare employee, it’s normally us as supervisors. We can’t accept that
environment culture by empowering nursing leadership, some workers will only be good workers and they should never
increasing staff engagement, collaboration, teamwork, be placed in a supervisory position. We want more for them
retention, quality patient outcomes and satisfaction. Positive and expect more from them than they can give. This session
engaged leaders and staff become recruitment advocates for will help you identify those employees and use them to the
talent acquisition departments. fullest of their capabilities.
PROPEL Principles enable individuals and teams to attain an Monitoring Residents’ Well-Being; Vicki McNealley
optimal level of wellbeing and performance, teaching them to The average assisted living resident’s acuity and needs continue
bring their best selves to work, enabling the teamwork required to increase; the expectations placed upon our long term care
to find, implement and sustain successful solutions. workers to meet those needs are also on the rise. In this
session, one of the most frequently-cited WAC requirements
This session will discuss the major themes of the 6 PROPEL (WAC 388-78A-2120) will be discussed in order to better
Principles and how PROPEL Coaching follows a formula that is understand the parts of the care delivery system necessary to
proven to be effective to facilitate personal growth and change. monitor each resident’s well-being and ensure timely and
Attendees will understand why and how positive psychology necessary services.
principles benefit individuals, teams and organizations, become
familiar with evidence-based techniques for optimal human Taking Advantage of CMS Quality Initiatives: How
functioning, increase clinician wellbeing and thriving teams, Nursing Homes Can Improve Bottom Line, Market
and be able to identify what works to bring out the best in
Position, and Quality of Care Through QAPI; Jeff West,
yourself and others. Sponsored by Trace Healthcare Coaching
Comagine Health
Assisted Living – Facility Training 101; Vicki McNealley, Quality Improvement Organizations (QIOs) like Comagine
Health have provided quality improvement expertise to nursing
WHCA and Paul Riedel ,DSHS
homes for nearly 20 years, all paid for by the Centers for
Face it, sometimes having to navigate and problem solve the
Medicare and Medicaid (CMS) at no additional cost to nursing
training requirements for long term care workers and
homes. A new QIO scope of work has just been awarded to
administrators in an assisted living community becomes
Comagine Health over the next five years.
overwhelming and confusing to even the most seasoned
leader. In this session, attendees will explore how Washington nursing
homes can take advantage of the latest QIO initiatives in such
This session will break down the specific training requirements
areas as improving quality measure scores, preventing adverse
for long term care workers, including exempt workers and
drug events, preventing infections, and reducing 30-day
administrators, as well as nurses and other staff in an assisted
hospital readmissions.
living community. The session will also navigate the DSHS
training approval processes and TPA form submittal. Now is the In addition, attendees will be introduced to the new Comagine
time to ask your questions and clarify any misconceptions Health “Data for Change” interactive portal through which
about who needs what classes, and when. registrants can securely access their own organization’s quality
measure and readmissions data, and assorted QIO-based
Winning with Wound Care in the Patient Driven resources and initiatives to support long-term care QAPI.
Payment Model; Ryan Dirks, United Wound Healing Sponsored by Comagine Health.
Every day residents are being discharged from the hospital with
a multitude of medical conditions, which are all effecting the
ability of your residents to have healthy skin and avoid new Are you working on a new construction project? Are you
wounds. Recent changes in the reimbursement model rely on
thinking about one? Representatives from Construction Review
your team to perform accurate and timely wound assessments
Services will be onsite throughout the conference to answer
to ensure you do not lose valuable resources caring for chronic
wounds. This course will help you navigate the basics of PDPM your questions or review plans with you.
relating to wound care and ensure you optimize your
reimbursement for the care of resident with chronic skin and
wound conditions. Sponsored by United Wound Healing.
New Procurement and A/P Strategies that Translate into Improving Antibiotic Stewardship through Molecular UTI
Long Term Savings; Marc Mueller, Emacity, LLC Detection; Dr. Quinne Feng, Fidalab
Over the last ten years, new capabilities have been developed UTIs are the most common bacterial infection and major cause
to help owners, operators and A/P procurement directors seize of morbidity. The elderly are particularly susceptible with
better spend control and A/P integration throughout the entire direct consequences including urosepsis and increased fall risk.
organization. Some of the larger chains have been able to take The conventional urine culture suffers from suboptimal
advantage of these capabilities, but for smaller and medium- sensitivity and lengthy test time (3-5 days). In contrast, the
sized facilities, the costs and expertise have put these new nucleic acid amplification-based assay (quantitative PCR),
improvements on the back burner. However, in just the last offers urinary tract pathogen identification and antibiotic
few years, the expertise requirements and costs of several resistance gene detection within 24 hours with a sensitivity that
solutions have decreased significantly, allowing many facilities is estimated three times higher than the bacterial culture. The
to onboard solutions that provide significant ROI. timely provision of enhanced microbial detection and
concomitant antibiotic sensitivity results help improve
In this session, Marc plans to transfer knowledge to attendees antimicrobial stewardship and clinical outcome.
about how to maximize the impact of implementing new Sponsored by Fidalab.
procurement A/P integration solutions. This session will
educate owners, operators, finance and procurement AL Quality & Regulatory Executive Advisory Committee –
personnel about the newest integrated solutions tools and DSHS Update; Candy Goehring and Bett Schlemmer
strategies that reduce operational, HR, and A/P costs, while at
the same time creating a system that allows you to sleep better Best Practices in Deprescribing During Transitions of
at night. Sponsored by Emacity, LLC. Care in Long Term and Post-Acute Care Communities;
Neris Palunas, PharmD, Consonus Healthcare
Transfer and Discharge Requirements for Assisted Living; In this session we will review relevant and new thinking in
Elena Madrid, Executive VP for Regulatory Affairs, WHCA deprescribing. We will reconsider appropriateness of
Two areas that are often cited related to the Resident Rights medications for residents with serious illness, weighing the
statute are discharge and transfer notices, and notification. In benefits and burdens of medication therapy. Resident health
this presentation, we will distinguish between a transfer notice outcomes are directly related to clinical pharmacist
and a discharge notice, as well as what and when these written interventions and knowledgeable approach to identifying safe
notices are required. and effective use of medications. We will interpret regulatory
requirements related to pharmacy services in a skilled and
The session will also clarify the minimum requirements related assisted living environment. We will discuss the team approach
to notifications and the necessary components to comply with to wellness. Sponsored by Consonus Healthcare.
these complex and frequently-cited regulations. While there is
no easy answer to the challenge of finding viable discharge
locations, this session will focus on ensuring the assisted living Fire Door Annual Inspection Requirements; Kimberly
community has a solid understanding of the requirements in Bloor, Washington State Patrol (WSP)
order to comply with the resident rights laws and avoid Take the stress out of one of the newer code requirements. Fire
citations. rated doors are your first step in preventing the spread of fire
in your facilities. Understand the requirements of NFPA 80 and
The Importance of Therapy Team Partnering with
NFPA 105 and how to conduct the annual door inspection. The
Interdisciplinary Teams for Best Quality of Care; Sabrena annual door inspection is a requirement for all nursing homes
McCarley, RehabCare and assisted living communities. In addition, attendees will
This session will focus on the importance of the therapy team learn the requirements for fire/smoke damper inspections.
partnering with the interdisciplinary team to provide the best Sponsored by WSP.
quality of care necessary to attain or maintain their highest
level of function. Focus will be placed on analyzing current
systems and practices in order to implement successful
interdisciplinary change management processes to reduce re-
hospitalizations and ensure appropriate workflow within the
interdisciplinary care team, and will address clinical
programming opportunities to increase quality measures.
Sponsored by RehabCare.
Nursing Home Grant Program – CMP Reinvestment
Program; Melissa Lawton, Department of Social and
Health Services (DSHS)
Does your facility have a need for a program or project to
improve the quality of care and/or the quality of life for your
residents but need funding? If so, you need to learn more
about the Civil Money Penalty Reinvestment Program or
CMPRP. The state of Washington receives a portion of the
federal Civil Money Penalties (CMPs) imposed on nursing
facilities by the Centers for Medicare and Medicaid Services
(CMS) and the fund has nearly $5M to grant to nursing homes
and nursing home stakeholders for projects that will improve
the quality of care and or quality of life for residents. If you
have ideas or need funds for a project, please plan to attend
this important session and get ideas for projects, and learn
about the application process and timeline. CMP funds are
making programs like It's Never 2 Late, Garden Access Responds
to Environmental Needs (GARDEN), Touch of Grace, Music and
Memory and many others possible! DSHS accepts applications
on a continuous, year-round basis. Melissa Lawton is the CMP
Grant Specialist for the State and is available to assist
applicants throughout the process. Sponsored by DSHS.
May 18-21, 2020 | Davenport Grand Hotel | SpokaneTom Bang is a digital healthcare technology executive focused on the senior living longevity space. An accomplished Baxter International and Cardinal Health senior executive, Tom currently serves as the Chief Strategy Officer for SafelyYou, a memory care-focused healthcare technology company, which is a spin-out from UC Berkeley’s Artificial Intelligence Research Laboratory. Tom has led later-stage start-ups and transitioning enterprises to market dominance and financial success, resulting in numerous profitable exits. He is personally committed to providing quality senior living care and understanding how technology impacts seniors. Tom owns and operates four assisted living communities, focused on memory care. Tom earned his bachelor’s degree from The Ohio State University and completed his MBA studies at Pepperdine University. Kimberly Bloor is a Deputy State Fire Marshal with the Washington State Patrol, State Fire Marshal's Office (SFMO). Kimberly has been with the SFMO for over five years and is responsible for a variety of fire and life safety inspections and does quality assurance for all healthcare fire and life safety inspections. Andrew Cochran has worked for Washington State for a number of years and has extensive history providing creative case management to clients with chronic challenges, including homelessness, substance abuse and intensive medical needs. Ryan Dirks became interested in caring for patients as a Physician Assistant with the goal of extending the hands of physicians and providing care in under-served areas. Ryan’s passion for sports as an NCAA athlete and Olympic hopeful made sports medicine a natural fit. In 2011, Ryan was introduced to skilled nursing wound care and felt a unique calling to provide specialty care in an often under-served area. Today, Ryan is the CEO of United Wound Healing, a mobile provider of wound care. His dedication to helping patients heal their wounds, along with his commitment to providing wound care education and support to clinical providers, is second to none. Lynda Enos, RN, MS, COHN-S, CPE, is an occupational health nurse and certified professional ergonomist with over 25 years of work and consulting experience in industrial and health care ergonomics. Lynda has provided comprehensive ergonomics consulting services to over 200 companies including safe patient/resident handling program development to 40 health care facilities nationwide. She has more recently worked with assisted living facilities (ALF) in Washington State to determine how Safe Resident Handling programs can be adapted to suit ALF and memory care needs. Lynda co-authored the Federal OSHA Guidelines for Nursing Homes: Ergonomics for the Prevention of Musculoskeletal Disorders (2003) and was a contributor for the American Nurses Association (ANA) Interdisciplinary Safe Patient Handling and Mobility Standards 2013. In addition, Lynda is the recipient of the 2017 Advocacy Award for Safe Patient Handling awarded by the Tampa VA Research and Education Foundation and the Association of Safe Patient Handling Professionals = Melissa Lawton joined the Department of Social and Health Services (DSHS) Team in June of 2019 in a newly- created part-time position focused solely on the Civil Monetary Penalty Reinvestment Program (CMPRP). Melissa has both a bachelor's and a master's degree in Business Administration and has had a long career in the non-profit community, federal government contracting, and with Tribal entities managing large fundraising, training programs and grants. Melissa most recently served as the Health and Wellness Programs Manager for the South Puget Intertribal Planning Agency (SPIPA) in Shelton where she managed large grants from the Centers for Disease Control and Prevention, Health and Human Services, and other entities focused on the health and well-being of Tribal members from the Chehalis, Nisqually, Squaxin Island, Skokomish and Shoalwater Bay tribes. Melissa is a certified professional in Human Resources (PHR) and a Tribal Human Resources Professional (THRP), and is excited to have joined the DSHS Team and to work with nursing homes and nursing home stakeholders in Washington to make a real difference for nursing home residents. Dr. Qinghua (Quinne) Feng, PhD, received her Ph.D. in Molecular Biology/Genetics from the Johns Hopkins University School of Medicine and did her Postdoctoral Fellow at Whitehead Institute/MIT. Dr. Feng worked at the University of Washington for 15 years as a research scientist and faculty member in the Department of Pathology. She continues to be instrumental in moving the research of molecular diagnostics forward. Dr. Feng is one of the co-founders at Fidalab/Briway Seattle and remains a dedicated research scientist, as she is passionate about science and how it can improve life and health.
Wendy Gardner, BSN, RN-BC, CALN, FACDONA, is the Vice President of Health Services for Merrill Gardens, brings over 35 years’ experience to her work with senior residents as a Registered Nurse. She is board certified as both a Gerontological Nurse and as an Assisted Living Nurse. She is a Fellow with the National Association of Directors of Nursing in Long Term Care and has extensive expertise in designing and implementing programs. Her background includes working for a number years as a Director of Nursing for a skilled nursing facility. She has been with Merrill Gardens for over 18 years as head of the Health Services Department. Her current responsibilities include policy and procedure development, risk management, and regulatory compliance. Jeannette Horton, LMHC, is a licensed mental health counselor with a history of providing direct services to clients, including individual and group therapy as well as mental health assessments, and has worked for Washington State for a number of years. Manpreet Kaur advises high net worth individuals and families on estate planning, probate and trust administration as well as probate and trust disputes, guardianship matters and nonprofit law. Before joining Lane Powell, Manpreet served as a volunteer attorney at the Northwest Immigration Rights Project where she researched and drafted legislative proposals for advocacy purposes. Bionca Lindsey is a consultant for Nutrition Care Professionals, counselor with Montgomery Community Corrections, domestic violence shelter manager and domestic violence crisis line operator. In her spare time, she serves as the President for Alabama’s Association of Nutrition and Foodservice Professionals, and Autauga County Master Gardener Association’s Secretary and Membership Chairperson. She is a retired Chief Master Sergeant after serving 30 years in our United States Air Force where in her last role she managed 14 medical treatment facilities around the United States with an annual operating budget of $522 million and a staff of 72. She is a Certified Dietary Manager, Certified Food Protection Professional, Program Manager and Master Gardener. She holds a Bachelor of Science in Occupational Education and two Associate degrees. She’s married, mother of three children, four granddaughters and one grandson. Elena Madrid, RN, BSN, is WHCA’s Executive Vice President for Regulatory Affairs. Elena supports WHCA members by providing answers and insight to regulatory questions and expectations. Elena’s long and focused background in survey and enforcement as a surveyor and field manager for DSHS provide her with extensive knowledge and insight on regulatory compliance, the survey process, and policies and procedures. Elena also provides support, resources, and training regarding quality. As staff liaison to the Skilled Nursing Facility Quality and Regulatory Executive Advisory Committee for WHCA, Elena works with members to promote quality care and services at every level. At DSHS Residential Care Services where she was a field manager with oversight of assisted living and skilled nursing communities, Elena was responsible for the supervision of licensors, surveyors, and complaint investigators for assisted living communities, skilled nursing facilities, and adult family homes in eastern Washington. Elena has also worked as a director of nursing in both assisted living and skilled nursing. She is a registered nurse and brings a wealth of knowledge regarding long term care requirements and the regulatory issues affecting long term care providers. Gail Mautner is known for her extensive litigation background, and co-chairs Lane Powell’s Private Client Services Team and leads the firm’s Fiduciary Litigation Team, representing fiduciaries, beneficiaries and family members in disputed trust, probate and guardianship matters. Gail’s work has earned her several distinguished accolades—she is an elected Fellow of the American College of Trust and Estate Counsel and lauded in Chambers High Net Worth. One Chambers’ source stated, "She is a tenacious litigator who really advocates strongly for her clients' positions," while another notes, "She has the temperament to handle contentious and fraught matters." A fellow Washington state attorney praises her as "one of the toughest trust and estate litigators in Seattle, calling her a "formidable lawyer." Gail is a member of the Estate Planning Council of Seattle and a frequent speaker on topics arising under Washington’s Trust and Estate Dispute Resolution Act. Gail has been named as a “Top 50 Women Washington Super Lawyer” (2007, 2011-2017, 2019) and a “Washington Super Lawyer” by Super Lawyers® magazine and as a "Top 250 Women in Litigation" and a “Local Litigation Star” by Benchmark Litigation. Gail also maintains an active practice advising clients on best practices for managing human resources and compliance with federal, state and local employment law. Gail's hallmark is being "just a phone call away" for real
time practical advice on challenging personnel issues. She also represents clients before federal, state and local employment agencies, such as the EEOC and the Washington Human Rights Commission. In addition, working closely with the firm’s business transactions group, Gail negotiates, drafts and litigates executive, noncompetition and other employment-related agreements. Sabrena McCarley, MBA-SL, OTR/L, CLIPP, RAC-CT, earned her Bachelor of Science Degree in Occupational Therapy from Dominican University of California in 2004. Sabrena earned her Master of Business Administration- Strategic Leadership (MBA-SL) in 2009 from Dominican University of California. She obtained her Certified Living in Place Professional certification (CLIPP) in 2015 and her Resident Assessment Coordinator Certification (RAC-CT) in 2016. Sabrena obtained her CarFit Instructor Certification in April 2013 and she has been a leader for CarFit Technician Trainings, CarFit Event Coordinator Trainings and CarFit events. Sabrena’ s career has been exclusively in post-acute care settings working with the geriatric population with multiple diagnoses and complexities with varying levels of acuity and maximizing their quality of life. She has held staff OT positions, Director of Rehabilitation positions and regional multisite clinical and operational positions providing clinical trainings and mentorship to licensed physical therapists, occupational therapists and speech language pathologists. In her experience, she has been responsible for partnering with customers as well as interdisciplinary teams of physicians, nurses, administrators, dieticians and social workers to develop and train on topics that have included: compliance, Medicare Part A and Medicare Part B billing and coding, MDS 3.0, documentation, ADL coding, geriatric clinical programing for IDT as well as Occupational Therapy, Physical Therapy, and Speech Pathology (e.g., maintenance therapy, wellness programs, fall prevention programs and low vision programs). Her philosophy is that the patient is the center of any interdisciplinary team or holistic approach. In order to get the best outcomes for our patients, we must remember that they are the reason for what we do. Vicki McNealley, PhD, MN, RN, is directly responsible for supporting WHCA member assisted living providers through regulatory clarification, nurse consultation, facility system evaluation, advocacy, and education. Vicki is responsible for developing and implementing WHCA programs to support providers in these areas. Vicki spent ten years as the assisted living director for WHCA prior to serving as the Corporate Director of Regulatory Compliance for Village Concepts for over six years. She has extensive experience as a teacher, consultant and provider, and has been involved in assisted living operations and policy work since 1999. Vicki has served as a national award reviewer for the American Health Care Association and worked closely with the American Assisted Living Nurses Association to develop its certification exam. Vicki is a registered nurse with a master’s degree in community health nursing and a doctorate degree in nutrition. Marc Mueller currently serves as an E-Procurement consultant with over 15 senior-living chains (300+ facilities) in the United States, helping these chains save over $1 million annually. Marc is fully engaged in the senior-living industry to service chains across the country and is seen as an expert in the field of procurement optimization, compliance, A/P automation, purchase standardization, etc. Marc has held board positions with national, regional and state trade associations and sat side-by-side with owners to support their utilization of their internal and external procurement resources. He was Senior National Account Manager for several of the largest distribution and contract service businesses such as FSA, Navigator, and HD Supply. Lauri St. Ours is the Executive Vice President for Governmental Relations for the Washington Health Care Association. In this capacity, she is responsible for oversight of state government affairs, working with the CEO and association leadership to develop legislative priorities and activities. As the association’s chief lobbyist, Lauri is responsible for managing legislative relations activities for the internal team, including Robin Dale, CEO, and Jeff Gombosky, Consultant. Lauri provides staff support to the WHCA-PAC, and manages Association grassroots legislative activities. Lauri has over 25 years of experience working with the Washington State Legislature. Prior to joining the staff of WHCA in 2005, she served as the executive director of the Northwest Assisted Living Facilities Association for ten years. Neris Palunas, Pharm.D., BCGP, is a Consultant Pharmacist with Consonus Pharmacy. Neris’ wide-ranging pharmacist experience includes roles in long term care, biotechnology, clinical operations, hospital and pharmaceutical consulting. She’s passionate about advancing her profession, and teaches senior pharmacy students as a faculty member at the University of Washington. Neris provides clinical medication expertise to Consonus clients, and serves as a trusted liaison and invaluable resource for facility staff, patients and families.
Greg Pyle advises clients in corporate and business matters, with a particular focus on startups, mergers and acquisitions, and healthcare-related transactions. Greg counsels early-stage technology and startup clients through the process of entity selection and formation, capital raising, and growing their businesses with an eye toward an eventual exit. Greg serves as outside general counsel, providing practical advice and strategic insight on fundraising strategies, current venture capital trends, intellectual property protection and other business issues. Greg also has unique experience in healthcare and life science business matters. Greg represents clients across the healthcare- delivery system from major research institutions and health-information technology companies, to working with large national senior-living providers on compliance issues. Greg also assists senior-living and long-term-care communities with contract negotiation and coordination, and mergers and acquisitions. He spent time as a seconded attorney to Fred Hutchinson Cancer Research Center, where he negotiated its clinical trial and other sponsored research agreements with a variety of life sciences companies. Trystan Reese is a professional facilitator who travels the world educating groups large and small on transgender inclusion. Trystan worked with city governments, non-profits, health insurance companies and more, bringing his signature no-judgement style to every event, training, or keynote speech he does. Trystan is based out of Portland, Oregon, where he lives with his family. Aaron Resnick is the Planning & Preparedness Manager for the Northwest Healthcare Response Network and the healthcare preparedness coalition in Western Washington State. His responsibilities include managing regional and state-wide projects such as healthcare acute infectious disease sustainment and hospital surge capacity. Aaron was a 2018 Fellow of the Emerging Leaders in Biosecurity Initiative, a program of the Johns Hopkins Center for Health Security, where he attended the 2018 annual meeting of state parties to the Biological Weapons Convention. Previously, he served as the emergency preparedness coordinator at Inova Fairfax Medical Campus in Falls Church, VA, Northern Virginia’s Level I Trauma and Pediatric Center. Aaron’s prior work includes foreign and security policy analysis in Washington, D.C. He holds a Bachelor of Arts in Diplomacy & World Affairs from Occidental College in Los Angeles, and a Master of Arts in War Studies from King’s College London. Dr. Julie Rickard is a licensed psychologist who graduated from Washington State University in 2004. Dr. Rickard is the CEO for Moment by Moment Suicide Prevention, LLC and founded the Suicide Prevention Coalition of North Central Washington in 2012. She has worked for years to improve the suicide outcomes in Central Washington and is well known for developing innovative programs. Dr. Rickard was recently featured on PBS and NPR for her work on senior suicide, and is also spearheading youth suicide prevention in Chelan and Douglas Counties in partnership with the schools. Dr. Rickard is currently working on opening a clinic for suicide attempt survivors in Wenatchee, Washington. The North Central Washington Attempted Suicide Short Intervention Program Clinic (NCW ASSIP Clinic) is expected to open January 2020. Stacey Saunders has been the Program Director for the Home Care Aide program at the Department of Health (DOH) since 2014. Under her leadership, a new certification exam was designed and implemented, and pass rates for non-English languages have increased up to 30 percent. Sue Trace has a background in nursing, recruitment, retention, HR, sales, marketing, program development, company ownership and management. Sue brings a wealth of career and life experience offering effective and results-oriented coaching. She is a certified professional leadership coach through accredited programs with the International Coaching Federation, and has been passionate about nursing recruitment, engagement and retention for over 30 years. Sue helps nurses re-kindle their passion for their nursing career, gain confidence and positivity with themselves and their relationships with colleagues, replenish their energy, and build resilience against stress and burn-out. Certified with the PROPEL Institute, Sue provides the 6-month evidence-based PROPEL Coaching™ program for organizations seeking to build a positive workplace culture, increase nurse/staff engagement, retention, patient satisfaction and quality outcomes. Jeff West, MPH RN, is a senior improvement advisor for Comagine Health with interests in person-centered care, staff stability, and sustainable team-based quality improvement in long term care. Jeff has directed national and regional nursing home quality improvement projects and presented at numerous conferences and workshops since 2003. He believes that long term care quality improvement is best understood as a sustainable culture of democratic experimentation that values the experience of residents, families, and paid caregivers.
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