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Our Future is Bright
One thing that I have said throughout my career is that I have TBS Thanks to your advocacy efforts, Gov. Walker has included a
True Believer Syndrome. In my life I have always chosen jobs 2 percent increase in skilled nursing facility Medicaid reimbursement
for organizations whose missions I believe in. Serving as Executive in each year of the biennium in his proposed budget. While we
Director of the Wisconsin Health Care Association is no exception. It appreciate Gov. Walkers support of the profession and believe that
is the greatest honor of my life to serve our assisted living and skilled it is an important step in the right direction, WHCA/WiCAL will
nursing facility members around the State of Wisconsin. continue to advocate for SNF payment reform.
Every day I talk to facility managers and administrators about the Thanks to our advocacy efforts, and our associations raising awareness
unique and common challenges they face. Once again this year, of the caregiver crisis, participation in the Quality Assurance and
Wisconsin has received the dubious distinction of being ranked as the Improvement Committee. $2.3 million in grant money has been
worst skilled nursing facility reimbursement system in the country. approved to fund the Wisconsin Caregiver Career Program, which
At the same time, many assisted living facility providers have not will provide training grants, and money for a promotional campaign
received rate increases in as many as eight years. to attract caregivers to the profession.
To be honest with you, Id rather not have to talk about reimbursement Regarding an internal note, WHCA/WiCAL was pleased to announce
all the time. I would love to have the opportunity to talk more about that this Spring we hired Jackie Strader, an experienced Registered
advancing the quality of care provided in our member facilities and Nurse and Director of Nursing, as our new Director of Quality
what the Wisconsin Health Care Association and the Wisconsin Advancement and Regulatory Affairs, a position the association has
Center for Assisted Living are doing to advance the quality of long- recently created to coordinate quality advancement and regulatory
term care in the Badger State. affairs issues.
However, the quality of care that our member facilities are able Ultimately, there are three reasons why I am optimistic about the
to provide is directly related to our ability to cover our costs. The future of the profession of long-term care:
reality is that according to the latest data compiled in the skilled 1. Dedicated Caregivers: I could not be more proud of
nursing facility Medicaid loss report compiled by Eljay, LLC and Wisconsins hard-working LTC provider community.
commissioned by our national organization, the American Health 2. Extraordinary Residents: Too often it seems we focus on
Care Association, the average loss for facilities on a Medicaid patient our state and nations aging population as a problem to
day is $58! be solved as opposed to the opportunity it presents. The
coming generations of seniors and super seniors will be the
If it were just the fact that Wisconsin had the worst reimbursement most-educated aging population in human history. There
system in the country thatd be one thing will be great opportunities to share from their considerable
base of knowledge.
And if it were just the fact that Wisconsins LTC providers are 3. Receptive Policymakers: Increasingly, legislators understand
experiencing a crisis in the availability of frontline caregivers thatd the gravity of the workforce shortage and agree with
be one thing and acknowledge the need to invest in long-term care.
Lawmakers are now well-informed of the problem and are
And if it were just the fact that Family Care providers havent received willing to work with us toward a solution.
a rate increase in 5-8 years, thatd be one thing
By working together, focusing on providing the best possible care to
And if it were just the fact that skilled nursing facilities have to deal with the residents we serve, and clearly, consistently and effectively telling
a broken survey and enforcement system that thatd be one thing the great story that we have to policymakers, press, and the public,
I am confident that the future is bright for long-term care!
But taken together, it is a lot for our members to shoulder. Thats why
WHCA/WiCAL and AHCA/NCAL are doing everything possible to
communicate to policymakers and regulators the need for reform.
And while the challenges are numerous, the long-term care provider
community in Wisconsin has been working tirelessly to raise John J. Vander Meer, MPA
awareness of the need for reform and a recommitment to our elderly Executive Director
and disabled residents. Wisconsin Health Care Association
Your Success
Medicare & Medicaid Reimbursement Services
17
17
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phone (262) 789-9945
or send a fax at (262) 782-8766 27 CE Solutions
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a fresh approach
www.jtcpas.com 28 WHCA/WiCAL Symposium, RoP Session & Survey
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CONTENTS
6 CAPITOL CONNECTION
State Budget Outlook and the Future of Medicaid
The 2017-19 legislative session is in full swing, and the Legislatures Joint Finance Committee is in the middle
Continuum is published for the of biennial budget deliberation, in which lawmakers will determine state funding for LTC reimbursement for
Wisconsin Health Care Association the next two years. Governor Walker included $51.5 million for increased skilled nursing reimbursement over
and the Wisconsin Center for the next two years. WHCA/WiCALs government affairs team has been working with member facilities and
Assisted Living with legislators to maintain that funding, as well as increase funding for Family Care reimbursement. The state
budget debate is also occurring during a period of uncertainty regarding the future of Medicaid and the ACA,
131 W. Wilson Street, Suite #1001 as Republicans in Washington consider reforms.
Madison, WI 53703
Phone: 608.257.0125
Fax: 608.257.0025
www.whcawical.org
8 MEDIA MATTERS
Optimize Your Online Presence: Using Online Review Sites to
Benefit Your Census
More and more each day, consumers are relying on online reviews while considering products or services.
Industries from restaurants and hotels to golf courses to nail salons are working to embrace and grow within
a new online review reality. The long-term care provider community must see online reviews as a necessary
Managing Editor opportunity for future growth and success.
Jim Stoa
14 COVER STORY
The Faces of Long-Term Care
1155 Wilburn Road Profiling the Heroes on the Front Line of Caring for Wisconsins Most Vulnerable Residents
Caring for our most vulnerable community members is perhaps the greatest responsibility we as a society
Sun Prairie, WI 53590 undertake. Each and every day, caregivers across Wisconsin wake up and prepare for a day where they put others
608.834.3400 before themselves. Perhaps there is no job as difficult and as fulfilling as caring for our seniors and ensuring
www.badgergraphics.com their health, wellbeing, and comfort. Seniors helped build our country. They raised families, transformed our
society, and shaped our communities. Meet some of the faces of long-term care here in Wisconsin who care for
For more information in advertising in our extraordinary residents.
Continuum call 608.257.0125 or go to
20
www.whcawical.org/continuum. LTC LEGAL LETTER
If you are planning on moving and Informed, Involved, and In Control: RoP changes to Residents Rights
would wish to continue receiving With the dust having settled on efforts to address the most notable implementation aspects of Phase I of
Continuum, call 608.257.0125 and the significant revisions to the federal nursing home Requirements of Participation, and before the Phase II
requirements begin November 2017, it is a good time to step back and assess and assure compliance with the
inform WHCA/WiCAL of your new
finer points of certain regulatory changes, including the residents rights section of the final rule.
address.
2017 Badger Graphic Systems.
All rights reserved. The contents of this 22 CLINICAL CORNER
Person-Centered Care and the Importance of Effective Planning
publication may not be reproduced by Person-centered care is not a concept new to long term care, but it has become a focal point with the revised
any means, in whole or in part, without CMS Requirements of Participation released last fall. The patient-centered model of care requires a cultural shift
prior written consent of the publisher. from provider-knows-best to one in which staff fully recognize and respect each residents individual choices
and autonomy.
PUBLISHED MAY 2017
STATE BUDGET
In his budget proposal, Governor Scott and approved unanimously by the needed to pass when House Republican
Walker included a $51.5 million increase WHCA Board of Directors. leadership unveiled The American
for SNF Medicaid reimbursement. His Health Care Act (AHCA) earlier this
proposal did not include an increase in WHCA/WiCALs team of six lobbyists year. Groups immediately lined up in
funding for Family Care. Due to these will continue to work with key legislators opposition to the AHCA including the
budget developments, WHCA/WiCAL and other stakeholders to advance these American Hospital Association, AARP,
and other state provider associations have budget requests. Perhaps the most the American Medical Association, and
issued revised joint budget requests: effective advocacy resource the long- even conservative groups such as Heritage
term care profession has is YOU. We Action, American for Prosperity, and the
SNF Budget Request. The encourage members to reach out to their Cato Institute, which made it difficult
joint budget request for state legislators to offer the perspective for the plan to gain any traction. The
skilled nursing reimbursement of Wisconsins long-term care providers Association of Health Insurance Plans
indicates our support for the regarding the 2017-19 Biennial State stopped short of opposing, but went
governors proposal to increase Budget. Thank you to all who attended public with their misgivings about the
nursing home Medicaid rates by this years Caregiver Day at the Capitol bill saying the plan created unnecessary
2% annually totaling $51.5 on March 28 and to all who have disruptions in coverage and cut Medicaid
million over the biennium to participated in budget listening sessions funding too much. Republican Governors
support direct care workforce held around the state. Your voice is also expressed concern with the plan.
and increased resident critical as we work to impress upon
acuity, and increase rates for legislators the need to prioritize long- The bill provided $10 billion for states
intermediate care facilities for term care in the State Budget! Please visit over five years that did not expand their
individuals with intellectual www.whcawical.org/legislative for more Medicaid programs, but leading health
disabilities (ICF-ID) by 1% information on legislative outreach. care advocates in Wisconsin said our
annually. Further, the request state would not fare well under the plan
indicates support for the MEDICAID AND THE ACA primarily because Medicaid funding
Governors proposal to increase Whats in store for Medicaid and the would be based on the number of people
the behavioral and cognitive Affordable Care Act (ACA)? That is the in the state with income below 138
impairment incentive (BEHCI) million-dollar question. How will changes percent of the federal poverty level, not
funding by $5.0 million in at the federal level impact the current on how many are covered in the program,
each year of the biennium. state budget process? A full and fast which means bigger states would receive
repeal of the ACA fell short of the votes most of the money.
Family Care Budget Request.
The joint Family Care budget
request asks the Legislature to
invest $40.4 million GPR in
the 2017-19 biennial budget to
fund increases for the direct care
and services component of the
Family Care capitation rates to
target critically needed increases
to address the long-term care
workforce crisis.
6 CONTINUUM | www.whcawical.org
While the initial effort to repeal program. However, there are major
Ramie Zelenkova is a
and replace the ACA failed, House differences to consider between block
partner at the lobby
GOP members recently passed an grants and per capita block grants. firm Hubbard Wilson
amended version of the bill, although The House Republican plan conceded Zelenkova and represents
the legislations future is unclear in a federal Medicaid financing to a per WHCA/WiCAL as a
skeptical Senate. capita cap beginning FY 2020. A per WHCA Lobbyist. She can
capita block grant program would ebb be reached at rzelenkova@
In the amended proposal, states would and flow with the economy while a flat hwz-gov.com.
Ramie Zelenkova has over a decade of experience in lobbying,
have two Medicaid financing options block grant would put Wisconsin moregrassroots advocacy and legislative research and has worked to
maintain strong relationships with legislative members on both
from which to choose. Under the first at risk during a recession. Katie White is a contract
sides of the aisle. Ramie represents a variety of clients in areas
such as health care, long-term care, child welfare and education.
Ramies experience includes an extensive background
option, as under the original bill, states lobbyist with Hubbard
representing client interests before the Wisconsin Department of
Health Services, with particular experience representing Medicaid
Wilson Zelenkova and
managed care delivery interests. Some of Ramies recent
could receive a per capita cap allocation Wisconsin State Medicaid Director accomplishments include assisting in the development of the
represents WHCA/WiCAL
state's first medical home to support patient- centered
amount for all Medicaid populations Michael Heifetz recently presented at coordinated care, obtaining Medicaid coverage for home-based
as a WiCAL Lobbyist.
mental health services for children, passing legislation to prohibit
(aged, blind/disabled, children, adults, a University of Wisconsin Population insurers from setting fees for dental procedures, and passing
She can be reached at
legislation to allow Family Care long-term care districts to be
licensed HMOs.
and other adult populations). Under Health Institute sponsored briefing on kwhite@hwz-gov.com.
the second option, states would choose the future of the ACA and Medicaid.
to receive a block grant for children, Director Heifetzs presentation included
adults, and other adult populations. the current overview of our Medicaid
However, the proposed block grant program and associated cost pressures as
amendment would not allow states to well as considerations for a block grant Me
mb Excl
receive a block grant for the aged or program. The University of Wisconsin ers usiv
hip e
blind/disabled populations, as these Population Health Institute briefing Be
ne
fits
groups would remain under the per included many other informative
capita cap financing structure. The presentations. Members are encouraged
amended bill also provides a higher to view those presentations at www.
annual growth rate for the aged and whcawical.org/uwphi. A summary of
blind/disabled categories, from the The American Health Care Act from
Consumer Price Index (CPI)-Medical the Kaiser Foundation can be viewed at
growth rate to CPI-Medical plus 1 www.whcawical.org/kaiserahca.
percent. This change will result in
more funding than was included in the How does all of this tie into the current
original bill. state budget process? Federal action on
the ACA and Medicaid will certainly Service Corporation
Insiders say GOP leadership estimates impact Wisconsin, but with so many
they have until the end of May to unknowns the Joint Committee on
pass a health care reform bill. This is Finance is proceeding under the VISION We are a team of professional
primarily because parliamentary rules traditional process of agency briefings, and compassionate long-term
would limit the majoritys authority to public hearing, and executive committee health care providers continuously
enhancing quality long-term health
approve a health care reform measure meetings. The Legislative Fiscal Bureau
care through education, advocacy,
using reconciliation once a new budget released its analysis of the Governors relations, professional development,
is unveiled, which Republicans need if budget recommendation and has started innovation and partnership.
they want to pass a tax reform package. to release individual budget papers.
Without reconciliation as a tool, it would Agency briefings were scheduled for the MISSION STATEMENT To advance the
take 60 votes, rather than 51, to pass a bill end of March and six public hearings quality, value and professionalism
in the Senate, which would be impossible were held across the state in April. The of long-term care providers through
given the opposition from Democrats. Committee began its markup of the education to enhance quality long-
budget bill on May 1. Once again, we term care for the benefit of residents,
employees and the long-term care
There continue to be unknowns and ask that members continue reaching out
provider community.
critical issues regarding health care to lawmakers and urge them to support
reform, and in particular its impact the Governors proposal to increase For more information
on state Medicaid programs. Governor nursing home reimbursement by $51.5 Contact WHCA/WiCAL:
Walker has publicly announced his million and to add new funding for 131 West Wilson Street, Suite 1001A,
support for both repeal of the ACA and direct care and services under the Family Madison, WI 53703 | 608.257.0125
converting Medicaid into a block grant Care program.
Spring 2017 | CONTINUUM 7
Media Matters
8 CONTINUUM | www.whcawical.org
Although there is a seemingly infinite success of your facility. If your facility updating news and information
landscape for writing and reading currently lacks an online review footprint, as changes arise, presenting
online reviews, there are a few websites dont worry! Increasing your online up-to-date pictures, and being
that dominate the web-review industry: presence and reviews is a simple process. responsive to comments and
Yelp is one of the worlds largest reviews. Of course, not every
customer review sites that includes both Here are WHCA/WiCALs tips to review will be positive. One
computer and mobile platforms. Yelp improving both the quantity and quality rule to follow when responding
has a monthly average of 25 million of your online reviews: to negative feedback is the rule
unique visitors and over 115 million 1. Make sure that you have a of threes: while it is all right
written reviews. Yelp is free of cost to company page. to leave a polite response to a
use by business owners and is a necessary You must first make sure that negative review, if the original
platform for all businesses to be on. your company has a page to reviewer responds again, stop
review. Search your facility on the exchange after the third
Google is the largest global search engine the various online review sites response. This prevents drawn
with more than 1.6 billion unique to see if you have an already out conversations that could
monthly visitors. Google Reviews can existing page or if you need have an even greater negative
be seen and submitted by anyone who to make a new one. Online impact than the original negative
searches your facility and is integrated into review sites will often already review had on your facility.
Google Maps, a popular mapping service. have generated a page for your 4. Provide review-worthy care!
Reviews come up in a Google search, so company, and all you need to It may seem obvious, but the
maintaining a positive reputation on do is claim and verify your most effective way to generate
Google is an absolute necessity. page, which will allow you to positive reviews is by providing
actively maintain it. customers with review-worthy
HealthGrove is a unique customer 2. Make it easy to leave reviews. service. In general, most people
review engine specifically for the medical One of the easiest ways to will submit a review if their
and health community. HealthGrove is a increase the number of online experience lands on one of
site where users can search and compare reviews is by making the two spectrums: very positive
various skilled nursing and assisted living reviewing process as convenient or very negative. Most wont
facilities. HealthGrove is home to a wealth as possible for the reviewer. expend the energy to review a
of information for consumers, so having Ask residents or their families company with which they had
a (good) reputation here is important. to leave a review, and give an average experience. To have
them instructions to eliminate more people submit positive
Bottom line: having an online presence confusion that could occur reviews, companies must
is vital to engaging prospective residents otherwise. WHCA/WiCAL has provide excellent all-around
and their families and ensuring the future developed a template handout service and display gratitude
facilities can provide to to every customer for utilizing
residents with clear, simple their companys services.
instructions (see the image
[to the right/to the left/etc]. WHCA/WiCAL is always looking
If you would like an editable to help member facilities achieve the
version of this document, please success they deserve and desire. If you
contact me jstoa@whcawical.org. have any additional questions or would
Customers are less likely to leave like more information regarding online
a positive review if the process review site optimization, please contact
for leaving one is difficult or jstoa@whcawical.org.
confusing. To avoid this, create
calls to action in newsletters and
Jim Stoa is the Public
provide links on your company Affairs Director for
site to your specific review pages. WHCA/WiCAL. He
3. Actively maintain your pages. can be reached at
The most successful companies jstoa@whcawical.org.
online are frequently also
the most active and well-
maintained. This includes
Spring 2017 | CONTINUUM 9
Stakeholder Spotlight
day there was no administrator, a snow Property & Casualty | Employee Benefits | M3 Financial | Personal Insurance Madison | Milwaukee | Green Bay | Wausau | Eau Claire
10 CONTINUUM | www.whcawical.org
Fly Above Regulations
Quality EMR software that can be tailored
to individual facilities or organizations.
Flexibility allows facilities and their
caregivers to focus on the resident,
rather than the minimal standards of law.
A Complete LTPAC EMR & Billing System Tailored to & Controlled by YOU!
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Data Digest
PEAL
Performance Excellence in Assisted Living
Development of an effective
quality improvement system
including the operation of
living facilities including Community
Based Residential Facilities (CBRF);
Residential Care Apartment Complexes
efficient quality committees. (RCAC) and Adult Family Homes
12 CONTINUUM | www.whcawical.org
Updated Copies of Residents Rights and
Future Medical Decisions Booklets Now Available
Now
compliant
with RoP!
Future Medical Decisions and Rights of Residents are designed to inform both residents and
caregivers of rights and choices that are guaranteed under federal and state law.
14 CONTINUUM | www.whcawical.org
The best part of my day is just coming Care Center when she was 20 years old
to work, Garb said. I love my job, and in 1975. Throughout her 41 years as a
I just love our residents. I always have. cook at Plum City Care Center, Hartung
has seen many changes to her kitchen
Like so many dedicated frontline and mentored countless coworkers. And
caregivers throughout the state, Garb while change may be constant, Hartungs
often goes the extra mile, willing to come commitment to providing good, healthy
in on her days off, to care for residents. meals to residents has always remained
her top priority.
To me, theyre like family, Garb said
of the residents at Fountain View. This When asked her favorite part of her
is how I would want my mom and dad job, Hartung was quick to praise the
or grandma and grandpa taken care of. Visit www.whcawical.org/shiningstar
residents she serves every day:
It is no surprise that Garb has for information on how to nominate
dedicated her career to caregiving. Her a deserving staff member for a
The best part of my job is how nice the
coworkers consider her the most caring, 2017 Shining Star Award at the
residents are, Hartung said. Everyone
dependable, and thoughtful person at 66th Annual Fall Convention, held
sure appreciates me!
Fountain View. She makes work easier November 2. Deadline for the
for her co-workers and makes life better Shining Star application is October 6.
Hartung helps create a true sense of
for all the residents she cares for. community at Plum City Care Center
And care goes beyond by making herself approachable and
For her unwavering commitment, direct caregiving. Take available not just to residents, but to staff
dedication to her work, her residents, Ruth Hartung, a cook as well. Nursing staff are comfortable
and coworkers at Fountain View Care at Plum City Care asking her to make something special
Center, WHCA/WiCAL presented Center and 2016 for residents who may prefer a different
Garb with the 2016 Shining Star Direct Shining Star support meal or may not be too hungry. Hartung
Caregiver award at the 65th Annual Fall staff award winner, who grew up in Plum City and understands
Convention in Green Bay last October. goes to painstaking the value that the care center offers
All facilities have a Jeanette Garb who efforts to accommodate the entire community. Her passion
emanates love and caring to residents, individual resident dietary preferences for serving her care community and
their families, and other staff members. and needs. Hartung started at Plum City the entire city demonstrates Hartungs
caring commitment to her work. And
her commitment to service is reflected
in the quality of life of residents at Plum
City Care Center.
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22 CONTINUUM | www.whcawical.org
Benefits to the nursing home include: COMPREHENSIVE CARE PLAN for residents who are transferred
Nursing homes have better Within seven days of completing to another SNF or who are
quality outcomes due to the a comprehensive assessment of a discharged to an HHA, IRF,
ability of staff to identify new resident, you must develop a or LTCH, the facility must
and respond appropriately to comprehensive care plan. The plan assist the resident and his or
changes in a residents condition. must include any specialized services her representative in selecting a
or specialized rehabilitation services the post-acute care provider; and
Nursing homes have better staff nursing facility will provide as a result of produce a timely document,
retention due to a strong relationship Pre-admission Screening and Resident including in the residents
between staff and residents Review (PASARR) recommendations. clinical record, the evaluation
Comprehensive Person-Centered of the residents discharge needs
A nurse aide and a member of the food and plan. The results of the
Care Planning (483.21) and nutrition services team must be on discharge planning must also be
Admission: 48 Hours to Create a the interdisciplinary team that develops discussed with the resident and
Baseline Care Plan the plan. the residents representative.
DISCHARGE PLANNING BEGINS UPON Future care plan revisions are
CMS has updated the requirements
ADMISSION meant to support the residents
around care planning upon admission.
Discuss the residents discharge involvement and control as well
Facilities used to have up to 14 days
plan upon admission. Develop and as resident satisfaction and safety.
to develop a comprehensive care plan.
Under the new CMS requirements, implement a patient-centered discharge STAFF BUY-IN
facilities must develop a baseline care plan planning process focused on resident Patient-centered care is a mindset that
for each resident within 48 hours of their discharge goals, and increasing resident front-line staff must embrace for it to
admission with care instructions that participation in implementing and work. It is a completely different model of
include, at a minimum, the following: succeeding with those goals. care, from staffing numbers to job duties
initial goals based on admission orders; of the staff. No longer can everything be
Per CMS requirements, the discharge
physician orders; planning process must also: done on a regimented schedule because
dietary orders; ensure the residents discharge the goal is to provide residents with
therapy services; needs are identified and result choices. Instead, everyone must figure
social services; out how to balance the demands of each
in the development of an
and a pre-admission screening resident and get everything done.
individual discharge plan;
and resident review (PASARR) include regular re-evaluation to
recommendation, if applicable. Even before CMS mandated the
identify changes necessitating policy change, many facilities had
Every person who is admitted to modification of the discharge already begun moving to a household
your facility comes with distinctive plan; model, constructing smaller units with
challenges, needs, and goals. To be in involve the interdisciplinary
dedicated staffing trained to provide a
line with what makes their situation care team in developing the broader range of care to residents. For
unique, communication and planning discharge plan; those with a traditional facility model,
are key. That initial assessment tells staff consider caregiver support
moving to a person-centered model of
what their preferences are rather than person availability and care will take more creativity and staff
waiting 14 days to learn about their capability to perform the involvement to implement the model
preferences. This eases the transition to residents required needs; into your facility.
living in the facility. It is important to involve the resident and
include family in discussions to gain a resident representative in the
development of the discharge Deb Martin RN,
comprehensive overview of the person
plan, and inform the resident BSN is an Account
entering your facility. The facility is
and resident representative of Executive for CE
required to provide the resident and Solutions. Deb started
their representative with a summary of the final plan;
out her nursing career
the baseline care plan. address the residents care goals
in the NICU. She also
and treatment preferences; was a Sales Account
Alternatively, in lieu of developing document that a resident has been Executive with a
a baseline care plan, the facility may asked about his or her interest in leading pharmaceutical company and
develop a comprehensive care plan within receiving information regarding a Director of Nursing at a Skilled
48 hours of the residents admission. returning to the community; Nursing Facility for 10 years.
SOLUTIONS
Print | Marketing Services | Direct Mail | Creative Design | Signage | E-Connect
24 CONTINUUM | www.whcawical.org
Care Classic
July 17, 2017 | The Oaks, Cottage Grove
SAVE THE DATES
Fall Convention
November 1-3, 2017 | Radisson, Green Bay
Offers attendees premier educational programming. Fall Convention Gold Business Partner showcase.
Networking opportunities. Programming that keeps you at the forefront of the
Recreation and fellowship. long-term care provider profession.
Caring For
Families
L i k e Yo u r s
Long Term Care & Rehabilitation
Allis Care Center
Exceptional Management
of Quality Care
For 25 years, Exceptional Living Centers has
provided professional management services
for pediatric and senior living communities.
Information Technology Legal & Compliance Marketing & Sales Project Management
ExceptionalLivingCenters.com
26 CONTINUUM | www.whcawical.org
DEMENTIA TRAINING COMPLIANCE CNA SERIES NURSING COURSES
WHCA
PREFERRED
VENDOR
EXCLUSIVE
ContactMe!
Contact me!
Tyler Mahncke
Jena Jackson
877-575-6625
tylerm@discovercesolutions.com
888-480-4342
jenaj@discovercesolutions.com
www.DiscoverCESolutions.com | 866-650-3400
8
Wisconsin Health Care Association Wisconsin Center for Assisted Living
REGISTER TODAY!
The Wisconsin Health Care Association will be offering timely and innovative professional development programs in the
areas of SNF Medicaid Reimbursement, Quality Advancement, Requirements of Participation, and the Survey Process.
go to www.whcawical.org to register
Please call George W. (Skitch) MacKenzie, NHA at skitch@whcawical.org
or call (608) 257-0125 for further information.