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Message from Mark Parkinson, President & CEO

Membership

AHCA/NCAL is the nation’s leading association representing long term and post-acute care centers. Since 2011, AHCA/NCAL membership has steadily grown from 11,354 to 13,400 facilities, an increase of over 15 percent.

AHCA Board of GovernorsAHCA Board of Governors

AHCA Board of Governors

AHCA elected and appointed leadership consistently works to prepare the association for new challenges. Each board member brings unique expertise and a strong commitment to the long term and post-acute care profession.

  • Tom Coble (OK)
    Chair
  • Michael Wylie (PA)
    AHCA Vice Chair
  • Robin Hillier (OH)
    Secretary/Treasurer
  • Leonard Russ (NY)
    Immediate Past Chair
  • Phil Fogg (OR)
    Executive Committee Liaison/At-Large Representative
  • Greg Elliot (WV)
    At-Large Representative
  • Janet Snipes (CO)
    At-Large Representative
  • Debbie Meade (GA)
    At-Large Representative
  • David Norsworthy (AR)
    At-Large Representative
  • Phil Scalo (NJ)
    Independent Owner Representative
  • Steve Cavanaugh (VA)
    Multifacility Representative
  • Gary Kelso (UT)
    Not-for-Profit Representative
  • Glenn Van Ekeren (NE)
    Regional Multifacility Representative
  • Chris Mason (OR)
    NCAL Representative
  • Dirk Anjewierden (UT)
    Affiliated State Health Care Association Executive (ASHCAE) Representative
  • Peter Corless (OH)
    Associate Business Member (ABM) Representative
  • Mark Parkinson
    AHCA/NCAL President & CEO

Organizational Success

Staff Stability
Staff Stability

Goal: Decrease turnover rates among nursing staff (RN, LPN/LVN, CNA/LNA) by 15% or achieve/maintain at or less than 40% by March 2018.

Progress: As of March 2016,* 5.3% of members have achieved a nursing turnover rate at or below 40%.

Customer Satisfaction
Customer Satisfaction

Goal: At least 25% of members will measure and report long-stay resident and family satisfaction and/or short-stay satisfaction using the Core-Q survey by March 2018.

Progress: As of November 2016,* 8.2% of members have achieved this goal.

Unintended Health Care Outcomes
Unintended Health Care Outcomes

Goal: Reducing the number of unintended health care outcomes by March 2018.

Progress: This measure is under development.

*The latest data for 2016

Short-Stay and Post-Acute Care

Hospital Readmissions
Hospital Readmissions

Goal: Safely reduce the number of hospital readmissions within 30 days during a skilled nursing center stay by an additional 15% or achieve and maintain a low rate of 10% by March 2018.

Progress: As of June 2016,* 20.5% of member centers have achieved a 30% reduction in hospital readmissions or achieved a rehospitalization rate below 10%.

Discharge Back to the Community
Discharge Back to the Community

Goal: Improve discharge back to the community by 10% or achieve and maintain a high rate of at least 70% by March 2018.

Progress: As of March 2016,* 35.7% of AHCA members have improved their baseline rate by 10% or achieved a 70% rate of safe discharges back to the community.

Functional Outcomes
Functional Outcomes

Goal: Improve functional outcomes by 10% or maintain an average rate of improvement of 75% by April 2018.

Progress: As of September 2016*, 46.8% of AHCA members have achieved the goal of a 10% improvement from baseline or achieved an average rate of improvement greater than or equal to 75%.

*The latest data for 2016

Long-Term and Dementia Care

Antipsychotics
Antipsychotics

Goal: Safely reduce the off label use of antipsychotics in long-stay nursing center residents by a total of 30% by December 2016.

Progress: As of September 2016,* 53.6% of AHCA members have achieved the goal of a 30% reduction.

Hospitalizations
Hospitalizations

Goal: Safely reduce hospitalizations among long-stay residents by 15% or achieve/maintain a low rate of 10% or less by March 2018.

Progress: As of June 2016,* 38.7% of AHCA members have improved their baseline rate by 15% or achieved a 10% rate of long-stay hospitalizations.

*The latest data for 2016

AHCA/NCAL Quality Award Program

The AHCA/NCAL National Quality Award Program is a progressive, three-step program based on the nationally recognized Baldrige Performance Excellence criteria. Member organizations that participate in the program must showcase detailed and comprehensive demonstrations of systematic quality performance and organizational effectiveness.

Since its inception in 1996, the Quality Award Program has received 11,981 applications to date and over 4,000 members have received a Quality Award at the Bronze, Silver and Gold levels.

Quality Award Recipients

  • Have better performance than other centers nationwide on their overall, staffing and Five-Star quality measure ratings
  • Are more likely to be deficiency free
  • Achieve better performance on the Quality Initiative goals

The program is a member of the Alliance for Performance Excellence, an association of the 39 recognized Baldrige-based award programs in the nation. It is the largest of these programs, with a volume of applications that exceeds all of the other 38 programs and the National Baldrige program combined.

Making a Difference

Powerful Policy Voice

AHCA therapy-related research and advocacy helped prevent cuts in the Skilled Nursing Facility Prospective Payment System therapy component, resulted in a modest increase in Part B therapy rates, and helped prevent new burdensome therapy-related regulations.

Deliver Solutions to Members

AHCA developed Principles to Ensure Access, Quality and Choice Under Managed Care and an Accountable Care Organizations Contracting Toolkit for SNFs for our members. AHCA added therapy-specific programing to the annual Convention, in addition to the highly attended pre-convention half-day Rehabilitation Therapy Constituency Education programming.

Improve Quality Care

AHCA’s strong therapy representation on several Improving Medicare Post-Acute Care Transformation (IMPACT) Act Technical Expert Panels, as well as comprehensive written comments, have helped shape new measures being developed for quality and payment purposes.

Connecting with Congress

Connecting with CongressConnecting with Congress

Political Action Committee delivers strong results
  • More than $7.7 million in political activity annually
  • $14.1 million political activity during last election cycle ‘15–16
  • 164 political events

Strong Policy Voice

2016 was a year of many opportunities and uncertainties. Over the course of the year, we avoided an effort to cut provider taxes, negotiated an ongoing value-based purchasing system, and continued to advance payment reform in tangible ways, allowing it to be ready to take shape in a new Congress.

  • Worked to ensure a clean Skilled Nursing Facility Payment rule
  • Prevented skilled nursing facility cuts
  • Continued efforts working with House Ways and Means Committee to improve previously unacceptable Value-Based Purchasing legislation
  • Passage of the Rural Healthcare Connectivity Act, which allows rural skilled nursing facilities to receive funds for patient care

Grassroots and Member Advocacy

  • National grassroots efforts to showcase and educate on importance of Medicaid to long term care populations
  • Targeted campaign for key Members of Congress whose districts would be most impacted by Provider tax cuts
  • Emphasis on facility tours for Members of Congress that highlight the value of therapy in Skilled Nursing Facilities
    • Over 150 facility tours in member centers
  • Over 500 meetings between AHCA members and congressional offices and four formal fly-ins
  • Historic attendance at the annual Congressional Briefing
  • Over 91,000 active advocates

Therapy and Post-Acute Care

AHCA worked with multiple other post-acute care groups to strengthen our voice as a leader in the post-acute care coalition. AHCA staff members met routinely with other provider groups to align our messaging and ensure that all post-acute care providers spoke with a unified voice, ensuring that a value-based bundle for all Post Acute Care providers was fair and reimbursement was equally distributed.

  • AHCA therapy-related research and advocacy helped prevent cuts in the skilled nursing facility Prospective Payment System therapy component, resulting in a modest increase in Part B therapy rates and helping prevent new burdensome therapy-related regulations.
  • AHCA’s strong therapy representation on several IMPACT Act Technical Expert Panels, as well as comprehensive written comments, have helped shape new measures being developed for quality and payment purposes.
  • AHCA added therapy-specific programing to the annual Convention, in addition to the highly attended pre-convention half-day Rehabilitation Therapy Constituency Education programming.

Growing Together

Over the past decade, the health care profession has added 2.6 million jobs nationwide, making it the fastest growing sector in the U.S.

Programs and Resources

Requirements of Participation (ROP)

Three-hour intensive session at Convention titled Requirements of Participation: A Deeper Dive into Key Changes; materials to assist members to implement new Requirements of Participation including a Playbook and Policies and Procedures Checklist.

Infection Prevention and Control Officer (IPCO)

AHCA/NCAL is ready to help our members meet the new Infection Preventionist requirement. We began developing a top-notch training for our members in late 2016. Watch for the official launch of IPCO Training Program in Summer 2017!

Programs and Resources

Over four decades, Provider has covered the long term and post-acute care profession for its more than 52,000 readers who work in skilled nursing care centers, assisted living communities, and other elder-care settings. In addition, Provider’s website offers the current issue online, plus Breaking News, Provider TV, guest columns, ProviderNation (our blog), and special features. To sign up for Provider’s twice-weekly email news blast, click here.

Programs and Resources

Requirements of Participation (ROP)

Three-hour intensive session at Convention titled Requirements of Participation: A Deeper Dive into Key Changes; materials to assist members to implement new Requirements of Participation including a Playbook and Policies and Procedures Checklist.

Infection Prevention and Control Officer (IPCO)

AHCA/NCAL is ready to help our members meet the new Infection Preventionist requirement. We began developing a top-notch training for our members in late 2016. Watch for the official launch of IPCO Training Program in Summer 2017!

Over four decades, Provider has covered the long term and post-acute care profession for its more than 52,000 readers who work in skilled nursing care centers, assisted living communities, and other elder-care settings. In addition, Provider’s website offers the current issue online, plus Breaking News, Provider TV, guest columns, ProviderNation (our blog), and special features. To sign up for Provider’s twice-weekly email news blast, click here.

Improve Quality Care

AHCA’s strong therapy representation on several Improving Medicare Post-Acute Care Transformation (IMPACT) Act Technical Expert Panels, as well as comprehensive written comments, have helped shape new measures being developed for quality and payment purposes.

LTC Trend Tracker

Improving quality care is a journey, and LTC Trend TrackerSM is the tool members need to ensure their organization stays on track. Monitor progress on quality measures, Five-Star, AHCA/NCAL Quality Initiative goals, hospital readmission rates and more. In 2016, new ways to enhance tracking organization success include:

  • Introduced Core Q into LTC Trend Tracker for Assisted Living Communities and Skilled Nursing Facilities. This customer satisfaction data is uploaded by providers and registered vendors.
  • Added long stay hospitalization measure to help decrease unnecessary rehospitalizations among long stay residents.
  • Launched a new publication called Your Top-Line that highlights metrics and graphics outlining progress on Five-Star performance, the AHCA/NCAL Quality Initiative, and other necessary data to help skilled nursing centers achieve their desired goals.
  • The new components of the Five-Star Quality Rating System and Nursing Home Compare required five new targets to measure in LTC Trend Tracker and were added in 2016.
  • Multiple upgrades and redesigns were made to increase user experience including a redesigned dashboard to landing page, changing grouping function features (e.g. ability to assign a center to multiple divisions) and other administrative function fixes.

The AHCA/NCAL Convention & Expo, plus the association’s annual conferences bring together members and other long term and post-acute care professionals in environments for learning and networking. These events are invaluable opportunities that help our members stay ahead, while remaining competitive and successful in a dynamic industry.

Partnerships and Preferred Providers

AHCA conducted research in 2016 and found that nursing facilities with Registered Nurses (RNs) who have been American Nurses Credentialing Center (ANCC) Board certified in gerontological nursing have lower re-hospitalization rates, lower rates of off-label antipsychotic use and are twice as likely to receive a Five-Star rating from CMS. AHCA/NCAL Gero Nurse Prep is the on-line course that prepares RNs to take the ANCC exam and RNs who take the course have a 96% pass rate on the test.

Partnerships and Preferred Providers

AHCA/NCAL Insurance Solutions continued to get great results on employee health benefit plans for members. One not-for-profit member had a 12-month savings of more than $5,000 per employee and another independent owner saved more than $1,000 annually per employee.

Partnerships and Preferred Providers

Mood Media was added to the AHCA/NCAL Preferred Provider Program in 2016. Mood Media features outstanding commercial free music packages at affordable rates starting at $1 per day.

Partnerships and Preferred Providers

AHCA/NCAL offered an intensive one-day course at Convention to train providers about the CARES Dementia Basics program and CARES philosophy for caring for people with dementia. The session was so popular with members that it is being offered again at the 2017 AHCA/NCAL Convention in Las Vegas.

Partnerships and Preferred Providers

The average number of monthly views per position on the AHCA/NCAL Long Term Care Career Center rose to more than 1,700 in 2016. The affordable online job board connects to more than 330 prestigious health care associations nationwide.

Partnerships and Preferred Providers

AHCA conducted research in 2016 and found that nursing facilities with Registered Nurses (RNs) who have been American Nurses Credentialing Center (ANCC) Board certified in gerontological nursing have lower re-hospitalization rates, lower rates of off-label antipsychotic use and are twice as likely to receive a Five-Star rating from CMS. AHCA/NCAL Gero Nurse Prep is the on-line course that prepares RNs to take the ANCC exam and RNs who take the course have a 96% pass rate on the test.

AHCA/NCAL Insurance Solutions continued to get great results on employee health benefit plans for members. One not-for-profit member had a 12-month savings of more than $5,000 per employee and another independent owner saved more than $1,000 annually per employee.

Mood Media was added to the AHCA/NCAL Preferred Provider Program in 2016. Mood Media features outstanding commercial free music packages at affordable rates starting at $1 per day.

AHCA/NCAL offered an intensive one-day course at Convention to train providers about the CARES Dementia Basics program and CARES philosophy for caring for people with dementia. The session was so popular with members that it is being offered again at the 2017 AHCA/NCAL Convention in Las Vegas.

The average number of monthly views per position on the AHCA/NCAL Long Term Care Career Center rose to more than 1,700 in 2016. The affordable online job board connects to more than 330 prestigious health care associations nationwide.

HealthCap is the AHCA/NCAL preferred provider for liability insurance and risk management services. HealthCap’s claim frequency remained 33% less and the claims severity was 50% less than other major carriers in 2016.