LeadingAge Iowa is a statewide membership organization of non-profit providers of aging services and supports and the champion for advancement and innovation in aging services. Our mission is to be the voice, support and connector for non-profit members and the people they serve. Our membership is diverse, representing the spectrum of non-profit long-term support and service providers including skilled nursing, assisted and independent living, PACE, home health, adult day, respite, hospice and home delivered meals.  Our members serve over 25,000 older adults in Iowa each day.

VA Recognizes Need to Connect Veterans with Adult Day

In a recent call with the U.S. Department of Veterans Affairs (VA), LeadingAge learned that there has been a 2 percent increase in the utilization of Adult Day Services by veterans in recent years, compared to 17 percent growth in other services.  To turn this around, the VA expects to roll out several initiatives to boost Adult Day Services options for veterans that include:   

  • A new case mix that will be rolled out in early 2019 will tie services to a need versus a set budget. If more services are needed, more will be provided.
  • Integrating Adult Day Services as part of hospital discharge planning.  
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PBJ Data Leads to New Off-Hour Survey Requirement 

On November 30th, 2018, the Centers for Medicare & Medicaid Services (CMS), Quality, Safety and Oversight Group(QSO), released QSO Memorandum, 19-02-NH, outlining updates to the Payroll Based Journal (PBJ) Policy Manual, notification to states on new survey requirements, and new Minimum Data Set (MDS) Census reports.  
The Memo announces that CMS will inform state survey agencies of facilities with potential staffing issues and require that states utilize that list to determine providers for off-hour surveys.  Using the new PBJ data, CMS will identify the following: 
  • Facilities with low staffing on the weekends
  • Facilities with several days in a quarter without an RN onsite 
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