january 16 fadona focus color 20 2016 fadona focus color.pdf · inside fadona focus ... dr. jemelle...

®

FADONA/LTC400 Executive Center Drive, Suite 208West Palm Beach, FL 33401(561) 683-0037www.fadona.org

F O C U S

Together, we can have a positive impact on Long-Term Care!Together, we can have a positive impact on Long-Term Care!

Florida Association Directors of Nursing Administration/LTCFlorida Association Directors of Nursing Administration/LTC

FADONA/LTC • W I N T E R 2 0 1 6PRSRT STD

U.S. POSTAGEPAID

WEST PALM BCH FLPERMIT NO. 3591

See Annual ConventionNews on pages 7-14.

Carrying the Torch of Leadership 2016— Compelling education, great networking, affordable fees, excellent and lasting value

Inside FADONA FocusRegional Reports ............................................................................................. 4-5Managing Managed Care ................................................................................... 6FADONA Nurse Leader Bootcamp .................................................................... 7FADONA Needs You! Call for Nominations ..................................................... 8Carrying the Torch of Leadership in Style ....................................................... 10Scholarships Foster Growth in the Practice of Nursing ................................... 11Annual Excellence Awards for Nurse Administrators, LPNs, CNAs ............... 11Register Today for FADONA’s 29th Annual Convention & Trade Show .... 12-14Making Sense of Scents ................................................................................... 15Patient and Disability Rights in the Health Care Setting ................................. 16QUIN Council: Working Together for Quality and Unity in Nursing .............. 17The Elder Justice Act ........................................................................................ 18FADONA’s Alliance Council Members — Our Preferred Vendors ................. 19

2 FADONA/LTC is here for you!

W I N T E R 2 0 1 6 F A D O N A / L T C

FADONA/LTC is here for you! 3


a t h t t p : / / f a d o n a . o r g /scholarship.html.

Please share this importantinformation with your staff andpeers and encourage them toapply for a scholarship. Fordetails, contact FADONA formore information.

All winners will be invitedto attend the Awards Banquetthe evening of Wednesday,March 23. It will be a fun time

to network, dress-up, and have fun!As always we want to continue to

increase our membership in both NADONAand FADONA/LTC. When we boost ourmembership we have a larger and loudervoice to use to work on areas of concern inthe nursing home industry.

FADONA/LTC is still the ONLYdedicated organization for directors ofnursing and nurse administrators in the stateof Florida. We are here to support ourmembers and love to hear from them duringthe year with recommendations andsuggestions as it helps the board better servethe membership.

It seems it is difficult for a lot of us toget out of our facilities to attend monthlymeetings so our Regional Vice Presidentsare working on Quarterly Regional Sympos-iums to get out information to all of ourmembers. So be on the lookout forinformation and for a meeting near you.These symposiums are one-day educationalprograms. They offer DON, ADON,administrators, risk managers, LPNs, socialworkers and other staff an opportunity tolearn and collaborate on best practices whileearning continuing education hours. Thesemeetings are always very informative andgreat places to network.

You may contact your FADONA boardmembers as a resource if needed. Pleasecheck out our FADONA website atwww.fadona.org for additional news andupdates.Respectfully submitted,

Jean Nelson, RN-BC, BSHCAPresident �

Jean Nelson

Message from the PresidentAAAAA

Executive BoardPresident: 2015–2017

Jean Nelson – [email protected]

1st Vice President: 2015–2017Susie Jensvold

Cell: [email protected]

2nd Vice President: 2013–2016Norma Collins – [email protected]

Secretary: 2015-2016Sheila Mangrum – 772-335-8844

[email protected]

Treasurer: 2007-2017Reuben Bowie

Cell: [email protected]

Immediate Past-President: 2013–2017Bonnie Cruz – 850-897-5592

[email protected]

Regional VicePresidents

Region I Vice President: 2015–2017Sharyn Figgins – 850-430-0500

[email protected]

Region II Vice President: 2012-2016Jacqueline Hinerman – [email protected]

Region III Vice President: Vacant

Region IV Vice President: 2013–2016Betty Barron – 727-863-5488

[email protected]

Region V Vice President: Vacant

Region VI Vice President: Vacant

Region VII Vice President: 2013–2017Amina Dubuisson – [email protected]

Business OfficeIan L. Cordes – [email protected]

Director of Operations400 Executive Center Drive, Suite 208

West Palm Beach, FL 33401(561) 683-0037 • Fax: (561) 689-6324

FADONA is a state chapter of NADONA, (800) 222-0539.

nother year hasgone by and it ist i m e f o rFADONA’s 29th

Annual Convention, Carryingthe Torch of Leadership 2016-March 21-24! FADONA’sAnnual Convention will beheld at the Hilton DaytonaBeach Oceanfront Resort. Thisis an exciting place to bring thefamily and have a vacationwhile you are getting rejuvenated.

We have crafted an exciting agenda andwill be featuring some excellent speakerswho are knowledgeable experts and willpresent the most current and up-to-dateinformation for you to take back to yourfacilities. As you know health care is everchanging and long-term care/SNFs mustkeep up-to-date with regulations, standardsof practice and techniques in order to keepour nursing staff up-to-date to provide ourresident(s) the best quality of care that theydeserve.

We are extremely excited about theseexceptional speakers and topics andfeel that our attendees will gather muchvaluable information from all of thepresentations. See the Convention agendaon pages 12-13.

We are looking forward to having morethan 60 vendors exhibiting their productsand services that will help all of us in ourdaily lives to provide quality care to ourresidents.

Instead of our usual Awards Luncheonand a separate Fun Night, we will be having“A NIGHT OF CELEBRATION”! This willbe our Annual Awards Banquet: CelebratingExcellence in Long-Term Care NursingAdministration, a time to “Honor &Celebrate” our Best. “YOU + you + you!”We will be honoring our CNA and LPNAwards of Excellence and our NurseAdministrator of the Year. Don’t forget tonominate YOUR STAFF for these awards.

There are also scholarship awards toapply for — The Imogene Ward Scholarshipand the FADONA scholarship to advanceyour and your staff ’s education.You may locate the application information



Betty Baron

REG

ION IV

Region I—Northwest1A—Bay, Escambia, Holmes, Okaloosa, SantaRosa, Walton, Washington; 1B—Jefferson,Madison, Calhoun, Leon, Taylor, Franklin,Gadsden, Gulf, Jackson, Liberty, Wakulla

Hope everyone is having a great win-ter! It is beautiful here in Northwest Florida.We decided to have quarterly meetings, asgetting away from our buildings morefrequently than that was difficult for all.

We continue to network and support eachother through our e-mail contacts; we can askthe group questions, see how others are han-dling specific issues, support each other whenone is in survey, and share survey results.

Our Annual Convention in March isalmost upon us. I am really looking forwardto it. No matter how tired or overwhelmedI am when I arrive, I always leave rejuve-nated and with new ideas. Please registertoday. You will thank me later.

Feel free to contact me with questions,ideas, or suggestions for our region at (850)313-6325. If you want to be added to ourcontact list, let me know at [email protected] Figgins, RN, MSNRegion I Vice President �

Region II—Northeast2A—Hamilton, Lafayette, Alachua, Marion,

Clay, Nassau, Suwannee; 2B—Dixie, Union,Putnam, Baker, St. Johns, Columbia, Gilchrist;

2C—Levy, Bradford, Duval, Flagler

We are currently looking for facilitiesto host FADONA meetings in theJacksonville and Ocala areas. This is a greattime to share with your colleagues thewonderful things you may be doing at yourfacilities. If you are interested in hosting ameeting, please contact me.

We are also updating our e-mail lists. Ifyou have not gotten an e-mail stating“Testing” and would like to be on our list,please send me a message.

Jacqueline Hinerman, RN; Phone: (352)732-2449; e-mail: [email protected]. �

Region III—Centraleast3A—Lake, Osceola, Orange, Seminole

3B—Volusia, Hardee

If you have any questions for or aboutRegion III, please call the FADONAbusiness office at (561) 683-0037 or [email protected]. �

Region IV—Centralwest4A—Hillsborough, Pinellas, Highlands, Polk

4B—Hernando, Sumter, Citrus, Pasco

We are currently in search of a newChapter president for the Hillsborough areato assist with setting up and organizing ourarea meetings. We are looking for ways toregenerate our area and come together forsupport and networking opportunities.

If you are interested in getting involvedthis is a great way and I am here to assist.Getting together gives area DONs/nursesleaders an opportunity to see what’s new inthe industry and also leave plenty of timeto network with colleagues.

Liz Raymond, the Pinellas president,currently has meetings every second Tues-day of the month at The Banquet Mastersin Seminole. Each month a new stimulat-ing topic is presented. Stop on in to see whatexciting things are happening in Pinellas.Contact Liz Raymond at [email protected].

I am also available to assist in any wayand can be contacted at (727) 863-5488 [email protected]. I encourageyou all to get involved in the events andmeetings occurring within the countiesunder Region IV.Betty BarronRegion IV Vice President �

Region V—Southwest5A—Manatee, Charlotte, Collier

5B—Desoto, Lee, Sarasota

If you have any questions for or aboutRegion V, please call the FADONA businessoffice at (561) 683-0037 or [email protected]. �

Region VI—Southeast6A—Palm Beach; 6B—Brevard, Indian River,

St. Lucie, Martin, Okeechobee;6C—Hendry, Glades

Palm Beach County chapter hosted its27th Annual Educational Symposium thispast October at Bear Lakes Country Clubin West Palm Beach.

Dr. Jemelle June Mayugba, an Associate

REG

ION I

Sharyn Figgins

Regional Reports

Jacqueline Hinerman

REG

ION II

SCHOLARSHIPS AVAILABLEFADONA is currently accepting

scholarship applications— including the Imogene WardNursing Scholarship Award —

from eligible applicants.

If interested, please go tohttp://fadona.org/scholarship.html

or call the business officeat (561) 689-0037.



R e g i o n a lR e g i o n a lR e g i o n a lR e g i o n a lR e g i o n a lR E P O RR E P O RR E P O RR E P O RR E P O RT ST ST ST ST S

Direc tor fo r VITASHealthcare, spoke on“Reducing Readmissionsand Length of Stay.”

If you would like more information onfuture meetings and events, please callAndrew Rosenbrough, PBC-DONA Com-munity Liaison, at (561) 723-7888 or [email protected].

If you have any questions for or aboutPalm Beach County Chapter, please callDebbie Grotke, Chapter President at (561)683-1400; email: [email protected].

If you have any questions for or aboutRegion VI, please call the FADONA busi-ness office at (561) 683-0037 or [email protected]. �

Region VII—SoutheastMiami-Dade, Monroe, and Broward Counties

This region runs from Deerfield Beachall the way south to Key West.

Broward County ChapterFADONA BROWARD hosted its Third

Annual Symposium this past October atFlorida Medical Center on October 6.

These are the official online CareerCenters of theFlorida Association Directors of Nursing Administration,

and FMDA – The Florida Society forPost-Acute and Long-Term Care Medicine

www.fadona.org, and www.fmda.org

Our goal was to offer new ideas forclinical approaches and an opportunity forprofessional networking. This unique andinformative one-day symposium providedsix (6) CEUs and was very well received.

Some of the topics covered included anAHCA LTC nursing update, ICD10 training,stroke education, diabetes, sepsis in LTC,survey preparedness, and customer service.

On January 26, 2016, FADONABroward is hosting a New Year dinner pro-gram offering 1.0 CEU and the program isgenerously sponsored by VITAS Healthcarefor DONs, and one additional staff mem-ber from your facility.

The topic is “How to Develop a Com-pliant Hospice Nursing Home Partnership,”presented by Cherry Meier, VP PublicAffairs for VITAS Healthcare.

Registration starts at 5:30 p.m. with theprogram starting at 6 p.m. Please confirmyour attendance to this event by calling ortexting Heather Grasso , Secretary,Broward FADONA, at (561) 275-9273 or

Amina DubuissonR

EGIO

N VII

Mandatory LicensureRenewal Classes

On March 21, 2016, FADONA isoffering two live licensure renewalcourses: A.A.A.A.A. Preventing Medical Preventing Medical Preventing Medical Preventing Medical Preventing MedicalErrorsErrorsErrorsErrorsErrors and the new 2-hour coursefor nurses, B. “Laws & RulesLaws & RulesLaws & RulesLaws & RulesLaws & RulesGoverning the Practice of NursingGoverning the Practice of NursingGoverning the Practice of NursingGoverning the Practice of NursingGoverning the Practice of Nursingin Floridain Floridain Floridain Floridain Florida.”

See the convention registrationform on page 14 for details.

FADONA Focus® is a trademark ofFADONA. The editor welcomes letters,

original articles, and photos. Any statementsof fact or opinion expressed here are the

sole responsibility of the authors. Copyright© 1991-2016, FADONA. All rights reserved.

No portion of this newsletter may bereproduced without written permission

from FADONA.FADONA Focus® is published by

OnCore Marketing & Advertising Concepts,a division of Corecare Associates, Inc.,(561) 689-6321, [email protected].

Neither FADONA nor Corecare Associates,Inc., endorses any advertisers.

via fadonabroward @gmail.com.There is no charge for nursing home staff

members. Vendors are welcome at a costof $50 per person.

If you are interested in helping grow ourregion, contact Amina Dubuisson at (954)790-5171 , o r [email protected] DubuissonRegion VII Vice President �

What would you do if youdiscovered the Golden Egg?What would you do if you

discovered the Golden Egg?Visit the CareerCenters atwww.fadona.org, and www.fmda.org

These are the official online CareerCenters of theFlorida Association Directors of Nursing Administration,

and FMDA – The Florida Society forPost-Acute and Long-Term Care Medicine

These CareerCenters are a treasured online resource designed toconnect long-term care industry employers with the largest, most-qualifiedaudience of nurses, nurse administrators, directors of nursing,

nurse practitioners, medical directors, physicians, physician assistants,and advance practice nurses in Florida.

Job Seekers may post their résumé (it’s FREE) — confidentially,if preferred — so employers can actively search for you.

Let these CareerCenters help you make your next employment connection!



LLLLL

Karen Goldsmith

By Karen Goldsmith, Esq.; Goldsmith & Grout, PA

Managing Managed Careet me preface thisarticle with a state-ment: Florida HealthCare Association

and the managed care companiesare engaging in collaborativemeetings to iron out some of theissues we will be discussing inthis article. Over the next fewmonths we will see a more-defined system evolving fordetermining quality and placement.

The contract between the Agency forHealth Care Administration (AHCA) andthe managed care organizations (MCOs)requires that each MCO establish guidelinesfor determining that the quality of care inthe facilities with which it contracts is accep-table. The specifics are left up to each MCO.

This was a concern to use when the lawwas passed and when we negotiated thecontracts between providers and MCOs.We were assured that systems would beworked out that would not result induplicative surveys. In fact, the law doesnot permit this level of analysis.

Last year, a workgroup made up ofprovider representatives, AHCA personneland MCO professionals met to discuss waysto establish the level of quality of aparticular provider. One area agreed to asan element of analysis was the federal starsystem. We all know that this system isseriously flawed. It was never the intent ofthe workgroup that the star system alonewould be used to track quality.

There are any number of other indicatorsan MCO can use such as customersatisfaction surveys, true analysis of surveyreports, quality measures and the like.

One MCO seemed to be relying solely onthe star system and notified several providersthat their contracts were about to be cancelled.The CEO of Florida for this MCO met withseveral of us at FHCA. As a result, the MCOgave the providers it had identified anopportunity to present a plan for improvingtheir quality of care. This is only atemporary remedy while we work with allthe MCOs to develop meaningful guidance.

The message here is that if your facility

is a 1-star overall and 1-star inquality you need to be thinkingabout how to address the issuesthat caused the rating in ameaningful way that will beacceptable to the MCOs.

The bottom line is that theMCOs wil l be addressingstandards of quality of care andwill be cancelling contracts withthose facilities who do not meet

the requirements. This is not to say that therewill be a secondary survey process. Therewill not. The MCOs readily admit that theydo not have the resources to achieve this.

You can he lp by sending yoursuggestions for information that is readilyavailable to the MCOs to use to achieve therequirements of their contract.

Secondly, as you may recall, during thefirst year of managed care all MCOs had tooffer contracts to all willing providers. Thatyear has passed and MCOs are now in aposition to cancel or not renew contractsfor a variety of reasons. Lack of quality, asdiscussed above, is one basis.

A second basis relates to the business ofthe MCO. MCOs can cancel a contract withany facility if they do not find that thefacility fits into their business plan. Forexample, the MCO may have 40 membersin a facility on the east side of town andfour members in a facility on the west side.It might make economic sense for them toconcentrate all their members in the onefacility with the higher census of theirmembers. Thus they may choose to cancelthe contract with the facility on the west side.

This does not mean that the four residentsin the west side facility have to move.Rather, the cancellation of the contract cantrigger an opportunity for the member tochange to another MCO. You must followthe same guidelines for your involvementin determining the new MCO as you didinitially. You are restricted from encouraginga resident to move to a particular MCO but youcan tell them that you will no longer be contra-cting with the one in which they are enrolled.

AHCA does not treat a transfer as the

result of a termination of a managed carecontract as a facility-initiated transfer so youdo not have to give notice and an opportunityfor a hearing. You do, however, have to dodischarge planning just as you would forany resident who was transferred.

The managed care law requires that theMCOs each reduce the nursing homepopulation by 3% per year and increase thecommunity based services by the sameamount. Thus you are likely to seemovement of some of your residents fromyour facility to home or assisted living.

One incident occurred in which an MCOsent representatives to a facility to move10 residents from an SNF to an ALF. Nonotice was given. Once the MCO was advisedof the need for discharge planning and eval-uation for safe placement, they backed off.

Managed care did not do away with theCARES program. You on behalf of yourresident can always call CARES if you feelthe ALF placement is not safe for theresident or the resident simply does not wantto move. If the CARES team agrees thatnursing home placement is necessary, theresident can stay in your facility.

Any move from the facility requires theagreement of the resident or their legalrepresentative (surrogate, proxy, agentunder a DPOA or guardian). Residentscannot be moved against their will. However,if the CARES team does not determine theresident needs nursing home care, the resultcan be economic. We have not yet seen thishappen and will report after we do.

Today, long-term care is not business asusual. We must accept that managed care isvery likely here to stay. We need to be partof the solution by participating in meetingswhen we can and offering ideas for the MCOsto establish procedures for determiningquality of care. We must accept that we maylose residents because their needs can bemet in the community and they want to go.

It is a new day and new thinking isrequ i red for fac i l i t i e s to remainsuccessful. �



The Current State: Nurses receive little or noeducation on leadership skills and departmentaltopics necessary for leading the nursing departmenteffectively. Nurse leaders need skills beyond clinicaltopics learned in nursing school. Without targetedprograms on regulatory expectations, risk manage-ment, quality improvement, budgeting, staffing, andmuch more, resident care and overall departmentalperformance suffers. Changes come so rapidly thatnurse leaders are not able to keep up with regulatoryexpectations and new specifications. Compliancesuffers and turnover may result.

Achievable State: By attending and participatingin this FADONA Nurse Leader Boot Camp program,attendees will gain knowledge designed to guidethem in identifying proven ideas for implementationin their professional settings, as well as for sharing withteam members for performance improvement. As thevarious topics in the boot camp presentation areexplored in detail, knowledge of the participants willincrease and each attendee will be challenged to thinkin terms of raising the level of professionalism andcompliance in his or her practice setting.

Gap to be Addressed by this Activity:Presented material will provide facts, instruction, andtechniques designed to expand participants’ knowledgeof the topics offered. Skills such as the art of delegationwill be acquired based on classroom instruction anddiscussion on when and how to delegate. This is oneexample of many areas of skill enhancement that willbe explored in detail. The entire program is designedto positively impact the practice of attendees whowill learn new topics and the best ways to incorporatethem into their work place. Attendees will beencouraged to identify at least one practice changefor each component of this session that they willimplement upon return to their work settings.

FADONA Nurse Leader Boot Camp Topics:This exciting 4-hour program will cover such areasas Leadership and Management, Human Resources,Risk Management, QAA and QAPI, and an overviewof Strategic Planning.

Sign Up Today:You and your nursing staff will not want to miss thismust-attend leadership boot camp.

Visit www.fadona.org or see the registration formon page 14.

Nurse Leader

2-6 p.m., March 21, 2016

Nurse Leader



Carrying the Torch of Leadership in StyleConvention Corner by Susie Jensvold, RN; 1st Vice President and Annual Convention Chair, FADONA

FFFFF

Susie Jensvold

2015 AnnualConvention Attendees

Said it Best! “Awesome information! Greatspeakers” – KB, Cape Coral.

“Once again FADONA has providedlectures that are pertinent to our

day-to-day job as Director ofNurses!” – RD, Clearwater

“Excellent presentation ofknowledge and experience in anengaging and entertaining way.Fantastic speakers with relevant

and helpful content.”– SH, High Springs

“Good info that we can use!”– MC, Homestead

“Most of the information providedwill make good educational data

to share with center staff to improveunderstanding and quality of care.

Great job! Educational, fun andgreat networking with peers.”

– TM, Orange Park, FL

“My 10th year attending this. It isalways educational, getting betterand better each year and gives mearmor to perform my job well. The

Fun Night is always a big relief frommy hectic schedule. Go FADONA!”

– LR, North Miami Beach, FL

“Very helpful with networking”– JS, Beverly Hills

Any questions may be directed tothe business office at (561) 683-0037, or to [email protected].

See you at the Convention!

❖ FADONA ❖a State Chapter of

NADONABenefits YOU!

✔ Educational Awards✔ Annual Conferences at

Reduced Rates✔ Quarterly Newsletter✔ Bimonthly Bulletin✔ Reference and Research

Service includespublished material,videos and audios

✔ National Network✆ Contact NADONA at

800-222-0539800-222-0539800-222-0539800-222-0539800-222-0539 foradditional information.

A D O N A’ s 2 9 t h

Annual Conventionis March 21-24,2016, at the amazing

Hilton Daytona Beach Ocean-front Resort. Please mark it downon your calendars and plan toattend NOW!

The pre-convention day isMonday, March 21, with MandatoryLicensure Renewal Courses – PreventingMedical Errors and Florida Nurse PracticesLaws and Rules. A FADONA Nurse LeaderBoot Camp is also scheduled for thatafternoon with NADONA past-presidentand Master Trainer Betty Frandsen, MHA,RN, NHA, CDONA/LTC, C-NE. The pre-convention day offers essential training atan affordable price, and will help kick offthe 2016 Annual Convention.

Great informational sessions willinclude topics such as CMS/MDS Survey

readiness, QAPI, regulatoryupdates, ACOs, wound careprevention, falls prevention,reduction of antipsychotics inpatients with dementia, infectiousdiseases, and more.

Exceptional speakers include,Dr. Earl Suttle, Dr. HudsonGarrett, Robin Bleier, Karen

Goldsmith, Kim Smoak, Polly Weaver aswell as Dr. Leonard Hock, President ofFMDA – The Florida Society for Post-Acute& Long-Term Care Medicine.

The educational program is based uponFADONA’s Principles of Excellence forDirectors of Nursing in Long-Term Care aswell as the educational needs identified atthe last convention through the needsassessment. As the Nurse Leaders of LTC,you will reap numerous benefits byattending a convention that will assist andsupport you in your role in the workplace.

Lastly, we are making an exciting changeto our typical Awards Luncheon and FunNight. This year, we will be combining thetwo into a very special Annual AwardsBanquet where we will be presentingawards and scholarships to our nursingleaders and nursing staff. The new formatis sponsored by FADONA’s PlatinumPartners, and its focus is on “CelebratingYou!” as nurse leaders.

In addition, we have a very specialAwards Banquet keynote speaker, MaryLouBrunell, RN, MSN, who is the executivedirector of the Florida Center for Nursingand Co-Lead of the Florida ActionCoalition. We are currently planning theevening’s events and hope to be able toprovide more information to you all soon.

FADONA is the only association in thestate dedicated to your needs as directorsof nursing in long-term care. We hope tosee you in Daytona in March for thisfantastic convention. You will not want tomiss it! �



ADONA sponsors scholarshipsthat are available for nursingstudents currently enrolled inan accredited nursing program

in Florida. Both of these scholarships seekto aid a worthy nursing student nominatedby a FADONA member. Information isavailable for both scholarships on theFADONA website, including a dual-nomination form which can be completedeasily online.

The FADONA/LTC Scholarship wascreated to help nursing students with tuitionassistance for their LPN, RN, or MSNdegree in nursing. This is a way forFADONA to give back to the communityof nurses who will be at the forefront ofLTC care in the 21st Century. Requirementsinclude being a currently licensed RN, LPN,or certified nursing assistant (CNA). TheCNA must be currently accepted or enrolledin a RN or LPN program. The LPN mustbe currently accepted or enrolled in a RNprogram or undergraduate health caremanagement program, and the RN must be

FADONA Scholarships Foster Growth in the Practice of Nursing— The FADONA/LTC Nursing Scholarship and the Imogene Ward Nursing Scholarship support nursing students.By Matt Reese, FADONA’s Sr. Manager of Association Services

FFFFFcurrently accepted or enrolled in a bacca-laureate or master’s program in nursing,gerontology program, undergraduate orgraduate program in health care management,or nurse practitioner program. Since theprogram was established, more than$15,000 in scholarships have been awarded.

The Imogene Ward Scholarship, namedin honor of Imogene Ward, by her husband,Homer Ward, and sons, Mike and Jeff Ward,is offered to those pursuing an education tobecome registered nurses. The scholarshipis in honor of Mrs. Ward, who was an RNand DON in the Tampa Bay area for manyyears. The nominee must already beenrolled in an accredited Florida nursingprogram and be actively employed by thesame facility, or employer as the nominator.The scholarship is limited to those pursuingan education to become registered nursesand a nomination may be made by either adirect or indirect supervisor. The nominatordoes not have to be the nominee’s currentsupervisor.

For a complete list of requirements for

bo th the FADONA/LTC Nurs ingScholarship and the Imogene Ward NursingScholarship please visit http://fadona.org/scholarship.html.

Each scholarship application is evaluatedon the criteria described on the website. Thenames of the selected individuals shall bepresented to the FADONA/LTC Board forfinal approval.

FADONA President Jean Nelson is veryproud that the association is able to providenursing students with scholarship funds tohelp pay tuition for nursing education.“FADONA’s scholarship program, whichincludes the FADONA/LTC and ImogeneWard Scholarships, is vital to the successof young nurse leaders seeking help infunding their educational pursuits,” Nelsonsaid. “These scholarship dollars will helpfoster a new team of young nurses who willbe instrumental in leading the charge of LTCand post-acute care in the 21st Century. Weare very excited for the future.”

For more information contact Matt Reeseat FADONA at (561) 683-0037. �

ADONA is currently acceptingnominations for the 2016Nurse Administrator of theYear Award, as well as entries

for the Annual LPN and CNA Awards ofExcellence.

The awards support FADONA’s“Principles of Excellence for FloridaDirectors of Nursing” — aimed atproviding the atmosphere, mindset, andleadership for the most effective and safestcare to long-term care residents.

The Nurse Administrator of the YearAward was founded by FADONA torecognize an outstanding nurse whoexemplifies professional responsibility asa nursing administrator. In order to beconsidered for the award, candidates mustsymbolize passion for their profession

by mentoring and nurturing others, as wellas demonstrate a strong commitment to thestandards of nursing practice in long-termcare. Our thanks go to OptumCare, which hassponsored the award for 13 consecutive years.

The Annual LPN and CNA Awards ofExcellence recognize licensed practicalnurses (LPNs) and certified nursingassistants (CNAs) — the caregivers in thetrenches — whose commitment anddevotion to their profession and theirresidents are exemplary. Cash awardsinclude $500 for first place, $300 for secondplace, and $200 for third place in eachcategory. These awards have beengenerously sponsored by RB HealthPartners six years in a row.

All nominations must be received in theFADONA office no later than Feb. 12,

Annual Excellence Awards for Nurse Administrators, LPNs, CNAs— Enhanced Awards Honor Those “In the Trenches” as well as Nurse Leaders in Long-Term Care

FFFFF2016. FADONA’s Executive Committeewill serve as the selection committee, withinput from pertinent regional vicepresidents. Nomination forms are open toFADONA members and are available atwww.fadona.org. However, nominatorsmay be non-members as long as thecandidate is endorsed by a FADONAmember. Please share entry informationwith your staff and peers so that they maynominate deserving nurses in long-term care.

The winners will be announced duringthe Annual Awards Banquet on Wednesday,March 23, at FADONA’s 29th AnnualConvention & Trade Show. The location ofthis year’s convention is the Hilton DaytonaBeach Oceanfront Resort.

Questions may be directed to Ian Cordes,Director of Operations, at [email protected] or (561) 683-0037. �



Monday, March 21OPTIONAL PRE-CONFERENCE SESSIONS8 a.m.–5 p.m. Registration & Information

8:30-10:30 a.m.FL Mandatory Licensure Renewal Course#101: Preventing Medical Errors (2.0 hours)Cathy Robinson-Pickett, BS; Co-Founder,Friends-Together, Inc., Naples, FL

10:45 a.m.-12:45 p.m.FL Mandatory Licensure Renewal Course#102: Laws & Rules Governing FloridaNursing (2.0 hours) with Speaker TBA

12:50-1:50 p.m. Lunch on Your Own

2-6 p.m.#103: FADONA Nurse Leader Boot Camp(4.0 hours) with Betty Frandsen, MHA, RN,NHA, CDONA/LTC, C-NE; Director of ClinicalEducation, Master Trainer, Past-President,NADONA; Owego NY

5-7 p.m. Bistro Welcome Reception— Everyone is Invited!

Sponsored by Consulate Health Care

Regular Convention Sessions Start Here!7-8:30 p.m.#104: Improving Dementia Care Train theTrainer Program (1.5 Hours) HSAG/AHCA).Limited to 35 participants

Polly Weaver, BS; Assistant Deputy Secretaryof Health Quality Assurance, Agency forHealth Care AdministrationAmy J. Osborn, NHA, PMP; ExecutiveDirector, Health Services Advisory Group— After attending this event the attendees willbe able to return to their nursing homes withthe tools and utilize this training to engagestaff in QAPI to individualize dementia care.

Tuesday, March 227:30 a.m.-5 p.m. Registration & Information

7:30-8:30 a.m. Light Continental Breakfast

8:20-10:20 a.m.#105: Exceeding Your Leadership Potential(2.0 hours) with Earl L. Suttle, PhD; Chairmanand CEO, Leadership Success, Roswell, GA

This session is supported by aneducational grant from OptumCare.

10:30 a.m.-12 p.m.#106: Achieving Success in ReducingInappropriate Use of AntipsychoticMedication in Patients with Dementia (1.5 hours)

Deborah Afasano, BSN, RNC, CDONA,HCRM; Vice President of Clinical Services,Avante GroupRick Foley, PharmD, CPh, CGP, FASCP,BCPP; Clinical Professor of Geriatrics,University of Florida College of Pharmacy;President, Florida Chapter - American Societyof Consultant PharmacistsAmy J. Osborn, NHA, PMP; ExecutiveDirector, Health Services Advisory Group, Inc.Polly Weaver, BS; Assistant Deputy Secretaryof Health Quality Assurance, Agency forHealth Care Administration

12-12:20 p.m. Buy Lunch at Concession Stand

12:20-1:20 p.m. #107: IMA Queen of Quality:Don’t Get Scorched with that Torch! (1.0 hour)Deborah Afasano, BSN, RNC, CDONA, HCRM;Vice President of Clinical Services, Avante Group

1:25-2:25 p.m.#108: Successfully Managing the QAPIProcess in Your Facility (1.0 hour) with LisaBaker, Health Center of Merritt Island

2:30-3:30 p.m.#109: Update on Pressure Ulcers andUtilizing an Interdisciplinary Approach toPressure Ulcer Prevention (1.0 hour) withCharlene Demers, GNP-BC, CWOCN; FormerVice Chair, Institutional Review Board, andformer Chair, Inter-Professional Skin CareCommittee at Orlando VA Medical Center

3:30-6 p.m. Trade Show & Silent AuctionOfficial Opening & Silent Auction in the ExhibitHall to benefit FADONA’s Scholarship Fund

6-7 p.m.#110: Regional Roundtables:LTC Connections (1.0 hour)

Wednesday, March 237:30 a.m.-5 p.m. Registration & Information

7:15-80 a.m. Light Continental Breakfast

8-9:30 a.m.#111: CMS’ MDS Surveys Workshop:Are You Ready? (1.5 hours) with

Kim Smoak, MSH QIDP; Bureau Chief ofField Operations, Division of Health QualityAssurance, Agency for Health CareAdministration; and Robin A. Bleier, RN,HCRM, CLC; President, RB Health Partners

This session is supported by an educationalgrant from Avanir Pharmaceuticals.

9:40-10:40 a.m.#112: The Endangered Heel (1.0 hour)Pamela Scarborough, PT, DPT, MS, CDE,CWS, CEEAA; Director of Public Policy andEducation, American Medical Technologies

10:45 a.m.-12:15 p.m.#113: Infectious Diseases Overview (1.5hours) with Hudson Garrett Jr., PhD, MSN,MPH, FNP, VA-BC™; NADONA MasterTrainer; Editor-in-Chief, The Director

This session is supported by aneducational grant from GOJO.

12:20-1:15 p.m. Lunch on Your Own

1:15-2:15 p.m.: Concurrent Session#114: How to Effectively Implement YourSkilled Managed Care Contracts (1.0 hour)with Marjorie Bowen Perez, BSN; VP, NetworkManagement; Managed Care Consultants ofFlorida (MCCFL)

1:15-2:15 p.m.: Concurrent Session#115: Understanding the Five Star RatingSystem (1.0 hour) with Nathan J. Shaw, RN,BSN, MBA, RAC-CT 3.0, LHRM; Director ofClinical Reimbursement, RB Health Partners

2:15-5:15 p.m.Trade Show, Silent Auction, Door Prizes

5:15-6:15 p.m.#116: The Conversation Project in CentralFlorida (1.0 hour) with Sandy Yochem, RN,BS; Florida Market Director, Bluestone PhysicianServices, and Judith Tivnan RN-BC MA;Director of Nursing, Grand Palms AssistedLiving and Memory Care Community, Orlando

7-10:30 p.m.Annual Awards Banquet: Celebrating You!Keynote Speaker – #116: MaryLou Brunell,RN, MSN; Executive Director, Florida Centerfor Nursing; Co-Lead, Florida Action Coalition

29th Annual Convention AgendaMarch 21-24, 2016 at the Hilton Daytona Beach Oceanfront Resort



PRESENTATION OF 2016 AWARDSNurse Administrator of the Year Award is

sponsored by OptumCare.LPN and CNA Awards of Excellence are

sponsored by RB Health Partners.

Annual Awards Banquet: Celebrating You!Exceptional Food, Drinks & Entertainment

* This annual event is sponsored by theAlliance Council’s Platinum Partners.

Thursday, March 248-9 a.m. Coffee and Light Breakfast8:30-9:30 a.m.#117: Preventing Falls with RestorativeNursing and Mobility Enhancement Programs(1.0 hour) with Jeri Ann Lundgren, RN, BSN,PHN, CWS, CWCN; President, Senior ProvidersResource

9:40-10:40 a.m.#118: Protecting and Defending Your Profes-sional License (1.0 hour) with Karen L. Goldsmith,ESQ.; Shareholder, Goldsmith & Grout, P.A.

10:45-11:45 a.m.#119: Match.com – Picking Your Partners:This is not about dating, but it is about yourpotential partners (1.0 hour) with LeonardHock, DO, MACOI, CMD; Chief Medical Officer,Harbor Palliative Care & Illness Management, aDivision of TrustBridge; President, FMDA – FloridaSociety for Post-Acute and Long-Term Care Medicine

11:50 a.m.-12:50 p.m.#120: Achieving Resident-Centered CarePlans: A Roadmap to Success (1.0 hour) withRobin A. Bleier, RN, HCRM, CLC; President,RB Health Partners

12:50 p.m.DOOR PRIZES & END OF CONVENTIONNote: Sessions and speakers are subject tochange without notice.

Alliance Council members and other vendor friends gather in Lakeland (from left): Matt Bowser, Wings;Elizabeth Page, LTC Pharma; Ian Jackson, Wings; Jeri Lundgren, Senior Provider Services;

Stephen Allison, Hartmann; Robbie Williams, MobilexUSA; Susie Jensvold, 1st Vice President andConvention Chair, FADONA; Cathy Sallitto, AMT; Cindy Mason, Providigm; Gail Allison, Tridien;

Bradlee Cox, McKesson; Jim Cassidy, Hartmann; and Ron Shamlaty, JSC Systems

Alliance Council’sPlatinum Partners Sponsoring Awards Banquet

Members of FADONA’s Alliance Council met on January 13 in Lakeland to discusstheir plans to sponsor this year’s Awards Banquet. The resulting meeting was veryproductive and many great ideas were discussed. Here are some of them:

1. The Awards Banquet theme will be called the “FOscars” – FADONA’s Oscars.2. We will try to rent large gold Oscar statues for the entrance to the ballroom and

perhaps spot lights…3. We hope to arrange for a RED CARPET experience into the ballroom complete

with red carpet and paparazzi photographers featuring our own Platinum Partners.4. We will see if the hotel has a piano we could use for entertainment during the

dinner portion, up until the award presentations.5. Formal attire for the Banquet is welcome, but it is optional.6. We will have either a live band or DJ for entertainment after dinner.7. The trade show game, which is exclusively for Platinum Partners, will be called,

“Here’s to the Present: Celebrating You Now!”8. We are inviting all our members, convention attendees, and exhibitors to create

and donate themed homemade gift baskets for the silent auction. Baskets will bejudged by a panel of Platinum Partners and the winners will receive great doorprizes during the Awards Banquet.

9. Additional vendor sponsors are still welcome!Call Ian Cordes, Director of Operations, for more information on how you can helpsponsor this event during FADONA’s 29th Annual Convention.

Continuing EducationThis educational program will be approved for27 maximum contact hours for Florida licensednurses and nursing home administrators byFADONA, CE Broker Provider #50-682.ANCC Accreditation: This continuing nursingeducation activity is being applied for throughthe Alabama State Nurses Association, anaccredited approver of continuing nursingeducation by the American Nurses CredentialingCenter’s Commission on Accreditation.

29th Annual Convention AgendaMarch 21-24, 2016 at the Hilton Daytona Beach Oceanfront Resort


W I N T E R 2 0 1 6 F A D O N A / L T CVolunteers are the heart of FADONA. Our strength is a result of the time and effort provided by those who volunteer their time and knowledge to

serve their colleagues and to further nurse administration in long-term care.We invite each member to become more involved in the Florida Association Directors of Nursing Administration (FADONA). Numerous volunteer

opportunities are available to serve for a year or two, a month, or even a day. You can help guide our association, advise the board of directors, coordinateor lead a program, or even start a new chapter or committee.

Participating as a volunteer provides a gateway to develop and hone leadership skills, increase professional contacts, and give back to the profession.Let us know what types of volunteer opportunities interest you and whether you are interested in the local, regional and/or statewide levels. We lookforward to your involvement in FADONA. Should you have any questions, please contact Ian Cordes, director of operations, at (561) 683-0037, [email protected].

FADONA NEEDS YOU!

CALL FOR NOMINATIONSSupport FADONA’s membership by being elected to a position and serving on the FADONA Board of Directors. The bylaws state that the NominatingCommittee will present the slate of officers to the membership at least 60 days prior to the annual meeting, prepare a mail-in ballot, and ask members toreturn the mail-in ballot no later than 30 days before FADONA’s 29th Annual Convention, March 21-24, 2016. Newly elected officers will be installedat the closing of the annual business meeting by the president. See next page for job descriptions as defined by the bylaws.

The following FADONA leadership positions will be vacated in March 2016:2nd Vice President • Secretary • Region II Coordinator • Region IV Coordinator • Region VI Coordinator

If you are interested in running for office, please complete the Candidate Information Form below and forward your nomination(s),received no later than Friday, January 22, 2016, to Bonnie Cruz, Immediate Past-President, and Chair, FADONA Nominating Committee, c/o FADONA,

400 Executive Center Drive, Suite 208, West Palm Beach, FL 33401. You may also fax it to (561) 689-6324 by the stated deadline.

FADONA/LTC Candidate Information FormName: _________________________________________________________________ Membership Expires: ____________

Address: _________________________________________________________________ Phone : ____________________

Facility: ________________________________________________________________ Email: ____________________

Position: ________________________________ Years as DON: _____________ Currently a DON: _____ YES _____ NO

Indicate office or position for which you are applying: _________________________________________________________

How long have you been a member of FADONA? _______________ years. Have you ever held office in FADONA? ___________

Which office? ___________________________________ Have you ever served on any FADONA committees? ______________

Indicate which committee(s): _____________________________________________________________________________

Are you a FADONA Founding Member? __________________ A FADONA Charter Member? ___________________

An officer in a local or state association? _____________ (If yes, name of association) ___________________________________

Have you attended any national conferences? _____________ Florida state convention(s)? ______________

If yes, which ones? ____________________________________________________________________________________

Are you a CDONA/LTC? _______________ Indicate year of certification: ____/____/____

Are you free to travel at least three times a year for 1-4 days? ___________

Are you free to conduct some Association business during regular hours? ____________

In 50 words or less (use another sheet if necessary), indicate why you would like to be an officer of FADONA/LTC and why youfeel you are qualified to assume this position (include educational background as well): ______________________________________________________________________________________________________________________________________________

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________I understand that my application for office in FADONA/LTC will be reviewed by the Nominating Committee of the Association,which will, if necessary, and with my permission, use my application for any other open offices at the time of my application.

Signature: __________________________________________ Date: ____/____/____

Candidate information forms received after Friday, January 22, 2016, will not be accepted.



Calling AllLeaders— Duties and Responsibilities forFADONA Officers

he following FADONAleadership positions will bevacated in April 2016:

2 nd Vice Pres iden t •Secretary • Region II Coordinator • RegionIV Coordinator • Region VI Coordinator.Here are the duties and responsibilities asdefined by the bylaws.

Article VI—Duties of OfficersSection 3. The 2nd vice-president shall

serve as membership chairperson and shallassist the president and 1st vice-presidentas delegated by the president.

Section 4. The secretary shall record theminutes of all board and general meetingsand shall be responsible for any delegatedcorrespondence from the ExecutiveCommittee.

Section 6. The regional coordinatorsshall: act as liaisons between state and localAssociations, increase networking bypromoting educational forums, andmotivate local involvement of allmembers in legislative concerns.

If you are interested in running for office,please complete the Candidate InformationForm on the previous page and forwardyour nomination(s), no later than Friday,January 22, 2016. �

TTTTT

Fun Homemade-ThemedGift Basket Contest & Silent Auction

We are inviting all our members, convention attendees, andexhibitors to create and donate themed homemade gift baskets

for the silent auction in the Exhibit Hall. Baskets will be judgedby a panel of Platinum Partners and the winners will receive

great door prizes at the Awards Banquet.

Over the years, FADONA has provided more than $15,000 inscholarships to its members and their staff and, with your

support, we will be able to continue our tradition.

For more information on how you can participate, please callCindi Taylor at the FADONA business office at (561) 683-0037.

All proceeds from the sale of these baskets — whichwill be in the exhibit hall during the silent auction

— will benefit the FADONA Scholarship Fund.

Thanks to our GenerousSponsors for their Support!*

FADONA’s 2016 Annual Convention:Sponsorships and Educational Grants

Grand SponsorsAvanir Pharmaceutical • GOJO • OptumCare

Classic SponsorshipsHumana • McKesson • PharMerica

General SponsorshipsConsulate Health Care — Welcome Bistro

Reception on Monday

Guardian Pharmacy — Hotel Key Cards

Optum — Nurse Administrator of the Year Award

RB Health Partners — CNA and LPNAwards of Excellence

* As of January 15, 2016



The results were

amazing and we began

to look at other residents

that were often restless

through the night.

specially around the holidays,it seems our senses come alive.We smell a live Christmas treeand we remember a childhood

memory. Turkey baking in the oven or sugarcookies cooling and most people willrespond with a mouth-watering smile. Thesense of smell can deliver a powerful messagesometimes subliminal or even deliberate.

For thousands of years, scents, oils, andfragrances have been used for medicinal oreven spiritual needs. As most know, a veryfamous Christmas story had wise mendelivering frankincense and myrrh to a babyin a manager. As societies and civilizationshave evolved so has the use of oils, fragrancesand scents into aromatherapy.

Aromatherapy has become somewhatpopular with many applications. Severalinternational businesses have been launchedcapitalizing on the recreation use of feelgood scents. The use of aromatherapy hasfiltered over into the medical society.

Many organizations such as AmericanPublic Health Association, ISACA GlobalOrganization and even the Alzheimer’sAssociation have referenced the use ofaromatherapy in treating many medicaldisorders. There have been many clinicalapplications with use of oils such aslavender, bergamot, ylang ylang whichpromote stress relief. The use of lavenderas an essential oil for calming has been sowell received that Fiberize has put out aproduct called sleep serenity.

In the long-term care and acute rehabsettings, many residents experienceincreased stress or anxiety related to theirnew environment. At Bear Creek NursingCenter, we have been exploring interventionsusing aromatherapy for many months. Atfirst, we focused on smells centered on foodto enhance or improve appetite. Throughour restorative dining program, weintroduced food flavored scented waxessuch as sugar cookie, blueberry cheesecake,warm apple pie, etc., as an auxiliary methodto increase appetite and promote increasedpo intake. Through an unofficial controlledstudy, we found that the use of certainaromas had a positive effect on the resident’spo intake in restorative dining program.

EEEEERecently, we have incorporated foodflavored waxes in all of our dining roomsand the positive response has beenoverwhelming.

We took aromatherapy a step further andwanted to promote nursing interventionsthat would enhance sleep, reduce stress and/or anxiety, and encourage a stimulatingbathing environment. After much reading,research, and ongoing study, we decided touse aromatherapy as an alternativeintervention for falls management and topromote a positive hygiene experience.

Much of our research was done throughthe Alzheimer’s Association and theirendorsement of specific therapeutic oils.For example, The Journal of QualityResearch in Dementia, Issue 3, recognizedaromatherapy as a positive approach fordementia patients.

We started by using lavender spray onbed pillows and sheets for residents that hadsundowners, restless sleep, and interruptedsleep which often resulted in the residentattempting to get up unassisted and falling.Initially, we started with two femaleresidents that had falls from a low bed oftenin the middle of the night as they wereawake, restless and looking to get up. Bothresidents have dementia and weredependent with most ADLs. We began atrial of spraying their bed sheets withlavender consistently every night and whatwas noted was astounding. One residentrolled out of her low bed at least 7 times inone quarter and in 60 days since sprayingher sheets she did not have episodes ofrolling out of her low bed. The otherresident rolled out of her low bed at least

Making Sense of ScentsBy Betty Barron, RN, DON; Bear Creek Nursing & Rehabilitation Center, Hudson, FL; FADONA Region IV Vice President

10 times in one quarter and in the 60 dayssince spraying her sheets she had only twoepisodes of rolling out of her low bed.

The results were amazing and we beganto look at other residents that were oftenrestless through the night. We now have atotal of at least 15 residents whose bedsheets are sprayed nightly with lavender andwe have noted a reduction in night anxietybehaviors. In addition, we have placedlavender air fresheners in one residentlounge that is popular for TV viewing inthe evening. While there have been norecorded results to monitor, the eveningnursing staff does report that the setting hasbeen peaceful and calm.

In our shower rooms, we have incor-porated a spa like Zen feeling by continuousspa music playing along with aromatherapythrough a mister that delivers a scent ofeucalyptus and peppermint which has beenknown to induce a rejuvenating experience.Many of the residents and staff alike haveremarked positively on the pleasantenvironment in the shower room /spa.

As our knowledge base grows with aroma-therapy, we plan to introduce newcomponents such as bergamot lapels toresidents with anxiety and wanderingbehaviors to foster a calm environment. Webelieve that at Bear Creek Nursing Centerwe are embarking on a new adventure ofinterventions that stimulate the senses witha therapeutic effect that is progressivetowards dementia care alternatives.

Through these new interventions innursing care for dementia patients and thegeriatric population, we are excited aboutthe new environment that engages ourresidents. �References:Carter, Robyn (2012) Seven Ways To Use AromatherapyTo Care For The Elderly At Home, http://www.imperialbeachnewsca.com/news/article_670a08de-cc57-11e1-80c6-0019bb296

Alzheimer’s Society (2015) The Journal of Quality Researchin Dementia, Issue 3; http://www.alzheimers.org.uk/site/scripts/documents_info.php?documentID=306&pageMedline Plus (2015) National Library of US Medicine “Lavender”https://www.nlm.nih.gov/medlineplus/druginfo/natural/838.htmlForrester LT; Maayan N; Orrell M; Spector AE; Buchan LD;Soares-Weiser K (2014) Aromatherapy for dementia;Medscape Multispecialty, http://www.medscape.com/medline/abstract/24569873



Positions AvailablePalm Terrace of Lakeland is seeking compassionate qualified candidates in thefollowing Positions. Palm Terrace of Lakeland is a 185-bed, five star rated SkilledNursing and Rehab center that has been offering rehabilitative services to thecommunity for the past 20 years. Rehabilitative programs include orthopedic,enhanced cardiac, pulmonary, and stroke rehabilitation.

Qualified candidates please contact Administrator Brian Bentz at 863.688.5612 orvia e-mail [email protected].

Director of Nursing: Shall be a Registered Nurse (RN) who is responsiblefor the overall direction of program clinical servicesRequired experience:

• Director of Nursing Services: 2 years• Required license or certification: Registered Nurse (RN)• Required education: Bachelor's

Risk Manager: To plan, develop, organize, implement, evaluate and directthe facility risk management program in accordance with elements of FS400.147 and with Palm Terrace of Lakeland’s Risk Management Policiesand Procedures.Required experience

• Long-Term Care experience as Risk Manager,ADON or DON 2 years

• Required license or certification: Registered Nurse (RN)• Required education: Bachelor's

atient’s rights cover such topicsas access to care, patientdignity, confidentiality, andconsent to treatment. Patients

with disabilities have some additional rightsunder three different laws: The Americanswith Disabilities Act, the Rehabilitation Actof 1973 and the Florida Civil Rights Law.These laws guarantee that people withdisabilities will have the same access to healthcare services as people without disabilities.

It is important for nurses to understandthese laws and to be advocates for theirpatients. When the rights of your patientsare not being observed, complaints shouldbe filed with the appropriate agencies.Americans with Disabilities Act (ADA)

The ADA prohibits discrimination on thebasis of disability in employment, state andlocal government, public accommodations,commercial facilities, transportation, andtelecommunications.

To be protected by the ADA, one musthave a disability or have a relationship or

Patient and Disability Rights in the Health Care SettingBy Robert A. Goodman, MSW

PPPPPassociation with an individual with adisability. An individual with a disability isdefined by the ADA as “a person who has aphysical or mental impairment thatsubstantially limits one or more major lifeactivities, a person who has a history orrecord of an impairment.”ADA Title III: Public Accommodations

Title III covers businesses and nonprofitservice providers that are used by the public.These include hospitals, urgent care centers,doctors offices, nursing homes and homehealth agencies.

Health care services must provide equaltreatment in the way they serve patients withdisabilities. This means removing barriersin existing buildings.

Patients who are deaf or hearingimpaired have the right to a sign languageinterpreter. If one cannot be provided, thehealth care professional needs to findanother way to communicate with thepatient. A family member cannot be requiredto assist in the communication process.

Patients with visual disabilities have theright to have any written materials eitherread to them or given to them in an alternateformat such as large print, Braille, or ontape. This includes assistance with fillingout paper work, having hospital admissionbooklets, home health agency information,doctor’s orders, and discharge plans availablein a format that is accessible to the patient.The Rehabilitation Act of 1973

This law has similar protections forpatients with disabilities. This law appliesto federal, state and local government andto any non-profit organization or health careprovider that receives federal funds suchas Medicare and Medicaid.The Florida Civil Rights Law

Florida has a law that also protects itsresidents against discrimination in publicaccommodations. It is against Florida lawto refuse accommodations or services to anyperson on the basis of physical disability. Itis also unlawful for an individual to bedenied access or to receive poor service orlesser quality accommodations because ofhis or her disability.

There are other laws that protect the rightsof people with disabilities. The ArchitecturalBarriers Act requires businesses to beaccessible to people with disabilities. TheFair Housing Act prohibits discriminationin housing. The Air Carrier Act protectspeople with disabilities against discriminationby airlines. They must provide assistanceto customers with disabilities. There are twovoting rights laws, the Voting Accessibilityfor the Elderly and Handicapped Act andNational Voter Registration Act that ensureassistance at the polls if requested.

For more information on a person’s rightsunder these laws or to file an ADAcomplaint log onto www.ada.gov orwww.ada.gov/complaint. For Section 504compla in t s log on to https: / /ocrportal.hhs.gov/ocr/cp/wizard_cp.jsf.For information on Florida’s Civil RightsLaw or to file a complaint log onto http://fchr.state.fl.us. �

Mr. Goodman is a geriatric social worker and aconsultant on the ADA and the visually impaired. Hecan be con tac ted a t 954 -806 -7321 , o rwww.americanswithdisabilitiesact.net.



n August 1989, leadershipfrom professional nursinggroups that have a state levelof organization met with a

mission to develop and demonstrate unityin nursing in Florida. To facilitate meetingthis mission, they established the Qualityand Unity in Nursing (QUIN) Council. Thefounding members of QUIN included thefollowing nursing organizations:

• Florida Nurses Association• Deans and Directors of Nursing Education

Programs• Florida Hospital Association Center for the

Promotion of Nursing• Florida League of Nursing• Florida Organization of Nurse Executives• Florida State Board of Nursing

Representatives of these organizationsidentified the objectives for QUIN Counciland established meeting and operationstructures. QUIN was designed using theNational Tri-Council, an organized meetingof the American Nurses Association, theAmerican Organization of NurseExecutives, the American Association ofColleges of Nursing, and the NationalAssociation of State Boards of Nursing asa model. Each organization is permitted tosend up to three representatives to QUINmeetings but with one vote per organizationshould there be the need. The QUINCouncil objectives were:

1. Develop a strategy to communicatebetween the organizations key issues thataffect nursing.

2. Develop communication networks thatfoster collaboration.

3. Develop support/unity for nursing inFlorida:

a. Develop mutual agreement on keynursing issues.

b. Provide a forum for discussing majorpositions where there may be dissent— “agree to disagree.”

4. Move the agenda for nursing forward.5. Be action- and outcome-oriented,

not a study group.The Florida Center for Nursing joined

QUIN in 2003, and by 2009, themembership had grown to 11 withindividual representation of the educationprograms and addition of:

• Florida Association of Colleges of Nurses• Florida Association of Directors of Nursing

Administration/LTC• Florida Council of Nursing Education

Administrations• Florida Council of Practical Nursing Education

Administrators• Association of Practical Nurse Educators of

Florida

Over time, the QUIN Council missionevolved from “Promote quality and unityfor nurses and nursing in Florida” to“Promoting collaboration and advocacy forquality and unity in all aspects of nursingin Florida.” We have transitioned from fiveobjectives to two purposes:

1. Build relationships between nursingorganization leadership in Florida.

2. Provide a forum for discussing keynursing issues to create a unified voice.By permitting multiple representatives andbeing open to expansion of membership,nurse leaders from varied areas of practice,levels of education, and organizationpositions continue to strive to develop anddemonstrate unity in nursing in Florida. Theopportunity for open discussion of issuesrelevant to nurses and recipients of caresupports a commitment to nurse advocacyand patient advocacy. QUIN has unifiedsupport for legislative activities includinghistorical and current efforts such as the roleof nurse practitioners, the need for schoolhealth nurses, improving access to healthcare, and the oversight of assistive personnel.

Specifically, with the unified strategiesof QUIN, Florida nurses successfullystopped the Florida Medical Association’seffort to establish a new health care worker,the Registered Care Technologist.

As of this writing, the membership ofQUIN Council has grown to include:

• Association of Practical Nurse Educatorsof Florida

• Florida Nurses Association

• Florida Action Coalition Diversity Council• Florida Association of Colleges of Nursing• Florida Association Directors of Nursing

Administration/LTC• Florida Association of Nurse Anesthetists• Florida Board of Nursing• Florida Association of Public Health Nurses• Florida Association of School Nurses• Florida Center of Nursing• Florida Council of Nurse Midwives• Florida Council of Nursing Education Administrators• Florida Council of Perioperative Registered Nurses• Florida Council of Practical Nursing Education

Administrators• Florida Gerontological Nurses Association• Florida Hospital Association• Florida League for Nursing• Florida Nurse Practitioner Network• Florida Nursing Students Association• Florida Organization of Nurse Executives• Florida Public Health Association• Florida Society of Perianesthesia Nurses• Florida Assisted Living Facilities Association• Intervention Project for Nurses

If you are a member of a state levelorganization that has a mission and purposeconsistent with the QUIN Council and arenot on the list, please ask your leadership“Why not?” Any organization who meetsthis criteria and is willing to meet thesemembership responsibilities is welcomeand encouraged to join:

• Identify emerging issues and submit forinclusion on the meeting agenda.

• Distribute information betweenmember Board and the QUIN Council

• Maintain current contact informationfor member representative/s

• Participate in the majority of meetingsheld per year

Organizations interested in joining theQUIN Council should contact the Chairwho will provide the application form forcompletion and submit it for discussion atthe next scheduled meeting or for electronicreview. For more information, pleasecontact Reuben Bowie, FADONA’s liaisonto QUIN Council through the FADONABusiness Office. �Source: This article appeared in the December2015 issue of Florida Nurse and reprinted withpermission of the Florida Nurses Association.

QUIN Council: Working Together forQuality and Unity in Nursing

IIIII



The Elder Justice Act

TTTTTBy Robin A. Bleier, RN, LHRM, CLC, FACDONA; Principal, RB Health Partners

Robin Bleier

he Elder Justice Act(EJA) was signedinto law on March23, 2010. This was

part of the Patient Protection andAffordable Care Act (PPACA),the Elder Justice Act (EJA)authorized and imposed acomprehensive range of initiativesaimed at combating elder abuse,neglect, and exploitation.

The Elder Justice Act includes thatcitizens that reside in a facility should havethe same rights as those that do not. One ofthe most significant aspects of the EJA iscontained in section 6703(b)(3), whichadds section 1150B to Title XI of the SocialSecurity Act, was to establish notificationand reporting requirements aimed atuncovering crimes against those residingin long-term care (LTC) facilities.Broad Scope

In section 6703(b)(3) of the EJA, titled“Reporting to Law Enforcement of CrimesOccurring in Federally Funded LTCFacilities,” applies to LTC facilities thatreceived at least $10,000 in annual federalfunds during the preceding year. The Actdefines a “LTC facility” as a “residentialcare provider that arranges for, or directlyprovides, long-term care.” “LTC” is furtherdefined as “supportive and health servicesspecified by the Secretary for individualswho need assistance because the individualshave a loss of capacity for self-care due toillness, disability, or vulnerability.”

These expansive definitions ensure thatthe vast majority of LTC facilities and theirstaff members and contractors must complywith the EJA’s notification and reportingobligations.Individual Reporting Requirements

Covered individuals, defined above, areresponsible for reporting to HHS and to atleast one local law enforcement entity, “anyreasonable suspicion of a crime (as definedby the law of the applicable politicalsubdivision) against any individual who isa resident of, or is receiving care from, thefacility.” Generally, suspicious events mustbe reported within 24 hours. However, any

event resulting in “serious bodilyinjury” must be reported no laterthan two hours after forming thesuspicion. “Serious bodilyinjury” is defined as “an injuryinvolving extreme physical pain,involving substantial risk ofdeath, involving protracted lossor impairment of the function ofa bodily member, organ, ormental faculty; or requiring

medical intervention such as surgery,hospitalization, or physical rehabilitation.”

A dilemma is presented by the fact thatthe EJA does not prescribe a clear processfor reporting “reasonable suspicions” toHHS. At this juncture, facilities are advisedto direct their reports to both the local StateSurvey and Certification Agency and a lawenforcement entity. Given the EJA’s shorttime frames, facilities should establishcoordinated reporting protocols that involveall staff members, including management andsupervisory staff, considering that care-related issues may arise on a 24/7 basis.Facility Notification Requirements

Annually, owners and operators mustnotify each “covered individual” — definedas an owner, operator, staff member,manager, agent or contractor of the facility— of that individual’s obligation to complywith the Act’s reporting requirements.Frequent and thorough notification istherefore advisable, although, as describedbelow, some aspects of the reportingrequirement still need to be clarified.

In addition, a facility must “conspic-uously” post a sign, drafted “in a formspecified by the Secretary,” that describesthe rights of staff members under the EJA,including their right to file complaintsagainst facilities that unlawfully retaliateagainst reporting staff members.Penalties

Any staff member that does not complywith the EJA’s reporting requirements issubject to a fine, and if the noncompliance“exacerbates the harm to the victim of thecrime or results in harm to anotherindividual,” the staff member faces anincreased fine. The penalties for reporting

violations are centered on providers, LTCfacilities may also be deemed ineligible toreceive federal funds if excludedindividuals are found within their employ.The EJA includes that facilities areprohibited from retaliating against staffmembers who report pursuant to the Act.Any facility that commits a retaliatory actis liable to be fined and may be classifiedas an excluded entity for two years.Considerations

While anticipated guidance remains due,providers should be aware of the EJA’smandates and prohibitions; anytransgressions committed may be the subjectof subsequent enforcement. In the absenceof sufficient clarity, providers can bestmitigate risk by broadly interpreting thelaw’s requirements. Considerations include:

• Establish a working relationship with yourlocal law enforcement agency beforereporting is necessary to supportunderstanding of roles and responsibilities.

• Facilities should identify “crimes” — whichmust be defined by referring to the law of theapplicable political subdivision — that aresubject to the reporting.

• Facilities should create a policy regarding allrights, obligations, and procedures relatingto EJA section 6703(b)(3) and include:

• Facilities should establish a means ofnotifying covered individuals of their reportingobligations.

• Facilities should develop a protocol for timelysubmission of reports to the local StateSurvey and Certification Agency.

• Staff members and contractors will need tobe carefully screened to prevent a facility fromdealing with “excluded” individuals.

In ConclusionWe all have a responsibility for our

resident/patient safety. The EJA and thereporting of suspicion of a crime has beenconsidered as a breakthrough in theprevention and enforcement of elder abuse.

For more information please contact Ms. Bleier at727-786-3032 or email [email protected].



Iris OnrotComfiHips by Worldwide Ortho10611 Montrose Bay Ave.Boynton Beach, FL 33473813-376-9040; Fax: [email protected]

Kerry CotlerCotler Health Care & Development901 S. 62nd AvenueHollywood, FL 33023561-790-1191; Fax: [email protected]

Ed ShanceyDecubex Incorporated1025 Blanding Blvd., 503Orange Park, FL 32065904-213-0426; Fax: [email protected]

Karla ConwayEccoLab GroupClinical Laboratories8370 W. Flagler Street, Ste. 216Miami, FL 33144754-244-5474; Fax: [email protected]

Amy FriedmanGenadyne Biotechnologies1500 W. Cypress Creeki Rd., Ste. 410Ft Lauderdale, FL 33309561-346-2575; Fax: [email protected]

Heather DicintioGOJO IndustriesOne GOJO Plaza, Ste. 500Akron, OH 44313330-255-6142; Fax: [email protected]

Rob TaymansGuardian Pharmacy of Florida9402 International Drive N.St. Petersburg, FL 33716727-209-4900; Fax: [email protected]

Robert HarrisHarris Medical (Patron Member)8909 SE Marina Bay DriveHobe Sound, FL [email protected]

Renee McElwaneyHealogics5220 Belfort Road, Ste. 130Jacksonville, FL 32256727-692-2376; Fax: [email protected]

Peter LopezHumana Comfort Choice8400 NW 36th Street, #350Doral, FL 33166305-698-3199; Fax: [email protected]

Elizabeth PageLTC Pharma4040 N. 29th AvenueHollywood, FL [email protected]

Mike CeceliaMcKesson Medical Surgical5995 Windward Pkwy.Alpharetta, GA 30005800-328-8111; Fax: [email protected]

Adam FurmanMedline Industries128 Ocean Cay WayHypoluxo, FL 33462954-295-2740; Fax: [email protected]

Lee RobertsMetrex1611 Fairway DriveDenton, TX 76210940-368-7600; Fax: [email protected]

Brinn HeltonMobilex USA/US LabsP.O. Box 17159Clearwater, FL 33760727-366-9670; Fax: [email protected]

Wanda BryantOPTUMCare9009 Corporate Lake DriveTampa, FL 33634813-890-7852; Fax: [email protected]

Mark LindemoenPharMerica Corporation1901 Campus PlaceLouisville, KY [email protected]

PharmScript3801 Corporex Park Drive, Ste 100Tampa, FL [email protected]

Tom WalshPsychCare Services LLC3805 Biscayne DriveWinter Springs, FL 32708407-687-5551; Fax: [email protected]

Jeff WilkesRXPERTS Pharmacy1911 Highway 301 N., Ste. 100Tampa, FL [email protected]

FADONA’s Alliance Council Members — Our Preferred VendorsBen LaMothe360 Healthcare Staffing5401 W. Kennedy Blvd Ste. 830Tampa, FL 33609813-313-4222; Fax: [email protected]

David KellerAdvanced Pharmacy45 Skyline Drive Ste. 1011Lake Mary, FL 32746407-805-8300; Fax: [email protected]

Heather GrassoAllied Mobile X-Ray & Ultrasound8360 W. Flagler Street, Ste. 207Miami, FL [email protected]

Chris GreggAmerican Health Associates ClinicalLaboratories2853 San Pedro Dr.New Port Richey, FL [email protected]

Cathleen SallittoAmerican Medical Technologies6850 Possum TrailSarasota, FL 34241941-228-5684; Fax: [email protected]

Harry NovotnyAvanir Pharmaceuticals30 Enterprise, Ste. 400Aliso Viegjo, CA [email protected]

Stephen ShermanBeveridge Medical Associates6 Highwood Ridge TrailOrmond Beach, FL 32174800-320-6514; Fax: [email protected]

Tracy HowardBoehringer Ingelheim USACorporation4809 Walnut Ridge Rd.Land O’Lakes, FL 37638401-529-0526t r a c y . h o w a r d @ b o e h r i n g e r -ingelheim.com

Heather O’NeillClover Medical Solutions1193 Sarasota Center Blvd.Sarasota, FL 34240941-779-5944; Fax: [email protected]

Jeri LundgrenSenior Providers Resource5704 Cape Harbour Drive, #305

Cape Coral, FL 33914612-805-9703

[email protected]

Gail AllisonTridien Medical6608 S. Westshore Blvd., #2132Tampa, FL 33616

813-917-5665; Fax: 813-964-7871

[email protected]

Stephanie DemosVITAS Healthcare2201 Lucien Way Suite 100Maitland, FL 32751

407-691-4536; Fax: 407-599-2597

[email protected]

Matt BowserWings Health Care Solutions35246 US Hwy 19 N., Ste. 303

Palm Harbor, FL 34684

800-352-3966; Fax: [email protected]

— Current as of Jan. 15, 2016

Discount PricingOptional Pre-ConventionOptional Pre-ConventionOptional Pre-ConventionOptional Pre-ConventionOptional Pre-Convention

Mandatory LicensureMandatory LicensureMandatory LicensureMandatory LicensureMandatory LicensureRenewal CoursesRenewal CoursesRenewal CoursesRenewal CoursesRenewal Courses

1.1.1.1.1. Preventing MedicalPreventing MedicalPreventing MedicalPreventing MedicalPreventing MedicalErrorsErrorsErrorsErrorsErrors

2.2.2.2.2. Laws and RulesLaws and RulesLaws and RulesLaws and RulesLaws and Rulesthat Govern thethat Govern thethat Govern thethat Govern thethat Govern thePractice of NursingPractice of NursingPractice of NursingPractice of NursingPractice of Nursingin Floridain Floridain Floridain Floridain Florida

Regular Fees: $25$25$25$25$25 percourse for members,$35$35$35$35$35 for non-members.

Discounted Member Pricing:::::Both courses for $40$40$40$40$40.

Discounted Non-MemberPricing: Both courses for$60$60$60$60$60.



Register Online Today at www.fadona.orgRegister Online Today at www.fadona.org

january 16 fadona focus color 20 2016 fadona focus color.pdf · inside fadona focus ... dr. jemelle...

Documents