Education Program

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Education at a Glance

Monday, September 26

8:30 a.m. – 10:00 a.m.

Opening Keynote Session

Telling Stories of Resilience (1.5 ADM)

Jeremiah Jones

Stories play an important role in our lives. The story we tell ourselves has the power to define us and can either hold us back or propel us forward. Jeremiah Jones, an award winning documentary film maker, share’s his perspective of storytelling as someone who has been deeply impacted by stories throughout his life and his experience in the film industry.

Using examples from his film Show Must Go On, he will discuss how filming the final performance of a comedy variety show performed by his mother-in-law and three friends became a story of resilience and the perfect example that life is full of opportunities to build upon one’s story in a positive way.

10:15 a.m. – 11:15 a.m.

Movie Screening

Show Must Go On (1 ADM)

SHOW MUST GO ON is a documentary film following four spunky seniors, Jane, Karen, Mary, and Pat, as they prepare for their final performance of a comedy variety show in their retirement community. Performing in front of sold-out audiences, these ladies are as strong, confident, and independent as ever, and they seek to empower those around them to feel the same about themselves.

11:30 a.m. to 1:30 p.m.

Awards Lunch & Ceremony

Join fellow LeadingAge Missouri members to recognize the best among us.

Choice of Breakout Sessions (A)

1:45 p.m. – 2:45 p.m.

A1 - Value Based Care

I-SNPs and Data Analytics (1 ADM)

Rick Grindrod & Dr. Scott Rikfin, Provider Partners Health Plans (PPHP)

This session discusses how nursing facilities can participate in value-based programs through 1) the development and operation of I-SNPs
and 2) a strong data infrastructure that uses interventional analytics to improve clinical outcomes while reducing the total cost of care.

1:45 p.m. – 2:45 p.m.

A2 - Case-Mix Medicaid Programs

Are You Prepared? (1 ADM)

Camille Lockhart & Sherri Robbins, FORVIS (Previously BKD)

MO HealthNet has implemented a case-mix SNF Medicaid payment methodology. FORVIS (formerly BKD) will outline an overview of the payment methodology and how providers can adapt to these changes. The session will include information including MDS completion, accuracy, and case-mix calculations based on RUG categories. There will also be discussion regarding MDS accuracy and how this can positively impact your individual provider case-mix index. This session is intended for owners, administrators, directors of nursing, and MDS personnel.

1:45 p.m. to 2:45 p.m.

A3 - Mindfulness Leading

from a Place of Calm Amidst the Storm

Ingrid Provident, Select Rehabilitation

Mindfulness is not just for those with hours to meditate. Session participants will learn effective, short mindfulness practices that can be used in personal and work settings that allow a re-centering of body and mind from anxiety and stress into calm so best decisions and appropriate actions are made. This session will reinforce that stress is inevitable and in fast paced, high demand places of work, feelings of anxiety, burnout, and fatigue are present. These feelings are a natural part of human nature but need not be permanent. Mindfulness action can be taken to soften, alleviate and allow calm, and more present and active responses to anxiety, burnout, and fatigue by using brief (5 minute) techniques.

1:45 p.m. to 2:45 p.m.

A4 - Creating an Age

Friendly Health System (1 PC)

Angela Sanford, St. Louis University School of Medicine

Developed by the Institute for Healthcare Improvement, the Age-Friendly Health System framework serves to guide organizations caring for older adults and their families to provide care that is person-centered and focused on the older adult’s needs and quality of life. Based on the “4 Ms” (what matters to the patient, mentation, mobility, and medications), St. Louis University developed an evidence-based protocol for assessing and determining care plans. This presentation will provide an overview of the Age-Friendly Health System model and strategies to incorporate it into the assessment and treatment of geriatric syndromes.

Choice of Breakout Sessions (B)

3:00 p.m. to 4:00 p.m.

B1 - Innovative Solutions

for the Staffing Crisis (1 ADM)

Eileen Caffey, Bethesda Health Group

Staffing is the number one challenge for almost all healthcare organizations. In this presentation Bethesda Health Group will share a unique approach to workforce development, including a nursing career ladder program and CNA apprenticeship. They will also share how to build a contingent nurse staffing strategy to reduce overall agency spend.

3:00 p.m. to 4:00 p.m.

B2 - Raising Tech

The Future of Senior Living Technology

Amber Bardon, Parasol Alliance

As senior living continues to evolve, so does the technology needed to support and enhance the resident and employee experience. The pandemic not only exploited gaps in technology, but escalated recognition of the need for a proactive technology roadmap and budget. In this session, we will discuss what communities should be considering as they develop a technology strategy. This strategy is inclusive of baseline technology infrastructure needs, innovations in technology you should be considering, and how to develop a tactical roadmap and budget using an internal steering committee to optimize community-wide buy-in, efficiency, and effectiveness.

3:00 p.m. to 4:00 p.m.

B3 - The Renewed Emphasis

on Restorative Nursing in Today’s SNF

(1 ADM) – Susan LaGrange, Pathway Health

Restorative Nursing is more important than ever for quality, compliance and coordination with PDPM. Join this fast-paced, informational session highlighting the key foundational requirements of Restorative Nursing Programs, vital documentation essentials, important reminders for compliance and implementation strategies for success.

3:00 p.m. to 4:00 p.m.

B4 - Leadership Transitions

(1 ADM)

Speakers to be Announced

Join senior leaders from aging services organizations to learn the dos and don’ts of effective leadership change and how to avoid pitfalls.

4:15 p.m. to 5:15 p.m.

B 5 - Business Intelligence

Event (1 ADM)

Ziegler with Dan Hermann, president/CEO and Will Carney,

Managing Director, SafelyYou, Shirley Nickels, COO

KARE, Laura Cambria, General Manager (1 ADM)

A unique forum for sharing knowledge about what’s working and what’s not, across all of the sectors of our field. This event is designed to be a shared learning hub with innovative ideas exchanged . Join us to explore new strategic partnerships for Missouri aging services providers to integrate the latest market solutions in order to build capacity for growth and advance their missions.

5:30 p.m. to 7:30 p.m.

EXHIBITOR DINE AROUND

Tuesday, September 27

9:00 a.m. – 10:30 a.m.

Vision Keynote

Future of Nursing Homes (1.5 ADM)

Marilyn Rantz, PhD, RN, FAAN, Curators’ Professor Emerita,

MU Sinclair School of Nursing

The way the U.S. finances, delivers, and regulates care in nursing home settings is ineffective, inefficient, fragmented, and unsustainable.
Immediate action to initiate fundamental change is necessary.
Federal and state governments, nursing homes, providers, payers, researchers, and others need to make clear a shared commitment to the care of nursing home residents.
These are but three institution-shaking conclusions recently advanced by the Committee on the Quality of Care in Nursing Homes sanctioned by the National Academies of Sciences, Engineering, and Medicine (“NASEM”). Inconsistent with its vision for high-quality nursing home care, the Committee has developed an overarching framework for a comprehensive approach to improve care quality. LeadingAge Missouri is pleased to welcome Missourian, Dr. Marilyn Rantz, back to its Annual Conference to share her insider perspective as a Committee member and to provide thoughtful insight on likely paradigm shifts for nursing homes.

Access Presentation Slide Deck and Speaker Handouts

Choice of Breakout Sessions (C)

10:45 a.m. – 11:45 a.m.

C1 - Reigniting the Passion

Strategies for Overcoming Staff Burnout

Ingrid Provident, Select Rehabilitation

Stress and Burnout are at an all-time high among healthcare workers. In this presentation participants will learn the causes of stress and burnout in the workplace, how to recognize one’s own stress, and what to do to counteract symptoms. Multiple real-world examples will be shared based upon the seven areas of wellness. Healthy workplace behaviors and personal selfcare strategies will be presented.

10:45 a.m. – 11:45 a.m.

C2 - Managing Parkinson’s

Disease (1 PC)

Andrew Caruso, Infinium Pharmacy

Parkinson’s Disease is a neurological condition that affects nearly 1% of all people over 60 years of age and is more highly prevalent among long term care patients. This presentation will describe the disease and treatment options. The primary focus is on pharmacologic management, including pros/cons of different available medications to treat Parkinson’s Disease and some common comorbid conditions. The discussion will include medications to avoid in patients with Parkinson’s and a brief overview of nondrug management.

10:45 a.m. – 11:45 a.m.

Moral Injury and the Next

Generation of Veterans in Long Term Care

Ron Mackey, Baptist Homes & Health Ministries

Participants in this break-out will develop an understanding of moral Injury in general. They will also learn of the significant impact moral Injury is having upon Vietnam veterans who will be the next cohort of veteran population in long term care. Finally, participants will come away with an awareness of the need to care for this generation of veterans with a different focus.

10:45 a.m. – 11:45 a.m.

C4 - Strategies for Managing

Cost Escalation

Will Carney, Ziegler

We are in an environment in which annual costs continue to escalate, often at a pace greater than what resident fee increases can absorb. What are the best strategies to manage increasing staff costs (wages and benefits), increasing supply costs and construction costs that continue to go up? This session will tackle these issues by covering a variety of strategies from trimming unnecessary costs to operational efficiencies to business lines that may offset.

11:45 a.m. – 2:15 p.m.

EXHIBIT HALL OPEN FOR

LUNCH & DOOR PRIZES

Choice of Breakout Sessions (D)

2:30 p.m. – 3:30 p.m.

D1 - Reducing Readmissions

Clinical Strategies for Operational Success

Susan LaGrange, Pathway Health

Today, more than ever, it is crucial for the clinical leader to be actively involved in the systems process to prevent hospital readmissions. Join a fast-based, information-packed session that will illuminate key system improvements, clinical readiness and competency preparation, and resources to assist an organization with quality and compliance. The session will also discuss the importance of strategic partnerships for success.

2:30 p.m. – 3:30 p.m.

D2 - Addressing Loneliness

Social Isolation Through a Circle of Friends

Marla Berg-Weger, St. Louis University

This presentation will introduce participants to definitions, prevalence, risk factors, and the social and physical and mental health impacts of loneliness and social isolation on older adults. Assessment and intervention strategies will be presented for application in the clinical service delivery arena. Current interventions to address the issues of loneliness and social isolation in older adults with an overview one non-pharmacological evidence-based intervention, Circle of Friends. Circle of Friends was developed and validated in Finland over two decades ago. The intervention is shown to decrease the loneliness, social isolation, and the associated physical and mental health challenges. Saint Louis University is the first organization in the U.S. to provide training for this intervention. Participants will have the opportunity to consider ways in which these interventions can be integrated into their own practice settings.

2:30 p.m. – 3:30 p.m.

D3 - Guess Who’s Watching

Grandma? (1 PC)

Rodney Harrison, Baptist Homes & Healthcare Ministries

A study in the UK showed the average citizen is caught on camera 300 times per day. In the United States, the average citizen is on camera 75 times. The average American is likely to underestimate the number of times they are on-camera tenfold. Since 2021, the Authorized Electronic Monitoring in Long-Term Care Facilities Act allows for surveillance equipment to be used by residents in Missouri nursing homes. This presentation will provide a light-hearted but thoughtful reflection on how communities can navigate the act and reduce concerns and fears of residents, roommates, and staff.

2:30 p.m. – 3:30 p.m.

D4 - Emerging Trends

Reshaping Senior Living Design (1 PC)

Speaker to be Announced

Change usually takes time, but sometimes transformational events modify the speed of change and our priorities. The pandemic has certainly been one of those course-altering events, especially for the senior living field. There are also other trends making their mark on how our field is evolving, particularly as it relates to senior living design. Join us as a seasoned architect and design expert give us an overview of how the field is evolving to meet the demands of current and future consumers. The top priority when making design choices should always be the health and wellbeing of the older adults who live within the community. By incorporating the latest senior living design trends, communities can build communities where seniors will want to live and where they will feel valued, safe, and supported.

Choice of Breakout Sessions (E)

3:45 p.m. – 4:45 p.m.

E1 - Gamification

to Help Recruit and Retain (1 ADM)

Erika Kramer, United Scripts

In today’s workforce climate, leaders have faced increased challenges affecting their ability to keep employees engaged and excited about their job. One strategy that has been adopted in many organizations across several industries is gamification. This strategy can be used to capture metrics, while building camaraderie within your team, increasing job satisfaction, and achieving goals.

3:45 p.m. – 4:45 p.m.

E2 - An Overview

of Cognitive Stimulation Therapy (1 PC)

Max Zubatsky, St. Louis School of Medicine

Cognitive Stimulation Therapy (CST) is an evidence-based, non-pharmacological clinical intervention for persons with mild to moderate dementia. This presentation will introduce participants to CST, its history, development, key principles, and implementation. Designated as the North America CST Training Institute, Saint Louis University is the first organization in the U.S. to provide training and certification for facilitation and training for this intervention. Participants will learn about the protocol for initial and maintenance sessions and settings in which CST can be effectively delivered.

3:45 p.m. – 4:45 p.m.

E3 - A Leader’s Approach

to Infection Prevention Today and in the Future

Susan LaGrange, Pathway Health

This engaging session will walk Administrative and Clinical leaders through the evolving expectations of infection prevention and control in long term care. Attendees will be provided with operational strategies for implementation and compliance with current guidance. Participants will be provided with a leadership tool outlining key strategies for program implementation.

3:45 p.m. – 4:45 p.m.

E4 - Missouri Section

for Long Term Care Regulatory Update (1 ADM)

Laura Morts, Program Manager with Missouri Department of Health & Senior Services

This session will focus on current and recent regulatory guidance and changes. A review of deficiencies that often result in enforcement remedies will be discussed in addition to tips on how to avoid these citations.

5:00 p.m. – 7:00 p.m.

ROOFTOP RECEPTION (Ticket Required)

Wednesday, September 28

7:30 a.m. – 8:30 a.m.

All Provider Member Breakfast

8:30 a.m. – 9:00 a.m.

LeadingAge Missouri

Annual Business Meeting

Carol DiSanza, Chairwoman of the Board

9:00 a.m. – 10:00 a.m.

National Public Policy

Town Hall (1 ADM)

Bill Bates, LeadingAge Missouri & Ruth Katz, LeadingAge National

Whether you serve older adults in long-term care, home and community-based services, senior housing, life-plan communities or another setting, LeadingAge wants to hear from you. LeadingAge annually undertakes a national public policy settings process, with the most important part being a Town Hall Conversation held in each state. LeadingAge state and national staff will be participating on-site and want to hear directly from you.

10:15 a.m. – 12:15 p.m.

Workforce Deep Dive

Where the Rubber Meets the Road (2ADM)

Robyn Stone, LeadingAge SVP of Research and Co-Director of the LTSS Center

Majd Alwan, LeadingAge SVP of Technology and Business Strategy, and Executive Director of CAST