LTSS Newsletter – July 2018

 

 

Financial sustainability, new funding opportunity, and telehealth

 

‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌

Upcoming webinar, July 25, 2018:
Financial sustainability

Long-Term Services and Supports

Technical assistance for culturally competent care
July 2018
CMS LTSS banner
LTSS Training and Technical Assistance Center
Visit the online LTSS TA Center for videos, best practices, toolkits, a resource library, and a step-by-step planning roadmap.
Get email updates
Join us on LinkedIn
Follow us on Twitter

Addressing caregiver burnout

Caregiver burnout is a “state of physical, emotional, and mental exhaustion,” according to Debbie Gann, Director of Home Attendant Care and Home Attendant Nursing. In Indian Country, most caregivers are family members, and family caregivers experience demands that often lead to extreme stress. In an interview with the Bellingham Herald, Gann explains that if caregivers feel frustrated and depressed, they should immediately ask for help and seek local resources.

For family caregivers, relaxation is important to avoid burnout, and more programs are offering ways for caregivers to unwind. For example, in Washington, DC, a program through the National Gallery brings together older adults and their caregivers to relax and create a dialogue through art.

       
   

Information on caregiver support

 
   

The CMS LTSS Technical Assistance Center offers resources on caregiver support, including a literature review on caregiver support that lists available resources to support caregivers.

 

 



 

Funding opportunity: Enhancing access to home modifications

The Administration for Community Living has announced a funding opportunity to support aging in place. This cooperative agreement will help fund a project that increases access to home modifications for older adults and helps them stay in their homes.

The closing date for applications is August 13, 2018.

Telehealth needs for rural tribal caregiving

Offering telehealth options along with home- and community-based services gives rural patients access to diagnosis, treatment, and appointments with specialists without traveling far from home.

Telehealth helps to solve transportation barriers for rural patients and their caregivers, eliminating many trips to distant care facilities. As discussed in an article by AARP, providing more telehealth options for rural AI/AN communities could also help families avoid relocating their loved ones to receive long-term care.

A female doctor video chats with a patient while reviewing his x-ray results

Upcoming events

Title VI National Conference
August 13–16, 2018
Washington, DC

The 2018 Title VI National Training and Technical Assistance Conference will take place this August. Among topics such as Medicaid claiming, nutrition planning, and elder justice, there will also be several workshops that focus on topics including best practices for tribal nursing homes, record keeping, the opioid crisis, and data. Review the draft agenda, register, and reserve your room.

NICOA 2018 Conference on Aging
September 10–13, 2018
Temecula, CA

At the National Indian Council on Aging (NICOA), learn about critical policy issues for elders and new programs and services from other tribal communities. Attend workshops, voice policy recommendations, and participate in culturally rich events. Learn more.

The Healing Journey Continues: 2018 NANACOA Conference
October 15–17, 2018
Welch, MN

The National Association for Native American Children of Alcoholics (NANACOA) promotes individual wellness as a way to heal entire families and communities. The 2018 NANACOA Conference will focus on healing intergenerational trauma and celebrating indigenous resilience. Learn more or register.

Culture and Health – Diabetes in Indian Country

According to the Centers for Disease Control and Prevention, American Indians and Alaska Natives are affected by diabetes more than any other population, meaning tribal LTSS programs often provide care for adults with diabetes.

A recent CMS webinar highlighted how diabetes programs integrate cultural humility, including traditional foods, physical activity, and native language, into services. Watch the webinar recording to learn how diabetes programs support LTSS services and improve care.

Culture and Health: Diabetes in Indian Country

Disability Network Business Strategies: CBO Toolkit

The HCBS Business Acumen Center recently released the first module of a toolkit designed to help community-based organizations serving people with disabilities evaluate, plan, develop, and implement strategies to help build and sustain their organizations.

 

Disability Network Business Strategies: A Roadmap to Financial and Programmatic Sustainability for Community-Based Organizations” guides programs through:

  • creating a mission, values, and goals to build a strategic plan
  • completing an environmental scan
  • conducting a strengths, weaknesses, opportunities, and threats (SWOT) analysis
  • identifying champions to help inform a strategic plan and promote the program

 

Home- and community-based services help American Indians and Alaska Natives receive culturally appropriate care without leaving their communities. Visit the CMS LTSS Technical Assistance center for examples of how tribes have implemented HCBS.

The cover of the toolkit, 'Disability Network Business Strategies: A Roadmap to Financial and Programmatic Sustainability for Community-Based Organizations.' It reads, 'Step 1: Prepare. Understand the Business Environment and Your Place within It.' It shows eyeglasses, a pen, and a mechanical pencil.

LinkedIn
 
Join the conversation on LinkedIn

Want to learn more about or discuss LTSS in Indian Country? Looking to connect with others working in the same field? Join the Tribal Affairs Group on LinkedIn and join the conversation.

Upcoming webinar

Tribal Nursing Homes – Financial Sustainability

Wednesday, July 25

For tribal nursing homes or other long-term care facilities, securing consistent funding can be complex.

During this webinar, a panel will define financial sustainability, explain how to consult tribal leadership on nursing home costs, and discuss measures to use in planning for financial sustainability. Presenters will also describe how to evaluate budgets and help you determine which reimbursement pathways will benefit your facility the most.

Learning objectives

  • Understand the cost of running a tribal nursing home and how to create a budget
  • Provide examples of reimbursement pathways for tribal nursing homes
  • Identify ways to streamline financial reimbursement to tribal nursing homes
  • Discuss how to engage tribal leadership and community members about financial sustainability and increase enrollment

Please note your
location's call-in time:

8 a.m. Hawaii
10 a.m. Alaska
11 a.m. Pacific
11 a.m. Arizona
12 p.m. Mountain
1 p.m. Central
2 p.m. Eastern

Facilitator
Debbie Dyjak

Debbie Dyjak, RN, BSN, MS 
Education Coordinator
Archie Hendricks Sr. Skilled Nursing Facility

Presenters
Tami Reed

Tami Reed 
Administrator
Morning Star Care Center

Valdeko Kreil

Valdeko Kreil 
Administrator
Utuqqanaat Inaat

Ron Ross

Ron Ross 
CEO
Native American Health Management

Rick Richards

Rick Richards 
Administrator
Archie Hendricks Sr. Skilled Nursing Facility



Send Us Your News
Do you have news to share about LTSS in Indian Country? Send it to ltssinfo@kauffmaninc.com, and we’ll include it in a newsletter. Contact us with other comments or feedback, too.
About the Newsletter

Long-Term Services and Supports Solutions is published monthly by the CMS Division of Tribal Affairs to share information, funding opportunities, and resources with LTSS planners, tribal leaders, and supporters.

Download Adobe Reader for the best reading experience with PDF files.

Centers for Medicare & Medicaid Services Indian Health Service Administration for Community Living