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Earlier this year, the legislature approved a new program to assist Customized Living providers who serve a "disproportionate share" of Elderly Waiver (EW) clients. Any Customized Living provider who serves 80% EW clients as of Oct.1 of this year is eligible for a minimum rate for EW Customized Living clients of $119 per day for the period from July 1, 2022 through Dec. 31, 2022. The program will be ongoing, and the floor will typically apply on an annual basis based on EW percentage on Oct. 1 of each year.

The most recent Minnesota Department of Health (MDH) update on long-term care vaccination shows that staff vaccination rates have increased in the last couple of months as the mandate for vaccination of care center staff draws closer.

A select working group began hosting hearings about allocating the money set aside during the 2021 special session for Hero Pay bonuses for frontline workers in late July. Several different groups are vying for a piece of the $250 million fund, and this week, the working group released two separate proposals drawn upon party lines.

The Minnesota Department of Human Services (DHS) has pushed out the target dates for moving from emergency background studies back to studies with fingerprints and photographs. 

Due to the vast scale of workforce challenges faced by providers, the Long-Term Care Imperative recently conducted a workforce survey of care center and assisted living providers to measure the scope of the problems and to influence policymakers in support of a much-needed response.

Nearly 70% of nursing homes are pausing admissions due to staff shortage

ST. PAUL, MN (Oct. 7, 2021) – Reaffirming that Minnesota’s workforce shortage in senior care continues to grow, a recent survey of more than 300 Minnesota senior care providers conducted by the Long-Term Care Imperative revealed that 69% of Minnesota nursing homes and 29% of assisted living locations have placed limits on new resident admissions because of an inability to fill staff positions.  

With over 23,000 direct care positions currently vacant across the state, the expanding worker shortage is challenging the ability of senior caregivers to provide care to Minnesota’s rapidly growing senior population and support hospitals that are seeking to discharge patients into care facilities. According to the survey, in August the number of resignations of long-term care professionals exceeded new hires by approximately 2,000 workers.

 “The data on open positions and staff retention confirms that a growing number of elderly Minnesotans will not receive the care they need in our settings, and families will be limited in their choices when they most need our services.  State leaders need to step forward with both emergency action and long-term solutions to help attract and retain workers in the profession of senior care,” said Patti Cullen, CEO of Care Providers of Minnesota.

Shortages exist across the spectrum of long-term care positions, including Certified Nursing Assistants, Registered Nurses, laundry and nutrition services. Nursing homes in every region of the state reported double-digit percentages of unfilled positions for direct care workers, which account for over half of reported vacancies. At nursing homes in the Twin Cities metro, roughly 1 in 4 direct care and nurse practitioner positions stand empty. In just the month of August, an estimated 7,975 senior care workers resigned from their jobs in long-term care to seek work in other fields.

Gayle Kvenvold, CEO of LeadingAge Minnesota explained, “Our caregivers deserve the pay that reflects the importance of their work and helps providers deliver safe, quality care to all who need their critical services. Even with the widespread use of overtime pay and bonuses, more caregivers are leaving our field than joining it. We need a commitment from the state to invest in higher wages to guarantee seniors receive the care they need when they need it in all the communities they call home.”

The Long-Term Care Imperative is calling on state policymakers to address the crisis with immediate emergency staffing as well as long-term reforms to ensure competitive wages for caregivers. The highly regulated nature of senior care makes it immensely difficult to address these issues without financial support and regulatory relief from state government. State regulators set the daily rate charged by nursing homes for both privately paying residents and those receiving state support. In addition, senior care providers must wait 21 months after providing care to receive reimbursement from the State. The increased costs to attract new workers, intense competition for jobs, delayed reimbursement and modest growth in Medical Assistance funding combine to make it difficult for providers to adapt to the changes in the labor market for senior caregivers.

Kvenvold said, “This workforce problem won’t be solved with a one-time infusion of dollars into senior care reimbursement. Without more significant investments in the senior care workforce and changes to the reimbursement system to allow this to happen, this crisis will threaten the availability of care for the most vulnerable at a time when we are facing the largest population of seniors in American history.”

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The Long-Term Care Imperative is a collaboration of LeadingAge Minnesota and Care Providers of Minnesota, two of the state’s largest long-term care associations. The Long-Term Care Imperative is committed to advancing a shared vision and future for older adult housing, health care and supportive services.

CONTACT: Libbie Chapuran
lchapuran@leadingagemn.org
715-216-1057

2021 has seen its share of changes to the best-laid plans. That includes LeadingAge Minnesota events and conferences planned as in-person gatherings that were subsequently converted to virtual learning experiences in the face of COVID-19 and the spread of variants. Our fall conferences are the latest to be impacted.

The LeadingAge Minnesota Board of Directors approved an executive position profile at its meeting last week, and the search for a new President and CEO of LeadingAge Minnesota has commenced.

With much deliberation and collaboration with the district officers, that upcoming district meeting will be virtual, given the spike in COVID-19 cases and the difficulty in getting away from your communities.

Sharing your Random Acts of Kindness can make others more aware of the many opportunities around them to perform random acts of kindness every day. Self Care for Safe Care Random Acts of Kindness Posters can be printed and placed throughout your community to encourage sharing examples of acts of kindness with others. 

The Minnesota Department of Human Services (DHS) is seeking proposals from qualified Minnesota Medicaid-certified nursing facilities interested in implementing a resident and family peer support group program.

Care centers have access to an engagement, retention, and leadership building platform for free through a grant for Align’s Employee Engagement Solution. A new grant window opened on Sept. 22 and closes on Nov. 23. Subsequent cycles will open over the next two years.

Earlier this week, the Health Resources and Services Administration (HRSA) opened the application portal for the latest Provider Relief Funds (PRF) round. In this round, $25.5 billion in funding is available for health care providers affected by the COVID-19 pandemic.

This week’s report from the Minnesota Department of Health (MDH) on the status of current assisted living licensees provides a glimpse at the composition of assisted living around the state. Of the currently licensed 1973 assisted living facilities, 1337 of those are in the seven-county metro area, leaving 636 throughout the rest of the state.

Starting Oct. 15, non-renewed home care licenses that expired or were closed due to conversion to an assisted living facility license will also have their background study records closed.

The Senate Human Services Reform and Finance Committee recently met to address a wide array of topics that included Elderly Waiver implementation and vaccine requirements in various long-term care settings.

Dawn Davis, head of the Background Studies unit at the Minnesota Department of Human Services (DHS), will join the LeadingAge Minnesota Coaching Room on Tuesday, Oct. 5 at 3 p.m. to provide an update and answer questions about the transition back to fingerprint-based studies. 

Top of mind for many members is the CDC guidance regarding testing during an outbreak. When a new facility onset case of COVID-19 is found in a staff member or resident, the organization must proceed with outbreak testing. So how do we know who to test and what are the testing parameters? The information below may give you the answers you need.

Recently, Minnesota's state medical director eliminated a significant barrier to using antigen testing in assisted living settings.

The LeadingAge Minnesota Payment Committee is holding a special meeting next Wednesday, Oct. 6, at 10 a.m. to discuss the status of care center Medicaid rates for 2022 in light of recent information from DHS on their plans to implement cost offsets due to federal aid received by providers.

LeadingAge Minnesota has been working intensively with state agency leaders to illustrate the seriousness and urgency of the workforce crisis facing providers and collaborate on identifying solutions and support to respond.

The Quality and Patient Safety Conference on Oct. 14 in Bloomington and the pre-conference workshop, Foundations of Quality Improvement, on Oct. 13 focus on building and improving quality programs in all aging services settings.

It's the last week to register for the Nursing Leadership Certificate Program, LeadingAge Minnesota’s highly acclaimed training series to prepare new nurse leaders for a successful career in older adult services.

Register by this Friday, Sept. 24 to get early-bird pricing on the 2021 Connect Conference. The conference will bring together senior housing, assisted living, and home care on Oct. 27-28 at Earle Brown Heritage Center in Brooklyn Center.

Offering kind words to others doesn’t just make them feel good. It also gives you a rush of good feelings. That positive energy grows and spreads whenever you share it. Mother Theresa once said, “Kind words can be short and easy to speak, but their echoes are truly endless.”

Care centers have access to an engagement, retention, and leadership building platform for free through a grant for Align’s Employee Engagement Solution. A new grant window opened on Sept. 22 and closes on Nov. 23. Subsequent cycles will open over the next two years.

Fall is here again, and so are hot chocolate, cozy sweaters, crackling fires, cool nights, and influenza vaccines!  Long-term care settings should begin planning for annual influenza vaccinations, as they do each fall.

On Sept. 16, HUD announced the fourth round of COVID-19 Supplemental Payments (CSPs) for Multifamily housing providers. The funds are available to help Section 8, Section 202, and Section 811 properties prepare for and respond to COVID-19. Requests are due to the agency by Nov. 19 and can cover expenses incurred between April 1 and Oct. 31.

Through Oct. 31, 2021, DHS is accepting applications from people to join the new Waiver Reimagine Advisory Committee (WRAC). The committee will provide input about the implementation of Waiver Reimagine and help develop the program during virtual meetings held every other month. 

Legislation that became effective July 1 directed the Minnesota Department of Human Services (DHS) to stop enrolling new customized living settings serving four or fewer people in single-family homes for individuals served through the Brain Injury (BI) and Community Access for Disability Inclusion (CADI) waivers.