Successful Storytelling at the North Carolina Legislative Day

Submitted by Mike Sokoloski, Grassroots Advocacy Manager, GAO

​On Wednesday, May 17, more than 60 BAYADA employees and one client arrived in their red attire to advocate to the North Carolina legislature, effectively communicating the importance of home care through storytelling to more than 110 legislators! We gathered on the red carpeted steps of the General Assembly to honor our Legislator of the Year, Senator Tommy Tucker. He has been a steadfast supporter of home care. Last year, he inserted language to increase the nursing rate by 10% for medically fragile children.

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“While the medical condition of your clients puts them at high risk for hospitalization and placement in nursing homes, they deserve to stay at home, and they can with support of home nursing,” said Sen. Tucker. “The work that you do helps North Carolinians have a better quality of life, and saves the state tremendous amounts of money. We absolutely need to invest in these services.”

Speaking to the vital importance of advocacy, Chief Government Affairs Officer Dave Totaro said, “We must continue to recruit new voices to create the movement necessary to protect and retain benefits critical to the care of our clients. BAYADA has always led the way and we will continue to do so.”

I had the privilege of being joined by a new BAYADA employee, Gastonia, NC Pediatrics (GP) Client Services Manager Foster Krebs. He made an immediate connection with Sen. John Alexander with a story about a client family’s struggle, noting that we cannot retain field staff on one of his pediatric cases.

 

“After the first visit with Representative Hurley,” said Foster, “I was less anxious and felt more comfortable. In fact, once I realized my story resonated with lawmakers, I was able to enjoy myself.”

Keeping this engagement with legislators throughout the year is vital as well. Legislative Day is just a start to the numerous district visits, town halls, and home visits to come in 2017.

“I’m so proud of our staff,” said Area Director of Government Affairs Lee Dobson. “It was clear they had powerful stories to tell and were telling them. Their enthusiasm was contagious and in true BAYADA fashion, our smiles were seen and felt.”

We were there to seek an increase to the Medicaid aide rate from $13.88 to $17.00, over two years, and to communicate how one-on-one in-home aide services can help reduce health care expenditures by minimizing costs associated with falls, ER visits, and re-hospitalizations, and prevent or delay institutionalization while preserving quality of life. Home care also creates jobs in the community and allows families to continue to work, while being a cost-savings to the state.

This was understood by Senator Andrew Brock, who said, “I understand why you are asking for the increase. You won’t find the people to do the work at what you’re able to pay. This is a worthwhile allocation.”

A special thanks to Raleigh, NC Adult Nursing (RAN) Transitional Care Manager Paulette Troy for being the Legislative Nurse of the Day. For her volunteerism, she was recognized in both the House and Senate chambers, who said, “It was a privilege to represent BAYADA.”

Advocacy is an important role in the political process. We appreciate our advocates for making the time to be the voice for our staff and clients by sharing our stories. The General Assembly was a sea of BAYADA red. Thank you!

DE Governor’s Commission Committee Sets Agenda to Build Access to Quality Home Health Care

Submitted by Shannon Gahs, Associate Director, DE Government Affairs (GAO)

The Governor’s Commission on Building Access to Community-based Services, Health Committee, determined its new agenda last week.  With support of representatives from Family Voices and Family SHADE, the committee will work on ensuring that all Delawareans eligible for community-based services know what they qualify for and how to access care.  At the suggestion of a representative from Nemours A.I. DuPont Hospital for Children and me, the committee will also be working to ensure that all Delawareans, especially children, have access to quality home health care.

BAYADA GAO Attends Event Honoring 2015 BAYADA Home Health Care Champion Bill Adolph

Submitted by Laura Ness, Director, PA Government Affairs (GAO)

The Springfield Republicans hosted an event to thank Representative Adolph for his service this past St. Patrick’s Day.

Representative Bill Adolph served as the House Appropriations Chair and was a key legislator in helping us achieve a $5 per hour increase for pediatric shift nursing in Pennsylvania in 2016.

His tireless advocacy and perseverance helped ensure BAYADA will be able to recruit and retain the nurses needed to serve our pediatric population.

Unfortunately for the Commonwealth of Pennsylvania Representative Adolph retired from the legislature at the end of last year.

Chief Government Affairs Officer Dave Totaro and I had the opportunity to attend the evening and thank Representative Bill Adolph again for championing our rate increase.  The event was well-attended with over 200 local supporters, dignitaries, and elected officials. We also had the opportunity to see Senator Scott Wagner, who is also running for Governor, and Congressmen Pat Meehan.

 

Ambassador Spotlight: Proctor’s Immediate Passion for Advocacy is Palpable

 Submitted by Mike Sokoloski, Grassroots Manager (GAO)

Less than a week after the PA Ambassador Training, Mechanicsburg Pediatrics (MBP) Client Services Manager Candice Proctor made it clear that she was going to be at the forefront of our grassroots advocacy charge throughout the Commonwealth.  Candice reached out to State Representatives Rothman and Mehaffie and had her first legislative visit scheduled with State Rep. Mehaffie two weeks to the day following our training.

During the visit, Candice spoke to Pennsylvania’s pressing issues for BAYADA: an increase in the PAS rate and Equalized Access for constituents of the Representative looking for Home Care as an alternative to long-term institutionalized care.  As a follow-up, Candice invited him to attend a home visit in his district.

Rep. Rothman was a guest speaker at our PA Ambassador training. Candice took her advocacy efforts to the next level with this particular opportunity, having the Representative join her on a home visit! During the home visit Representative Rothman met Sophia, one the MBP office’s longtime clients. The visit was a success!. Not only does Representative Rothman now have a greater understand of the wide breadth of home care, but it has also affected him personally. Rep. Rothman said, “Sophia’s personality profoundly impacted me…It was an important visit.”

Recently, Candice was able to attend a House Democratic Caucus Meet & Greet in Harrisburg.  She was able to advocate and network with the Democratic leadership team and get an idea of how they work collaboratively with all interested parties, stakeholders, and constituents to help move Pennsylvania forward.  Candice hasn’t slowed down.  She is currently working with clients and families to participate in upcoming Advocacy Days in Harrisburg.

None of this would have been possible without the help and support of her office director Kim Auchey and the entire MBP team.  Advocacy is a group effort that is clearly alive and well in the MBP office!  Thank you for your support and commitment to advocacy at BAYADA.

MassHealth Announces Second Rate Increase In The Face Of Budget Deficit

Submitted by Laura Ness, Director, Government Affairs (GAO)

Last week, Chief Government Affairs Officer Dave Totaro, Boston Pediatrics Director Emery Hughes, and other industry leaders and families gathered together to meet with MassHealth.  MassHealth had asked for the meeting, in regards to the Continuous Skilled Nursing (CSN) program.  During the meeting, MassHealth stated that they recognized that low reimbursement rates were a major problem within the program.  They have planned to increase the rates by 2.25% effective July 1, 2017.  This is the second reimbursement increase we have been notified about within three months.  The organizations working to increase this rate were pleased with this movement but recognized that this is a fraction of what is needed to stabilize the rates.  We look forward to continuing our efforts to increase the CSN rates by a total of $15 per hour.

Morris Plains Pediatrics Office Sponsors First Community Advocacy Meeting

Submitted by Tara Montague, Manager, Client and Family Advocacy

Photo (NJ2): Christine Rios with the family and community members at the meeting.

Morris Plains Pediatrics (PED) Director Christine Rios was enthusiastic about working with the Government Affairs Office (GAO) to create the first client and community advocacy group in the state.  Despite the torrential downpours, four family and community members ventured out to the inaugural meeting on April 6, at PED.  The small group shared resources and offered each other support.  I discussed the need for legislative advocacy for home health care and how client and family voices can create a lasting impact with legislators.  A second meeting has already been scheduled for June 7.

Supporting Home Care at the Rhode Island State House

Submitted by Rick Hynick, Director of Client and Family Advocacy

On Tuesday, April 11, a crowd of people gathered at the state room in the Rhode Island State House to thank those in our state government who support the many children, adults, and their families who rely on home care. The gathering was part of an event planned on behalf of BAYADA and the Rhode Island Partnership for Home Care.

“We’re here today to thank those legislators who have listened to your conversations and heard your challenges, and have become steadfast supporters to make your lives and the lives of your children better,” said BAYADA Chief Government Affairs Officer Dave Totaro. Dave and other representatives from GAO partnered with Rhode Island Skilled (RIS) pediatrics Director Ashley Sadlier and her staff to make the event a success.

State Representative Gregg Amore was presented with a 2017 Legislative Advocacy Award for his tireless work to back the needs of his constituents and the many other residents of the state who use home care services on a daily basis. Senator Hannah Gallo was also recognized but could not be present. Additionally, Lieutenant Governor Daniel Mckee spoke about the important role home care plays in the lives of many Rhode Island residents.

Mr. Mckee and Rep. Amore continued to discuss the positive impact of home care, to the great interest of our clients and their families who were present in the audience. These families—the very people who rely on having nurses to provide clinical care to their loved ones—can offer firsthand testimony as to why home care is so vital.

Eric Olson—the father of client Liam and a long-time home care advocate—explained that the nurses who work with his son have such a connection with him. They understand that many of Liam’s movements are actually the way he communicates what kind of care he needs from moment to moment. He went on to explain that, without the close connection that the nurses have with his son, Liam would not be where he is today. With their help, he has thrived, despite his dependence on many mechanical devices. Eric went on to underscore how important it is that the families work with the elected officials, as they have the ability to make positive change.

“Our goal today was to bring enough of these voices together so we can start to make a difference.  Not just for families in this room, but for all families who want to keep their loved ones at home,” Dave said.  Side by side, BAYADA and the Rhode Island Partnership for Home Care provide significant support to the goals of legislators and families who depend on home care. We are working together for a better tomorrow for all home care services in Rhode Island.

Home Visit Shows Need For Home Care To NJ Legislator

Submitted by Tara Montague, Manager, NJ Client and Family Advocacy (GAO)

Through the efforts of Hearts for Homecare Ambassador and Director Rose Sample, State Senator Nilsa Cruz-Perez made a visit to the home of Cherry Hill Pediatric client, Lindsay H. The Senator had the opportunity to meet Lindsay and her mother, Debbie, as well as some of the Pediatric Cherry Hill office staff and Susan Stout, one of the nurses who helps to take care of Lindsay.

According to Rose, both the client’s mom Debbie and nurse Susan were just blown away by the Senator’s compassion and concern.  The Senator and Lindsay’s mom connected on a number of levels.  Senator Cruz-Perez thanked everyone repeatedly and said it made her week to be there.  In follow-up from the meeting with Lindsay’s mom, Debbie shared that, “She seemed like a wonderful and sincere person, and I feel so fortunate to have had the chance to get to know her and share stories.”

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Senator Nilsa Cruz-Perez, our client’s mother Debbie H., Rose Sample, Clinical Manager Kara Leahy (pink jacket), Nurse Susan Stout, and our client Lindsay H.

BAYADA Sponsors Second Lobby Day in Massachusetts

Submitted by Laura Ness, Director, Government Affairs (GAO)

The Government Affairs Office (GAO) organized a second lobby day for continuous skilled nursing providers and parents to discuss our Patient Bill of Rights.  With over 27 meetings scheduled, we focused on meeting with our legislators that sit on important committees and introduced our need to file a budget amendment to support the increased reimbursement rate needed to compete for a median of nurses.  The day was successful, as we lined up House and Senate budget amendment sponsors and additional co-sponsors for the bill.  As stated by the lobbyists from the Home Care Alliance of Massachusetts, we “have set a solid foundation to build upon.” Next, we wait to see where the House will assign the bill and wait for a budget hearing.

Making The Rounds in North Carolina

Submitted by Lee Dobson, Area Director, NC Government Affairs (GAO)

BAYADA Chief Government Affairs Officer Dave Totaro and I met with key lawmakers this past week, seeking their support for a rate increase for aide services under three Medicaid programs – Personal Care Services, Community Alternatives Program for Disabled Adults (CAP-DA), and CAP for Children (CAP-C)- in two different settings: in-home care and adult care homes.  While the lift is heavy, $47.8 million to bring the rate from $13.88 to $17.00 over two years, our conversations were positive.  We also met with the newly appointed but not yet confirmed Secretary of Health & Human Services, Dr. Mandy Cohen.  A good round of meetings!

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Dave Totaro, Lee and Dobson Rep. Carla Cunningham, who is a nurse