Administrator’s Update & New Member Orientation

1. Administrator’s Update&New Member Orientation Presented By: Mark Bowman NASVH 1st Vice President 2019 Winter Conference Alexandria, Virginia

2. State Veterans Homes History in Brief “...to care for him who shall have borne the battle, and for his widow and his orphan.” 1864 - First State Home established in Rocky Hill, CT • 1888 - First federal aid made available to veterans residing within state homes. Origin of Federal Per Diem Program • Approximately $100 per veteran -annually 1930 - Veterans Administration established 1952 - National Association of State Veterans Homes founded 1964 - The State Home Construction Grant Program initiated. The grant provides up to 65% of allowable costs of the project. The state must provide 35% matching funds. 1986 - MOU between the VA and NASVH signed

3. NASVH’s Membership • The association’s membership is comprised of the administrators, state directors and staff representing the state operated and state contracted Veterans Homes throughout the 50 states and Puerto Rico. • NASVH works closely with the Federal government, state governments, service organizations and any other entity that directly or indirectly affects the care of services provided to America's Heroes.

4. NASVH Annual Dues • Best Bargain in town! • Flat $900 per SVH • Invoice sent in September by Jack Tarter for the following calendar year. • Prompt payment appreciated!!!

5. MISSION: NASVH promotes and enhances the quality of care and life of Veterans and families in State Veterans Homes through Education, Networking,andAdvocacy VISION: NASVH is the premier advocate and resource for State Veterans Homes

6. Strategic Goals • Improve the standard of care through education and training. • Develop common State Home legislative and federal funding agenda. • Present common State Home agenda to Congress. • Share best practices among Homes through networking and communications. • Improve relations with VA to strengthen policies, practices, and regulations. • Build coalitions of support among VSOs and other stakeholder organizations.

7. State Veterans Home Program2016 Statistics • State Veterans Homes are the largest provider of long-term care to veterans. • Provide approximately 7 million days of nursing home care and 1.5 million days of domiciliary care. • There are 153 State Veteran Homes across all 50 States and the commonwealth of Puerto Rico. • Provides 3 levels of care: • Nursing Home (153) • Domiciliary (54) • Adult Day Healthcare (3) • Totaling more than 34,000 beds.

8. State Veterans Homes Statistics Provide 53%of the VA’s long-term care workload at 16% of the VA total expenditures for long-term care1at less than half of the daily cost2of the VA Community Living Center3 153 State Veteran Homes across all 50 States and the commonwealth of Puerto Rico • Nursing Home (156) • Domiciliary (54) • Adult Day Healthcare (3) More than 30,000 beds Provide 8.5 M days of care annually GAO-1489, Report to the Ranking Member, Committee on Veterans’ Affairs, House of Representatives, December 2013 2. VA FY2016 Rates for the State Homes Per Diem Program, VA 10N Memorandum dated October 27, 2015 Department of Veterans Affairs, Volume II, Medical Programs & Information Technology Programs Congressional Submission, FY 2017 Funding and FY 2018 Advance Appropriations Request, VHA-91.

9. NASVH Officers and Standing Committees Officers: • President, First Vice President, Second Vice President, Secretary, Treasurer, Judge Advocate/Historian, Legislative Officer, Joint Liaison Chair, Regional Directors (4) Standing Committees: • Budget, Finance & Audit, Constitution, Bylaws and Resolutions, Education, Quality Enhancement, Joint Liaison, NASDVA Liaison, Networking, Nominating, Summer Conference Executive Committee: • Comprised of Officers, Standing Committee Chairs and past Presidents of NASVH who are still active members of NASVH

10. NASVH Officers • President: One Year Term • Executive head of the association • Chairs the executive committee, the association’s winter and summer conferences • Appoints committee chairs • Acts as the official representative Kelley Kash Maine

11. Vice Presidents • 1st Vice President • Mark Bowman • Kentucky • 2nd Vice President • Melissa Jackson Vermont

12. Officers and Duties Secretary Linda Smith Michigan • Treasurer • Jason McArthur • Oregon Veterans Home • Business Manager • Jack Tarter • Wyoming

13. Officers and Duties • Legislative Officer Fred Sganga Executive Director Long Island State Veterans Home • Joint Liaison Officer Bill Peterson Delaware • Judge Advocate/Historian Lourdes “Alfie” Alvarado-Ramos Director, Washington State Department of Veteran Affairs

14. Regional Director Duties • Shall be the Executive Head of their Region • Participate as a member of NASVH Executive Committee • Shall attend NASVH sponsored conferences, meetings, workshops, teleconferences • Promote NASVH legislative efforts • Educate regional members • Serve as a point of contact for NASVH sponsored surveys, requests for information • Assist webmaster and Secretary/Treasurer in maintaining and updating current SVH information

15. Regional Directors Northeast Region CT, DE, DC, MA, MD, ME, NH, NJ, NY, RI, VI, VT, WV Cheryl Poppe Superintendent, Soldiers Home in Massachusetts Chelsea North Central Region IA, IL, IN, KS, KY, MI, MN, NE, ND, OH, SD, WI Steve Rolston Michigan Health Systems

16. Regional Directors Southern Region AL, AR, FL, GA, LA, MS, MO, NC, OK, SC, TN, TX, Puerto Rico, Virgin Islands, Canal Zone Whitney Bell North Carolina State Veterans Home Western Region AK, AR, CA, CO, HI, ID, MT, NV, NM, OR, UT, WA, WY Gary Condra Washington State Department of Veterans Affairs

17. Executive Committee • Composed of the President (Chair), First Vice President, Second Vice President, Secretary, Treasurer, Chairs of the Association’s Standing Committees, Joint Liaison Committee Chair, Legislative Officer, Judge Advocate/Historian, and the four (4) Regional Directors • Responsible for the policy-making and strategic planning of the Association • Other members include: past Presidents who are currently administrators of a State Veterans Home or who have served as an administrator of same and are still an active member of the Association • Communicates monthly via conference call • All official actions taken by this Committee require a simple majority vote

18. Standing Committees • BUDGET, FINANCE & AUDIT COMMITTEE • Fiduciary oversight of the fiscal affairs of the Association • Prepare and present annual budget for consideration and approval of the membership at the Summer Conference • Oversee and audit financial transactions of NASVH • Prepare and present annual written report of NASVH’s fiscal affairs to membership Sally Davis, Chair North Carolina State Veterans Homes

19. Constitution, Bylaws and Resolution Committee • Maintains current and workable Constitution and Bylaws • Ensures that the Association operates within the Constitution and Bylaws • Prepares and presents any recommended changes to the Constitution and/or Bylaws to the membership at the Summer or Winter Conference • Defines the actions that the Association should consider undertaking by promulgating, evaluating and preparing in written form, resolutions for consideration and action by the membership at the Association’s Summer and Winter Conferences. Terry Prince Ohio Veterans’ Homes

20. Education Committee • Responsible for organizing and coordinating all educational programs • Uses internal and external resources, at its discretion, to provide the Association’s members with a relevant, high quality and timely CEU earning curriculum • Responsible for planning all educational offerings in conjunction with the President and Executive Committee Jonathan Spier, Chair Long Island State Veterans Home

21. Quality Enhancement Committee • Responsible for introducing new programs to the membership to enhance the quality of life of veterans in SVH. • Develops and implements initiatives with other related organizations to conduct joint programs which are mutually beneficial to both organizations. • Identify and analyze changes in long-term care as they apply to the SVH Program. • Promote best practices in SVH Program Ed Harries, Chair Tennessee Veterans Homes

22. Joint Liaison Committee • Proposes and promotes legislative and related initiatives in the best interest of the veterans of the US and SVH Program • Serves as the liaison to the USDVA • Implements and upholds the MOU between the USDVA and the NASVH • Communicates and meets with State and Federal officials, USDVA and Congress, to present and pursue related goals and objectives of the NASVH • Implements, recommends, and encourages support of USDVA initiatives when those initiatives are in concert with NASVH objectives; analyzes proposed legislation to determine probable impact on the SVH Program, and educates concerned parties relative to this legislation’s effects • Plans and coordinates the NASVH’s Winter Conference Bill Peterson, Chair Delaware

23. National Association of State Directors of Veterans Affairs - (NASDVA) Liaison Committee • Composed of the President of the Association (Chair), immediate Past President, and two other Past Presidents • Serves as a liaison between the National Association of State Veterans Homes (NASVH) and the National Association of State Directors of Veterans Affairs (NASDVA) • Works with NASDVA to develop and implement activities and programs which are mutually beneficial to both organizations • The Chair or designee shall represent the Association at appropriate meetings or proceedings conducted by or in concert with NASDVA

24. Networking Committee • Responsible for facilitating communications within the Association and with related external parties • Develops, implements and maintains communication networks including web site, email and directory Heyward Hilliard, Chair HMR Veterans Services South Carolina Lisa Donor, Acting Chair

25. Nominating Committee • Develops and presents a slate of officers for the Association. The Committee shall prepare and present its recommendations to the membership for approval at the Association’s Summer Conference • This Committee shall make every effort to select recommended officers on a regional and rotational basis • Composed of the Immediate Past President (Chair), and three other past presidents appointed by the standing President Sharon Murphy, Chair Maryland

26. Summer Conference Committee • With NASVH’s Conference Director, plans the Association’s Summer Conference; locates conference meeting sites; coordinates the event with the host state • Establishes, plans, and negotiates the Conference particulars including date, time, hotel location and activities, up to three years in advance. • Committee shall make every effort to select hosts states and sites on a regional and rotating basis, preferably within 30 minutes drive from an airport Sharon Murphy, Chair Maryland State Veterans Home

27. NASVH Resources

28. NASVH Conferences • Two yearly conferences • Winter Conference always in Washington D.C. area • Summer Conference - rotating location • 2017 Hilton Denver City Center, Denver CO • Our conferences allow for: • Continuing Education Credits • USDVA Updates Presented by VA Program Staff • CFO Updates & Best Practices • Learning Best Practices • Leadership Development Presentations • Networking – make the most of this opportunity!!!!

29. NASVH Membership Directory • Complete listing of all SVHs, with contact information • NASVH Constitution, By-Laws, Officer Duties, MOU with USDVA • USDVA Contact Information for State Veterans Home Program, Chief Business Office, VISN Districts, VA MC’s of Jurisdiction, Construction Grants • You are responsible for updating content. Please inform your Regional Director of any change in administrator, contact information, etc. (Including your most current photo…)

31. NASVH Website www.NASVH.org • Complete listing of SVHs • NASVH Leadership • VA Contact Information • Regulations • NASVH Resolutions • Conference Presentations • Employment Opportunities • Timely & Pertinent Information • Thanks to Heyward Hilliard and his committee for the great work on improving this great resource!

32. VA Resources/Pointers Website, VA Staff Monthly Calls Bi-monthly Training Contact Information

33. More Acronyms! • IPERA 1010EZ • 1010SH ADHC • VISN Prevailing Rate • VAMC Basic Per Diem • SHPD GEC • SVHCGP

34. VISN = Veterans Integrated Services Network

36. State Veterans Homes ProgramsVA Oversight • Office of Geriatrics and Extended Care • Operations, Surveys, Reporting, Appeals • VAMC of Jurisdiction and VISN (Map Slides) • VHA Office of Community Care • State Home Per Diem Program • Office of Capital Asset Management & Support • State Home Construction Grant Program • Office of Construction & Facility Management • State Home Design and Construction Consultant

37. GEC Organizational Chart 2018

38. Contacts • Kim Kelley, MA, MSW, LCSW National Director, State Veterans Home, 202-461-6244 • Valarie Delanko, RDN, LDN, CPHQ National Program Manager SVH Quality & Survey Oversight 814-860-2201 • Jo Anne Parker, MHA National Program Manager SVH Survey Process 202-623-8328

41. State Veterans Home Construction Grant Program (SVHCGP) Points of Contact • Ed Litvin - OCAMES Director • Email: ed.litvin@va.gov • Phone: 202-632-8571 • Anna Gaug - SVHCGP Program Director • Email: anna.gaug@va.gov • Phone: 202-632-7435 • Emmanuel Onyeobia - SVHCGP Grant Manager • Email: emmanuel.onyeobia@va.gov • Phone: 202-632-8380 • Lisa Moore - SVHCGP Grant Manager • Email: lisa.moore6@va.gov • Phone: 202-632-7204 • Demetrius Bussey - SVHCGP Grant Manager • Email: demetrius.bussey@va.gov • Phone: 202-461-5905 • Mehvesh Shereef - MAX.gov and SVHCGP Support • Email: mehvesh.shereef@va.gov • Phone: 202-461-8812

48. Know the key players at VA Central Office and your VA of jurisdiction. VA website for State Homes http://www.va.gov/PURCHASEDCARE/programs/veterans/nonvacare/statehome/index.asp Get to know your US Senate & House Representatives as well as State elected officials: Know their staff and develop relationships. Invite them to your Home often. Keep them informed! Know your regulations. All of them. (Federal, State, & local) Know what a sentinel event is and how to report it. Survival Tips

49. More Survival Tips… • We are not all the same. • Structure & governing board vary. • Majority of SVH are managed and operated by State Government, with oversight provided by State Veterans Affairs and/or an advisory board or commission; • A number of states have elected to contract out the management and operation of the SVH to a private contractor. The followings states have at least one SVH under contract: Alabama, Colorado, Hawaii, Maryland, Montana, North Carolina, South Carolina, Texas, Utah, Oregon, Wisconsin and Puerto Rico. • Seek out your counterpart at other SVH’s to share unique experiences, successes and issues. Why “re-invent the wheel”. • e proactive in managing media involving your Home. • Your Regional Director is your new best friend. • Get Involved in NASVH!!! • Ask questions. We are here to help!!!

50. Thanks You! • Please use the next several days to meet and network with your peers, NASVH Leadership and VA representatives. It will be the best investment you ever make.