North Carolina Assisted Living Association1

Presented by Frances Messer, NCALA President & CEO

Chris Parker, Owner, Vienna Village

Randy Jackson, Regional Director, HH Hunt

Marc Maready, COO, Ridge Care

Overview on Delivery of Care Issues

Impacting the Assisted Living Industry During the COVID-19 Pandemic and Recommended Solutions

WHO IS NCALA?

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NCALA has four primary functions:

• Political Advocacy,

• Regulatory Support,

• Communication of Industry Issues, and

• Education & Training ӄ

SUMMARY OF CONCERNS

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• Staffing

• Turnover

• Wages

• Testing

• Availability

• Prioritization

• Resident Care and Staff Well-being

• Education, Training, Activities

• Isolation

• Infrastructure

• Technology

• Redesign of shared space

• Loosening of Restrictions

• Cohorting

INTRODUCTION

Chris Parker

Owner, Vienna Village

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Summary of Comments:

• Alternate location for COVID+ LTC residents.• Isolation of residents impacting physical and mental well-being.• Admissions cannot resume without more robust testing, and

testing is limited and directed to those showing symptoms.

Randy Jackson

Regional Director, HH Hunt

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Summary of Comments:

• The news of being COVID+.• The daily operation during this time.• The importance of accurate communication by all.

INTRODUCTION

Marc Maready

COO, Ridge Care

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Summary of Comments:

• Resident care and well-being.• Financial impacts related to staffing, environmental services, supplies.• Testing.

INTRODUCTION

Recommended solutions to

address Delivery of Care

issues in the following areas:

• Staffing

• Testing

• Resident Care and Staff Well-being

• Infrastructure

• Loosening of Restrictions

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Solutions for

Staffing

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• - F ә L @ = ә B G : training funds would aide the industry in training a pool of direct care givers to address staff turnover ӄ

• Supplemental funds would assist the assisted living industry to match unemployment wages and offer hazard pay ӄ

Solutions for

Testing

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• Enhancing testing availability to include rapid test kits that are easy to administer and read with minimal training.

• Prioritization of rapid testing for LTC residents and staff in groups to reduce community stigma.

Solutions for

Resident Care

and Staff

Well-being

• Funds would assist communities to access and provide more Education, Training, and Activities that would address current isolation, safety, and mental and physical limitations.

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Solutions for

Infrastructure

• Funds to purchase or access new equipment and technology that would improve communication and safety.

• Funds to help cover environmental supplies and costs to redesign visitation or common areas to address resident isolation and maintain infection control and safety standards.

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Solutions for

Loosening of

Restrictions

• Establishing a dedicated facility for COVID+ residents to be treated.

• Funds would help to cover costs of additional staff and staffing hours required to maintain state/ county directives for extra sanitation, screening, and to safely deliver and observe meal services and activities.

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How NCALA can help:

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With funding assistance to the non-profit NCALA Education

Foundation—and by working with collaborative partners such

as Cecil G. Sheps Center for Health Services Research at UNC-

Chapel Hill, NC DHHS Division of Public Health Oral Health

Section, Wake Tech, K4Connect, Apprenticeship NC, and Area

Workforce Development boards—we can offer training to help

assisted living providers with infection control and establish

or enhance workforce development initiatives.

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www.ncala.org