2022 Virtual Winter Summit

Conference Sponsor: 


The National Adult Day Services Association is pleased to invite you to the 2nd Annual Winter Summit. This year’s summit will feature a number of virtual presentations from leaders across the home and community based services spectrum and is designed for leaders in the HCBS industry and to advance Adult Day Services and the HCBS continuum.

Among the presenters will be leaders in the HCBS industry including Vicki Hoak, Executive Director of the Home Care Association of America; Amy Gotwals, Chief, Public Policy and External Affairs at USAging; Greg Gierer, Vice President of Policy and Research at the Better Medicare Alliance; and Senator Roy Afflerbach (Ret.), NADSA Policy Advisor.

Additionally, there will be presentations from ADS Center operators who have found ways to incorporate home care and hybrid services with their operations. This series will help leaders across the long-term care continuum better promote and provide services to those in need across the United States. Please join us on March 9th and 10th for this one of a kind event!

Wednesday, March 9

11:45 a.m. – 11:50 a.m. EST:  Introduction/Welcome by Bill Zagorski, Chair, NADSA Board of Directors

11:50 a.m. – 1 p.m. EST: The HCBS Landscape

This session is designed to layout the HCBS landscape and the place of ADS and other HCBS services within it, including, but not limited to: home care, transportation, home delivered meals, home modifications, case management, chronic care management, ADS at home, Home Health, new hospital at home and similar skilled home-based care services as well as the payors behind the services.

Presenters:  Vicki Hoak, Executive Director, Home Care Association of America. Vicki Hoak is leading the national association exclusively representing the home care industry that provides in-home personal care to millions of older Americans and individuals with disabilities.  Vicki has more than 30 years’ experience in association management, state government and marketing. Before being appointed the CEO of the Home Care Association of America, she served for nearly 20 years as the CEO of the Pennsylvania Home Care Association. During that time, she served on two gubernatorial task forces on senior care, was chair and vice-chair respectively of the Council of State Home Care Associations and State Forum for the National Association of Home Care and Hospice, chair of the Long-Term Care Committee and was a member of Pennsylvania’s Medical Assistance Advisory Committee.

 Sen. Roy Afflerbach (Ret.), NADSA Policy Advisor. Sen. Roy Afflerbach, CEO of The Afflerbach Group, is a retired state senator who brings five decades of experience and contacts to the clients he represents. He serves as NADSA’s advocate to the Leadership Council of Aging Organizations, the Modern Medicaid Alliance, the Better Medicare Alliance, other human services organizations and public policy makers in Washington.

1:30 p.m. – 2:30 p.m. EST: Implementing Home Care Services to Compliment ADS

Learn how to operationalize home care services through your ADS center from experts who have successfully made this transition in their operations. Follow and lean how one state evolved the idea of combining non-skilled in-home services and adult day health care services through advocacy efforts and collaboration with state agencies to insure continuum of care for participants beyond the four wall of the adult day center. Participants will hear how this effort evolved and was operationalized/implemented by the state adult day association leader that championed the effort.

Presenter: Marcus Primavera, Director of Business Development at CareGivers America | A Simplura Health Group Company and formally the Executive Director of Operations at America’s Support Coordination and Management (ASCM); agencies both dedicated to the empowerment of Pennsylvanians with disabilities to be able to remain in their homes through targeted community resources and in-home healthcare assistance. Prior to joining ASCM’s management team, Marcus worked for several nationally recognized non-profit, human service agencies, focusing on the areas of at-risk youth, refugee resettlement, addiction counseling, community-based mental health, and supported employment for individuals with intellectual disabilities. Marcus holds a Masters of Business Administration (MBA) degree from Northeastern University, specializing in Healthcare Administration, as well as an undergraduate dual degree from the University of Pittsburgh in Anthropology and English Writing. He’s also a member of the Healthcare Finance Management Association’s local Philadelphia Chapter, an AmeriCorps VISTA alumni, an Executive Board Member of the Pennsylvania Providers Coalition Association (PA-PCA) and a US Navy Veteran.

3:00 p.m. – 4:00 p.m. EST: The Future of Senior Care – The View from Washington, DC.

Join our panelists, both engaged in Medicare and Medicaid policy discussions in Washington, for this interactive presentation in the latest on ADS funding in these arenas.  Come prepared with your questions and gain insight into how to navigate this complex landscape.  Be prepared to share your challenges and successes.

Presenters: Amy Gotwals, Chief, Public Policy and External Affairs, USAging.  Amy joined USAging in 2005 (formerly the National Association of Area Agencies on Aging) and leads the organization’s public policy, advocacy, communications, external relations and membership relations activities. Representing local aging agencies, Amy serves as the lead in outreach to Congress and the Administration to ensure that needed resources and support services are available to older Americans and their caregivers. Amy has 27 years of public policy, lobbying and grassroots organizing experience. She has represented diverse groups including the Older Women’s League, the Center for Science in the Public Interest, the Alliance of Nonprofit Mailers and the National Network for Youth. Amy has a Bachelor of Arts in American Studies from Mount Holyoke College and earned a Master of Legislative Affairs from the George Washington University.

Gregory Gierer, MPP, Vice President of Policy and Research, Better Medicare Alliance. Greg joined the Better Medicare Alliance as Vice President of Policy and Research in September 2021, bringing nearly 25 years of public policy and advocacy expertise to the role. His post at Better Medicare Alliance follows leadership roles with some of the nation’s leading health care associations, including Pharmaceutical Research and Manufacturers of America (PhRMA) and the Blue Cross Blue Shield Association. Greg most recently served as Senior Vice President for Policy at America’s Health Insurance Plans (AHIP). He began his career on Capitol Hill as an aide to U.S. Senator Christopher Dodd (D-CT). Greg is a graduate of Providence College and holds a Master of Public Policy from Georgetown University’s McCourt School of Public Policy. He also serves on the Cancer Support Community’s Cancer Policy Institute Advisory Board.

Thursday, March 10

11:00 a.m. – 12:00 noon EST: Design, Structure, and Implement Healthcare Coordination into Your Operations

Are you interested in learning how to maximize your continuum of care among your Adult Day Center? What if you could relieve the burden of the caregiver by transporting clients to and from doctors’ appointments, providing prescription pick up services, and coordinating medical services for your clients? Healthcare Coordination is a multifaceted program that creates a service individually customized to the unique needs of the client. Please join us to learn how the Dynamic Duo (Healthcare Coordination and Adult Day Centers) can benefit your organization!

 Presenter: Jessica Young currently serves as the Regional Director of Medical Services for Independent Adult Day Center.  Jessica has been a Licensed Practical Nurse for over sixteen years.  She graduated from Wichita State University in 2009 with an undergraduate degree in Health Services Management and Community Development.  Jessica graduated from Friends University in 2013 with a Master’s Degree in Healthcare Leadership.  Jessica has worked in various nursing/management roles including: charge nurse, admissions, staff development coordinator, and medical records coordinator.

12:30 p.m. – 1:30 p.m. EST: The Adult Day Services Hybrid Model of Care   

As our Industry evolves, we must stay ahead of the curve and develop new and innovative ways to provide service.  This session will identify key points for service and care that can be offered beyond our daily operational structure. Providing a dual service both remote and in-person is essential to our existence. The first hurdle is the Legislative impact to build a case in your State to include remote services to assure a sustainable business and continuity of care. We will provide options for the Hybrid Remote services you can offer including Telehealth Calls, Transportation, Activities, Food Service, Care Packages, Individual Support, Nursing and Social Services. It’s not all peaches and cream so we will touch on the issues, problems and hurdles that we face as we navigate through this process.

Presenter: Joan Marie Granato is the President of Future Focus Inc., Creative Health Care Consultants. She also owns 3 Adult Medical Day Care Centers in New Jersey. Her company provides an array of health care consulting services, educational training programs and the implementation of opening and operating Adult Medical,  Social Day Care and DDD Day Habilitation Centers.  serves on various Executive Boards in order to advocate and create upward movement for the Associations.  She is currently the President of (NJAMDSC) New Jersey Adult Medical Day Services Coalition, President of (NJAPA), New Jersey Activity Professionals Association, and Board Member for the  (NADSA) National Adult Day Service Association.

Her philosophy of work is distinguished by her dedication in helping people and in providing quality service and care to the senior and disabled populations. Her philosophy of life is reflective of her professional outlook and the pursuit of finding strength in the mind, body and spirit. She has a degree in Therapeutic Recreation Administration from Kean University and furthered her studies at New York University. She is a trained  Assisted Living Administrator, Compliance Officer and National Trainer for NCCAP (National Certification Council for Activity Professionals.  She is working with NCCAP to develop the First Activity Professional Certification for Adult Day Services.



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