What the US and Bermuda Have in Common: “Perspectives” from Dr. Claudette Fleming, Executive Director of Age Concern Bermuda

ClaudetteFlemingPresThe challenges associated with aging demographics go well beyond the usual and customary calls for more professional, trained personnel, age appropriate accommodations, or medical and rehabilitation services. While all of these are needed, according to Claudette Fleming, DDippl, the Executive Director of Age Concern Bermuda, the history of how we got where we are, or as Dr. Fleming put it, “perspectives” informs what’s possible for the immediate and long-term future. Speaking at the Summer Leadership Conference 2016, hosted at the Fairmont in Southampton, Dr. Fleming described how the Bermudian and US age care systems are headed toward a period of “integration,” after periods of “institutionalization” and “medicalization.”

This is certainly true in both Bermuda and the United States. With very similar demographics, including progressively aging populations, and growing dependency ratios, post-acute care services are drawing significant new attention. Government bodies in the US such as the Centers for Medicare and Medicaid Services (CMS), as well as private intermediaries are looking for efficiencies and economies in the post-acute, or long-term care systems. Dr. Fleming described the current situation in Bermuda for lodging, rehabilitative, and respite services as, “a crisis situation,” and suggested that only political will would resolve the current difficulties. While the supply and demand situation in the US probably isn’t at a crisis, there certainly are imbalances which government and private market forces are attempting to rebalance. Claudette described the government penchant for commissioning study after study, while the underlying issues go unaddressed. In the US, we call this “kicking the can down the road”.

Another painful fact which Bermuda shares with the US is the extraordinarily high cost of healthcare. While it is common to refer to the United States as the most expensive health care system in the world, in fact, Bermuda ranks 3rd among developed economies. Amazing, considering the small size of the country.

The cost of health insurance is another painful similarity. The Bermuda market is of course much smaller than the US, with a population of only 64,000 versus 384,000, the actuarial characteristics of the risk pool mean that health insurance is staggeringly expensive for the average Bermudian family, often costing $10-$15,000 per year. There is no “safety net” insurance available for the island’s poor, such as the Medicaid program in the US. Moreover, with an age-targeted infrastructure that has been developed like topsy, many Bermudian hospital beds are taken by aged consumers who, while not in need of acute-care hospital services, have no other place to go where their chronic care needs can be met.

There certainly are lessons to be drawn from developed countries around the world, including the US and Bermuda, about how to address the expensive and culturally critical care needs of each populations. Dr. Fleming’s “perspectives” are an excellent place to start.

You can see Dr. Fleming’s full presentation here: http://summerleadershipconference.org/wp-content/uploads/2016/07/Perspectives-on-LTC-in-Bermuda-Summer-Leadership-Conference-2016.pdf

The 2016 Summer Leadership Conference Focused on Long-Term Care Leadership Being Held at the Fairmont Southampton, July 25 – July 29

SLC_Broch2Southampton, Bermuda – July 25, 2016 – The Summer Leadership Conference (SLC), an annual event coordinated by the NYC-ACHCA and NYSHFA/NYSCAL, is now underway at the Fairmont Southampton through July 29. The event brings together leaders in the long-term care field, including CEOs, facility owners, ACHCA and NYSHFA members and nonmembers, and healthcare company providers, who want to increase levels of productivity and cooperation in their organizations or communities. The SLC has been held in Bermuda since 2002.

The Summer Leadership Conference is a unique opportunity to “get away from it all, to get into it” for long-term care leaders. The conference is regularly attended by executives who relish the opportunity to discuss real-world issues with fellow leaders in an intimate, collegial setting. Loyal participants have been attending for many years, citing the quality of the program, the ability to interact one-on-one with other executives, while earning 15 CEUs.

The theme of this year’s Summer Leadership Conference is 5 Steps to Building & Leading a More Results-Driven Team and is being facilitated by Dr. Bryan K. Williams, D.M. Dr. Williams is a service consultant, trainer, and author. He has facilitated workshops and delivered keynotes worldwide for various companies in diverse industries. The SLC program is presented in a series of highly interactive sessions and focused on class models for leadership, sound principles of management, and the behavioral science of motivation. You can view the full program here.

After participating in this program, participants will:

  • Know what it takes to be a leader whom others want to follow
  • Be better at communicating each member of their teams’ roles
  • Empower their team members to connect to a greater purpose

This year, the SLC is pleased to add a new, international perspective to the Conference. Two Bermudian healthcare leaders – Dr. Claudette Fleming and Dr. Ricky Brathwaite – will deliver presentations about the challenges of serving a growing aged population in Bermuda.

Dr. Claudette Fleming is the Executive Director of Age Concern Bermuda, the most important advocacy group for issues of persons of age in Bermuda. She brings a wealth of experience and will discuss the demand, access, and challenges associated with the aging population in Bermuda.

Dr. Ricky Brathwaite is an internationally recognized healthcare economist. A native Bermudian, he splits his time among his home country and clients all over the world, while managing to spend significant time in Washington DC. A global thinker, he will share his perspectives on comparative health care systems, specifically as these relate to care and services for persons of age.

“The best thing about the Summer Leadership Conference, after all these years, is being there with our friends and colleagues. We’ve grown close over the years – much of this commenced and centered around the SLC. At the professional development level, there’s a level of honesty and openness. This is a great place to see first-hand different styles of leadership and learn from each other. Each year when I leave, I can’t wait to get back!” says Larry Slatky, SLC Organizer and Conference attendee since 1982.

The Summer Leadership Conference is an ideal way for long-term care leaders to refocus, recharge, and plan for today, tomorrow, and the year ahead. You can learn more about the Conference here: http://summerleadershipconference.org.

About ACHCA, New York Chapter

The New York Chapter of the ACHCA (NYC-ACHCA) is a State affiliate, of the ACHCA that was founded in 1962, the American College of Health Care Administrators is the only professional association devoted solely to meeting the professional needs of today’s long term care administrators and executives. Focusing on advancing leadership excellence, NYC-ACHCA provides professional education and certification to administrators from across the spectrum of long term care.

For more information, visit www.nycachca.org.

About NYSHFA / NYSCAL

The New York State Health Facilities Association & New York State Center for Assisted Living is a member-driven association of providers of long term care services, caring for individuals of all ages in proprietary, not-for-profit, and government-sponsored skilled nursing, post-acute, rehab, adult care and assisted living communities across the state of New York.

For more information, visit www.nyshfa.org.

Bermuda Named as One of the 7 Zika-Free Destinations to Travel to Right Now by Conde Nast Traveler!

Untitled-3-300x140As we near the date for the start of the Summer Leadership Conference, we’re thrilled to see that Bermuda was recently named as one of the 7 Zika-Free Destinations to Travel by Conde Nast Traveler!

“With pink sand beaches and pastel-colored homes, Bermuda is a pristine island with a decidedly British feel. The beautifully preserved town of St. George, Britain’s oldest town in the New World, is a World Heritage Site that also happens to have world-class shopping. Looking to practice your swing? The island is known for its golf, boasting some of the most challenging—and scenic—courses in the world. Action junkies will also want to snorkel around the shipwrecks off Elbow Beach, and hit Bermuda’s 22+ miles of bike trails.”

Summer Leadership Conference: What We’re Looking Forward to Next Week! July 25-29, 2016

SLC_Broch2We have a great week planned and we are very excited about the expertise and energy that our facilitator, Dr. Bryan K. Williams, will bring to the 2016 Conference.
With so much change happening now, the Summer Leadership Conference is an ideal way to refocus, recharge, and plan for today, tomorrow, and the year ahead. There are still a few seats available (space is limited), so register today! .
Here is some of what we’re looking forward to during the Conference.
The program will focus on 5 Steps to Building & Leading a More Results-Driven Team. After participating in this program, participants will:
  • Know what it takes to be a leader whom others want to follow
  • Be better at communicating each member of your team’s role
  • Empower your team members to connect to a greater purpose
Class models for leadership, sound principles of management, and the behavioral science of motivation will be presented in a series of highly interactive sessions. You can view the full program here.

NEW THIS YEAR! Leadership in Healthcare – International Perspectives

We’re pleased to add a new, international perspective to the Conference this year. We will have presentations from two Bermudian healthcare leaders about the challenges of serving a growing aged population in Bermuda.

ClaudetteFlemmingDr. Claudette Fleming is the Executive Director of Age Concern Bermuda, the most important advocacy group for issues of persons of age in the island nation. She brings a wealth of experience and will discuss the demand, access, and challenges associated with the aging population in Bermuda.

She has served in this capacity since the year 2000. Dr. Fleming has a Doctorate in Diplomacy from Swiss Management Center University and a Master of Social Work with a concentration in administration and a joint certificate in Ageing and the Life Course from the University of Toronto. She holds bachelor degrees in Social Work and Sociology from Lakehead University in Ontario, Canada.

Dr. Fleming is a co-founder and Executive Committee member of Cap-a-Laige, Charities House, a Bermuda registered charity and shared residence of 5 of Bermuda’s most visible charities. She currently serves as a Board member of the Bermuda National Standards Committee, a consortium of local government, private and non-profit leaders in partnership with the Council on Accreditation in the United States of America, that administers accreditation to the island’s non-profit and public human services. She is also currently a member of the Standard Health Benefits Committee of the Bermuda Health Council, recently formulated to provide the Ministry of Health and Seniors with recommendations to make healthcare more cost efficient for Bermudians.

Recognized in the year 2011 by the Bermuda Government’s, Ministry of Youth, Family and Sport, as one of Bermuda’s 100  most influential women of the century, Claudette is driven and dedicated to use her skills, influence and experience in service to humanity and her island-home of Bermuda.

RickyBraithwaiteDr. Ricky Brathwaite is an internationally recognized healthcare economist. A native Bermudian, he splits his time among his home country and clients all over the world, while managing to spend significant time in Washington DC. A global thinker, he will share his perspectives on comparative health care systems, specifically as these relate to care and services for persons of age.

Dr. Braithwaite provides expert advice and research on Health Economic and health system structure components. Serves as lead on the regulation and licensing of health insurers; Produces the annual National Health Accounts Report; Commissions, evaluates, and utilizes actuarial reviews; Analyzes data sets to understand patterns of healthcare service utilization and cost; Designs and conducts publishable studies to meet the BHeC mandate including benefit incidence analyses, population surveys, cost effectiveness, and burden of disease; Manages BHeC deliverables on health financing and health insurance; and Manages relationships with external stakeholders and consultants working on projects