Creating a New Tomorrow by hilen


									Collaborating for a
 New Tomorrow
             Future Reality
• The need for services for seniors will
  triple by 2050*

• There will be 1.3 million Minnesotans
  over age 65 by 2030*

* Source: Long-Term Care Imperative
      Changing Demographics

Source: Minnesota Office of Demographer Estimates of Total Population 2005 – 2030, accessed 2006
Problem or Opportunity?
• Could be viewed as a PROBLEM but
  we view it as an opportunity to:
  –Restore viability to local communities
  –Improve business opportunities
  –Expand job growth for all ages
 74% of people age 65 and over rated their health
as good or better *
 80% of seniors over age 65 are healthy (no chronic
illness or chronic illness that is well managed)
 Proportion of people age 65 and over with a
functional limitation DECLINED by 7% from 1992 to
 40 % of male veterans (1/2 of whom were over age
65) of World War II, Korean War, or Vietnam were in
labor force in 2007 (Dept of Labor)
      * Source: Older Americans 2008 Key Indicators of
      Well-Being, Federal Interagency Forum on Aging-
      Related Statistics
Gifts to the Community
                              85+                      85+
                           Population           2000-2030 Change
Geographic Area   2000       2010     2030      Absolute    %

Total             83,129    106,754   163,330     80,201   96.5%
 MHCA Pilot Project:
    What is it?
    “Building lifelong
   communities where
seniors actively contribute
   to the vitality of the
MHCA Pilot Project: Based On
1. Identification of service and business
2. Strong relationships between local providers
   and seniors
3. Development of a wide array of accessible
4. Focus on healthy communities for all ages
5. Strengthening workforce options for all ages,
   including seniors
       MHCA Pilot Project:
          Based On
6. Keeping seniors active and healthy in
   their homes
7. Limited reliance on Medicare or
   Medicaid dollars
8. Actively engaging volunteers of all ages
9. Reaching out to community leaders to
   sustain local project success
Project Focus
 • All Seniors 65 and over
   –All income levels
   –All cultural groups residing
    in their local community
• Community-based collaborative
  – Seniors actively contributing to their
  – Local business involvement
  – Local resource use
  – Community leader engagement
  – Citizen leader involvement
  – Faith-based community inclusion
• Intergenerational mentoring
          Positive Theme
•   Seniors contributing to the vitality of the community
•   Everyone within the community participates
•   Continued support to keep people in the community
•   Redistribution of dollars back into the community
•   Flexible work for seniors
•   Volunteer opportunities
•   Maximize existing programs to meet individual
        Basic Elements
1.   Family education and support
2.   Person-centered approach
3.   Advocacy-centered method
4.   Interdisciplinary team approach
5.   Active use of volunteers
6.   One-stop shop for healthy living
     within own community
      Basic Elements
7. Navigation through the health system
  •   Track needs (when healthy & ill)
  •   Promote local resources
8. Continued connection to minimize acute
9. Expand work opportunities
10. Limited use of Medicare & Medicaid dollars
                    Opportunity for
•   Develop local support network for seniors
•   Business focus on needs of seniors
•   Opportunities for seniors to “contribute” to their
    communities through volunteering or part-time work
•   Support health and wellness strategies for individuals
    and the community
    –   Walking clubs; biking clubs; on-line technology to develop
        community engagement
•   Link faith communities with health & human service
       Project Foundation:
Focus on Wellness and Prevention
 Virtual Center Could Be
 Senior Center
 Home Care
 Public Health
 Block Nurse
 Computer-based
 Other
Roseville Project
          Prepared by
     Mary Ann Blade, CEO
 Minnesota Visiting Nurse Agency

• Keep the seniors of Roseville as healthy as
  possible providing them with a
  coordinated array of services, both
  traditional and non-traditional that will
  keep them as independent as long as

• Utilize current community resources to
  augment and support a new system

            Task Force
Representatives of the following organizations:
     • Senior Council
     • School Board
     • School Community Education
     • Senior Center
     • Home Care Agency
     • Assisted Living
     • Parish Nursing
     • The Community
    Key Components
1. Central place where people can call, get
   guidance for service delivery

2. Prevention and early treatment of chronic
    – Activity for Seniors
       • Exercise
       • Social
       • Entertainment
       • Volunteer activity
    Key Components (cont.)
- Medical/Dental
       • Yearly check-ups
       • Early detection
- Services that are available to help people
      before they are ill:
       •   Financial
       •   Chore
       •   Homemaker
       •   Nutritional/meals/grocery shopping
       •   Medication management
       •   Lifeline
       •   Community resources
       •   Foot care                        Roseville
  Key Components (cont.)
3. Acute & Chronic Illness (additional
   –  Medical/hospital
   –  Care coordination
   –  Home Care
     • Skilled Nursing
     • Home Health Aide
     • Therapy Services – PT, OT, Speech
     • Pharmacist
     • Social Worker
   – Caregiver support
   – Transportation                        Roseville
    Key Components (cont.)

4. Death & Dying:
  – Palliative Care Services
  – Hospice Services

Many of these resources are
 already being paid for or
      funding raised.

Additional Dollars Needed:
• Dollars to provide home care services that are
  not paid for by the client, family members, or
  Insurance Companies that do not pay full cost.
  We already have a sliding fee.
• Dollars to provide the care navigation necessary
  when a citizen calls the center.
• I believe 2 full time coordinators are needed in
  the center.
• Between $30,000 - $50,000 is needed to
  subsidize the sliding fee schedule for Home Care.

Collaborating for a
 New Tomorrow
                          PROJECT PLAN
                               Project Plan

                                                Seek Grants
               Get                                & other
             Advisory           Inform Key      investment
            Board Input         Partners &        Monies


Establish plan
                                 Establish         Evaluate Project
   & service
                               Performance           Effectiveness
Project Uniqueness
 1.   Virtual center
 2.   Small, flexible
 3.   Use of volunteers
 4.   Partnership between seniors,
      business, health & human services,
      and community resources
        Project Uniqueness
5. Built in connection/monitoring
   when not part of formal health care
6. Centered on local communities -
7. Limited reliance on Medicare and
   Medicaid monies
     Technology is Key to
Technology Creates
Opportunities for:
• Seniors
• Businesses
• Communities
         Technology Use
• Smart-home Technology
• Swipe Cards
• Access Individual Health Information &
  Health Services Currently Using
• Tele-homecare
• Electronic Medical Record
• Real-Time Database Management
Advantages for Seniors
• Increased independence
• Improved satisfaction
• Encourage consumer choice, self-directed care, &
  engagement in their own future
• Enhance ability to remain at home
• Decreased use of costly health care services
  (emergency rooms, hospitals etc.)
• Build relationships with local businesses & resources
• Provide ongoing support when not in formal health
• Support family care-giving
Advantages for Community
• Increased worker productivity
  – Needs of parents are met
• Maintain viable business community
• Actively engage people included in the age
• Develop models to keep seniors safe in the
• Community working together to support
         Who Pays?
• Virtual Center initially funded by grants
• Local funding to sustain virtual center –
  school district, city/county support,
  private resources
• Services offered through the use of
• Private Insurance
• State & Federal (minimal)
      Desired Outcomes
1. Track community resources used instead
   of state/federal dollars
2. Conduct urban and rural pilot projects
3. Track re-hospitalization rates
4. Monitor client satisfaction rates
5. Dollar expenditure tracking
6. Use of technologies: in-home and
        Desired Outcomes
7. Work with public health to enhance health
8. Evaluation of existing client relationships
  – Beneficial to the client
  – Not beneficial to the client
9. Analyze relationship between use of
    resources & savings
10. Project sustainability
11. Rapid response to necessary changes
      Case Example
• Out-of-control diabetic with frequent ER visits
• Foot wound
• Unable to see well enough to draw up correct
   insulin dosage
Simple Unconventional Provider Solution:
• Provider bought lamp for $19.99 – better vision
• No further ER visits
            Case Example
• MS client living on 4th floor – could not get to food served on
   first floor & no refrigerator in apartment (one-room
• End stage renal disease
• Bedsores due to springs poking out of mattress and into skin

Simple Unconventional Provider Solution:
• Provider bought new mattress, food & small refrigerator
• Involved MS Society who helped move client to livable
• Client able to die in dignity
        Planning for the Future
• Plan to develop four Pilot Sites:
   – Large Metropolitan area;
   – Larger Community, near or outside metro area;
   – Moderate-sized community in Greater MN
   – Smaller rural community in Greater Minnesota
• Looking for home care providers interested in
  committing to this project in their community
• Call MHCA for more information: 651.635.0607
Collaborating for a New Tomorrow

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