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Collaborating for a New Tomorrow

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Collaborating for a New Tomorrow. Neil Johnson, Executive Director, MN HomeCare Association ... Collaborating for a. New Tomorrow. Project Focus. All Seniors 65 ... – PowerPoint PPT presentation

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Title: Collaborating for a New Tomorrow


1
Collaborating for a New Tomorrow
Neil Johnson, Executive Director, MN HomeCare
Association Patricia Jump, President, Acorn's End
Training Consulting
2
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

3
Changing Demographics
Source Minnesota Office of Demographer
Estimates of Total Population 2005 2030,
accessed 2006
4
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

5
Opportunity
  • 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
    2005
  • 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
6
Gifts to the Community
7
MHCA Pilot Project What is it?
  • Building lifelong communities where seniors
    actively contribute to the vitality of the
    community

8
MHCA Pilot Project Based On
  • Identification of service and business
    opportunities
  • Strong relationships between local providers and
    seniors
  • Development of a wide array of accessible
    services
  • Focus on healthy communities for all ages
  • Strengthening workforce options for all ages,
    including seniors

9
MHCA Pilot Project Based On
  • Keeping seniors active and healthy in their homes
  • Limited reliance on Medicare or Medicaid dollars
  • Actively engaging volunteers of all ages
  • Reaching out to community leaders to sustain
    local project success

10
Project Focus
  • All Seniors 65 and over
  • All income levels
  • All cultural groups residing in their local
    community

11
Engagement
  • Community-based collaborative
  • Seniors actively contributing to their community
  • Local business involvement
  • Local resource use
  • Community leader engagement
  • Citizen leader involvement
  • Faith-based community inclusion
  • Intergenerational mentoring

12
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
    needs

13
Basic Elements
  • Family education and support
  • Person-centered approach
  • Advocacy-centered method
  • Interdisciplinary team approach
  • Active use of volunteers
  • One-stop shop for healthy living within own
    community

14
Basic Elements
  • Navigation through the health system
  • Track needs (when healthy ill)
  • Promote local resources
  • Continued connection to minimize acute episodes
  • Expand work opportunities
  • Limited use of Medicare Medicaid dollars

15
Opportunity for Community
  • 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

16
Project Foundation Focus on Wellness and
Prevention
17
Virtual Center Could Be
  • Senior Center
  • Home Care
  • Public Health
  • Block Nurse
  • Computer-based
  • Other

18
Roseville Project
  • Prepared by
  • Mary Ann Blade, CEO
  • Minnesota Visiting Nurse Agency

Roseville Project
19
Roseville Project
20
Goal
  • 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
    possible.
  • Utilize current community resources to augment
    and support a new system

Roseville Project
21
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

Roseville Project
22
Key Components
  • 1. Central place where people can call, get
  • guidance for service delivery
  • 2. Prevention and early treatment of chronic
    illness
  • Activity for Seniors
  • Exercise
  • Social
  • Entertainment
  • Volunteer activity

Roseville Project
23
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 Project
24
Key Components (cont.)
  • Acute Chronic Illness (additional
  • services)
  • Medical/hospital
  • Care coordination
  • Home Care
  • Skilled Nursing
  • Home Health Aide
  • Therapy Services PT, OT, Speech
  • Pharmacist
  • Social Worker
  • Caregiver support
  • Transportation

Roseville Project
25
Key Components (cont.)
  • 4. Death Dying
  • Palliative Care Services
  • Hospice Services

Roseville Project
26
Financial
  • Many of these resources are already being paid
    for or funding raised.

Roseville Project
27
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.

Roseville Project
28
Collaborating for a New Tomorrow
MHCA Pilot Project
29
PROJECT PLAN
Project Plan Basics
Seek Grants other investment Monies
Get Advisory Board Input
Inform Key Partners Stakeholders
Determine Project Demonstration Sites
Establish plan infrastructure service delivery
Evaluate Project Effectiveness
Establish Performance Targets/Research
30
Project Uniqueness
  • Virtual center
  • Small, flexible
  • Use of volunteers
  • Partnership between seniors, business, health
    human services, and community resources

31
Project Uniqueness
  • Built in connection/monitoring when not part of
    formal health care system
  • Centered on local communities - anywhere
  • Limited reliance on Medicare and Medicaid monies

32
Technology is Key to Success!
  • Technology Creates
  • Opportunities for
  • Seniors
  • Businesses
  • Communities

33
Technology Use
  • Smart-home Technology
  • Swipe Cards
  • Access Individual Health Information Health
    Services Currently Using
  • Tele-homecare
  • Electronic Medical Record
  • Real-Time Database Management

34
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
    system
  • Support family care-giving

35
Advantages for Community Businesses
  • Increased worker productivity
  • Needs of parents are met
  • Maintain viable business community
  • Actively engage people included in the age wave
  • Develop models to keep seniors safe in the
    community
  • Community working together to support seniors

36
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 volunteers
  • Private Insurance
  • State Federal (minimal)

37
Desired Outcomes
  • Track community resources used instead of
    state/federal dollars
  • Conduct urban and rural pilot projects
  • Track re-hospitalization rates
  • Monitor client satisfaction rates
  • Dollar expenditure tracking
  • Use of technologies in-home and clinical

38
Desired Outcomes
  • Work with public health to enhance health
    outcomes
  • Evaluation of existing client relationships
  • Beneficial to the client
  • Not beneficial to the client
  • Analyze relationship between use of resources
    savings
  • Project sustainability
  • Rapid response to necessary changes

39
Case Example
  • Situation
  • 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

40
Case Example
  • Situation
  • MS client living on 4th floor could not get to
    food served on first floor no refrigerator in
    apartment (one-room apartment)
  • 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 apartment
  • Client able to die in dignity

41
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

42
Collaborating for a New Tomorrow
MHCA Pilot Project
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