The Senior Housing and Health Care Nexus Krista Egger June 22, 2017 The Senior Housing and Health Care Nexus Study innovative financing models of Housing Credit developments that incorporate health care access. Consider the impact of demographic shifts and changes in health care delivery on senior housing. Explore design guidelines for aging in place, assisted living structuring issues, partnerships with state health agencies, and tools to support health care delivery in Housing Credit developments.

Research Shows that Quality, Affordable, Stable Housing in Neighborhoods of Opportunity provide: Improved Chronic Disease Management HIV, Diabetes, Hypertension, Obesity Reduction in Infectious Diseases, Asthma, and Accidental Injuries Reduction to Exposure to Toxins Lead-based paint, mold More Household Resources Used for Healthcare, Insurance, Healthy Food, and Prescriptions Improved Mental Health Depression, Anxiety, Stress Quality, Affordable, Stable Housing in Communities of Opportunity Alternative Living Situations to those in Abusive or Overcrowded Circumstances Decreased Drug and Substance Use Improved Children’s Health Physical and Mental

Do no harm Evidence-based improvements, for all Respond to specific needs

Aging in Place Tool Kit Charrette Tools Aging in Place Design Guidelines 2015 Criteria Aging in Place Recommendations Existing Conditions Checklist Prioritization Tool Tool kit Charrette tools: integrative planning Design guidelines: library of strategies, will highlight today 2015 Criteria aging in place recommendations: synergies with our 2015 Enterprise Green Communities program Existing conditions checklist: audit tool, identify opportunities Prioritization tool: once a project team has used the previous tools to brainstorm potential building interventions, use this prioritization tool to weigh which measures will become part of the project scope (weigh impact, priority, cost of implementation of each)

Design Guidelines for independent living in multifamily buildings Organized spatially—from site to general building topics, unit layout and general features, room by room considerations, innovative technology, and appendix Move into high level examples from guide in next few slides

Aging in Place Tool Kit Charrette Tools Aging in Place Design Guidelines 2015 Criteria Aging in Place Recommendations Existing Conditions Checklist Prioritization Tool Tool kit Charrette tools: integrative planning Design guidelines: library of strategies, will highlight today 2015 Criteria aging in place recommendations: synergies with our 2015 Enterprise Green Communities program Existing conditions checklist: audit tool, identify opportunities Prioritization tool: once a project team has used the previous tools to brainstorm potential building interventions, use this prioritization tool to weigh which measures will become part of the project scope (weigh impact, priority, cost of implementation of each)

Charrette

Charrette Tools – Prioritization Matrix

Charrette

Have Fun for Years to Come!

Q + A Krista Egger kegger@enterprisecommunity.org