Polk County Association of Code Enforcement 10:00 – 10:02 Welcome – Mike LaPan Introduce Steve Bissonnette, President

VISTE’s Mission: To enable the frail and elderly to remain safely and independently in their own homes. 10:02 – 10:05 Mission - Steve Discuss Transition - Steve 10:05-10:20: TOUR

VISTE served 4,140 clients in 2018 The Big Picture VISTE served 4,140 clients in 2018 (Up from 3,852 in 2015) 10:20 – 10:30 Highlight overall items around the room – Steve & Ashley

The short story – it takes Volunteers! Overview of Services Transportation Supplemental Groceries Hot Meals Ramps Thanksgiving Meals Personal Care Boxes Reassurance Calls Birthday Cards & Cakes Bathing Housekeeping Respite Care 24/7 Emergency Monitoring The short story – it takes Volunteers! 10:20 – 10:30 Highlight overall items around the room – Steve & Ashley

Overall Client Demographics Total Clients (70+) = 4,140 Male = 1,313 (32%) Female = 2,827 (68%) < 75 = 628 (16%) 75 – 79 = 1057 (25%) 80 – 84 = 1058 (25%) 85 – 89 = 740 (18%) 90 – 94 = 479 (12%) 95+ = 178 (4%) 10:30 – 10:45 Ashley

Client Demographics Ethnicities among VISTE Clients Household Incomes among VISTE Clients

High Risk Seniors Definition based on these Objective Measures: Advanced Age: 79 and above Limited Income: Very low = $18,400/year or less (HUD defined at 50% AMI for 1-person household) Social Isolation: One-person household In 2018, 1,349 VISTE clients met all three objective measures These measures are already gathered through our initial client intake process which includes an Activities of Daily Living assessment tool.

Advanced Age Youngest = 79 years old Oldest = 105 years old Median age = 85 years old Data Source: MorningStar In Polk County, the number of seniors between ages 60-74 has increased by 25% since 2007. While age alone is not a determinant of risk, the average age upon admission to US nursing homes in 2011 was 79. Morningstar August 2012 The World Health Organization reports approximately 30% of people over 65 fall each year, and rates are higher for those over 75.

Limited Income Under $10,000 = 577 $10,000 - $29,999 = 695 $30,000 - $49,999 = 33 Over $50,000 = 4 In 2012 the average annual cost of nursing home care in Tampa area was $86,140. Low-income elders cannot afford nursing home care or other, more expensive options. As a result, Medicaid covered 40% of nursing home costs in 2010. Morningstar, August 2012

Social Isolation While living alone does not inevitably lead to social isolation, it is certainly a predisposing factor. Social isolation has been demonstrated to lead to numerous detrimental health effects in older adults including increased risk for all-cause mortality, dementia, increased risk for re-hospitalization, and an increased number of falls. The Journal of Primary Prevention, 2012 Lives Alone 48 Lives with one other 13 Lives with more than one other 0 As we might guess, the majority of “high risk” clients live alone. None of them lives with more than one other person in the household.

Cost of Critical Services Program Costs in 2017 2017 2016 2015 Transportation $336,000 58.4% 65.6% 72.0% Hot Meals $154,000 26.1 20.0 16.0 Housekeeping $37,500 5.5 6.0 5.0 Bathing $24,000 4.0 2.5 2.0 Respite $18,500 3.2 2.6 24/7 Emergency Monitoring $16,500 2.8 3.3 We have more narrowly defined the term, “High Risk”, which ultimately reduced the amount of clients identified as high risk. If asked … Note regarding 24/7 monitoring: We were able to reduce the monitoring cost by 25-30% by switching to a local provider – some clients still have Phillips Lifeline device because some of the features not provided by other device (detecting of falling motion/falls)

For every high risk client that avoids institutionalized care, Community Savings For every high risk client that avoids institutionalized care, savings to the public = $34,456/person/yr For 1,349 clients, savings = $46,481,144 Source: Genworth 2017 Cost of Care Survey BE DONE AT 10:45 Let’s talk about annual community savings. If VISTE helps ONE high risk client stay out of institutionalized care at $265/day the estimated annual community savings are $96,725. PER PERSON. Now, If the “High Risk” clients have an income of less than $25k a year, who do you think bears the financial burden of institutionalizing our seniors? Finally, imagine the annual community savings if VISTE helped keep ALL 1,309 High Risk clients out of institutionalized care …. 126,613,025 $M! COSTS IN LAKELAND AND FLORIDA According to Genworth’s data, in the Lakeland area and the state of Florida the median cost of services per year is: • Home health care, Homemaker services, $41,070; 5-year annual growth of 1 percent; Florida $41,184, 2 percent. • Home health care, aide: $44,616; 5 year-annual growth of 1 percent; Florida $43,472, 1 percent. • Adult Day Health Care: $14,560; growth of 4 percent; Florida $16,900, 3 percent. • Assisted living facility: $33,600, 5-year annual growth rate of -1 percent; Florida $37,800, 4 percent. • Nursing home care, semiprivate room, $86,231; Florida $87,600 • Nursing home care, private room, $95,995; Florida $96,725, all have 5-year annual growth of 3%.

Volunteers In Service To the Elderly Steve Bissonnette, President 1232 E. Magnolia St. Lakeland, FL 33801 863-284-0828 www.viste.org | Steve@viste.org