Executive Director Cathedral Square Corporation
WE HAVE A LOT IN COMMON
Maine Michigan Minnesota New York North Carolina Pennsylvania Rhode Island Vermont
The Person Housing +Home Health + Mental Health +PACE +Area Agency on Aging Medical Home Community Health Team Nursing Home Hospital
Land Trusts CCRC’s Non-Profit Housers Public Housing Authorities Assisted Living Residential Care Facilities Mobile Home Parks Single Family Homes
* Disabled: Identified through SSDI income reporting or self report at move in. of Cognitive Screen
Assessments Health Information Exchange Person Centered Plans Informed team Individualized Supports Transitions Support Self-management – coaching Care Coordination Evidence Based Practices
The Individual and the Population Uniform Comprehensive Assessment Tool Outcomes 42 Partner Organizations Evidence Based Practices
19% reduction in hospitalizations No bounce backs to Hospital/SNF Reduced falls Increased physical activity Reduced nutritional risk Better health, better care & lower costs Program Costs = $70,000 Program Savings = $121,000 Net Savings = $51,000
Dual Eligible Pilot Socially Aligned Value Investment (SAVI) CDC Community Transformation Grant Accountable Care Organizations Health Insurance Exchange
Baby Boomers 1950’s
…..And 60 years later
Baby Boomers 1950’s
A PROUD MEMBER OF LEADINGAGE HEALTHY HOMES CARING COMMUNITIES POSITIVE AGING