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2. Integrating Assisted Living With Local Healthcare Providers Case Study: The Kensington White Plains, NY Tiffany Tomasso Founding Partner Kensington Senior Living 2

3. THE KENSINGTON The Kensington Opened September 2011 Assisted living (AL): 53 suites Memory care (MC): 34 suites in two neighborhoods NY licensure: “Enhanced AL” Licensed Capacity: 105 Urban location in “Medical Hub” Positioning – high-acuity, high-lifestyle AL & MC

4. Fragmented Care Loss of mobility reduces ease and frequency of PCP visits Lack of knowledge about services than can be provided in AL ER experience less than ideal Coordination of services post hospitalization Medical records are poorly communicated between community, PCP, and hospital COMMON PROBLEMS TODAY IN ASSISTED LIVING Implications: Lower quality-of life More acute episodes More frequent transfers Higher cost-of-care Shorter length of stay

5. Initial Goals: 1.Seamless & Integrated Service 2.Convenience for Residents & Families 3.Minimize Hospitalization VISION: Create Strong Partnership with Local Hospital to Offer Full Range of Coordinated, Clinical Services to Residents Services: 1.Strategic Partnerships 2.On-site Physican Office 3.On-site Therapy Center 4.Diagnostics On-site 5.Senior-friendly ER Experience 6.Integrated Medical Record

6. Resident Statistics as of April 30th 93 Move-ins 76 Residents in House 17 Permanent Discharges 25 Hospitalizations 8 Readmissions 4 Multiple Readmissions

7. Lessons Learned: Ensure Objectives are Aligned Focus on a Few Areas First Build Relationships Pervasively and Continuously Next Steps: Survey Families Identify Primary Diagnoses Benchmarking Senior-friendly ER Experience Integrate Medical Record How are We Doing? Initial Goals: 1.Seamless & Integrated Services 2.Convenience for Residents & Families 3.Minimize Hospitalizations Services: 1.Strategic Partnerships 2.On-site Physican Office 3.On-site Therapy Center 4.Diagnostics On-site 5.Senior-friendly ER Experience 6.Integrated Medical Record