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

2. 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

3. 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

4. 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

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

7. Client Demographics Ethnicities among VISTE Clients
Household Incomes among VISTE Clients

8. 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.

9. 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 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.

10. 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 Morningstar, August 2012

11. 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.

12. 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)

13. 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%.

15. Volunteers In Service To the Elderly
Steve Bissonnette, President
1232 E. Magnolia St. Lakeland, FL 33801 |