1. Developing and Sustaining Integrated and Collaborative Services in a Community: Roseville Area Healthy Living for a Lifetim e Prepared by the Roseville Area Consortium Presented By: Mary Ann Blade, CEO Minnesota Visiting Nurse Agency

2. Where Are Elders (65 years and older) Located in Minnesota? Minnesota:12.0% of total population Metro Area:13.0% Minneapolis: 9.1% St. Paul:10.3% Ramsey County:11.64% Roseville:20.3% (US Census Data 2000)

3. Suburban older population is more than three times larger than the urban older population in Minneapolis and St. Paul

4. From 1990 to 2000 Roseville paralleled the Metropolitan area losing population in both the very young (0-5) and the 20 through 34 age group. The most dramatic difference was the growth in the older seniors (75+), where Roseville had nearly four times the growth as the County and Metro areas. (City of Roseville Demographic Summary, January 2003 ed.)

5. Our Service Area Includes 1.Roseville 2.Little Canada 3.Falcon Heights 4.Lauderdale 5.Parts of Arden Hills, 6.Shoreview & 7.Maplewood

6. Historic Evolution of the Collaboration A Community group formed a Block Nurse Program. Partnered with the school system to be the fiscal agent and share a project coordinator. Partnered with MVNA to provide the Home Care Services. Block Nurse Program dissolved in 2007 because of lack of funding.

7. However, the seeds of what could be were planted because of these visionary and enthusiastic citizens. Two organizations continued to fund and vowed to work together to bring a new collaborative together School District 623 MVNA Continue to pay for basic services that were not covered from mid- 2007 until today.

8. Task Force Representatives of the following organizations: North Suburban Senior Council Roseville Area School Board School Community Education Roseville Area Senior Program Home Care Agency – MVNA Lyngblomsten Local Parish Nursing The Community

9. Task Force Members Include - Karen Schaub- Jerry Irsfeld - Janell Wampler- Sandi Krohn - Mary Ann Blade- Paul Mikelson - Lisa Edstrom- Esther Tatley

10. Vision We, the people; Could stay at home as long as we’re able, in our own familiar setting, live in a community that provides us an opportunity to stay healthy and engaged, provides access to an array of services when we are ill, and allows us to die with dignity in the setting of our choice.

11. Goals Keep the seniors of the Roseville Area physically, mentally, and spiritually healthy. Provide seniors with a coordinated package of formal and informal services and resources that will keep them independent as long as possible. Utilize current community resources and long-standing and collaborative partnerships to augment and support a new system.

12. Goals (continued) Ensure that seniors in the Roseville District understand how to access services provided by the consortium. Reduce or delay nursing home placement as well as unnecessary hospitalization.

13. Secret Most organizations in a community have all the services necessary to provide comprehensive care and support!

14. Challenges 1.Breakdown the silos that separate organizations 2.Open to look at ALL the possibilities 3.Think in the “We” versus “I” 4.Modify, enhance, tweek, what my organization offers to meet the broad needs of the senior population 5.Taking a risk when health care is so competitive 6.Finding the money and resources to be creative

15. Key Components 1.A voice for seniors that enables them to plan and create the services available for them in their community. 2. A central place where people can access guidance for all types of service needs, whether the person provides services or receives services.

16. Key Components (continued) 3.Prevention and early treatment of chronic illness Activity for Seniors Exercise Social and Entertainment Education and Support Medical/Dental/Emotional Health Yearly check-ups Early detection

17. Key Components (continued) Services that are available to help people before they are ill: Financial Chore Homemaker Nutritional/meals/grocery shopping Lifeline Community resources Foot care

18. Key Components (continued) 4.Acute & Chronic Illness (Additional services) Medical/hospital Care Coordination Home Care Skilled Nursing Home Health Aide Therapy Services – PT, OT, Speech Pharmacist Social Worker Caregiver support Transportation Parish Nursing Respite Housing and Assisted Living Nursing Home

19. Key Components (continued) 5.Death & Dying Palliative Care Services Hospice Services End of Life Support

20. Financial Many of these resources are already being paid for or funding raised $

21. Barriers to Our Process 1.Time to plan 2.Finances to fill in the gap areas where no funding is available today However, we’ve developed a camaraderie resulting in: Trust Innovation Sharing “the elephants” in the room Moving forward together Thinking broader than our own organization

22. Roseville Area Healthy Living for a Lifetime