Housing With Services


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Housing With Services

  1. 1. HOUSING WITH SERVICESDavid Fuks, CEO, Cedar Sinai ParkHousing With Services SummitSalem, Oregon / 28 November 2011
  2. 2. Boomers vs. Available Resources 72m 63.9m Boomers, 65+ 54.8m 46.8m 40.3m Available resources 2010 2015 2020 2020 2030www.cedarsinaipark.org 2
  3. 3. Necessity Is the Mother of Invention• Increase in population needing services• Low rate of saving for retirement among boomers• Consistently high demand for affordable housing• Impact of current downturn on capacity to savewww.cedarsinaipark.org 3
  4. 4. Necessity Is the Mother of Invention• People in affordable housing are 4x more likely to need healthcare assistance and help with (Instrumental) Activities of Daily Living than people in their own homes• Need to manage health care costs (Affordable Care Accounts/CCOs)www.cedarsinaipark.org 4
  5. 5. Housing With Services andBerwick’s Triple Aim1. Improve the Experience of Care2. Improve the health of populations3. Reduce per capita costs of healthcarewww.cedarsinaipark.org 5
  6. 6. Improving the Experience of Care• Possible pilot strategies: – Coordination among providers – Collocation of some services on site – Increased transportation – Increased case management – Developing services with tenant community involvementwww.cedarsinaipark.org 6
  7. 7. Improving the Health of Populations• Possible pilot strategies: – Focus on residents in subsidized housing – On-site wellness education – Coordination with on-site home care – Coordination with nutritional assistancewww.cedarsinaipark.org 7
  8. 8. Reducing per Capita Costs ofHealthcare• Possible pilot strategies: – On-site rather than emergency room treatment – Increased compliance with medication prescriptions and medical follow-up – Access to case management, hospice, home health, etc.www.cedarsinaipark.org 8
  9. 9. Berwick’s Triple Aim: Preconditions• Partnerships with individuals and families – Possible pilot strategies: • Tenant Council • Community organizations• Redesign of care – Possible pilot strategies: • On-site collaboration• Population health management – Possible pilot strategies: • Focus on subsidized housingwww.cedarsinaipark.org 9
  10. 10. Berwick’s Triple Aim: Preconditions• Financial management – Possible pilot strategies: • Consortium• Integrator – Possible pilot strategies: • Case management • Service coordinatorswww.cedarsinaipark.org 10
  11. 11. Housing With Services TargetOutcomes: Aging in Place• Reduce nursing home and assisted living facility utilization• Reduce emergency room utilization and hospital stays• Reduce criminal justice intervention due to substance abuse and mental health problemswww.cedarsinaipark.org 11
  12. 12. Housing With Services Meta-Strategies• Collaboration between Cedar Sinai Park, Seniors and People with Disabilities, Multnomah County Aging and Disability Services, and Portland State University to assure sustainable funding sources and measurable outcomes• Develop a replicable modelwww.cedarsinaipark.org 12
  13. 13. Housing With Services Macro-Strategies• Coordinate development of sustainable consortium of providers committed to defined target outcomeswww.cedarsinaipark.org 13
  14. 14. Housing With Services Mezzo-Strategies• Increased case management.• Increased access to mental health and substance abuse treatment.• Onsite health care and education.• Onsite staff culture change to support aging in place.www.cedarsinaipark.org 14
  15. 15. Housing With Services Mezzo-Strategies• Empower family caregivers’ competency regarding resident support and care team interactions• Increase resident access to health information and education regarding health decisions• Increased sense of community within the buildingswww.cedarsinaipark.org 15
  16. 16. Housing With Services Micro-Strategies• Increased home care services• Health education classes• Expanded transportation• Onsite nursing• Alcohol and drug treatmentwww.cedarsinaipark.org 16
  17. 17. Housing With Services Micro-Strategies• Mental health services• Geriatric assessment• Alternative medicine (e.g. acupuncture, massage, etc.)• Tenant council(s) – Individual buildings & Residentswww.cedarsinaipark.org 17
  18. 18. Housing With Serviceswww.cedarsinaipark.org 18
  19. 19. Housing With Services Timeline1 2 3 4Consortium Program Pilot project Programdevelopment development sustainabilitywww.cedarsinaipark.org 19
  20. 20. Consortium Development• Initial planning meeting• Identify finance, point staff, prospects• Find healthcare partnerwww.cedarsinaipark.org 20
  21. 21. Program Development• In all levels of planning engage – Residents – Outside providers – Tenant families – Community volunteers/resources• Conduct needs and demand assessments• Define scope of serviceswww.cedarsinaipark.org 21
  22. 22. Program Development• Build sustainable funding model – Budget – Funding sources and methods• Clarify roles and agreements• Hire service coordinatorwww.cedarsinaipark.org 22
  23. 23. Pilot Project• Determine staffing• Orient residents• Contract with state for fundingwww.cedarsinaipark.org 23
  24. 24. Program Sustainability• Build structure to maintain partnerships• Program quality control and maintenance• Evaluate outcomes and satisfactionwww.cedarsinaipark.org 24
  25. 25. THANK YOU!Contact: David Fuks 503.535.4307 david.fuks@cedarsinaipark.orgVisit: www.cedarsinaipark.org