A membership consortium of aging services organizations, including CCRCs, moderate‐income and federally subsidized housing, and home care and community‐based agencies who use a holistic, Web‐ and evidence‐based assessment tool and person‐centered process to advance healthy aging and improve outcomes of older adults living independently.
Neil Beresin, COLLAGE, Kennett Square, PAKarri Sears, Wellness Director, Alexian Village of Milwaukee, WIDoug Zimmer, Center for Information Management, Ann Arbor, MI
Today’s webinar is one‐hourQuestions can be submitted via the control panel**Any questions we don’t get to today, we’ll provide a written response by e‐mail within a week
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How are you measuring and improving healthy aging outcomes?
Are you using an evidence‐based assessment system?
Does your organization really understand the value proposition?
Membership– types or settings 4 28 21 5 CCRC sites At Home sites Housing sites Other
How Does COLLAGE Work?Assessments Data infrastructure Informed decisions Individuals Community ROI: better healthy aging outcomes
Assessment Process: How? Staff person one‐to‐one with resident Once every 9 months to 1 year In office or home Initial conversation takes 45 minutes to 1 hours Data recorded in software (web‐based)
Assessment Process: Who? • Nursing, social service, fitness, wellness staff Who? • Independent or assisted living residents • Improve healthy aging • Individuals • community Why? • Target resources to resident goal • Inform need for service support decisions • Strengthen program planning
COLLAGE Assessments: Key Features Holistic snapshot of individual Evidence‐basedPart of an assessment suiteused in over 30 countries
Our Assessment System• Wellness Assessment: subjective, lifestyle survey completed by the resident• Core Assessment: short, health‐focused, objective, combined with WA leads to Personal Wellness Profile report and Healthy Aging Plan. Also determines if resident has risks that require additional in‐depth assessment• Comprehensive Assessment: objective, health‐ focused, more extensive than Core, only completed if “triggered” by Core
More About the Core and Comprehensive Health Assessments • Streamlined assessment system, released 7/12• Core Assessment has 60% less items, 25‐35 minutes to complete• Depending on setting, about 10% of residents will need Comprehensive Assessment• Comprehensive Assessment is auto populated with Core Assessment coding
Customizes goals into a Impact for Healthy Aging Plan across six wellness domainsIndividuals Activates residents to improve quality of life and age more successfully Frames a personal care coordination roadmap Provides staff/client feedback loop
Impact for CommunityFalls and balance programs (“Got Water?”) Exercise and Tai Chi for Spiritual wellness (“Joy of managing arthritisLiving”) Yoga for managing Memory enhancement depression and anxietyand support programs New Library and book clubs(“Covered Bridge”) Targeted educational Bereavement support materialsgroups Exercise/cognitive behavior Aging Enriched Resource for managing painCenter
Impact on Management and OperationsIdentifies needed services Informs decisions about risk (needs) and interests Promotional advantage Assists with accreditation
Impact on Management and Operations (continued)Improves planning/continuity of health/wellness operations Leverages data (grant funding) Improves financials (actuarials) Improves outcomes
Reports Overview Individuals Aggregate Assessment Aggregate Profiler Responses/Comparison Medications Medications Diseases Diseases Indicators Report Ad Hoc (assessment summary)Personal Wellness Profile Assessments DueHealthy Aging Plan (HAP)
Personal Wellness Profile report Resident‐directed content Fully automated Evidence‐based score in each on nine healthy aging domainsContent: • What your score means • What you may consider doing to promote your wellness • How your score compares to others in your community
COLLAGE is Changing in 2013: COLLAGE 360What is COLLAGE 360 ? COLLAGE 360 combines the power of information derived from the COLLAGE assessment system with an award‐winning, innovative wellness coaching process call Vitality 360. How does it work?The coaching model focuses on engaging the resident in meaningful conversations that facilitate self‐direction and action. Through a reflection and visioning process that includes information from the assessment, resident are able to articulate life goals, supporting goals and action steps that will lead to inspired lifestyle changes.
COLLAGE is Changing in 2013: COLLAGE 360The role of the interdisciplinary teamThe interdisciplinary team (which may include fitness and social service staff, nurses, nutritionists, administration and physicians) is guided by the coach and serves a critical support, resource and advocacy function for the coach and the resident. The coach communicates on a regular basis with the resident about his/her individual wellness plan and keeps the interdisciplinary team informed of residents’ progress. Preliminary resultsOrchard Cove, a continuing care community in Canton, MA, initially developed the program and has found significant positive results.
COLLAGE is Changing in 2013: COLLAGE360Preliminary results from Orchard Cove• 90% of residents participate in the program• 85% of the participants developed a fitness plan• Of those resident participating, 80% exercise on a regular basis (more than twice a week)• Since 2011, the percentage of residents who exercise increased from 33% to 74%• 89% of the residents participating reported having good or excellent health – up from 80% one year earlier. This was a statistically significant finding.• 62% of the residents participating stated they are delighted with life as a whole – up from 32% one year earlier. This was a statistically significant finding.
COLLAGE data is the engine that drives your Wellness Program operations
Using Data for Program Development Karri Sears Director of Wellness
Health and Wellness is What Everyone Wants Your prospective residents move to your community because they expect you to help them remain independent for the rest of their lives
Keeping People Independento Meets your missiono Improves satisfaction of residentso Reduces turnover of unitso Allows community admissions to assisted living and health careo Reduces costs for life care community through reduced utilization
What Can We Provide To Facilitate Health and Independence? o Holistic evidence‐based assessment (COLLAGE) o Knowledge and tools to remain well and stop or slow chronic disease o Data‐driven programs and services to enhance quality of life
Components of an Effective Program A holistic approach to care coordination services is finding the right balance of support between monitoring the seniors health care needs through ongoing contact. To develop a simple plan of care that is understandable and agreed upon with the goal of 100% compliance.
How COLLAGE Assistedo Provides holistic evidence‐based wellness assessmento Supports philosophy of promoting independenceo Provides opportunity for benchmarking via comparative datao Assists in development of resident need priorities
Occupancy Data: Health Care and Assisted Living Projected Projected Actual Actual SNF AL SNF AL2007 53 53 30 182008 53 53 29 192009 53 53 27 182010 54 52 19 302011 54 52 16 30
Occupancy Data: Lead to Significant Financial Improvement New direct admissions into health care and assisted living, lead to financial improvement: approximately 7 million dollars surplus
Cognitive Performance Scale (CPS) score from data Cognitive impaired residents: derived from CPS score2008 –’09 1262009 –’10 1752010 –’11 200
COLLAGE, The Art & Science of Healthy AgingHelps you get the right people in the right seats on the busData improves services, quality and outcomes, and it is a win‐win for everyone…
The Technical Side of COLLAGEDoug Zimmer, Co-ownerCenter for Information Management, Inc.Ann Arbor, MI
Software Highlights• How does COLLAGE software work?• What is included in basic software?• What options are available? • What is the National Repository? • How is software deployed? • Short demo of software prototype
Software Platform• Web‐based software, runs in browser• Requires Internet connection • No installation required; minimal issues for local IT • Data for all members stored on single server in secure data center (with access strictly controlled by facility)
Basic Functions • Maintain demographic information and record several types of assessments • Create Healthy Aging Plans with personal goals for wellness • Generate reports on individuals and in aggregate
Optional Features• Use laptop for interviews in personal residences without Internet connection• Build ad hoc queries and create dashboards and special reports unique to organization
COLLAGE National Repository • Copy of de‐identified assessment data automatically sent to Institute for Aging Research (IFAR) • Performs quality assurance review • Creates peer comparison reports • Supports ongoing studies by IFAR
Deployment• Each organization plans implementation process and timetable for deployment • Web‐based training provided: • How to complete and use assessment tools • How to use software tools• Help Desk services available: • Coaching clarifications and questions • Technical software issues or problems
Software Demo• Overview of resident information• Completing assessments• Creating Health Aging Plan (HAP)
COLLAGE, The Art & Science of Healthy Aging® o Schedule a meeting with your leadership team o View a short YouTube video of a COLLAGE conversation in action o Talk to several COLLAGE member organizations. o Review our Question and Answer publication o Chat about cost, training, model practices, successful program launch and business process integration, trial operating agreements, etc. email@example.com Learn more on your own collageaging.org blog‐collageaging.org